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What global executives need to ask about China in 2026

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2025 was a turbulent year for China. The country began the year battling geopolitical headwinds and weak domestic demand. By April, new tariffs and trade frictions triggered some of the most significant trade actions in decades.

Yet by November, the story had changed. China’s annual trade surplus passed $1 trillion, a record high. GDP growth remained steady at around 5%. The country seems to have shrugged off concerns of “deglobalization.”

What does 2026, the Year of the Horse, pose for China? The headlines may focus on Trump tariffs or real estate woes, but there are more subtle trends happening that will define China’s economic trajectory. China presents new challenges for international business, particularly from confident local competitors, but there are still opportunities for disciplined global executives. Five key questions will matter as the world’s second-largest economy navigates a fast-changing global economy.

How will tariff uncertainty shape your China strategy?

China has long dominated global manufacturing, thanks to its cost competitiveness and integrated supply chains. That strength remains intact despite higher U.S. tariffs in 2025, which have now stabilized at around 50%. The tariffs barely dented China’s trade: The country’s share of global goods exports held steady at around 14%, four times greater than India and Vietnam combined.

The reason is that China has already broadened its trade partners. Goods exports to the U.S. represent just 2-3% of China’s GDP, and over half of China’s goods exports now go to Global South economies including ASEAN, Latin America, the Middle East, and Africa.

China also exports more knowledge-intensive goods, such as electronics and automobiles, and fewer labor-intensive goods, like furniture and toys.

Beijing’s bought itself some time, but 2026 will be the test of how resilient China’s export economy truly is. Trade patterns will continue to shift, with one analysis by the McKinsey Global Institute suggesting that as much as 30% of global trade could be shift corridors by 2035. The trade map is being redrawn in real time.

Multinational companies with a presence in China need supply chain flexibility, so that can rewire their operations as quickly as China’s companies can.

Where are Chinese consumers spending, and what does that mean for global brands?

Before the pandemic, Chinese consumers drove near-double-digit retail growth each year. Yet in 2025, consumer confidence hit historic lows, youth unemployment hovered around 15%, and real estate remained stagnant. Yet retail spending grew around 4-5% in the first three quarters of 2025 year-on-year.

Chinese consumers continue to spend—just on different things. Tourism spending rose 12% in the first three quarters of 2025, while box office revenue jumped 22%. Government subsidies supported double-digit growth in spending on electric vehicles and home appliances. Discretionary spending, however, struggled.

The opportunity for executives lies in tapping China’s sizable household savings. Consumers are waiting for something worth buying, and so the challenge will be to offer products and services that Chinese shoppers think are genuinely worth pursuing. Competing on price alone won’t work; only a compelling value proposition will unlock these locked savings.

Can your business survive and thrive in China’s hyper-competitive market?

China is struggling with deflationary pressure, even as the West fights inflation. 2025 accelerated what the Chinese call “involution”, an intense competition that erodes margins across the industry. Roughly 30% of large industrial firms reported losses, up from 20% before the pandemic.

But the period of “overcapacity” may be easing. Fixed asset investment slowed, and then shrank, reflecting weaker spending in some sectors. Rather than being a concern, lower investment may signal that companies are pulling back from excessive expansion, correcting years of overinvestment that flooded markets and destroyed pricing power. That adjustment, if reinforced by appropriate reforms, could eventually stabilize margins.

Companies must now differentiate through technology, branding and services, and not just price. Importantly, success in China will lead to a competitive advantage anywhere else in the world. Otherwise, competition with Chinese players can be brutally unforgiving—not just on their home turf, but increasingly overseas as well.

Are you ready to face Chinese competitors abroad?

China has attracted foreign capital for decades. But last year, China turned into growing source of investment. Foreign direct investment announcements into China between 2022 and 2025 fell by roughly two thirds, compared to between 2015 and 2019 on an annualized basis. Outbound Chinese FDI announcements held steady at around $100 billion annually, but it’s broadened beyond the traditional destination of emerging Asia to newer markets like Latin America, the Middle East and Europe.

Chinese companies are also becoming global cultural exporters. Pop Mart’s Labubu figurines, the blockbuster Black Myth: Wukong, and Chinese EV brands have all captured global audiences. This reflects a growing form of commercial “soft power,” as Chinese culture, lifestyle trends and consumer brands penetrate markets.

In 2026, expect to face Chinese competitors on your home turf. Global South markets, and their younger and increasingly affluent populations, are becoming more important to Chinese companies, but Western economies still present an opportunity for Chinese brands that are competitively priced and culturally relevant. It’s not a question of whether Chinese companies are coming; it’s whether you’re ready to match their speed, cost, and efficiency.

Will Chinese AI reshape productivity, in China and beyond?

Before 2025, Silicon Valley looked like it had an insurmountable lead over China in AI. Then came perhaps the biggest China story of the year: DeepSeek’s open-source AI model that rocked markets and intensified AI competition in China, the U.S., and around the world.

China is now an AI leader, even amid tough U.S. export controls and a moribund venture capital sector. Major tech firms like Alibaba rolled out models competing with the best from the U.S., while a swarm of “little dragons”—smaller, agile AI startups—released their own innovative models. Chinese AI now perform strongly on LLM leaderboards

China’s innovation engine—rapid iteration, cost-efficient scaling, substantial engineering talent, and collaborative open-source development—explains how the country was able to take the lead on AI.

But business impact is more important than technical performance. Will this AI capability translate into meaningful productivity gains?

McKinsey Global Institute analysis finds Chinese companies rank in the top ten in 16 of 18 sectors that can drive up to one-third of GDP growth by 2040, with AI playing an important enabling role across many of them.

More meaningful signals may emerge next year, as China continues to invest in AI use-cases across its manufacturing sector. A new “DeepSeek moment,” perhaps in industry, might be a sure bet for 2026.

Looking ahead

2026 begins with sharper risks for China: Geopolitical uncertainty, a struggling real estate sector, strained public finances, and elevated youth unemployment. Yet what draws companies to China—scale, innovation, and global influence— remain as compelling as ever.

The companies that will win in China next year won’t be those with the best macroeconomic forecasts, but rather those that can win on the ground: building resilient supply chains, differentiating themselves from the competition, and harnessing the country’s innovation.

For global businesses prepared to operate with this level of discipline, China can still be a lucrative market in the Year of the Horse.



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Powell says DOJ criminal probe is attack on Fed’s independence to set rates

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Federal Reserve Chairman Jerome Powell called out the Trump administration for attacking the central bank’s independence, saying a criminal probe is due to the Fed’s refusal to lower rates earlier this year as President Donald Trump demanded.

He said in a statement Sunday that the Justice Department of served the Fed with grand jury subpoenas, threatening a criminal indictment over his testimony before the Senate last June related to renovations on the headquarters, which has seen cost overruns.

Powell, who is typically cautious in his public remarks, was clear that the probe was political in nature and had nothing to do with the Fed renovations or his testimony, calling them “pretexts.”

“The threat of criminal charges is a consequence of the Federal Reserve setting interest rates based on our best assessment of what will serve the public, rather than following the preferences of the President,” he wrote.

“This is about whether the Fed will be able to continue to set interest rates based on evidence and economic conditions—or whether instead monetary policy will be directed by political pressure or intimidation.”

Powell added that he has served under Republican and Democratic presidents “without political fear or favor,” while focusing on the Fed’s dual mandate of price stability and maximum employment.

“Public service sometimes requires standing firm in the face of threats,” he said. “I will continue to do the job the Senate confirmed me to do, with integrity and a commitment to serving the American people.”

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Oil prices rise as Iran crackdown suggests Tehran fears a ‘dire security threat to the regime’

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Crude oil futures pointed to continued gains on Sunday as markets weighed potentially transformative events in Iran, which has been wracked by protests across the country.

U.S. oil prices rose 0.56% to $59.45 a barrel, and Brent crude climbed 0.52% to $63.67 a barrel, as reports said President Donald Trump is weighing military options in Iran to follow through on his threats to attack if the government kills protestors.

Iran, which pumps 3 million-4 million barrels per day, has seen protests spread nationwide amid an economic crisis. Human rights groups estimate hundreds have died from the government’s crackdown, as the regime’s piecemeal attempts to appease Iranians have failed.

The government cut off internet access in the country last week, slowing the flow of information on the latest developments. But various reports and expert assessments indicate the unrest is posing a major threat to Tehran’s authority.

In particular, the security apparatus that keeps the leadership in power is showing cracks, according to the Institute for the Study of War (ISW).

“There are further indications that the ongoing protests are challenging the ability and willingness of Iranian security forces to crack down on the protests,” the think tank said in a recent report. “The IRGC Intelligence Organization released a statement on January 10 that it is ‘dealing with possible acts of abandonment.’ This statement suggests that some Iranian security forces may have already defected or that the regime is very concerned about this possibility.”

It cited additional reporting that pointed to some officers anticipating the regime’s collapse, forces in one city refusing to fire on protesters, and the possibility the government will deploy the regular army.

These rank-and-file troops, known as the Artesh, are less ideological and more representative of the Iranian population than the Islamic Revolutionary Guard Corps, ISW said. That raises the risk Artesh troops, who aren’t trained to handle civil unrest, could defect and indicates internal security forces are stretched thin, it added.

A separate analysis from ISW noted that the government is treating the protests as a military issue instead of a law enforcement one. It also said Tehran “has taken the rare step of using the IRGC Ground Forces to suppress protests because it has likely determined that these protests represent a dire security threat to the regime.”

Energy markets are digesting the implications of political upheaval in Iran, a top OPEC member with the world’s third largest proven oil reserves. In fact, anti-government protests have already spread to Iran’s oil sector with workers at a large refining and petrochemical complex going on strike.

Market tracker Kpler said in post on X on Saturday that Iran’s regime faces a tipping point and is under unprecedented strain.

“Though a full collapse remains a low-probability event, the rising risk is already lifting the geopolitical premium in oil markets. Any disruption—through factional conflict, export curbs or external intervention—could prompt near-term price spikes, despite global surpluses,” it added.

“Over the medium term, regime change could unlock sanctions relief and reshape trade flows, with European, Indian and Japanese refiners poised to benefit, while Chinese independents and Middle Eastern producers face stiffer competition.”



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Anthropic debuts Claude for Healthcare, partners with HealthEx for patient electronic health records

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AI lab Anthropic is making a major push into healthcare with the launch of Claude for Healthcare and an expansion of its life sciences offerings.

The announcement, timed to coincide with the start of the JPMorgan Healthcare Conference in San Francisco this week, comes just days after OpenAI unveiled ChatGPT for Health. That’s no coincidence and reflects the growing competition among leading AI labs to build specialized products for lucrative industries like healthcare, finance, and coding.

The Claude for Healthcare announcements include a partnership with HealthEx, a startup that allows patients to see all of their electronic medical records in a single place and control access to that data. The partnership includes a way for users to connect their personal medical records to Anthropic’s Claude in order to use the chatbot to answer health-related questions.

“HealthEx lets people bring their health records into a conversation with Claude and ask important questions in everyday language—What does this lab result mean? What should I bring up with my doctor? How has this number changed over time?—and get answers grounded in their own health history,” Amol Avasare, product lead at Anthropic, said.

The announcements also include a similar set of connectors for Function Health, a company that helps patients schedule lab tests and interpret the results, as well as integrations with Apple Health and Android Health Connect that will be rolling out to beta testers next week. For now, the connectors to HealthEx and Function Health are available to Claude Pro and Max subscribers in the U.S.

Health-related queries are among the leading consumer use cases of AI chatbots. But so far, Anthropic has been less focused on serving the general consumer market than its rival OpenAI, which boasts more than 800 million weekly users. Anthropic is thought to have far fewer consumer users and has instead concentrated on specialized use cases, such as software coding, that more naturally appeal to enterprise customers. It has pulled ahead of OpenAI in enterprise marketshare according to several recent surveys. It has also recently been creating more tailored versions of Claude to serve other industry or professional verticals, such as Claude for Financial Services and Claude for Life Sciences.

Anthropic has said it is interested in serving consumers as well as large organizations, and today’s announcements were aimed at both consumers and enterprise customers, such as hospitals, insurers, and pharmaceutical companies.

New offerings for healthcare providers, insurers, and pharma

The company said it was adding connectors to industry-standard databases including the Centers for Medicare & Medicaid Services Coverage Database, the International Classification of Diseases (ICD-10), the National Provider Identifier Registry, and PubMed.

These connectors are designed to help healthcare providers with tasks like speeding up prior authorization requests, supporting claims appeals, coordinating care, and triaging patient messages.

For life sciences companies, Anthropic is expanding beyond its initial focus on preclinical research to support clinical trial operations and regulatory work. New connectors include Medidata for clinical trial data and ClinicalTrials.gov. It is also launching connectors to bioRxiv and medRxiv—which are repositories for medical and biological research papers, usually before their findings have been peer reviewed; Open Targets, a database of identified drug targets; and ChEMBL, a database of bioactive compounds that could be used to make drugs.

The company is working with major healthcare and pharmaceutical companies including AstraZeneca, Sanofi, Genmab, Banner Health, Flatiron Health, and Veeva, among others. In a video clip Anthropic provided to reporters, it showed how Claude can now help a pharmaceutical company design a protocol for a Phase II clinical trial of a hypothetical drug designed to treat Parkinson’s Disease. It reduced the time it takes to draft the protocol design from many days to just about an hour.

Letting Claude use medical records to answer patient queries

Among the centerpieces of the new consumer health offerings is the partnership with HealthEx, which can help patients consolidate medical records from more than 50,000 health systems.

Fortune talked with executives from both companies exclusively about the new offering.

“Personal health records today are scattered across providers, and it can be difficult to get a complete view,” Avasare told Fortune. “HealthEx built a way to use Claude to unify those records with user consent and strong controls. Users decide what to share and can revoke access at any time, and their health data is never used for model training.”

HealthEx cofounders Priyanka Agarwal, now the company’s CEO, and Anand Raghavan, its CTO.

Photo courtesy of HealthEx

Users enable the HealthEx connector inside Claude, verify their identity, and connect their patient portal logins. HealthEx then unifies records across providers. When users ask Claude health-related questions, Claude uses Model Context Protocol (MCP)—an open standard Anthropic developed for connecting AI to external data sources—to securely retrieve relevant portions of the record for each specific question.

To enhance data privacy, Claude requests only the categories of information most likely to be relevant to a question—such as medications, allergies, recent lab reports, or doctor notes—rather than pulling an entire medical record. If relevance isn’t obvious, Claude can prompt users to broaden the scope, asking if they want to look further back in their history, Avasare said.

Priyanka Agarwal, cofounder and CEO of HealthEx, said the partnership addresses a fundamental problem in American healthcare: making it easier for consumers to access and understand their own health data.

“We’re giving every American a safe, private way for them to use their health data with AI,” Agarwal told Fortune. “We know that AI based on personal context is going to be more effective at providing support.” She said that by connecting medical records to HealthEx and HealthEx to Claude, users will get “responses [that] are grounded in your health history, not generic advice.”

According to Anthropic, the healthcare and life sciences announcements are possible because of recent improvements to Claude’s underlying capabilities. When tested on simulations of real-world medical and scientific tasks, Claude Opus 4.5, Anthropic’s latest model, substantially outperforms earlier releases. The company also said Opus 4.5 with extended thinking shows improvements in producing correct answers on honesty evaluations, reflecting progress on reducing factual hallucinations.



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