The current relationship between the People’s Republic of China (PRC) and the United States has been described by reputable China scholars as the worst it has been since normalization in 1979.1 How bad can it get? The easy answer to that question is, of course, no one can know the future. That granted, we focus here on three more empirically answerable but still relevant questions. First, just how bad is it now? Second, what are the main factors driving the two apart? Third, given current trends, to what state of affairs can current trends reasonably be expected to lead, ceteris paribus?