hello, everyone. i'm kate bolduan. thank you for joining us this hour. it can be hard to grasp where the country is right now quite frankly. you can't overstate how bad things are getting with the virus right now. it is worse than ever, a real national crisis yet you have the great hope of a second vaccine that it could start shipping out as soon as this weekend. a formal decision from the fda could come at any moment to

authorize the moderna vaccine. and the need in the country could not be greater. 1 in 216 americans have been infected with coronavirus over just the last week. the u.s. is now averaging more cases every single day than it ever has during the pandemic. hospitalizations hitting another record high. more than 114,000. in los angeles county, there are no icu beds available. that is what they're saying. the health care system is stretched beyond capacity. >> myself and a lot of doctors across the country are scared to go to work in a way we've never been scared before. >> we're drowning in covid patients right now. we're literally up to our neck. >> it's getting overwhelming. just a lot more patients are coming in. >> they're drowning in covid right now they say. and the death toll continues its unrelenting climb. the virus killing another 3,200

americans on thursday alone. kentucky, utah, california, tennessee all setting new death records. let's get to two of the hardest hit areas right now. natasha chen is in tennessee and dan simon is in san francisco. tennessee currently leads the country in the number of coronavirus infections per capita. what are you seeing and hearing there? >> reporter: kate, we are in coffee county, and this is -- the fairgrounds has turned into a testing site. i can tell you right now we don't see anybody in line to get a test and this opened about an hour ago. there were a few people trickling in at first but it's emptied out. the issues we're seeing are in the east everyoern part of tenn. the "the new york times" made a list of where they're seeing increases, and tennessee made the list a few times. if you look at the overall

moving average of daily cases in tennessee let's show you that graph because it's a stark visual there from early november to the current day we're seeing the skyrocketing graph. and hospitalizations the same thing, a steady increase in a scary way. the governor here, bill lee said people's thanksgiving choices are catching up to them. the vaccine is a good thing it's rolling out but it will take time to have impact and the vaccine will not solve people's selfishness or foolishness. he's asking people to wear a mask, not gather for the holidays. but there's still no statewide mask mandate. according to the tennessee health department they put out yesterday that the positivity rate for their test is more than 21% right now and the icu beds across the state only 8% of them are available, kate. >> dan, let's bring you in on this as well.

by comparison, what's going on in california? >> reporter: well, kate the state is in the midst of this unprecedented surge. yesterday you had 52,000 cases. in the last 48 hours you had more than 100,000 cases and that is putting a severe strain on the health care system, as you alluded to, icu beds really getting low. statewide it is at 3% in southern california it is at 0%. the state set up alternative care sites, there's 11 of them, five of them have been activated and they have patients. in san francisco the city has taken more aggressive saying. saying if you are coming into san francisco from outside the bay area you need to quarantine for ten days, that includes people who are traveling, people who are moving, and people who live here. it's just another example. another sobering example that the pandemic is not slowing down. kate? >> not even close. dan, thank you.

natasha chen thank you. joining me now is dr. megan rainy. an emergency room physician in rhode island. thank you. there's no state that's doing great right now we can say that. but rhode island also has one of the highest rates of new cases per capita in the country. what are you seeing right now in your hospital? >> our hospital has been under surge for quite a while now. we opened up our field hospitals, alternative care sites on the 1st of december. the hospitals continue to be full. our intensive care capacity continues to be low. and we continue to see more patients come through the door, both who are sick from covid-19 and those suffering from its aftereffects. at this point the surge has been going on for long enough in rhode island we are seeing people coming in with symptoms of long covid, who are not getting better or who are having

new complications as a result. we're seeing increasing numbers of healthcare providers out sick. we're calling in backup docs every day between now and the new year because so many of us have gotten sick or had to quarantine ourselves. >> you're now seeing entire families coming to the e.r. how do you handle that? >> the first thing is how sad it is. it is really difficult we know to separate from your family members when you're sick. that's why we see such spread within families we have multi-generational households here in rhode island where kids live with grandparents, with aunts and uncles. when people come in with the same last name, as a health care provider that makes me nervous about mixing up medications or writing the things in the wrong charts so we have protocols to

separate them in the emergency department so we don't make mistakes taking care of them. >> i never thought of that. you're absolutely right. you have the startling new data point. you have one in about 200 every 200 americans now infected in just the past seven days. what should that rate of infection mean to people everywhere? >> what that rate of infection means is, if you have been lucky enough to escape the virus so far, now is the time to double down on all the measures to protect yourself and your family. it is everywhere. anything that you do, you are putting yourself at risk of exposure to covid. this is the time to stay home, to avoid indoor restaurants, to avoid indoor gatherings, to not see people who you don't live with without a mask. and if there's any way to not go physically to work right now, now is the time to do that. we need to make it through this next month so that the vaccine can start getting distributed. now is the time to double down

to protect yourself. >> you just received your pfizer vaccine this morning i understand. you've gotten many shots in your life, of course, there's a picture of it happening. what was the moment like for you? >> i got a little teary as i got into the room. this is the light at the end of the tunnel for me and so many health care workers and for our entire nation. receiving the vaccine itself was nothing. it hurt less than a flu vaccine. i expected it to be a big deal and it was just done. it's been a couple of hours now, i still feel completely fine. i, like everyone else who gets the vaccine right now, got monitored for around 20 minutes afterwards. none of us had any adverse effects and got to go home just fine. the thing most meaningful to me is seeing my social media feeds filled with pictures of fellow physicians, nurses, p.a.s, teches, housekeeping staff getting the vaccine as well.

we've just been through so much as health care workers over the last ten months and to see that literal shot of hope going into the arms of so many colleagues, i can't begin to express what it means. >> you know, there's also this real tension that is emerging between the trump administration and pfizer, the maker of this first vaccine. it seems to have kind of really started off yesterday with the hhs secretary suggesting that pfizer is going to need government help to ramp up their manufacturing of vaccines. pfizer then put out a statement saying they have no problems. and i have to tell you, doctor, a source close to pfizer followed up with me and told me this, pfizer has vaccines that are just sitting in warehouses waiting to be told where to go and pfizer has made specific requests of operation warp speed for direction. pfizer has not received it. this source even went on -- went

as far to question alex azar's honesty. millions of doses sitting in a warehouse with no direction from operation warp speed. what do you say to that? >> that confirms what i have been hearing as well from folks within both government and pharmaceuticals and hospitals. what i have heard is that pfizer has been manufacturing as predicted, we know there were some small delays earlier last week, but states have been asking for vaccine and not receiving them and it's not because of lack of manufacturing. i'm also hearing that the time line that is being put forward right now is a little overambitious. to be realistic, most americans are not getting vaccinated until early summer. and communication from the government right now that says that we should be expecting vaccines in arms of low-risk americans by march or april is

simply unrealistic and is creating false hope and false expectations. >> do you think that's reckless to put that out? >> i do think it's reckless, i also think it's yet another reflection of the logistical failures of the current administration. you know, it's amazing and wonderful they put the money into creating the vaccine, kate. but they also should have invested in the back end of getting the vaccine into people's arms, having the data infrastructure there, having the shipments set up. that wasn't done and i think we're seeing the reflection of that right now. >> doctor, thank you. coming up for us, the supreme court just weighed in on the president's push to exclude undocumented immigrants from the cens census. and skepticism from the communities hit hardest by the pandemic. what's being done to rebuild that trust. here's what they're up against. >> we don't know any kind of side effects from them.

so i just really feel like at this point it's people that's gonna take that vaccine is guinea pigs. i feel like we don't know enough. when you shop with wayfair, you spend less and get way more. so you can bring your vision to life. for small prices, you can build big dreams. spend less, get way more. shop everything home at wayfair today.

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we are following some breaking news coming in this morning, the supreme court delayed ruling on whether or not the trump administration can exclude undocumented immigrants from being counted on the census -- in the census. this morning the justices threw out a challenge to the president's plan. jessica snyder has the details. she is joining us right now. why are they throwing out the challenge? >> reporter: the justices saying the challenge isn't ready to be revi reviewed yet.

so in a sense this is a win for the trump administration because it wipes away what was a lower court ruling that declared the president's policy to exclude these undocumented immigrants from the census count, they determined it a violation of federal law but now the supreme court saying it's not time to rule on this yet but this isn't a total win here, the court is saying the challenge can't be brought now but if the president in his final month of office gets the numbers, and excludes the undocumented immigrants that's when the challengers can bring the court. they're saying the president to be sure has made clear his desire to exclude aliens, but the president qualified by

providing the secretary should gather information to the extent practicable and then aliens should be excluded to the extent feasible. any prediction how the executive branch might use this statement of policy is conjecture at this time. that statement did not satisfy at least three liberal justices here. justice briar wrote a decent saying, the harm is clear on the face of the policy. really that's been the sentiment of many civil liberties groups here. to leave this policy in place until the president imfleplemen it and cuts undocumented out of the count and the federal money and congressional seats are apportioned without taking those people into account, the civil liberty groups say that's harmful in itself. this has been a major push for the president it's unclear how

this could proceed in the final 30 days. the department saying it's not going to have its final count until february, after joe biden becomes president and joe biden has suggested he will not implement this policy to exclude the undocumented immigrants but there's still a month left in trump's term. some are fearful what he might do between now and then, will he gets the numbers, exclude the undocumented immigrants and move forward in congress to apportion those seats, divvy up that money before joe biden comes in and tries to undo the policy. >> thank you for that. coming up, vice president pence goes before cameras to get the covid vaccine and try to put the pandemic behind us. president trump is nowhere to be found. >> tech: every customer has their own safelite story.

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you're looking here at an important moment this morning, dr. sanjay gupta receiving his first dose of the coronavirus vaccine. he described the moment as a striking one both momentous and

also mundane in the action. >> i felt totally comfortable getting this vaccine today. i just want to say that because i think so many people have asked me that. i think it's a fair question. things moved fast here and that sometimes caused trepidation, did it move too fast. but as dr. rice just said, the critical steps in determining why something is effective, why something is safe, does it work for these different demographics those were the steps not skipped. we just got our shot s and hopefully that sends a message. >> it does. also this morning, mike pence and his wife received their vaccines before cameras. part of the administration's effort to boost public confidence in the vaccine. but this is the duel universe the administration is trying to live in the pences and surgeon general adams doing the right

thing and getting the vaccine. but at the same moment the president is in hiding. let's get to john harwood at the white house. as pence is pushing the message of follow science, trump is retweeting someone on the use of masks. it would be comical if it wasn't dangerous. >> reporter: we have to say as you said in the intro, what vice president pence, karen pence, surgeon general jerome adams and our colleague sanjay gupta did this morning was positive, it will save lives if it builds confidence in the vaccine. and encourages more americans to take it. unfortunately, president trump, who has a lot more influence with followers than vice president pence does, is cons e consumed with his own grievances about the election, about his

news coverage, he tweeted this morning complaining about "the new york times" being unfair to him, the russia hoax, the right wing media hoax questioning the praising of masks, he was praising the incoming senator from alabama who suggested he may try to challenge the election results when congress tries to certify on january 6th. all things that satisfy the grievances and ego of president trump but not dealing with the pandemic killing in the last seven days more than 2,500 americans per day. >> also, john, we're just learning that the pentagon has cancelled all transition meetings scheduled for the day. what are you hearing? >> we're hearing from colleagues that the briefings were paused

yesterday, in part because of a focus on avoiding the government shutdown as congress tries to come together on the covid relief deal but they will resume shortly. so not clear, you know, we'll see if, in fact, they get resumed and if they do not, this pause does not have a significant effect on our national security. it is worth noting among the other things the president has been passive on, kate, is this massive republican cyber intrusion into agencies across the u.s. government. that's something very concerning to a lot of people, both parties in congress, president's had virtually nothing to say about that. >> add it to the list. john, thank you. time is running out as congress is scrambling to reach a deal on covid relief. will they get it done? how liberty mutual customizes car insurance so you only pay for what you need. isn't that what you just did? service! ♪ stand back, i'm gonna show ya ♪ ♪ how doug and limu roll, ya ♪

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negotiations? >> reporter: we're waiting and no word yet on when a deal may be reached and no word about when votes may happen. and also whether president trump will sign this into law. there's optimism a deal will be reached. mitch mcconnell went to the floor today saying he believes they're in reach of a rescue package. speaking about the ability to get a deal together here. but there's still sticking points. hearing from democrats this morning about concerns of republicans' efforts to restrain the federal reserves lending authority, that's a sticking point. republicans say those programs were meant to be wound down we'll see how that plays out. over all the contours of the bill are clear to some extent. we expect about a $600 for direct payments to individuals. about $300 a week in jobless benefits for people which is so

significant because people are about to see their jobless benefits expire. and we expect about $330 billion for small business loans. the reason there's a question whether the government will shutdown tonight is because leadership wanted to tie this package going to bill to keep the government opened past today but it's uncertain whether they'll do that or if they have to pass another extension of government funding and punt on the issue of covid relief for another few days here. and also there's money for vaccine distribution. we're hearing for the first time members of congress will get vaccinated themselves. one congressman, don buyer, plans to get vaccinated today and nancy pelosi and mitch mcconnell plan to get vaccinated in the coming days. that's coming to capitol hill, we'll see if the relief comes to the american people soon. >> there is talk that there will be money for schools in the

covid relief package. we don't know how much additional money for schools in the deal. that's one of many big questions right now. with joe biden promising to get most kids back into classrooms in his first 100 days, how do schools do that. joining me is arne duncan. it's good to see you. how much money do schools need to reopen inperson in the first 100 days, do you think that's realistic? >> what schools have been asking for was about $250 billion from congress. unfortunately, as you know, there's no stimulus package now and whatever is in there is far short of that. there's no money. school districts have been starved. so anything will be helpful but is it going to be sufficient for the size of the challenge, i don't think it's close. >> the job of the education secretary is a big one but coming in the midst of a biggest shutdown of schools because of the pandemic in i don't know how long, what can the ed secretary

do coming in, whoever that may be as schools are largely, as we know, run and managed on the local level? >> first of all we need an education secretary who's managed through this pandemic who has built trust with teachers and parents and students, who's living in this crisis and knows what it takes to get us to a better place. there's so many priorities as you said, a couple things that are most urgent to me. first we have to find the students missing in action, who have not been in school since march. we have to get them back enrolled. secondly we have to think about a national tutoring program to help students catch up who have fallen way far behind. third, the idea of taking a summer break coming out of this with hopefully vaccines widely available just doesn't make sense. we've lost too much time not just acade just academically but socially and emotionally.

we need to think about starting schools earlier, think about band and robotics and debate and chess, sports give kids a chance to be back in school buildings, around each other, catch up. we have to be creative. hopefully there's another stimulus package with significant money for education but we have to get to the kids who have disappeared and get them back in a learning mode. >> do you have someone in mind you think would be best at that job? >> i'm sure president-elect is going to pick someone who's fantastic. there are lots of great people out there managing through this crisis who know what it takes, fighting on behalf of the kids that need the most help every day. we need someone with that experience but also that sense of urgency and commitment. >> education groups have been urging the cdc to put teachers and staff on the priority list, do you think they should get to the front of the line in the next group? >> yes.

i think teachers, bus drivers, custodians, lunchroom attenda s attendants, social workers they are absolutely essential workers and if we have any hope of getting teachers and kids back, obviously the health care workers deserve to be the front of the line. coming with that, the essential workers around the country, educators deserve this. no doubt about it. >> the superintendent of los angeles schools made the case, he was on the show, he said he thinks schools, school buildings, they should be the vaccine sites -- primary vaccine sites across the country. here's why he says that. >> the place to provide the vaccine to students and the families is the place they trust the most, where they are almost every day, their local neighborhood school. >> do you agree with that? >> i absolutely agree. we've been working together on a number of different things related to try to get our schools open.

he's working so hard in l.a. and we need to have the vaccine widely available and we need people to trust. we know for lots of reasons people may not trust their hospital, may feel intimidated going there, not feel safe going there. but people trust their local schools whether it's children, parents, care givers, coming to schools, getting tens of millions of meals every day since the start of the pandemic. coming there to get that vaccine, helping children and their families start to be safe in a way they haven't been for far too long, i think schools could help to drive this across the country. >> you mentioned schools -- maybe summer school one out of the box idea. you're big on the think outside the box when it comes to education. what's another thing? >> this summer we have to rethink the school year going forward. and the idea that we have summers off when the vast majority of kids don't work in

the fields anymore and our school calendar is based upon the economy it doesn't make any sense. so thinking differently about time, whether it's longer days, saturdays, weekends, over the summer for those children on who need more help academically, those children coming out of the pandemic to social, be kids, play, do things with their peers. that's the thinking we need now. to stop school in june and go back this fall makes no sense whatsoever. we have to accelerate the start of this school year and going forward think differently about the use of time. making sure children get all the help they need, academically, socially and emotionally. >> arne duncan, thank you. >> thank you so much. coming up, the emotional plea from the surgeon general today and what it means for communities of color hardest hit by the pandemic. ♪

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this weekend a critical meeting is happening at the cdc to determine who will be next in line on the priority list to receive a covid vaccine. right now health officials are also concerned not just about who should get the shot next but will everyone be willing to take it. this morning the surgeon general addressed it directly after he received the vaccine on camera, making an emotional plea, especially to black americans. >> i know the importance of representation. that's why i could not be more pleased or feel more called to receive this vaccine that so many people of color had a hand in developing and testing and it

has the potential to correct at least some of the health disparities this pandemic has unveiled. >> joining me now is the former director of the cdc and former surgeon general. thank you for being here. what do you think of the message coming from dr. jerome adams this morning? >> it's a very important message. and he delivers it very well. and i think the fact that he was speaking while getting his own vaccine was very significant. this is critical. the virus is very dangerous. people speculate about the things that can go wrong with vaccines, but the fact of the matter is, we know what can go wrong with the virus if you're not vaccinated. so 300,000 plus people have already died because of the virus. and so i think your emphasis ought to be on getting people immunized so we can reduce the

number of people who are susceptible. >> doctor, i'm looking down at your lapel. it says i got mine. you got your covid vaccine? i can't see it as my monitor is small. is this a new thing? do i get a sticker or pin? >> if you get the vaccine. i did receive the vaccine this morning at grady hospital and was very pleased to do so. the people there were very helpful and accommodating. so i think it's just important for us to emphasize, as the surgeon general did, the importance of everybody getting the vaccine. >> this is a great challenge. as there is, especially among the black community, a horrible history of mistreatment that has created mistrust in doctors and medicine. i had a colleague that went to a small town in alabama who were voicing this mistrust.

>> i don't know. i don't understand. i like to know where it's coming from. >> we have to convince our family this is the right thing to do. >> we don't know any kind of side effects from them. so i just really feel like at this point it's people that's gonna take that vaccine is guinea pigs. i just feel like we don't know enough. >> the question remains, how do you overcome that? whose voice is most important? >> well, i certainly believe that leadership is important, and when i was director of the cdc and we were concerned about the low immunization rates for black children, and we were able to develop a partnership with the council of black churches, and as a result the immunization rates tripled over the next couple of years. i just think we've got to find people who are trusted already in the community, i mention

ministers because i have found them to be very effective. i had a meeting with ministers the other day to talk about the importance of getting the vaccines. but yeah, i was the director at the cdc when we asked president clinton to apologize for the tuskegee study and that was given all the information we had, we thought that was appropriate. and i think he did a great job of explaining why the whole nation owed an apology to the families of those black men involved in the tuskegee study. so we have a lot to be sorry for, but we also have a lot to look forward to. we need to find a way to get people protected against this virus that has already killed over 300,000 people. >> i mean, i was also surprised i have to say, you mentioned you're at grady hospital. sanjay gupta he also has highlighted even among hospital staff at grady, his hospital in

georgia, he said there's skepticism. he said there's a survey that a little over a third of hospital staff surveyed said they would get the vaccine, but also a third said that they would not. does that surprise you? >> well, i guess it surprises me, but only to a certain extent. i think we need to discuss this more with our staff, we need to make it is true that their risk in everything, i think risk of not being immunized is a great risk. the virus is dangerous. killed 300,000 people. whatever we can do to minimize that onslaught of the virus, i think we should do it. >> quickly, your life's work is

pushing for health equity. this virus exposed how much inequality there is in the health care system. how does the government make sure that's not the case when it comes to the covid vaccine? >> i think we have to do more of what we started to do. getting more people started with the surgeon general this morning, and our president of the school of medicine, i received the vaccine this morning. we've got to send that message. i had an opportunity to meet and speak with a group of black ministers the other day. we have to keep this message going. along with it, have to talk about the dangerous of the virus. we can demonstrate that in the fact that over 300,000 people have already died in this country. >> absolutely. doctor, thank you very much. a programming note for all of you, this discussion

continues this evenings with dr. anthony fauci and the surgeon general jerome adams. when they join don lemon for a new town hall, the color of covid, the vaccines. tonight at 10:00 eastern. so coming up still for us, down to the wire. pressure mounts as congress still has not reached a covid relief deal. they say they're optimistic, they say they will get there, but will they. the house speaker is set to speak soon. before we go to break, this week's cnn heroes all-star tribute celebrated the incredible behind some of the year's best moments. and asking you to vote for which moment inspired you most. cnn's anderson cooper has more. >> sometimes a photograph can capture the mood and attention of the world. in june, one image did just

that. during protests on the streets of london, events turned violent. black lives matter was there to condemn statues of people with racist ties, and white protesters were there to protect the statues. one male, a former white police officer wandered into the crowd, started to get beat up. one of the protesters saw he was in peril and moved in, picked up the injured man, carried him through the crowd to safety. >> biggest thing for me was making sure no harm came to him. i knew if harm had come to him, that would be changed and blame would fall on young black lives matter protesters. made sure we got him out safely. >> patrick, father and grandfather, hopes everyone that sees the image understands the responsibility to do the right thing resides in all of us. >> just want equality for all races, for all people, so right now we're the ones that seem to be pressed, and it is about time

things are changed the world over. >> you can watch cnn heroes, an all-star tribute anytime on cnn go, on demand, and hbo max. recommend it. we'll be right back. we love the new apartment. the natural light is amazing. hardwood floors. there is a bit of a clogging problem. (clog dancing) at least geico makes it easy to bundle our renters and car insurance. yeah, helping us save us even more... for bundling made easy, go to geico.com

hello, dana bash in washington. thanks for joining me. another day of more than 3,000 coronavirus deaths pushing nightmares like 9/11 and d-day further down the list of deadliest days in u.s. history. the first vaccine is distributed across the country, we're awaiting a second vaccine approval. this one from moderna. health secretary alex azar says it could come as soon as today. when it happens, distribution starts immediately. >> trucks will roll, planes will fly this weekend, flying 9 million doses of moderna vaccine allocated for next week.