Skip to main content

tv   Key Capitol Hill Hearings  CSPAN  October 17, 2014 10:00am-12:01pm EDT

10:00 am
i'm trying to think of the word. through cosan one race to be pitted against the other -- causing one race to be pitted against the other. we are all made in god's image. host: thanks for being with us. we will see you tomorrow morning. >> "washington journal" continues. [captioning made possible by spn, inc.]
10:01 am
>> this from politico this morning on its website. and the president signaled he's open to a travel ban but doubts it would do more to protect americans. it may be appropriate for me to apoicht an additional person. the president told reporters in the oval office after a two-hour meeting with top advisors, including health and human services secretary, national security advisor, centers for disease control director. president obama will be delivering remarks this morning from the consumer protection bureau. that will happen at 11:50 eastern. we are planning live coverage. coming up in a few moments, secretary of state john kerry will deliver an update to the diplomatic corps at the state department on the u.s. response to ebola. live coverage of that when it happens. in the meantime a segment from this morning's "washington journal." >> "washington journal" continues. , we: teresa cardinal brown have been hearing about big
10:02 am
airports getting screening procedures. what are they doing in those airports? guest: the department of homeland security and cooperation with the cdc added additional string -- screening measures. get the information from the airline those a trip, theye on identify them before they come to the passport control area, they take them to the side and perform additional screening. they are doing similar screenings to what they're are doing in those countries prior to departure. when they identify someone who may have an elevated temperature or other signs, they are referring them to their quarantine locations in those
10:03 am
airports. they have medical staff on call to take them and do additional tests on them. these are procedures that have been put in place to be a secondary step here to the primary screening is being done at the point of departure in those countries. this is a secondary measure that has been implemented at five airports that have the most passengers from this country's. travelers from -- come intoes those five airports. are they trained in screening out people with potential medical diseases? guest: they are provided training in general to look for signs and symptoms of illness.
10:04 am
someone who presents or has a communicable health disease can be denied entry. all cdp officers are trained to look for general signs and symptoms of potential illness. in this case, they happen given additional instructions, additional equipment to look for elevated temperatures. are the cdp personnel wearing hazmat suits? guest: as the normal course of business, they are not. if they do go into secondary screening, they have access to personal protective equipment. there are protocols for when they should use that. anybody who feels the need can. most of this population is not testing positive. it's not a big concern. we have had outbreaks of sars and h1n1 where officers were
10:05 am
instructed in health protection. trained ande been are reminded of the protective measures they can take. host: who can be stopped from coming into the country? guest: any foreign national traveling to the unites states can be denied entry -- to the united states can be denied entry. countrieseling from on the visa waiver program -- permanent residence can be detained and looked at. they are treated somewhat differently. they have additional rights. any for national visitor can be denied entry. on aids atd a ban one point. it is really only those who have aids.
10:06 am
hiv-positive people are no longer an issue there. the state department officers who interview people for visas ask questions about health issues that may render someone -- to fake yourasy easy information or lie on a visa? and lots ofdy can people try to do so. it is not 100% sure and it is in the law that they are looking out for. anytime you have a particular area that has an outbreak of a disease, the consular officers and officerssas examining travelers have a heightened awareness. they have additional protocols in place and will look for signs of deception. trying tobody is
10:07 am
conceal something. that has always been the case. host: how many people have been stopped coming into the u.s.? guest: for health-related issues? host: are we talking thousands? a number of issues, including past criminal issues. there's a small percentage. i guess it's probably in the single-digit percentages. host: 379 because of communicable disease in 2013. guest: a small number. host: the numbers are on the screen. if you would like to participate, we will begin -- taking yours
10:08 am
calls. order stands ebola via closings and a lock. let's go to border closings. sayingf people are travel ban. >> we leave this "washington journal" segment to go live now to secretary of state john kerry who will be delivering an update to the diplomatic corps at the state department on the u.s. response to ebola. >> it is my great pleasure to introduce the honorable john kerry, secretary of state, who has also been our champion on the ebola effort. i want to thank him very much for joining us this morning. >> thank you, nancy. good morning, everybody. thank you very much for being here. thank ambassador powell for all you're doing to lead on this effort. i know that there's no shortage of demands on all of your time.
10:09 am
so we really do appreciate, and i know president obama appreciates your coming in here this morning for this very important briefing. and i'm particularly grateful to nancy powell who is leading our at the against the ebola state department and you'll hear from her and from others who are on the frontlines of our efforts to respond to this challenge. we thought it was critically important to bring everybody here together so you could hear from the experts and really get a chance to understand and report back to your governments about our efforts and where we are heading. we are very privileged in washington and the united states to have here one of the most distinguished diplomatic corpses sted any-- corpse -- corps
10:10 am
posted anywhere in the home. so much global expertise and influence, frankly. so that's why coming together here this morning really does represent a special opportunity to deal with this moment. meeting this crisis is going to require that we draw on each other's collective experience. and our collective capacities. no one country, no individual group of nations is going to resolve this problem by themselves. this is going to take a collective, global response, all hands on deck. that's the only way to get it done. we believe that coming together here this morning can be an important beginning and really creating the kind of global response necessary. i know you don't need me to tell
10:11 am
you what we are up against. i'm sure you have heard it from your own capitals. every time you turn on the television or the radio you hear that tellpping scenes us in real terms about this challenge. there's to way to describe the scenes from west africa other than just heartwrenching. gut wrenching. and the images of a pregnant woman being turned away from a hospital and she's on the verge of collapse. or of men and women dying on the streets. there are children orphanned and -- orphaned and a lot of hopeful nations working to plant the seeds of prosperity and open societies now suddenly battling
10:12 am
a brutal epidemic. so it's not just the suffering that we see or the potential risks that we face at that make this a different kind of crisis for us as diplomats. we live in a world of a lot of close calls, tough decisions on a daily basis. difficult and contentious issues where you can have an honest disagreement about what the best course of action is or about what the facts are or the results of your decision may be. ebola is not one of them. it should not be contentious with respect to the facts or what is needed or how we proceed. we know the risks. we know the science. we know the medical certainties. we know what is required to beat back this epidemic. and right now we know that this is a time for nothing less than
10:13 am
brutal honesty with each other about what we need. in both the capabilities that we need in order to meet this crisis and the real ways on the ground and the kinds of cash contributions, yes, cash contributions, that we need to fund these efforts for the months to come. and the fact is we haven't begun yet to fully meet the challenge at hand. so there are specific needs that we can meet right now. we need 200 flat bed trucks and 350 so-called soft skinned vehicles for transport of aid and resources. we need more helicopters and capable crews who can get to work right away. we need more mobile laboratories, treatment centers, and beds.
10:14 am
we need more incinerators and more generators. most of all, we need more of the courageous health care workers that we see making an incredible contribution right now on the ground, and we need to do everything that we can to provide these men and women the protective equipment and the reatment that they need. we know the things that we can do and need to do. we know even in the cases of texas, for instance, we know that protocols are perhaps not followed in some instance or another, so there are ways, because we have plenty of people working who are treating people who are not getting it. and plenty of people who have been surrounding and around it who don't get it. so the fact is that you have to come in contact. and as long as you can make
10:15 am
certain that that is not happening during those critical periods of incubation, there are ways to contain this. as president obama has said repeatedly, we approach this with humility. we approach this with a huge sense of purpose. but we know that no matter what we do we are not going to be able to do it alone. we are proud of the fact at that we have contributed $258 million most recently and we are also delivering support in some very unique ways that only the u.s. military can provide. that's why we are sending as many as 4,000 troops to the region. and that's why we are allocating up to one billion more for our armed forces for this purpose. and that's why we are creating 17 ebola treatment units and providing support right now for the mobile laboratories and the
10:16 am
communications infrastructure. we are using every instrument of american power in order to try to get this job done. and as many of you know, i have been making a number of phone calls each day to my counterparts from your countries in order to encourage concrete steps. we have been raising this issue in every single bilateral meeting that i have, but we know that nothing that one, two, three countries do together is going to solve it. we have to all be engaged in this. there is no country that is exempt from being able to do something to be able to contribute to this effort and help make a difference. and everything we do depends on how we coordinate our efforts as partners and how we contribute together. already we are seeing nations large and small stepping up in impressive ways to make a ontribution on the frontlines.
10:17 am
team more or less has dough kated $2 million. cuba, a country of just 11 million people, has sent 165 health professionals and it plans to send nearly 300 more. we want to thank france for committing 70 million euroand for their response in guinea where they have taken on special responsibilities. we want to thank the united kingdom for the ebola treatment units they are building in seerls -- sierra leone, and germany has significantly stepped up its efforts, including offering their facilities to treat health care workers. the european union is organizing medevac capacity and contributing 140 million euro, and the world bank and i.m.f. have committed more than $678 million. the african union is moving to send trained emergency responders to west africa.
10:18 am
no matter what we have already committed, it is clear every one of us, that we have to do more and we have to do it quickly. so of the one billion in needs that are estimated by the u.n., i regret to say we are barely a third of the way there. if we don't adequately address this current outbreak now, then ebola has the potential to become a scourge like h.i.v. or polio that we will end up fighting, all of us, for decades. we shouldn't kid ourselves. winning this fight is going to be costly. it is going to take all of our efforts. and it is not risk free. nobody knows that better than the health care workers on the frontlines right now. whatever the differences there are between us in this room on one issue or another, on one attitude or another, the fact is
10:19 am
everyone i know respects and admires the courage of any health care worker who is undertaking this challenge. so let's make sure that those health care workers aren't hanging out there by themselves. let's make sure that we are pulling together the resources, the equipment, the commitment, the cash to support their efforts. let's make sure that their courage is motivating us every step of the way. for these men and women to succeed, they need nothing less than hour full commitment, which is why we have asked you to come forward here today. this is a matter of real people, real lives, in countries that were beginning to take off. countries that were beginning to see the future and feel it. and suddenly they have been hit by this. this engages all of us and it is a real test of global
10:20 am
citizenship. so today in this room we have a unique opportunity to try to come together to make important contributions. i touched on some of the urgent needs. there is nobody, frankly, who can more confidently explain where we stand. or knows what is at stake better than ambassador nancy powell. a lot of you know her very, very well because she has served alongside you. she's one of the very few five-time ambassadors at the state department, and partly because of what she has already done once before to help prevent the spread of a pandemic, which she did, she is already one of the most accomplished people to be able to deal with this challenge and one of the best diplomats we could think of in order to help us all to what we need to do. ladies and gentlemen, nancy powell. [applause]
10:21 am
>> thank you, mr. secretary. my understanding is the press will be leaving now. we'll take just a minute to accomplish that. while we are doing that let me introduce my fellow panel members. one of the themes of the secretary's remarks was the whole globe approach to this. my panel reflects the whole of government approach that we have taken here in the united states. on the screen you're seeing rear admiral steve rad who is coming -- s from atlanta >> if you missed any of secretary kerry's remarks you can see it in its entire in our website. o to c-span.org.
10:22 am
nina pham is one of the health care workers who contratted ebola from texas for treatment. we'll find out the latest in work to control the virus from n.i.h. officials, including dr. anthony foucci, who is the director of infectious diseases. live coverage of that will start in about nine minutes. we'll have it here for you on c-span at 10:30. also president obama is set to speak this morning on credit security breaches. he'll be at the consumer protection bureau. that starts at 11:50 eastern. we plan to carry it live here on c-span. a discussion now on new screening procedures put in place by d.h.s. last week in light of the ebola outbreak from this morning's "washington ournal." [captions copyright national cable satellite corp. 2014] [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org] host: how many people have been
10:23 am
stopped coming into the u.s.? guest: for health-related issues? host: are we talking thousands? a number of issues, including past criminal issues. there's a small percentage. i guess it's probably in the single-digit percentages. host: 379 because of communicable disease in 2013. guest: a small number. host: the numbers are on the screen. if you would like to participate, we will begin -- taking yours calls. order stands ebola via
10:24 am
closings and a lock. let's go to border closings. sayingf people are travel ban. ?hat do you think guest: it is challenging. we do not have any direct flights from the affected countries. the vast majority of travelers are stopping in europe first. that is the most common transit point. their itineraries taken to other countries before they come here. a travel ban would not be as easy as stopping all flights because we don't have any. we would have to look for individual passengers on other flights that have lots of people of other nationalities. we are also talking about he was at risk -- nationals might live anywhere in the world. they might be living anywhere in the world and not becoming from those countries.
10:25 am
obviously, as we look at the progression of this disease, any government should look at considering this. there are issues and costs for doing it. in general, do we have enough information about a travelers's honorary to know they have come from one of these places? how do we prevent that? we would be working with other countries to prevent them from boarding airlines in third countries. we had heard that he consistently from health-care professionals that they do not believe a travel ban is the virus. government should not rule anything out but should explore what it would take to implement a travel ban. what kind of travel ban? would it help prevention of the disease? if you are talking about countries in africa, that is a different story. they are closer to the source. they have land borders that they have to be conscious of. hasother thing that cbp
10:26 am
said, if you issue a travel ban, people might not travel through formal means. they might use informal means, that is harder for us to track and prevent. at least right now we know who is coming and where they are coming from. we know who we should look out for. host: theresa cardinal brown, what is your background? immigration. guest: i've worked in immigration law forms and doing immigration policy. i worked at the department of homeland security for six years. california.is in you are on with theresa cardinal brown of the bipartisan policy center. caller: hi. i'm usually extremely liberal but i'm very concerned and upset that profit is involved here.
10:27 am
the politics should be taken out of this. we are still speaking about this. he once to give fax nations to people. he does not seem to have a gratitude. i had an on that died sunday in a hospital. away at emergency rooms. and not a direct fight of the disease, it is a disease that makes you stop breathing in dubai, you know, the arab country. the airline flies to lax. we have military bases in germany and europe. his immigration form. i'm very scared. host: thank you. to be there are reasons somewhat concerned any time of a is an outbreak
10:28 am
disease around the world. .e do have measures in place border control is one avenue of dealing with this. strongre very limitations to what border controls can do in a medical situation. for comparison, there was an and otherf mers, respiratory disease in the middle east. we had sars. the h1n1 flu. we've seen outbreaks around the world in the last few years. in none of those cases did we do a travel ban. general, we found that those things were not terribly effective at preventing the spread. it boils down to what the health care systems are. are the health care systems
10:29 am
in the u.s. for dealing patients who had these consents, education of the public about how to protect themselves. and what we can do in the countries of origin. host: the president spoke about a travel ban. which is responsible for its caption content and accuracy. visit ncicap.org] -- [video clip] >> if we institute a travel ban, that people do not readily disclose information. they might disclose in broken travel, breaking up their trip so they can hide the fact that they've been to one of these countries. lessresult, we may get information about who has the disease. they are less likely to get screened and quarantined properly. as a consequence, we could end up having more cases rather than less. host: theresa cardinal brown?
10:30 am
some history to show that is the case. several years ago there was a gentleman who had a mu lti-resistant infection who was known to have this. he was issued a travel ban. he ended up driving to canada he ended up flying to canada and driving across the board or to avoid restrictions. we have seen that when we try to introduce travel bans. it tends to force those who are into avenues of travel that are harder for us to track and protect against. in the current situation we are screening people on departure. we are able to screen on arrival. issuing informational pamphlets to people who are traveling from those areas or he may have risks of what to look out for and what they should do and who to call.
10:31 am
it is on our health systems to do what we can. to isolate the individual, contact those they may have contacted, or try to prevent further spread. tranquility tweets in, "isn't this like taking her shoes off? it is cosmetic to make you feel good." guest: there is a sense that we want to show that we are doing something. it has shown that we can identify certain people and we have stopped people. there are limitations. these people are not medical professionals. they are trained to look for signs and symptoms. who show, individuals no signs or symptoms might still have the disease. they are not communicable until they show symptoms. there are limitations on what
10:32 am
border screening can do. that is why we should not rely on that as the sole means of protection. we need to focus on what is happening in source countries and our own medical systems to deal with cases as they arrived. you spent time at dhs. what was the cooperation level when something >> we'll leave this "washington journal" segment now to go live to the national institutes of health in bethesda, maryland, to get an update on ebola. >> he will then intertuesday his colleagues. let's just get started. >> good morning, ladies and gentlemen. my name is dr. tony foucci, i'm director of infectious diseases. i have dr. john gallonens, director of the clinical center which we are standing in front of. dr. lane, the clinical director of the national institute of allergy and infectious diseases, and dr. richard daveryy, the director of the studies unit
10:33 am
here. i'm going to describe what happened last night. then i'll have dr. gallon take a minute to tell you a minute about the building. we'll take questions and i'll direct the questions to each of the appropriate people. last night at 11:54, nina pham, the 26-year-old nurse from dallas, texas, who the press has referred to as nurse number one, s transferred by air vac landing at frederick and taken by ambulance in a special secure environment here to the national institutes of health to be admitted to our special clinical tudies unit. she is now here with us. her condition is fair. she is stable and she's resting comfortably. in this unit we have a group of highly skilled, well trained, and experienced physicians, technicians, and nurses. i particularly point out the extraordinary capability of the
10:34 am
training, the experience, and the dedication of our nurses and physicians who are taking care of her right now. i would be happy to answer any questions that you have. but before we do, let me just have john take one minute to describe this particular place, which some of you may not be familiar with, and then i'll field questions if i can answer them, i will. if not, i will have my olleagues do that. >> good morning. i'm john gallon, director of the clinical center. welcome to this building which is the large hospital in the world. totally dedicated to clinical research. patients call this place the house of hope. our nurses say there is no other hospital like it. why is that? it's because our mission -- hold an for a second.
10:35 am
-- hold on for a second. >> our patients like to call this place the house of hope. our nurses say there's no other hospital like it. why? it's because of our mission, our special mission to combine research, excellent patient care, and training. we feel very humbled and fortunate to be in a position to work on this international disaster, ebola, and to try to develop some new preventive and treatment strategies. thank you very much. >> i would be happy to take any questions. >> her condition is fair?
10:36 am
>> she's not deteriorating. i cannot tell you at this particular time why we have said fair because the patient confidentiality, she's quite stable now and resting comfortably. >> any idea how long she'll be here? >> we do not know how long. we'll get her -- we'll get her here until she is well and clear of virus. >> do you have a prognosis on that? any idea how long -- >> we don't know. we never make those kinds of predictions. this is a serious infection. she's getting the optimum care. it would be not appropriate to make a prediction when she would get out. she'll get out when she's well nough and free of virus. she has the care of physicians nd nurses and technicians with expansive training, experience, and knowledge of infectious diseases and infectious disease control. so there are two things that are happening. she's getting optimum intensive
10:37 am
care if needed. but it's also being done with the optimal protection of our health care workers. >> a layperson has ever seen video of someone, the presentation right now typical for this point in her virus. we talk about what she saw in the video last night. >> i'm not so sure what you saw because i was waiting for the patient in the lobby. what was it that you saw that you want me to describe? > obviously able to -- >> i didn't see the video, but i can tell you she had a long trip. a trip that was quite tiring. as you can see we assisted her. she was in a stretcher with a tent over it. it's the kind of thing that is optimum protection for the people in the ambulance. we had with her one of our intensive care physicians
10:38 am
dressed in the appropriate protective equipment which brought her out. when she came out she went from the plane and she had to walk off the plane because they wouldn't get her. when we took her from the ambulance to the room, we had her on a stretcher and we wheeled her in and put her right in bed. i was asking the video -- just in her environment. at this stage in her environs, how is she doing compared to other people? >> it is impossible to say how she's doing compared to others. this is an individual patient that you treat each individual patient as an individual patient. and that's what we are interested. not how she's doing compared to others. we will take care of this patient. >> is she interacting with her caregivers, the doctors, nurses? is she sitting up? what's she's doing? >> she certainly is sitting up. she was examined by dr. davey. we saw her this morning.
10:39 am
would you like to just give whatever information you can give without violating any patient confidentiality? >> sure. she's resting comfortably. she's interactive with the staff. he's eating. she's interacting freely and really doing quite well compared to what we were told about her status at the other hospital. >> can you talk more about the specifics like how people are caring for her and a little bit more about why this hospital to treat this disease given the special facilities and training as compared to the hospital -- >> i'm not going to compare this hospital with other hospitals. can i tell you what we have in this hospital -- i can tell you what we have in this hospital. we have infectious diseases experts who on a daily basis notwithstanding ebola take care of the sickest possible patients. we have a specific attention to infectious disease control
10:40 am
because the unit of which she is in is a special studies unit. with davey, myself, dr. lane are board certified in infectious diseases and internal medicine. she also has intensive care individuals there and nurses who are highly trained, highly prepared, and highly experienced. that makes a difference. excuse me. >> can you talk about how the team and special equipment. >> there are two shifts right now. 12-hour shifts. rick, why don't you give the details of the number. i believe there's four and one five. >> right. currently we have five nurses assigned on a shift. two are in the room with her at any time when nursing needs -- on a given week we estimate an ill patient of this type may have up to 20 nurses assigned in
10:41 am
that week's time. >> why does it take this long for you guys to get the first ebola patient. >> i cannot answer that. we had been prepared. we had a special studies unit which was started in 2011 for the explicit purpose of being able to accept patients who have anything that has to do with either bioterror or emerging infectious diseases. we stood ready to accept the patient. when we were asked to accept the patient we accepted the patient. i cannot answer why. i believe it's pretty obvious the man was sick in dallas and he went to the emergency room and then to the clinic at texas presbyterian. >> once she was diagnosed with ebola -- >> again, you've got to be careful there. more than one place that can well take care of people with ebola. i wouldn't say this is the best possible place. i could just tell you this is a very, very good place.
10:42 am
>> anything you may have learned even if it's just in public perception since the ebola crisis unfolded. when you're dealing with a patient who is herself a nurse, what is her own understanding of the illness that she's been experiencing and she's still currently symtomatic? >> i said she was in fair condition. which implies that she does still have some symptoms. she is in good spirits. she's a highly intelligent aware person who knows exactly what's going on. and she's a really terrific person. >> what it you learn since this whole crisis began that might be different because of what happened in dallas. >> i don't want to comment. let me make it clear on comparing dallas to here. she's here. we are responsible for her. and that's our job. >> is this recoverable for her? >> you say recoverable?
10:43 am
in the sense of recovery. absolutely. we fully intend to have had this patient walk out of this hospital. and we'll do everything we possibly can to make that appen. >> have there been changes that affect the methods of transition? inaudible] >> first of all, let me talk about this particular -- again, i'm going to restrict my remarks to the national institutes of health special clinical studies unit. here this is a research hospital. the primary purpose that we always put is the patient's welfare. associated with that we do whatever research to teach us more, to help other patients. although she's on a research
10:44 am
protocol, our main concern is the health and recovery of nina. >> did you learn anything about e virus -- [inaudible] >> i can tell you again, i'm sorry, she came here 11:54. all of us have been up all night. we haven't known a lot about the virus yet. we are taking care of the patient. >> do you expect any experimental drugs, anything like that at this point as part of her care? >> everything is on the table to be able to consider. this will always be done. we do this at all times with all of our patients that whenever an experimental drug is given, it's given with the express consent of the patient if it turns out that way. >> do you feel like there should be an ebola -- >> that's not a question i want
10:45 am
to answer right now. i'm sorry i want to tell you what we do hear. this is what we do. >> at this point it's fair to say you're treating the symptoms and not the ebola virus. >> there is no treatment for the ebola virus. we are giving her the best possible care on a symtomatic nd systemic basis. >> the question is, does taking blood from dr. brantley and transfusing it into this patient, could that make a difference? the answer is absolutely yes. it could make a difference. because dr. brantley has within his plasma antibodies against the ebola virus. it is theoretically and possibly likely, practically true that that antibody had a role. we don't know that. i think that's one of the things i want to emphasize about this
10:46 am
particular institution. not only do we have the patient's welfare first, we need to learn things from other patients. we are going to try as best as we possibly can to learn something. but the theoretical answer to your question it could have made a difference. >> you talk about there being no treatment for the ebola virus itself. what does that involve? you talk about rehigh budget reconciliation and that sort of thing? giving back fluids. >> as you know, you've all heard, there are a variety of symptoms that have to do with ebola. there's diarrhea. there's vomiting. there's fever. there's rash. and there's sometimes there's organ systems dysfunction. whatever it is, we deal with it, we take care of it. but there is no specific therapy that has been proven to be effective against ebola. that's why excellent medical care is critical. >> was she able to give you any insight as to how she contracted the virus in terms of any
10:47 am
practical moments she might recall? >> we are trying to work that out now because that is part of the issue of the kinds of things we might want to learn. but there will be more on that later. right now we just wanted to make her comfortable and take care of her. then when we get further information, if appropriate, we'll make it known. >> did you have a role in suggesting the texas -- were you urging the hospital to release her? is >> the answer is no. we made ourselves available and when called upon we accepted the responsibilities. >> one more time, explain the difference in condition. she left dallas in good condition. now you're saying she's in fair condition. can you explain why the change? >> when you get a patient in you evaluate them. dr. davey was primarily involved in that. there were things we saw we wanted to make sure we were not missing anything. we are very meticulous about that. you may start seeing a change in the status. so stay tuned. we'll give you updates as much as we can. >> is that a precautionary move?
10:48 am
are you still evaluating her? >> no. i want to tell you that she came in. she's stable. when we give a level, it's based on what we see and we take care of it. it is highly likely that that will change. but she came in the middle of the night and for us that was -- starting that point, as soon as she got into the door. >> talk about her symptoms. >> she's very fatigued. this is a virus that wreaks havoc on you. you could come in and be getting better. you could decrease in diarrhea. decrease in vomiting. but you're still very, very tired. this virus knocks you out. >> we cannot predict that. this is a very unpredictable situation. we never make predictions until we have the patient walking out and talking to you and you can all ask her that question. we don't do that.
10:49 am
>> i know you said you want to stick with the initial institutes of health. let me ask you this, we heard the president will nominate an ebola czar. for the purpose of the national institutes of health, what do you think about having someone to report to? >> i tonight know exactly what is meant by a czar, but we will certainly follow the lead of the president and follow the lead of secretary burwell. i take care of patients and i do my job. other people do their job. >> speculation in the medical community this could become airborne? precautions taken here, do they include that possibility? >> there is no evidence whatsoever that this virus is airborne transmitted. everything we know about this virus is that it is direct contact with bodily fluids. you know them. we have mentioned them many times. vomit. diarrhea. blood. other body fluids.
10:50 am
direct contact. >> while there is no evidence, do some of your precautions include that possibility? >> if you look at the protection that we have, it would include that. but we are not doing it for that reason that we think it's respiratory. we don't. we are doing that for complete covering so that there is no or of our doctors, nurses, technicians' body that is exposed when they see the patient. we have a very strict system of getting dressed with someone watching you, going in, coming out, getting undressed with someone watching you. we have a limited amount of time when the person can be in the room so that they don't get fatigued. that's what keeps our health care workers safe. >> two more questions. >> dr. davey, can you be more specific, without violating confidentiality, why she's labeled in fair condition at this point?
10:51 am
>> you have to remember as dr. fauci said, she's been under our care for less than 12 hours. we are taking a very conservative assessment at this point. as dr. fauci said, if the situation changes or we have more time to evaluate her, that situation may be upgraded. we'll see. >> absolutely. >> she's in isolation and vincent is in isolation, we hear about this third health care worker and believe now been isolated. in light two of the three health care workers at that are in olation -- winston cup a ruiseship and one an airplane. is he frustrated they were allowed -- what would you say. would you allow that to happen?
10:52 am
>> i'm going to tell you something about ebola and i'm not going to specifically answer your question about who went where on what transportation. if a person is a symtomatic and body fluids that someone could come into contact with, that person is not infected. our person is in lation -- is in isolation because she has a confirmed diagnosis of ebola. she's not only isolation. you might equate isolation of ebola person and putting someone who has not got ebola that you're observing. those are two different concepts. she is where she is because she s sick and she needs care. [inaudible] >> this is a research hospital. and i'm going to give dr. gallin
10:53 am
a chance. everything is free. why don't you explain this. >> when i said there's no other hospital like it, we've never billed a patient for anything. we will travel them here if they need money. we'll house them or their family when they're here for free. and we never send a bill. so this patient will never be charged for anything. the public pays $402 million a year to run this hospital through the generosity of the taxes. e thank -- manage that budget. [inaudible] >> first of all, let's be correct. she is in isolation. but she has almost continual person to person contact.
10:54 am
we have nurses going in, doctors going in, we can speak to her. she has her i it is pad, all of the things she's got person to person. when we say isolation, let it be clear this isn't a torture chamber. this is an individual who is constantly being cared for, cheered up, our nurses are spectacular. and they do that all the time. >> has she expressed any fear about her own position? we know there has been a deadly virus. has she voiced a worry about her own prognosis? >> she's a trooper, very brave. i think it would be unrealistic someone would not be worried. one more question. john. >> her mother and her sister are in the area.
10:55 am
>> sorry, but we have to go upstairs for another meeting. thank you for being here. we appreciate it. thank you. [captions copyright national cable satellite corp. 2014] >> n.i.h. officials updating on the patient referred as nurse number one, nina pham transferred to bethesda last night after contracting the virus. in the meantime reporter of the hill writes this morning that president obama's planning to ame tellic operative ron klain incoming ebola czar. he served as chief of staff to gore and biden. she's general counsel to revolution l.l.c., an investment firm. cnn adds mr. klain is highly regarded as a good manager with good relationships both in the administration and capitol hill. president obama could address all of this during a live appearance this morning.
10:56 am
he's set to speak on credit security preaches from the consumer protection bureau here in washington, d.c., expected to begin at 11:50 eastern. we plan to carry it live. likely more on this this afternoon with white house spokesman, expected to begin at 1:00 p.m. eastern. a look now at the international flight against -- fight against isis. on "washington journal" is retired colonel john of the u.s. army. headmaster at haverford school in pennsylvania. how do you go from being a kernel in the army to a headmaster? it is not as disparate tasks as you would think. i am running an organization with lots of young men. i'm educating them and training them. toefully inspiring them lives of meaning. we say we prepare boys for life.
10:57 am
in a lot of ways, those are some of the things you do as an army officer. host: you were a career army officer but you are also a best-selling author. guest: best-selling is kind. i am best-selling among doctrinal dissertations in international relations, that is a very small group. coming out of west point, i earned a gross scholarship and went to oxford. i thought in desert storm, which was a big change. the army decided to send me back to oxford to get my doctorate before sending me to teach at west point. it was at oxford reflecting on my experience in desert storm that i became convinced that the future of conflict was going to look very different in the war i had been a part of. i started studying
10:58 am
counterinsurgency in 1995. i wrote the best and the worst doctoral dissertation written, it was the only one. time getting it published because counterinsurgency was yesterday's news. it was vietnam. i literally got rejection letters from university presses asking why i did not focus my talents on something with more relevance. it wasn't until after september 11 that i was able to get it published. recentthe best and worst book on counterinsurgency. when counterinsurgency became important again, it was read by dozens of people. what convinced you during the first gulf war that counterinsurgency was the wave of the future. guest: i learned that american
10:59 am
confessional military superiority -- i learned that militaryconventional superiority was so great that they would have to be crazy to fight us like that. it was reflecting on an army training experience i had almost exactly a year later. at the army national training center in california. the army plays in intricate game of laser tag and we were to fight tank on tank battles. a group of rebels crept up on us from behind and killed all our tanks with light weapons. the juxtaposition of those two experiences. fighting a conventional enemy and defeating it hands down. that being defeated in simulated battle made me think that i needed to think about counterinsurgency. attend tohe pentagon
11:00 am
counterinsurgency? it was not then? having written the book on , anderinsurgency observation by lawrence of is messy and slow like eating soup with a knife. province in 2003 and 2004, the same ground where isis is making gains. we had not been trained in counterinsurgency. i never had any army training on counterinsurgency until about a iraq.for we deployed to it was all tanked on tank warfare. we were engaged in simulated tank on tank warfare when we got a call and said turnaround, we need you in iraq fighting a different kind of war.
11:01 am
the army learned slowly and really relearned lessons it had learned in vietnam about how to conduct counterinsurgency effectively. or four hard years of fighting. thousands of casualties. we made the world worse in iraq before we turned around and made it better. one of the reasons i wrote this was to try to capture those lessons and make sure the pentagon does not forget the painful lessons of counterinsurgency that is paid for in blood twice. fights," brand-new book out by retired colonel john nagl. is isis a counterinsurgent movement? like you thinkng they should as a counterinsurgency? guest: it is an attempt to overthrow a government.
11:02 am
case, the governments in syria and iraq. it is a cross-border, multinational insurgency. from arawling adherence number of countries. it is a very difficult and complicated insurgency. it is so powerful that it is no longer fighting with gorillas terrorists -- with guerillas and terrorists. it is strong enough now but it is fighting as a conventional force. it is an insurgency using conventional time netactics. it is stronger now than the folks i fought against, certainly the sunni insurgents in al anbar in 2004.
11:03 am
host: what they consider themselves to be counterinsurgent? are fighting a government in iraq and syria. the have taken extraordinary step of calling themselves a state and acting like a state. collecting tax revenues across the portions of syria and iraq that they control. a territory the size of maryland. they are refining and selling petroleum on world markets. they have accomplished extraordinary things in a brief period. it is hugely painful as a veteran of the fighting in iraq to see that territory that my friends fought for, following a gens into the hands of a radical insurgency. host: colonel nagl, are we
11:04 am
fighting isis in a conventional way? presidente ends the has laid out of defeating and destroying prices are correct. do that,e intends to using iraqi, kurdish, and free syrian army forces on the ground with american air power and intelligence in support, i think that is also correct. theproblem i see with president's current strategy is the means he is providing, the meager number of airstrikes -- seven a day in iraq and syria combined. to the current unwillingness and that american advisors with iraqi and kurdish units is making it difficult for the u.s. to achieve its stated objectives. host: 1300 personnel over there. where are those 1300? largely in headquarters
11:05 am
units. they are in baghdad. some of them are at the baghdad international airport, now in artillery range of insurgents. we have apache helicopters in anbar that we are using. to the pointclose of the spear. they are not with the iraqi and kurdish units fighting isis. in my opinion, we need to push those guys forward. that does mean they are going to have to accept more risk. it almost certainly means that some of them are going to get hurt. better to do that now quickly, blunt the momentum that isis has an push them back from baghdad international airport. do not allow them to shut down baghdad international airport and stop the extraordinary media narrative that isis has right now that is attracting recruits from around the globe. isis is now the most dangerous terrorist organization in the world. it is more dangerous than al
11:06 am
qaeda. host: here's a recent editorial colonel john nagl wrote for politico. you recommend even more than military advisers, boots on the ground? as we say. already have more than just advisers. we have apache helicopters that we have used. in an escalation of the war efforts that i agree with. rubicon.rossed that we are engaging in direct firefights with isis forces from the air. from attack helicopters, which is different from airplanes. i believe we need to multiply the number of americans on the ground by a factor of about 10. because our advisers are so good, because our air power is controlled with americans, but
11:07 am
our air power is not nearly as effective as it could be. when we put american advisors on the ground, the tempo of air operations will increase. and the caliber of our opposition is not really that good. isis has been cleaning up against a demoralized iraqi army that is not well lead and not well-equipped. i believe it is comparatively easy to change that within a couple of months and 10,000 additional american boots on the ground. i strongly recommend that. sooner rather than later. host: something you write about in your new book, your experiences during the first gulf war and the iraq war. how are they different? guest: it would be hard for them to be less similar, given that i was using the same vehicles in both places in exactly the same location a decade apart. my first war, conventional tank
11:08 am
on tank war against the conventional iraqi army of saddam hussein, was physically difficult. it was dangerous. but it was not very intellectually difficult. we used air power, artillery, and tank iraq weapon -- tank direct weapon fire to defeat an enemy that mirror imaged us. we shot at tanks that did not look like ours. a decade later, i could not tell you my enemy was. i was blindsided continuously by snipers. by martin and artillery fire, by rockets. and mostblesome of all fatal of all, improvised explosive devices -- roadside bonds. that the insurgents in guard and underneath roads and trails. killed 23 of and the young men in my task force. the first war, i knew who my
11:09 am
enemy was. the hard part was killing him. my second war, i did not know who my enemy was. the hard part was finding him. host: why the title? first book is "learning to eat soup with a the process by which the americans and british learned counterinsurgency. it was a doctoral dissertation. it was in theory how counterinsurgency worked. this is a story about practicing counterinsurgency. very close range against an enemy who had to get very close to us and did so protected not by armor but by being cloaked in the sea of the people. they were fish swimming in the sea of the people, to use mao's phrase. the fighting was in close range. the harder fight was helping the army, the department of defense,
11:10 am
the u.s. government understand this war. a war it had not prepared to fight. a worry had not trained its people to fight. we engaged in- bureaucratic knife fights to change the way the u.s. military understood warfare. host: john nagl is our guest. for republicans. 202-585-3880 for democrats. independents.or talking about modern warfare. tying that into his new book and has experience in the middle east. we will begin with a call from donald in alabama. you are on the air. caller: as far as the isis is a morphing of what is happening in the middle east for thousands of years.
11:11 am
we will finally defeat isis. they will morph into something else. they have conflicts going on in .ibya iran is trying to develop nuclear bombs. we would be far better served, perhaps better served -- although we cannot leave the place -- if we could get our east.out of the middle i want to ask you something you may not know. about a conventional or nonconventional war against major powers. specifically the u.s. versus the chinese. do you think we would match up with them? defense, do you believe -- when will they achieve a balance with us? three great guest:
11:12 am
questions. we tried it leave the middle east. iraq at the end of 2011 and pulled american troops out despite having spent more than $1 trillion setting up the american government. 5000 american lives and more than 35 thousand wounded, many grievously. invading iraq was a mistake that you ares some passions talking about in the middle east. a smaller but critical mistake was pulling american troops out of the end of 2011. will bee that it generations, we will see generations of warfare and unrest for a number of reasons that i talabout in "knife fights." these are the kind of wars we are going to be fighting, not a conventional war against china. there are a number of reasons for that. nuclear weapons put an upper limit on how far great powers
11:13 am
are willing to go in conflicts. the extraordinary conventional superiority of the u.s. military, despite the real damage being done to it by , the decision to cut spending on the department of defense, which i believe is a grievous self-inflicted wound on the military capabilities on the u.s. that is going to costu us. innocent people are dying as a result. and the u.s. are economically linked to an extraordinary degree. depends on american markets. the u.s. depends on chinese manufacturing. china holds aliens -- china holds billions, trillions of dollars in u.s. debt. were a war to happen, the u.s. could cancel that debt, that is a huge disincentive to china. china is pursuing some regionally aggressive actions.
11:14 am
it is flexing its growing power. surpassed the u.s. by some accounts in relative purchasing power as the largest economy in the world. i personally see almost no chance for a war between china and the u.s. as long as the u.s. maintains its conventional, particularly naval and air capabilities, in asia. i'm concerned that those are being unnecessarily diminished by the sequester that is limiting the funding going to the department of defense. we need to change that. york,seneca falls, new republican line. you are on the "washington journal" with retired colonel john nagl. yes, sir. turning i.t. down. welcome back, sir. thank you for your service. to serve as a that of
11:15 am
vietnam. whenreally irks me is politics gets involved in wars. let the generals run it. we would not be in half the problems we have. another thing with the isis, we need boots on the ground. we also have got to give the kurds more weapons so they can fight. they want to fight. if we would supply the weapons to them and turn them loose, i am sure it would help out a lot. with all of those points. i will modify one of them. thank you for your service in vietnam. a long, hard work of its own. politicians that should allow generals to run wars. it is the job of the politicians to find the right general for
11:16 am
the right war. one of my favorite books on the civil war is titled "lincoln finds a general." are equallyrals competent. some have skills appropriate for different kinds of war. i believe our performance in vietnam started to improve when westmoreland was replaced by general creighton. thew improvement over course of the iraq war, leadership mattered. that is one of the reasons the politicians it should choose their generals wisely and leave the conduct of the war up to them. to president chose not whenw military advice choosing to withdraw troops from iraq at the end of 2011. and is now not following militaryadvice -- the
11:17 am
has suggested it would be far better off if we put advisors with iraqi and kurdish units. were we to do so, we would see a rapid turnaround in the fighting. it would be good for iraq and good for the entire middle east. invalid -- wer have to be that narrative now because g hotties are flocking ies are flocking to isis. aboutar more concerned the danger of foreign trained jihadis with western passports than ebola. host: napoleon famously said all my generals are good.
11:18 am
give me ones that are lucky. a general petraeus was both good enough and lucky enough to take advantage of the sunni awakening, the decision of several sunni tribes to switch sides and fight against the iraqi branch of al qaeda. guest: he was a remarkable general, a remarkable man. he chose to study vietnam when he did his own doctorate work at princeton university. he understood counterinsurgency very deeply. i was privileged to work with him on rewriting the marine corps counterinsurgency, which we published in 2006 just a few months before he took command of the effort in iraq. it is a fairly extraordinary event in military history. petraeus was lucky. he was fortunate that most of the american units he had to work with in iraq had served in
11:19 am
iraq during the early years when we were not very good at counterinsurgency and were denying there was an insurgency in iraq. we really did not know how to defeat the enemy we were facing. the invisible enemy. general casey set up a counterinsurgency on the ground in iraq to train american units coming in to serve in iraq -- petraus had a better it will with which to work. an army that understood -- the trays had a better -- petraeus had a better unit with which to work.
11:20 am
host: pam is in louisville. caller: i would like to say the last few callers you have had, i agree. you are dead on, what you are saying. and i think that people need to be more concerned with isis than they do ebola. i want to commend it you, and i am going to get your book. thank you for those kind words. thank you for honoring the legacy of your father, the memory of your father, who
11:21 am
fought in a difficult war. i have fond memories of living knox,oor to fort kentucky, where i spent some happy years of learning how to drive tanks. i could not agree with you more. perhaps a threat to dozen americans are going to end up dying. that is horrible. i cannot agree more, that ebola is not that strong. i am much more concerned about the radical infection of is beingjihad which spread over the internet, which is attracting british girls, 16 17, going to syria entering the jihad, joining isis. joining an organization that has a message that powerful and so nefarious that isis was thrown out of al qaeda, lost its affiliation, for being too violent.
11:22 am
and this is a scourge on humanity that is going to kill more people and do far more damage than even ebola has. host: terry in ohio. caller: you are a most intelligent man. like you, i'm a veteran of the vietnam war. i trained at fort knox. i would like to open up the possibility -- since you recognize isis as operating as a state, in 1934, franklin delano roosevelt recognized the soviet union as a nation. it took us many years from the october revolution in 1917 to recognize the soviets as a state. why wouldn't the united states recognize isis as a state, which would change the political ramifications of pursuing them? we recognize them and then we
11:23 am
have a state we can declare war on and we have an open, legal way around the politics to go after them. guest: thank you for your service as well. the president has all but declared war on isis already. he is having a hard time saying that particular word, but there's no doubt we are already at war with isis. you can be at war with a nonstate actor. we do not want to give isis the legitimacy conferred by recognition as a state. that would be in effect an acknowledgment of the fact they have control over territory and we acknowledge they have a right to control that territory. we dispute that right and we intend to take that territory away from them. my concern is we are not doing
11:24 am
that as rapidly as we should. i believe the president has the right strategy, giving generals what they need to accomplish the task. .hanks again for your service i do not see us recognizing isis as a state. host: as a former tank platoon commander, how much did you need to know about foreign policy and u.s. policy in the middle east? guest: more in my second war, in the counterinsurgency campaign, i needed to know more than i did know about the history of sunni and shia islam, about tribal relationships inside iraq and the history and balance of power between the sunni and shia in iraq. i needed to understand how the kurds fit into that situation and understand the broader
11:25 am
contours of u.s. relations with iran. iran supporting with weapons and intelligence and fighters, supporting the shia forces inside iraq. the sunni forces supported from a number of countries throughout the middle east. to successfully fight a counterinsurgency campaign, you need a depth of cultural, political and economic understanding that is together why the counterinsurgency field manual suggests it is the graduate level of war. not saying tank on tank warfare is not hard. coordinating airstrikes and building a better peace in the aftermath of war is all difficult.
11:26 am
between the two wars i fought in, the counterinsurgency campaign required a degree of knowledge of a wide breadth of knowledge. we published it in 2006 and the update came out last year. a good sign, a sign of army and marine corps learning, looking at what we did, and revising it. we are hopefully not going to do what we did after vietnam. we are starting from a much higher level of knowledge now. host: you can go to booktv.org. there is a search function. type in "nagl," and you will be able to watch it online. jason in hannover, maryland.
11:27 am
a comment for john nagl. caller: i have a 10-year-old son who has a great fear of isil invading the united states. how would you explain isil as a threat to a child? i know there has been a lot of discussion of boots on the ground. i know special operations forces are going to be required. i know we are stretched pretty thin. what do you think the capacity is for americans to assist in this fight? host: why is your 10-year-old fearful of an isis invasion? caller: he watches c-span quite a bit. host: we apologize for that.
11:28 am
guest: you are doing a great job educating your son. i wish i could do that with my son other than watching skate or videos. skateboard videos. there is little risk of an isis invasion of the united states. in new hampshire, you are likely to be enormously safe. the risk of isis is it is attracting people with western passports and training them in jihad and they are going to be enormously difficult with those western powers for us to track. what i am afraid of is that, just as the afghan mujahedin became the breeding ground for al qaeda, it became people's way of life. jihad university. i'm afraid isis is going to
11:29 am
become jihad university for the 21st century. what your son needs to be concerned about and what the homeland security department upon that security needs to be concerned about is isis trained personnel with western passports coming to the united states to conduct attacks. it is much harder to use airplanes today than it was 13 years ago. there continues to be vulnerabilities inside the open society we treasure. terrorists could do real damage and set off a scare in the united states. much stronger than the current ebola concern and much more dangerous than the ebola concern. your concern about special operations forces is very well founded. we don't have enough of them. we are wearing them out. they are exhausted.
11:30 am
this is why i advocate the creation of combat advisors, standing combat advisors, people whose job it is to do the foreign internal defense mission, one of the seven special forces missions. we don't need to train these combat advisors to the high level in all of those tasks like green berets are trained to. we can and must provide an advisory force for the united states. my last job in uniform, i trained combat advisors for the iraq and afghanistan conflicts. we will need more of them, not fewer in the years to come. not just in iraq and syria, the philippines, but also in afghanistan for decades to come. host: gary in tennessee. go ahead with your comment for
11:31 am
john nagl. caller: good morning and thank you for your service. my question was, should we have gone into iraq to start with? should we have taken hussein out? the national guard, they had things under control. guest: i engage in this debate at my school, gary. i have a wonderful english teacher who served in vietnam and has enlisted in the marines. he and i argue over the lunch table regularly. his argument is all the way back to desert storm, my first war, we should have yielded to saddam hussein's iraq and completely stayed out of the middle east and let it fester and let it make its own bad decisions. i disagree with him on that. i don't believe the united
11:32 am
states should have allowed saddam to continue to own kuwait. that would have set off a cascade. i believe desert storm was a necessary war and it was conducted effectively. i have a very different opinion about the war in 2003. i believe that war was unnecessary, even if saddam hussein did have an active weapons of mass distraction program. he still could have been deterred from using them. states can be deterred. the concern is non-states, isis having a weapons program. in addition to the second gulf war, that invasion being unnecessary, it was also poorly conducted. we did not have a plan.
11:33 am
we intended to topple saddam hussein's government, but did not have a plan for what to do afterwards. we did not have a plan for what that government we were going to install was going to be. that fault is absolutely inexcusable. st. augustine taught us the only purpose of a war is to build a better peace. we did not have a plan for iraq. it took us a number of years to figure out what the plan was going to be. enormously difficult and costly. figuring out something we should have already known before we invaded iraq in march of 2003. host: this tweet for you -- guest: we certainly did not finish the job when we pulled out of iraq.
11:34 am
i would differentiate isis from saddam -- isis is a repeat of al qaeda in iraq. this was a spinoff of al though qaeda that became the pro-team we were fighting against. they did not like us and they so were fighting against us, but they were a class a team. the big leagues were al qaeda in iraq. a much more capable force. we had them on the ropes, all but defeated in iraq in the fall of 2011, and we made the bad decision to pull our troops out of iraq. if we had left 15,000 advisers in iraq in 2012, they would still be there today. the iraqi army would be much
11:35 am
more capable. the kurds would be more capable. isis would not own any territory inside iraq openly. those forces would have served as a check on the worst sectarian influences of maliki, and a shia who allowed his prejudices and personal fears of a coup led him to fire the capable commanders of his own forces and replace them with his cronies, shia, who have proven to be cowards in the and fight against isis. in leaving a small force of american advisers in iraq in a peaceful iraq in 2012 would have preserved that peace and built a better peace in iraq. we would not have isis creating jihad u in territory that
11:36 am
-- americans have bled for to keep out of the hands of islamists. host: jerry is down in tampa. caller: why is it that the kurdish women are willing to and fight isis but the iraqi men running away? that's embarrassing. guest: let me address the question -- a status of forces agreement. a legal framework that guarantees the safety of u.s. troops against legal prosecution in the country in which they are serving at the request of that country. we had these status of forces in and in agreements in dozens of countries. we mishandled the negotiations
11:37 am
with the government in baghdad over the course of 2010, 2011 in and in our attemp to get that status of forces agreement. it was we who insisted it be approved by the iraqi parliament. enormous we difficult vote for any iraqi parliamentarian to have taken. i would remind how hard it is for treaties to get past through the u.s. senate. an army that had invaded the united states tuesday in the united states for the indefinite future -- to stay in the united states for the indefinite future. we could have found a way around that. we have well over 1000 u.s. boots on the ground in iraq right now without a status of forces agreement. the kurds are an interesting and fascinating people. i believe they are the largest ethnic group in the world without their own state to call home. the kurdish homeland, the and in territory occupied by
11:38 am
kurds, includes a major portion of iraq and turkey and iran. the kurds desperately want a state of their own. they have not had the protections offered by a state, so they grow up really tough. i have been impressed by the kurdish women. the american women with whom i served in combat, 15% of our fighting force, we could not have made it through the last decade without their contributions. women fighters is one of the best answers to isis. there is extraordinary and propaganda value in pointing that women are as tough and as capable as men and can fight for their own freedom. i would love to see the iraqi
11:39 am
forces fight with the valor the kurds have shown. i have seen iraqi forces fight with valor when they are well and supplied and well trained. right now, they are none of those things. that's why i strongly recommend adding more american advisers. host: woodbridge, virginia. republican line. caller: good morning. thank you for your service. i was a vietnam vet. the viet cong that struck us hit the airfield assets, but they did not hit the personnel areas. in 1968, the gloves came off. another concern i have is with the afghan officer corps.
11:40 am
recently at quantico, there were two guys trying to get into canada and they went over the hill. four more recently at westover air force base -- four of these guys tried to get into canada. i think the afghan officer corps is going to dissolve like a piece of wonder bread in a glass of water. it really troubles me. another point, i think we ought to fight terror with terror. i hopei just have, and it's being utilized for sabotaging ammunition stocks.
11:41 am
if isis steals some ammo somewhere, plant c4 rounds in there. and he does it in a brain surgeon to make repairs. another thing, and i will hang up, i recently saw an american edition of the stars and stripes on the cover was a convoy of toyotas. i am sure they had reinforced .latforms for gun mounts just to interdict the supply train to these people, and the people that are -- where are they biting these toyota trucks? guest: i share your concerns about afghanistan. if any good could possibly come out of the debacle that has resulted from withdrawing all
11:42 am
american troops from iraq in 2011, it should be to change our current policy, which is to do the same damn thing in afghanistan. if that happens, we will provide another homeland for terror. the taliban will retake large portions of afghanistan and we will be back there. we need a combat advisor corps. we need 15,000 americans to stay in afghanistan just like in iraq for the next 20 years. for the americans who think that is not a wise investment, if ground is important enough for americans to bleed to take to establish a better government, it's important for us to stay there.
11:43 am
more than 65 years after wwii, we are still in japan, italy, and germany. 60 years after the korean war, we are still in korea. we are still in the balkans. when americans fight a war, it's important for us to stay there. a mistake we learned after the first world war. the vehicles you describe that isis controls and owns come from a number of places. some of those are captured from iraq units or supplied by iran. what is happening in the middle east right now is a proxy war between the sunnis and shia being fought in a number of different countries. none of those places more virulent than syria and iraq. isis is reasonably well-trained and equipped.
11:44 am
current iraqi forces are not given leadership with the intelligence systems they have, and they are not going to be able to do it without more american help. host: paul in montana. caller: you may laugh at my -- i have a question and a comment. you may laugh at my question. i appreciate the fact that you spent your entire adult life in the military. your service is appreciated by me. i am a vietnam era veteran. i only spent a year in the air force, but i consider my service to be valid and honorable. i was discharged honorably. -- of allon is this > the efforts we have been
11:45 am
expending on making war, what effort have we made to make peace with people? my comment, i heard a few calls back you gave advice to a man who had a 10-year-old son who was worried about isis coming here to attack us. rather than advise this youngster to be a child and be a 10-year-old kid and play with video games and such -- i find that rather disturbing. a 10-year-old child should not be saddled with the worries and concerns of adulthood until he gets there. host: we are running low on time. guest: i appreciate your comment. i have to say i was that 10-year-old child, sadly, tragically. i read the editorial page of my local newspaper every a. if c-span had been invented, i
11:46 am
would have been a c-span junkie. one of the key roles for parenting is realizing who they are and letting them be who they are. you a be the first person to advocate more video games for a young man. there is a balance that needs to be found, and i wish my son would watch more c-span. your question about waging peace is a very good one. i believe some wars are necessary and all but inevitable. that was the case of the invasion in afghanistan after that yet tax in 2001. when the taliban refused to hand over those responsible, invadenote choice but to afghanistan. i think we have done a pretty good job against al qaeda central. the problem is we have made the six since then, pulling all the
11:47 am
americans out of iraq in 2011. this has allowed jihad to regain the strength. al qaeda has passed the torch to isis, and i am afraid that the enemy it's a vote. we did not ask for this war in the first place when we were attacked on september 11. i'm afraid that 10-year-old watching c-span is going to face the results throughout his lifetime of what is going to be a decades long war against extremism, andt it is getting stronger now. --t: this tweet for you now we very much need a human army to fight wars. we have made progress with
11:48 am
drones. they have allowed us to dismantle al qaeda central inside pakistan, an undeclared war inside acca stand that has been an extraordinary congressman of the last decade. it is something the united states should be justifiably proud of that we have managed to defeat an enemy force in a foreign country we did not have to invade. , drones cannot do everything, and they certainly are insufficient to take on a force that is fighting in a conventional manner, as isis is now in iraq and syria. so i strongly believe that we need 15,000 real human roots on the ground that will use drones, use lots of modern technology, to multiply their effectiveness, but warfare is a human endeavor. it will remain a human endeavor force long as there are humans. host: here is the book.
11:49 am
colonel john nagl is the author. >> as the u.s. continues to mount a response, abc and numerous sources reporting that president obama plans to appoint ron klain as the new ebola czar. he was biden's former chief of staff. he works now as general counsel at revolution llc. he was a key figure he during the 2000 florida election recount, and has previously served under janet reno in the clinton administration. the white house is calling the new post and ebola are sponsored court nader. charles schumer released a statement that says --
11:50 am
also these remarks from everest -- congress this from steve king from iowa. he says time for boehner to call a special room -- special ebola session for congress. president obama is set to speed on new steps to protect americans from identity theft and credit card fraud from the consumer financial protection bureau in washington, d.c. it is expected in a few minutes. we are not expecting any announcement of the new ebola czar at that time. we will have the president's remarks live in a couple minutes. there is likely to be more on the response to ebola this afternoon or in the white house briefing with josh earnest at
11:51 am
1:00 p.m. eastern live on c-span. while we wait, we will show you some of the news briefing from the national institutes of health this morning on the condition of a nurse who contracted ebola and was brought to the nih last night for treatment. >> good morning. the the director of national institute of allergy and infectious diseases. i have with me the director of the clinical center, a , and thedirector director of the special clinical studies unit here. i will describe what just happened last night. nina pham,at 11:54, the nurse from dallas, texas, the press has referred to as
11:52 am
nurse number one, was and takend by aerovac by endless -- and to a special secure environment at nih to be admitted to our special clinical studies unit. as is now here with us mentioned this morning in a release. her condition is fair, she is stable, and resting comfortably. in this unit we have a group of highly skilled, well trained, and experienced physicians, technicians, and nurses. i point out the extraordinary capability of the training of the experience, and the day vacation of our nurses and physicians who are taking care of her right now. i would be happy to answer any questions that you have, but before we do, let me have john take one minute to describe this particular place which some of you may not be familiar with, and i will answer questions if i will. if night -- if not, i will have
11:53 am
my colleagues do that. . >> good morning. i am the director of the clinical center. welcome to this building which is the largest hospital in the world, totally dedicated to clinical research. our patients call this place the house of hope, and nurses say there is no other hospital like it. why is that? --cause of our mission >> >> wait a second. i do not think there is a mike there. >> [indiscernible] >> if you could speak louder, it would be great. >> ok.
11:54 am
our patients like to call this place the house of hope. our nurses say there is no other hospital like it. it is because of our mission, special mission to combine research, excellent patient care, and training. we feel very humbled and fortunate to be in a position to work on this international disaster, ebola, and to try to develop the new fermented and treatment strategies. thank you very much. >> i would be happy to take any questions. >> her condition is fair? >> she's not deteriorating. i cannot tell you at this particular time why we have said fair because the patient confidentiality, she's quite stable now and resting comfortably. >> any idea how long she'll be here? >> we do not know how long. we'll get her -- we'll get her here until she is well and clear of virus. >> do you have a prognosis on that? any idea how long --
11:55 am
>> we don't know. we never make those kinds of predictions. this is a serious infection. she's getting the optimum care. it would be not appropriate to make a prediction when she would get out. she'll get out when she's well enough and free of virus. >> [indiscernible] >> she has the care of physicians and nurses and technicians with extensive training, experience, and knowledge of infectious diseases and infectious disease control. so there are two things that are happening. she's getting optimum intensive care if needed. but it's also being done with the optimal protection of our health care workers. >> a layperson has ever seen video of someone at this stage of the virus.
11:56 am
the presentation right now typical for this point in her virus. we talk about what she saw in the video last night. >> i'm not so sure what you saw because i was waiting for the patient in the lobby. what was it that you saw that you want me to describe? >> obviously able to -- >> she also seemed very frail. >> i didn't see the video, but i can tell you she had a long trip, a trip that was quite tiring. as you can see, we assisted her. she was in a stretcher with a tent over it. it's the kind of thing that is optimum protection for the people in the ambulance. we had with her one of our intensive care physicians dressed in the appropriate protective equipment which brought her out. when she came out she went from the plane and she had to walk off the plane because they wouldn't get her. when we took her from the ambulance to the room, we had her on a stretcher and we wheeled her in and put her right in bed. >> i was asking the video -- just in her environment.
11:57 am
at this stage in her environs, how is she doing compared to other people? >> it is impossible to say how she's doing compared to others. this is an individual patient that you treat each individual patient as an individual patient. and that's what we are interested, not how she's doing compared to others. we will take care of this patient. >> is she interacting with her caregivers, the doctors, nurses? is she sitting up? what's she's doing? >> she certainly is sitting up. she was examined by dr. davey. we saw her this morning. rick, would you like to just give whatever information you can give without violating any patient confidentiality? >> sure. she's resting comfortably. she's interactive with the staff. she's eating. she's interacting freely and really doing quite well compared to what we were told about her status at the other hospital.
11:58 am
>> can you talk more about the specifics like how many people are caring for her and a little bit more about why this hospital to treat this disease given the special facilities and training as compared to the hospital she was in. >> i'm not going to compare this hospital with other hospitals. i can tell you what we have in this hospital. we have infectious diseases experts who on a daily basis -- now forll leave this remarks by president obama. this is live coverage on c-span, just getting underway. [applause] >> this is a special day for us. i recall a sermon at the white house where there president requested i but in my jacket, telling me he wanted me to look sharp. [laughter]
11:59 am
i will do my best here. would morning, everyone. it is an honor for all of us to be here today to welcome president obama to the consumer financial protection bureau. this man fought for the he carescreation and deeply about making markets work better for the american people. as he first told me when i was 4 yearsoval office 3 1/ ago. without a strong support we would have been hindered in our work. i know that, he knows that, and i thank him. we are pleased to have him today to announce steps the government is taking to improve financial security. credit reports and credit scores greatly affect people's financial loss, which is why they have been making sure focuses of the bureau. we encourage i steps countries are taking to make credit scores
12:00 pm
were available. having your score available on your monthly statement or online makes it easier to spot problems with your report, from simple errors come to signs of identity theft. in light of the recent regib reaches, this is more essential than ever. we look forward to work thank you, and welcome, mr. president. [applause] >> hello, everybody. hello. seat.ody, please have a .t is good to be back at cfpb