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tv   Face the Nation  CBS  October 12, 2014 5:00pm-5:31pm PDT

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>> schieffer: and welcome back to "face the nation". we want to get an update first on the condition of the dallas ebola patient, the new patient, cbs news correspondent rain necessary is outside of dallas presbyterian. >> listen, 90 minutes after that order detected they had a fever they ended up here and presbyterian and now we are told the nurse is in stable condition. the texas department of health detect conducted the initial test here and now the center for disease control must confirm the diagnosis. but the name of the work search not being released and spokesman says the worker came into contact with thomas eric duncan during the second visit here, duncan died from the virus last week, the worker who has now tested positive we were told had full protective gear including a gown, glove, mask and a shield. a spokesman said he was very concerned that a worker would still become infected even with
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all of this protection. the worker had been under a self monitoring regimen prescribed by the cdc and 48 people are in what is considered a self monitoring pool, part of that process includes checking themselves for temperatures or for fever at least a couple of times a day and as i mentioned less than 90 minutes after this nurse did that they went to texas presbyterian. >> the worker was considered in a low risk pool and had not been to work for at least a couple of days, bob. >> schieffer: thank you so much, vicente. u.s. forces have now arrived in west africa to help fight the ebola epidemic, cbs news reporter debra p at&t a is in monrovia, liberia and here is her report. >> ebola has reached 4,000, here in lie per, experts in liberia warn it is probably much higher as still many up unreported cases, awareness is key to halting the infection but western support is also crucial. last week another group of
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soldiers arrived in monrovia, they are being deployed around the country by general from an emergency operation center at a beach front. >> liberia government western district of texas the u.s. presence in liberia but also criticism this is too little, too late. >> what you need to understand, debra, the ambassador, leadership, aid, the u.n., cdc, a host of other nongovernmental organizations have been here for some time dealing with this, so we were brought in to provide our unique capability, logistics, engineering, training, to fill a gap. >> and in terms of filling that gap, do you think you can reverse the trend? >> it is a whole government approach and just filling that small gap. the u.s. military here is not here to solve ebola. >> u.s. military extent out mobile testing labs which can cut the time down to, with respect to whether a sick person actually has ebola from several days to several hours. this will entry up beds a lot
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more quickly a short drive away, 150 bed unit, ebola treatment unit is under construction and double the capacity to deal with the disease. but now there is a new concern, liberian health workers are threatening a slowdown on monday, they want danger pay and safer working conditions. the government says it is doing everything it can to resolve the dispute quickly but aid organizations are concerned that a potential strike could severely setback ebola containment at this critical juncture. >> schieffer: all right, cbs news reporter debora patta in liberia this morning, our chief medical correspondent, dr. jon lapook is here with me. doctor, i want to get back to this, what they are calling a breach of the protocol, what does that mean? it sounds like, as they described it, we have now confirmed it was a nurse that somehow or another all the things that the nurse was supposed to do apparently the
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nursemaid some sort of mistake, maybe taking off the gloves, what do you read into this? >> well, it says to me that you really have to rethink where exactly these patients were diagnosed with ebola should to in the best of circumstances. so as you pointed out earlier, there are four medical centers around the country that are specifically set up for these high risk infectious, emory, member a, and mota, montana of the six patients who has had ebola and treated in america, now seven i guess three were at emory, two nebraska, at emory, nebraska these two high risk centers they are specifically taught how to deal with it and none have been infected, so i asked to tom frieden the head of the cdc and what about considering in abundance of caution, every hospital has to be able to diagnosis it but once you diagnose it being sent here so i got this back a few minutes ago and this is what i heard back from the cdc, the developments in dallas are reason to double down on all
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efforts to make sure all medical care workers are properly trained and meticulously follow guidelines while triaging potential ebola patients or providing care to ebola patients. any hospital in the u.s. must be prepared, however as we continue our outreach efforts it may be prudent, it may be a prudent measure to suggest certain hospitals which have specifically trained personnel and which have exercised their ebola response plans thoroughly be prepared to zephyrs. so i am reading this assaying, yeah, that may be a good idea to once you have a diagnosed patient move them to these high -- >> schieffer: to these four. >> and they have run through the drills, you know, in fairness to places like dallas and places all over the country, we have not run through these drills in the way these high risk centers have, so when do you make the mistakes? in the first couple of times you see the patient. >> schieffer: is it your surmise and again it can't be anything more at this point maybe what happened is this worker, this nurse took off the gloves or something and that is how this was -- you don't think
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this means there is some new mysterious way we didn't know about before? >> no, and i know dr. frieden said the great thing, this is a great time not to have magical thinking, we have 40 years of treating go larks there is no evidence from a new england journal of review that this virus is any different than any of the previous viruses it is mutating or anything like that. we know that to protect the community it is a public health measure, so the individual patient sadly died in this case, but what protects a the community is the public health seasonal, isolating the person, making sure you track down their contacts and i have to say after some missteps at the beginning where the apartment wasn't clean and people weren't moved out, the healthcare system did a very good job of responding to this and in fact it only took 48 hours for the cdc to track down all 48 contacts. >> schieffer: we have to move on but let me just ask you this. my sense of it is probably dialysis might be the most dangerous part of this test. >> i agree with you.
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when i heard, and people are saying they didn't do a fullout effort, when i heard they gave him dialysis that involves probably people you are not seeing what that involves a lot of body filters and filtering the blood and intubation, breathing tube they went all out and potential to get exposed to fluids when you are doing these dangerous procedures. >> schieffer: dr. john la book, thank you so much, we will be back with our panel in just a minute.
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>> schieffer: time now for some analysis on all of this, peggy noonan, a columnist for the wall street journal, david ignatius, columnist for the washington post and we have washington bureau chief for usa today, susan page and david rohde of reuters. peggy, you said you found secretary panetta's book obnoxious. >> yes, i did. >> schieffer: what did you think of his performance today? >> nonobnoxious, actually i thought it was -- he said something important that gathered together some thoughts in his book and he said words
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that i think are going to prove to be memorable, a president needs the heart of a warrior, a president needs someone to feel passion and execute plans in a very personal and on the job and focused way. so i think he made that point rather strikingly, made his points about isis and the possible immediate for boots on the ground over there. i found the book itself to be obnoxiously partisan and frankly, ultimately, unhelpful in that way. i always want the older and more accomplished and impressive members of our government when they come forward and rightly share their thoughts in books and people are as, i always want them to be a little above the battle and appreciative of those that, they have had arguments with, so i thought he was impressive today. >> schieffer: i frankly don't agree with you on the first part
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of your analysis. i thought it was -- i found the book very helpful. david, what did you think? >> i thought we were seeing the real leon panetta, he is a passionate man when he said the president needs to have the heart of a warrior, when he said he needs to get in the ring and fight. that is leon panetta talking. but i think he does believe this is barack obama's last chance to be a decisive president. i think that is one explanation for this book that struck so many people as kind of an assault on the president in the white house. panetta believes deep down that it is crucial that the president respond. he said one other thing that struck me today, which was the need for patience. this strategy has really just been out there a month, it is going to take some months to train up the people who can do the fighting in iraq and in syria to make the strategy work, and i did hear panetta, this strong, experienced voice saying
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be patient, wait for this to go forward, and i think he is saying people will be patient if they feel they have a strong, decisive warrior president who is telling them he knows what he is doing. >> schieffer: you know, as we were putting together this broadcast, you know, all, what t do we do first do, we do this or do we do that? and it occurs to me both of these stories are really about national security in a very different way, but really both about the health and security of the american people. >> and, you know, i think both of these stories, the ebola virus and isis are feeding into a sense that americans have that the world is not only a dangerous place but the government is not competent to handle them. even the secret service controversy i think contributes to that sense. i think it is a very dangerous thing for president obama, the sense that his administration is not competent to protect the american people, that is the most fundamental job of a u.s. president and i think it is a big factor in the midterm
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elections. i think it is increasingly -- that set of issues are contributing to a sense that republicans in particular are trying to tap as we go into these final weeks before the election. >> schieffer: do you get the sense and maybe congress ought to be in town dealing with all of this. people say well it is an election year, i always go back to 1964, they did some very, pretty important things in 1964, including passing the civil rights bill. why isn't the congress here? >> that's a good question and i agree there is sort of a growing feeling that the government can't handle this. one other trend that we discussed at reuters is is the white house is centralizing decision making we looked at syria and talked about this earlier, both republican and democratic 43s ae trying to control things, and you can't do that in a world where in one summer you have ebola crisis, you have the russians going into ukraine and you have this new crisis in syria, you have got to delegate to the cdc, the pentagon, you know, secretary
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panetta and the state department more and our politics are so savage, frankly, and unrelenting that the president is kind of getting the bunker mentality and that's what we are seeing. >> schieffer: well, if ever there were a case where everybody should come together, we have got a real problem here, i think it would be this ebola situation. you can disagree or agree on whether air strikes are helping, but i mean, disease, you know, the possibility that we may have, you know, some sort of epidemic, i don't think we are anywhere close to that right now but we could have. one would think that that is where the two sides would come together, peggy. >> yes, it shouldn't be any means be a political argument or a partisan one. susan mentioned the word competence, that there is an anxiety about the government being competent to handle these real assaults of ebola, isis, et cetera. it seems to me part of the competence question is connected
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to the word candor. i do think the american people hear the government talk and it incessantly talks and talks in a concentrated way from a few people 0 in the white house, as they hold on to their sort of concentrated power, but there is a lack of a sense in so many of these stories that you are getting it straight. that they are telling you really what they know, that they are telling you what you can do. there is always a sense, especially with the h ebola thig that they are trying to keep you calm and it has that patronizing sound of we don't want you little people to get nervous. look, nobody wants the american public to get nervous but we would all be less nervous if we had a sense we were getting it straight from our governmental bodies. >> schieffer:. >> you know, i think people do want to hear the truth. i am struck, i read something this week that said the virus is multiplaying on virus time.
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it grows exponentially, it is 2,000, 48, 8,000, and our response is growing on program time, during bureau tick time, and there is a mismatch on clocks, one is running real fast and one is running normal speed. wrong this has been politicized, thank goodness, i do think that government officials are worried about panicking the country which is not a crazy fear given some of the responses you see. so they need to be careful, they don't want to talk down to people. they want to be candid, but they need to be careful not to fuel a public panic. so -- but i think that the deeper problem is until you get the two clocks in sync and then slow virus time this is really going to look like it is out of control. >> but if they don't seem more candid. i mean i und d y point about panic but they have to seem like they are telling the truth by telling the truth, then there will be no paranoia and
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sense of oh we are not getting it straight. they are not telling us. it is really a part of people, keeping people calm is being candid with them. >> so maybe we need more leon panettas who, despite the criticism this week of leon panetta for writing a book that is critical of the president still in office, it seemed to me one leon panetta has a long question, he, you ask him a question and he gives you the answer and it gives people reassurance in the government. leon panetta makes a point there is one-fourth of barack obama's presidency to go, his presidency is not over. we have got two more, two more years, and i think he is making the case that it is possible to change course on some of these things that reason so problematic on the centralization of power that david talks about, on the failure to listen to other points of views and sometimes to talk an issue to death instead of to acting decisively and that seemed to be part of his motivation. >> david, you were about to say? >> well, the feedback from the administration officials as we are going the story is there a
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is a feeling both for george w. bush and barack obama that the smallest of cake is going to be pounced on by your political opponents and they are just going to ravage you, and that the nature of 0 our politics now, frankly complain about the media, the 24-7 onslaught, the instant need for an instant position, it is very hard for them to handle, and they are afraid of taking risk and i think that is very bad for our system, you know, in the long-term. >> schieffer: david, you made, wrote a column this week suggesting, and i am must say i am sort of hearing the same thing but not from -- many sources the president may be looking at making some staff changes after the election. he would not be the first real estate to do this about halfway into his second term. >> no, in fact, leon panetta is a perfect example of how a president who is in real trouble, bill clinton was in terrible trouble in 1994. his white house was a mess. he had a very nice genial man
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mchardy and he brought in leon panetta who cracked the whip and said everybody reports to the president through me and that's it. there is going to be no more separate deals and the clinton white house began to calm down so it shows what he can do. george w. bush did it the same way with josh bolton in the second term so i think this white house is thinking we have two more years, how do we get enough intellectual capital to deal with what we know are huge problems. we have talked about isis, ebola, that's just the beginning, china, and so i think they are looking, i think they are trying to think who are the people who would help, be bring in retired general allen, marine general, widely respected is the first sign of what you will see a lot more of after the november election. >> schieffer: and also ronald reagan made some significant changes in his white house. >> wholesale during and after iran-contra, oh, my goodness, everybody got canned and very
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serious and substantive people took their jobs and these were people who could push back very seriously against anything they didn't like. i understand what everybody is saying about maybe the president will make personnel changes. i rarely disagree with that, but my sense is, as david says, if you don't change the procedures that are not working it is not going to matter so much. >> schieffer: what do you mean. >> the new people. if everything is coming out of the white house and the executive agencies are lacking autonomy and premium and become, therefore, passive vessels with names of subject like energy, et cetera, if it is left like that, even a change of personnel won't work, if the president eases up and lets the agencies come back, help develop policy, it gives people people outside a very small circle a voice that will help him. >> schieffer: does the president simply need to talk to more people? >> i think he needs to talk to
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more people and he needs to talk to more people who will talk back to him and one of the things we have seen is that the people with the greatest standing to talk back to him have left, you know, hillary clinton, bob gates, leon panetta, and they have been replaced by and large with people who are, tend to be more loyalists and people who, whose stature comes from him. so i think it makes him more reluctant to disagree with him when he might be considering a big decision. and, you know, besides the problems he is facing he is going to have a different senate, a different congress, most likely, after the november midterms, he is likely to have a republican controlled senate and that is going to be something that i think propels as well changes in the administration to try to make these last two years something that really count. >> schieffer: well, let's talk about that a little bit. do you agree that republican coddle senate -- >> i think george w. bush got shell lacked in 2006 election and made major changes as well the president needs to talk to more people and also delegate more, but again when we brought up sort of specific issues we
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had someone, some former official admitted the white house now watches embassy security worldwide in the wake of benghazi and obviously there is a huge controversy about benghazi they see it as an honest mistake as, where they let the state department handle it and a tragic event happened and they said we cannot delegate but i think they need to delegate and they need to sort of fire people if things go wrong. the president has been hesitant to clean house, he should delegate and remove people if they are not doing that their job. >> schieffer: quickly. >> i think the president will be wise to bring in some prominent republicans among the new talent that he brings in after the november elections. he is likely to face a republican house and senate. he has got to deal with that reality, and if he is going to govern amidst this crisis he needs allies that will help him get things accomplished. >> schieffer: thanks to all of you, i want to thank you and we will be back in just a minute. you, i want to thank you and we will be back in just a minute. >> ,,,,
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converting to islam now goes by abdulrahman kassig, asked about their efforts to bring their son home. >> we are hoping that if not directly word will get to them indirectly that we are doing everything we can to secure his release. >> have his captors asked for anything? >> no. >> no demand. >> the they simply demand. >> and they are, and their demands? >> have always been ones that we cannot accommodate. >> it is just beyond what is reasonable in terms of money, in terms of your power? >> right. >> in both cases, yes. >> and we have sent them back messages that we cannot do what you ask. we have tried, but we don't have the power to do it. please be merciful. he is your brother. he is your brother in the faith.
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>> schieffer: there will be more of margaret's interview tomorrow on cbs this morning and we will be right back.
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>> schieffer: and that's all the time we have for today. we want to thank you for watching "face the nation". we will see you next week. captioning sponsored by cbs captioned by media access group at wgbh access.wgbh.org
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one man is confirmed dead. good evening, i'm brian hac. and i'm ann notarangelo. tragedy at a bay area beach where two people are swept away by the waves and one man is confirmed dead. >> the two men were swept off of the docks. the man who died was pulled out of the water. the second man, in the hospital, was rescued while clinging to a rock off shore. kpix5 is at ocean beach and says it was a treacherous time of the year for the surf, don? >> reporter: that is right, ann. this is the day that draws people to the beach, we with understand that. that draws people to what ask can be a dangerous situation. just south of the beach, san