captioning sponsored by cbs >> brennan: i'm margaret brennan in washington. in this week on "face the nation," there is breaking news at the second coronavirus vaccine ships out, and overnight congress moves closer to getting billions of dollars of covid economic relief to americans right before christmas. the vaccines are here, and more are on the way. across the u.s., health care workers and the elderly are rolling up their sleeves. we'll have the latest on the supply and the demand as american hospitals and i.c.u.s continue to struggle with a flood of coronavirus cases. >> make no mistake about it, it is a medical miracle. >> brennan: a miracle, yes, but it is also a complicated process. >> it is one thing to get

the vaccine delivered to "x" number of spots around the country. it is a very different thing to get the vaccine out of that tube into a syringe and into somebody's arms. >> brennan: as predicted, there are hiccups with the distribution process, leaving some states confused about just how many doses they'll get and when. one message that is clear from doctors and government officials: get vaccinated. >> some of my people back home have called me and said we're scared to take the shot because we don't know what is in it. i tell them -- i asked them, do you eat hotdogs? you don't know what is in a hotdog, either. but you've got to trust someone. >> brennan: jerome adams and scott gottlieb will join us, and david ricks, and we'll ask him why the company's therapeutic drugs aren't getting used as hoped. and as president-elect biden puts the finishing touches on his cabinet,

we'll talk to incoming white house chief-of-staff ron klain about the staggering challenges facing the new administrationadministration. the u.s. is also under a massive cyber attack. we'll talk to the c.e.o. of fireeye, the cybersecurity company who discovered the hack, kevin mandia. plus the economy: what's the prognosis for recovery in 2021. the head of the san francisco federal reserve mary daly joins us. it is all just ahead on "fac the nation." ♪ >> brennan: good morning. and welcome to "face the nation." the typically joyful season comes n one of the country's darkest moments. 17.5 million people in the u.s. have been diagnosed with covid-19. one in 250 were diagnosed

with the disease just last week. more than 300,000 have died over the course of this pandemic, and experts are predicting that cases have not yet peaked. the health care system may be overwhelmed in the next few weeks, pushing hospitals and medical professionals to their own breaking points. additionally, a major cyber attack is under way, posing what government officials call a grave danger to both government and private entities. but as we come on the air this morning, there is hope: a second vaccine manufactured by moderna is being shipped to all 50 states. congress has also resolved a major sticking point with the long-delayed covid relief bill, that would provide more than $90900 billion in badly needed economic aid. we begin today with cbs news' mark strassmann reporting from atlanta. >> three, two, one!

>> reporter: vaccination illation. rolled up sleeves across america, to millions, it is the most coveted christmas gift. >> this is the beginning of the end for covid. >> reporter: as the pfizer vaccine arrives in places like austin, more help is on the way. early this morning moderna began distributing its newly approved vaccine. vice-president pence promoted the shots as safe and affective, but this is 2020, and there is all die divisiveness. the head of "operation warped speed" apologized for what he called a miscommunication. >> there is no problem with the process. it was a planning error, and i am responsible. >> reporter: and pushback from anti-vaccers. in one survey, 42% of

republicans don't want one. and talk about the vaccine's timing, covid is on a record rampage. america had one million new cases in five days. more than 3600 deaths in a single day. and more than 113,000 covid patients are in hospitals. in los angeles, someone dies of covid every half hour. overwhelmed hospitals create i.c.u. wards in parking lots and gift shops. for the jobless americans who need a pandemic lifeline, congress could vote later today on a $900 billion relief bill. it includes $300 more a week in unemployment benefits, and $600 stimulus checks for families making less than $75,000 a year. close to eight million americans have fallen below the poverty line since june. here in georgia, as we reach christmas week, the virus is both in a surge and a siege.

ask local hospitals and food banks. margaret? >> brennan: mark strassmann, thanks. we want to go now to the surgeon general, vice-admiral dr. jerome adams. good morning to you. >> doctor: good morning, margaret. >> brennan: i want to ask you about this news overnight that a number of european countries are now shutting down travel from the u.k. because of a new strain of the coronavirus. what do we know about the threat it possess, and do our current vaccines work against it? >> doctor: well, very important for people to know that viruses mutate all of the time. it does not mean that this virus is any more dangerous. we don't even know if it is really more contagious yet or not, or if it just happened to be a strain involved in a super spreader event. right now we have no indications it is going to hurt our ability to continue to vaccinating people, or that it is any more dangerous or deadly than the strains that are

currently out there and that we know about. >> brennan: when people hear about shutdowns elsewhere, they worry about things happening here. are you saying we don't really know the details of this latest strain and how lethal it could be? >> doctor: exactly. the most relevant point is that it doesn't change anything we've been telling you. it further reinforces the fact we need to wash our hands, wear our masks, watch our distances, keep our household gatherings small. it means we need to be that much more vigilant while we wait to get vaccinated. >> brennan: i want to ask you about the current vaccine distribution. pfizer, which has its vaccine already out there, shipped out about three million doses last week. but according to bloomberg's data and the "new york times," there were about 170,000 inoculations, and the c.d.c. has that number a little higher at 272,000

actual shots in the arm. do you expect the pace to pick up? >> doctor: i absolutely expect the pace to pick up. something i said all alone to people is that this is going to be the most technically, logistically difficult vaccination project of all time. it is why we have career officials, like general perna, a very good man, the best in the world, working on this. we started slow. we're going to continue to increase. so the american people should be hopeful about vaccines, but we also need to remain vigilant. >> brennan: general perna, who you just mentioned there, runs logistics, and he somewhat apologized, taking responsibility for the problems in the past week with the rollout of vaccine to the states. should there have been more hands-on role played by health professionals, like yourself, in the logistics? was this just poor planning by the federal government? >> doctor: it absolutely

was not poor planning. i want the american people again to know that the numbers are going to go up and down. there is what we plan, there is what we actually allocate, there is what is delivered, and there is what is actually put in people's arms. >> brennan: you've been outspoken about your concern regarding communities of color in particular. covid says black americans are dying at nearly two times the rate of white americans, the covid-19 tracking project. the kaiser foundation says 35% of black adults say they definitely or probably would not get vaccinated. how are you going to persuade the black community, in the thros of this crisis, to overcome that. >> doctor: i'm the united states surgeon general, but make no mistake about it. i'm an african-american, i grew up poor, and i know long before covid there were many diseases, hypertension, cancer, diabetes, that were plaguing communities of

color. and covid just unveiled those dispar rat disparities tht have been around for a long time. i've spoken about the history of mistreatment communities of color, the tuskegee, and henrietta blackman, who took her without permission. the distrust comes from a real place. several surgeon generals showed that the tuskegee treatments were denied to black men. believe you me, this legacy is important to me, and helping to restore that trust is important. we've had many people involved in the review, and the study participants, of color. i walk the talk. i got vaccinated on friday. i actually feel great. my mother-in-law and my mother are watching, and they've been asking me all weekend, how are you

feeling? i feel great. i hope people will get the vaccine based on information that they get from trusted resources because it is okay to have questions. what is not okay to make poor health decisions based on misinformation. >> brennan: that same study from the kaiser foundation shows the vaccine cuts across racial lines and also across political ones. but the highest amount of hesitancy about taking the shot is from republicans. 42%. rural residents, 35%. wouldn't it help to persuade those republicans, if the republican president himself came out to try to persuade them to take the vaccine he says he is so proud he fast tracked. do you have plans to have president trump get a shot in the arm on camera? >> from a scientific point of view, i will remind you

that president trump had covid in the last 90 days and had antibodies. and that will tell people, maybe you should hold off on getting the vaccine -- >> brennan: but that doesn't make you immune -- >> doctor: there is a medical reason. politics aside -- it does not, but we know that monoclonal antibodies, if you've been administered them are a potential reason why medically we would tell you to hold off on the vaccination. >> brennan: so if he can't take the shot, and you're saying for medical reasons, why doesn't he come out and do the public service announcements for the people who voted for him, who trusts him, and the vaccines h vaccine he says s so proud of. >> doctor: i appreciate the question, and i'll refer you to the white house. i can only speak for me. i got vaccinated and the vice president got vaccinated. i hope that people will talk to their trusted health providers and get the information they need

to make an appropriate choice to help us reopen our economy and to get back to normal and to save lives. >> brennan: and lastly, in other communities of color, i want to ask you in particular, there is concern about undocumented residents in this country. if people aren't legal citizens, what is the guidance? do governors have to make the call on whether or not to vaccinate them? >> doctor: i want everyone to hear me: no one in this country should be denied a vaccine because of their documentation status. because it is not ethically right to deny those individuals. >> brennan: but is it ultimately up to the governors to figure out how to do that, how to get people feel comfortable to come out of the shadows to get a shot in the arm? >> doctor: i want to reassure people that your information, when collected to get the second shot if you get the pfizer/moderna vaccine, will not be used in any way, shape, or form to harm you legally. that is something i've been assured of. we tell people that all of

the time, when they need to come in for emergency care or public health care. we're going to work with state and local officials to make sure everyone gets the information they need and feels safe coming in to get vaccinated, because that's how we end this pandemic. there is a light at the end of this dark tunnel and we need to just keep running to it is. >> brennan: thank you very much. and have a great holiday. >> doctor: thank you, margaret. i appreciate it. >> brennan: we turn to the incoming white house chief-of-staff for president-elect biden, and that is ron klain. good morning to you. >> good morning, margaret. thanks for having me. >> brennan: do you intend to keep "operation warped speed" intact when you take office? what changes will you make to vaccine distribution? >> you know, we are reviewing the progress of "operation warped speed" and the ways in which we can structure the vaccine distribution most affectively. we'll have something to say about that shortly after the first of the year. we're going to build on the good things about "operation warped speed," and also try to be more

affective in managing this vaccine distribution program. i agree with something dr. adame program that is before the country to try to vaccinate hundreds of millions of americans in a few months is one of unprecedented complexity, unprecedented expense, unprecedented technical challenges. we're going to put in place the right people and the right process to do that. it is great that about 200,000 americans have been vaccin vaccinated in this first week, but 200,000 is a long, long way from hundreds of millions of people. that's where we need to get to, margaret. >> brennan: and we will followup with you on those details when you make those calls. i want to ask you about the near term, and that is christmas. the president-elect says he will have a small family gathering because of covid. he still attends mass indoors with masks. what is your guidance to people -- >> margaret, i lost you.

i can't hear you anymore. >> brennan: i think we'll havwe're having some audio problems there. we'll take a break and continue the conversation on the other side. to provide c, balanced nutrition for strength and energy. whoo-hoo! great tasting ensure with 9 grams of protein, 27 vitamins and minerals, and nutrients to support immune health. and other money managers don't understand why. because our way works great for us! but not for your clients. that's why we're a fiduciary, obligated to put clients first. so, what do you provide? cookie cutter portfolios? nope. we tailor portfolios to our client's needs. but you do sell investments that earn you high commissions, right? we don't have those. so, what's in it for you? our fees are structured so we do better when you do better. at fisher investments we're clearly different.

>> brennan: we go now to former f.d.a. commissioner dr. scott gottlieb, and he joins us from west port, connecticut. good morning to you, doctor. as you know, covid presents many challenges, many of them also technical for live television. so we hope to continue that conversation in a moment. but i'm really glad you're here to answer some of these outstanding questions. on the shear numbers alone, the c.d.c. is predicting about 75,000 more deaths during the first week of january. how much are christmas gatherings going to add to the strain we are seeing on the system right now? >> doctor: we saw a spike coming out of thanksgiving. if you look at the analysis done on a state by state basis, there was anywhere from a 10% to 40%

increase in cases. some of that was just the shear magnitude of the virus building. but some of that was a consequence of the gatherings as well, which affected mo more cases. pobably the peak in the number of infections is probably around the first week in january. so we have three more weeks in increasing infections, we'll see a peak in infections and then start to see a decline. but the health care system will see a burden well past the peak of infections. so after the infections peak, we'll continue to see deaths start to continue to increase for another three weeks. >> brennan: another three weeks. when we spoke to the surgeon general, he indicated that the c.d.c. is still trying to get information about this new strain of the coronavirus that has been detected in europe. and it is just prudent planning to act like it is already here in the united states. what do we know about the

leathality of this strain? >> doctor: it is probable the not more lethal, but we don't fully understand its contours. there is a new variant, and there is a question of whether or not it became the prominent variant in london. it is being selected for because it has qualities that make it more likely to spread. increasingly it does seem to be the latter. it seems like the new strain is more contagious. it doesn't seem to be any more virulent or dangerous. the next question is: will it obviate or natural ability? and the answer is probably not. this virus mutates like all viruses. flu mutates the most. what viruses do is change their surface proteins. once they do that, the antibodies we develop against the surface

proteins no longer work. flu changes its proteins very rapidly, and some virus like measles don't change their surface proteins, so the measles shot we got 20 years ago is still good. the coronavirus is somewhere in the middle, and it will mutate, but probably slow enough we can develop new vaccines. >> brennan: for the vaccines we have, as i know you've been watching this closely, there was a bumpy rollout this week. general perna, who is the logistics head of "operation warped speed" said it was his fault, but there is a lot of finger pointing that happened over the course of the week between the health and human services secretary blaming pfizer, and pfizer saying it is not their fault. what exactly happened? and is the bottom line that it is fixed? or can it be fixed? >> doctor: well, i'm on the board of pfizer, as you know. they're running a careful process. they're calling up the companies on, let's say

tuesday, and they're saying, how many doses do you have available for shipment next week? and they're doing that because they want to give the states maximum visibility into what they're going to do. and the companies do what is called lottery lease. as vaccine comes off the manufacturing line, it is constantly getting released. and they'll let vaccines sit for a period of time and they're test it, to make sure it is sterile. and so on tuesday the companies will have a certain amount available, and they report that to the government. then i friday, saturday, sunday, more vaccine will become available. but the amount they will ship is based on that tuesday total. there is vaccine still in the warehouse, and that will not be lost. it will be shipped in the next weeks. we're at the peak of this pandemic, and protective immunity is important to get out there. a vaccine that is delivered next week will have a bigger public impact than a vaccine delivered five weeks from

now. what they're trying to do is give maximum visibility to the states so the states have predictability. but the consequence of that is there is vaccine in the warehouse that won't be shipped next week but shipped in subsequent weeks. >> brennan: all right. so it is coming. dr. gottlieb, thank you very much for jumping into the breach and giving us your great analysis. we'll be right back, we've got ron klain back, and hopefully able to hear, when we return. a hybrid cloud s them personalize experiences with watson ai while helping keep data secure. ♪ ♪ from banking to manufacturing, businesses are going with a smarter hybrid cloud, using the tools, platform and expertise of ibm. ♪ ♪

>> brennan: we want to pick up where we left off with incoming white house chief-of-staff ron klain. and thank you for sticking with us there. i hope -- >> of course. >> brennan: i hope in the new year we can have a conversation in person. but in the covid world, i want to ask you to finish your thought, and that was about christmas. and the president-elect still attends mass

indoors, in person. what is his guidance to americans who want to worship that way? >> i think the guidance is to do it very carefully. i think that the mass he attends is sparsely attended, they control the number of people who go. he wears a mask. i think it is important for people to be careful. the most important thing he can say to everyone right now, while wire we're waiting for this vaccine to be available, is for people to mask up, to practice social distancing, to wash their hands. people need to celebrate the holiday and mark these important events, but we need to do it in the most careful way possible, as responsibly as possible. that's what he has been doing and that's what he encourages others to do. >> brennan: have you been briefed yet on this new strain of covid? >> we have not yet been briefed on it. we're supposed to get briefed early next week on this. obviously we're going to respond to this with expertise from science and

medicine. we're going to take whatever changes we need to take in the approach, if there need to be changes, based on what the medical experts advice. >> brennan: okay. we're going to take a very quick break and continue our conversation on the other side of it. treats differently. at for psoriasis, 75% clearer skin is achievable, with reduced redness, thickness, and scaliness of plaques. for psoriatic arthritis, otezla is proven to reduce joint swelling, tenderness, and pain. and the otezla prescribing information has no requirement for routine lab monitoring. don't use if you're allergic to otezla. it may cause severe diarrhea, nausea, or vomiting. otezla is associated with an increased risk of depression. tell your doctor if you have a history of depression or suicidal thoughts or if these feelings develop. some people taking otezla reported weight loss. your doctor should monitor your weight and may stop treatment. upper respiratory tract infection

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[captioning funded by cbs sports division] [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org] ♪ james: week 15 continues in the nfl. boomer: there is lamar jackson, 10-1 in december and has thrown 19 touchdowns and only two interceptions in those games. nate: tua tagovailoa, one pick this season.