♪ jeff: good evening. i am geoff bennett. tonight, extreme weather cripples much of the country as while fire smoke blankets the -- wildfire smoke blankets the midwest and a scorching -- and the deep south. the president touts his economic agenda. the united nations chief human rights officials sharply criticizes treatment of detainees at guantanamo bay. > for so many of these men, the dividing line between the torture of the past and the conditions of the present is so thin and for some it does not exist at all. ♪

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foundation, committed to building a more just, verdant, and peaceful world. more information online. and with the ongoing support of these institutions. this program was made possible by the corporation for public broadcasting and by contributions to your pbs station from viewers like you. thank you. >> welcome to newshour west in for stephanie sy. for much of the country today spending time outside has come with a cost, a smoky haze darken skies from mneapolis to detroit and beyond, and searing heat blamed for at least 13 deaths in texas spread to neighboring states. john yang reports on the day of extreme conditions. correspondent: texans splashed in public fountains looking for relief from a summer heat wave. >> it seems like it is getting

hotter and hotter. as long as you stay cool, hydrate, you know, it is all fun you know, you can have fun out here. a lot to do. correspondent: a scorching heat dome in a region of high pressure that traps heat on the ground has blanketed west texas and much of the u.s. south, resulting in multiple days of triple digit apertures and suffocating humidity. while pools in public facilities offer some temporary respite, the conditions pose serious health risks or vulnerable groups such as homeless communities and workers who spend much of their days outside. earlier this month texas governor greg abbott's envelope that will eliminate requirements for water breaks for construction workers beginning in september, but even those with air conditioning at full blast could be at risk of losing it, the electric reliability council of texas's power usage has reached all-time highs putting pressure on the states

electrical grid as the blistering sun beats down on the south. up north, a different ceremony -- scenario, ethic layer of haze covered -- a thick layer of haze covered this guidelines, smoke from hundreds of wildfires throughout camp -- canada drifting into the united states, plaguing major cities with poor air quality in the hazes lingering over more than a dozen states and many of the hardest hit cities are in the midwest and according to the epa, detroit saw some of the countries was conditions today with air quality in the hazardous range, while in chicago and pittsburgh were at very unhealthy levels. today president biden encountered the smoke as he stepped off air force one in chicago and officials warned that residents in the affected regions to stay indoors and reduce activity as much as possible. breathing in the small particles can have lasting effect on the heart and lungs. >> it is like you're sitting at

a campfire all day in your outside and so i really worn folks. i saw some running earlier today, hey, slow down, put a mask on. don't exert yourself. you are inhaling campfire smoke into your lungs. on the correspondent: lakefront in milwaukee it put resident on edge. >> it makes me want to go back and home -- to home and stay inside. you don't know what you're breathing in. the correspondent: smoke has made its way across the atlantic, reddening skies on spain's western coast. researchers say the fires, poor air quality in blazing heat are associated with climate change. for the pbs newshour, i am john yang. >> forecasters are calling for a cold front that should start cleansing the skies by tomorrow. the heat in the south could begin easing this weekend. in -- and a new wave of flight delays and cancellations hit travelers nationwide for a second date is that july 4 holiday weekend approaches. airports across the country were

full of frustrated passengers peered the tracking company flightaware reported more than 1000 flights canceled and over 6000 delayed today. >> i am trying to get to new orleans right now. new orleans or dallas texas. i just want to get away from this airport. and they lost my luggage. my luggage wasn't dallas, texas and my mom was going to pick it up, did not they send it here, and it took eight hours to get my luggage. >> storms along the east coast caused the biggest disruptions in the problem could worsen tamara is holiday air travel peaks. -- tomorrow as holiday air travel peaks. presumed remains were removed from the titans submersible today that went missing earlier this month on the voyage to see the titanic and all five passengers were killed when it imploded and debris from the submersible was returned to land as part of a larger investigation. a u.s. marine veteran daniel penny lee today in the chokehold

killing of a black man -- pleaded guilty today in the chokehold holding -- killing of a black man he was indicted for incr remains free on the bond. in the victim had been shouting and begging for money but he used a chokehold on him and his family says he struggled with mental illness. in france authorities have tightened security in major cities after police killed a teenager during a traffic stop last night touching that violence in a paris suburb. video on social media showed an officer firing into a car fore it drove off and crashed. that triggered unrest with cars burned and dozens arrested. today french president emmanuel macron called the shooting inexcusable and in a rare rebuke of law enforcement, the police officer is being investigated for involuntary homicide for shooting the teenager who was of north african origin.

in new york city one of the so-called central park five has a commanding lead in the city council primary with about still being counted. he was convicted of raping a jogger as a teenager but ultimately enerated. in buffalo, one person won the democratic nomination for a city council seen in her son was wounded in a white racist attack that killed 10 people at a grocery store last year. and former republican senator load weichert of connecticut died today after a short illness. he first gained national notice on the senate watergate committee in 1973 and at times he criticized president richard nixon and urged candor among fellow republicans. >> at this point in time if we try to play coy, or to be less than extremely forceful getting the truth out, people will impute to us a rather sordid succession.

>> he also championed the landmark americans with disabilities act and later served as connecticut's governor , lola weichert was 92 years old. still to come on the newshour, russia conducts a deadly missile strike in eastern ukraine as the sluggish counteroffensive continues. lack women face disproportionately high rates of maternal mortality. former congressman will hart talks about his run for the white house on the parents of the deceased child campaign for more patient rights in the health care system. ♪ >> this is pbs newshour west, from weta studios in washington and in the west from the walter cronkite school of journalism at arizona state university. jeff: president biden traveled to chicago today to promote his economic agenda laying out his vision for the future and explain how he believes his economic policy have delivered so far.

it is one-stop on a nationwide tourm th, administration officials also promoting hi, the person responsible for and planning the infrastructure plan joins us now from attanooga, tennessee. welcome to the newshour. >> it is great to be with you jeff:. so president biden wants to own this economy and is selling the american people on his economic vision is what the white house he says that post-pandemic resurgent and the challenge for this white house is that the american people by a large think that this economy is in bad shape. poll after poll shows that including this one from pew research that gives the president poor marks on his handling of the economy and it is bringing down his overall approval rating. how do you explain that disconnect? >> well i think the president did a very good job explaining it today. the last couple of years as you know has been very difficult for the people in the united states of america and worldwide with the war in ukraine and the pandemic and were slowly coming

out of it. the facts are the facts and the president has created 13.1 one million jobs in 800,000 manufacturing jobs, a massive amount of investments made across america that are coming out of the ground as we speak, and as the president said trickle-down economics never worked. top down to the bottom never worked, so he built an economy from the bottom up in the middle out. i happen to be in a union training facility where there are 100 folks getting trained for all of the jobs that are hitting the ground in chattanooga, tennessee if you can believe that in the deep south, investments in roads, bridges, airports and the clean energy economy. just this week the president made a historic announcement of $40 billion to make sure that high-speed internet gets to every community in the country so we can actually build the economy that is necessary, and there is a lot of evidence it is working with the lowest on employment rate we have seen in 50 years, and as you have seen all these projects, 35,000 of them are coming out of the ground and that can happen without folks in america working on those projects on

manufacturing those projects with american workers and using the products made in america. that is what bidenomics is about. the evidence is that it is succeeding really really well. jeff: as president biden ties his fate to the economy he was telling donors that he thinks the u.s. will avoid a potential recession that many forecasters think it's on the way. what accounts for the presidents conference in what you think that many banks and economists are not seeing? >> first of all, there is no empirical evidence right now that a recession is headed our way. all the economic indicators are strong, 13.1 one million jobs with the president has graded more jobs in two then any other president in four years, low unemployment, wages going up, because going down. people have been predicting a recession is coming since the president has been in office, because one day they will be correct about that but right now most people think it's being handled well.

we have a long way to go. it is a tough slog. the inflation is higher than we wanted to be which is why the president is trying to lower costs on prescription drugs and health care costs and hearing aids for junk fees, things like that that would lower the cost for american citizens, are right now the economic indicators are very strong. jeff: we have a couple of minutes left on my want to ask you about infrastructure because you are president biden's point man on infrastructure, that $1.2 trillion bill he signed into law, a lot of money in state and local governments want access to it. how do you approach what i imagine is a complex bidding process for projects big and small so that the end result is as ambitious and era-defining as president biden says he wants it to be? >>is -- well, this is the largest investment in the history of the country and infrastructure going back 50 years to the interstate system and yesterday with the announcement of the high-speed internet, that is the largest

investment in america since the electrification of rural america in 1936 so it is a really big deal as the president likes to say. we are hitting the ground running and getting the job done. you saw we week ago when they had a crash on 95 and in partnership with the governor and folks on the ground, we were able to get it up and moving into update so we can get except on when we do it together. just like the last 18 months where we have pushed up to her to hunter $25 billion and have 35 1000 projects -- 220 $5 billion and have 3500 projects underway in all the territories in the district of columbia so were hitting our marks. 90% of this money will be spent by the governors and mayors in america and my team is in your contact with them the make sure this money gets to the ground and a sexy coming out and people start to see these projects as we speak. jeff: many of these payouts are down the line and it takes time as you will know to implement the superstructure projects. electoral politics is about the here and now and as a former mayor and lieutenant governor, is messaging enough or president

biden to go around the country telling people what he has been doing? he has been doing that for two years but it does not seem to be resonating according to the polls. >> first of all you have to do the hard work of governing and that requires you to build the team and get the money out the door and of course the tell the story. telling a story is an important part in the story is critical as i said. take -- today i am witnessing with my eyes 5200 individuals in an apprenticeship program getting paid right now to learn how to do the work. we have to lay down $500,000 -- 500,000 electric vehicle charging station so we are in a space where we are proving that what we are doing is working, high-paying jobs for folks using products that are made in america rebuild america said that it's going to be stronger and more resilient and give people a sense that there is a great future. you know we used to send jobs overseas and in many of these communities especially in the south and frankly all over the country have hollowed out and the president is turning that around. that is what bidenomics is about so the failed theory of

trickle-down -- economic is being replaced by the idea that in america we can do things together and we can do big things especially if you but from the bottom up in middle out and don't leave anybody behind and we believe american citizens will benefit from from that becaushat actually are making it happen. jeff:e sth t t arenehe o seniorl advisor, we thank you. thank you for your time. >> thanks for having me. ♪ jeff: as the tumbled within russia continues after the weekend mutiny by the widener group of the war in ukraine continues its deadly turning. the death toll in the russian ballistic missile strike on a pizza parlor in the eastern ukrainian city of kramatorsk grew to at least 11 today. a pleasant summer evening ripped apart as john irvine of independent television news reports. correspondent: more evidence for prosecutors in the hague, the remnants of a busy pizza

restaurant destroyed by russian missiles in the eastern city of kramatorsk. at the time when the united nations just blacklisted moscow for grave violations of ukrainian children's rights, here three teenagers, including 14-year-old twin sisters had russia take away their most basic right of all, the right to life. their deaths among the 10 confirmed so far, and images of an injured baby make a mockery of russia's claim that they strike only targets linked to the military. >> [speaking foreign language] each terror attack proves over and over again to us in the whole world that russia does one thing as a result of what it has done, defeat and tribunal where russian murderers face prosecution for their crimes. correspondent: the missile strike was probably an attempt

to show the kremlin will continue to wage the same or despite the aborted coup. president putin in dagestan today to discuss tourism has tried to draw a line under the mutiny debacle, but his tormentor, the wagoner leader, continues to make headlines, tonight regarding his whereabouts. he was meant to fly to belarus but two private jets linked to him are known to have fun for minsk to his home city st. petersburg today. the u.s. president says putin is now a weaker leader. pres. biden: he is losing the war at home. and he has become a pariah around the world. it is not just nato, not just the european union. correspondent: volodymyr zelenskyy also said today that his country would not settle for a frozen conflict whereby russia holds on to ukrainian land.

and his soldiers continue to make modest gains. with russia's most effective fighters, the wagner group now gone from the battlefield and the remaining forces presumably demoralized by the leadership at home, the ukrainian army has never had a better time to strike. the nine brigades with western tanks that kyiv has kept in reserve may soon be in action. ♪ jeff: a new united nations investigation finds conditions inside the american prison court on them up a cube are cruel and degrading. more than 20 years after the u.s. started sending detainees in the so-called war on terror to what is cold -- called camp justice, 780 detainees have been held at the detention center since it opened in early 2002.

13 remain in some have been cleared for release in the report was the result of the first ever visit to guantanamo bay by an independent united nations investigator. its author is the united nations special rep hauteur on human rights and counterterrorism and a professor of law and joins us now. thank you for being with us. >> glad to be here. jeff: you are the first united nations investigator to be granted access to the detention center in its more than two -decade history and you spent four days there, and you save the government treatment of detainees is cruel inhuman and degrading. what exactly did you see? >> so i was indeed the first united nations expert to go to the detention facility. few states have the courage to let an investigator like myself in and to expose all of the treatment and to allow an assessment of that kind of

facility. and so i am grateful for that, but the report is also critical and it recognizes that there are enormous deficits which remain in health care, in the standard operating procedures, and shackling, even naming these men by numbers, not by name, all of these things lead to the finding of cruel inhuman and degrading treatment under international law. jeff: the u.s. government disagrees with many of your findings and assertions and part of a statement from the biden ministration reads this way, "we are committed to providing safe and humane treatment for detainees at guantanamo bay in full accordance with international and u.s. to mystic law. detainees live communally and prepare meals together and receive specialized ethical and psychiatric care and given full access to legal counsel and communicate regularly with family members." does the statement square with what you witness and with what the detainees told you?

>> yeah, so i have to say of course that there have been improvements and i recognize that minimum standards are met, but this is an aging, vulnerable population, all of whom are survivors of torture. the standard operating procedures are pervaded by arbitrary and is, that was told to me not just the men, their lawyers, but even the guard force itself. men are shackled as they move within the facility. they were shackled when they met me. again, under international law we only use those kinds of restraints as a measure of last resort when there is an urgent or compelling need to use them. as you just said, 16 are cleared for transfer and postman security proud because they are ready for transfer. and of course the hardest thing was to hear the real steep profound psychological trauma that these men live with, and as i spoke to them what i learned

was that in norma's anxiety and pain. for so many -- enormous anxiety and pain. for so many of these men to line between the past/present is so thin and for some of them it does not exist at all because there has been no comprehensive torture rehabilitation. jeff: you have said the u.s. government should apologize for the cruel treatment at guantanamo bay and you have also said the harsh treatment is a betrayal of the rights of victims of the 9/11 attacks. how do you justify those comments think that the u.s. should apologize to the detainees responsible for the deadliest attack in u.s. history, and then drawing a connection between their treatment and the rights of people who fell victim to their heinous acts of terrorism? jeff: i encourage people to read my report because actually what this report does is it provides a clear roadmap for the u.s. government to actually fully provide for the rights of

victims of terrorism, including a comprehensive audit for the 9/11 families of all their psychological and medical support. it is deeply concerning to me that many of those families do not have the security of long-term psychological treatment, but i also say clearly in this report that the single largest barrier to the rights of victims of terrorism, which i absolutely defend, to have accountability for acts of terrorism, was torture. those who tortured betrayed the rights of victims because what they insured is that you could not have a fair trial. what they insured was that the trial process would be so hampered as we have seen for the last decade that it would be impossible for the victims of terrorism to redeem their rights, so in fact, victims of terrorism are due an apology for torture, because it was the very torture that was done sometimes in their name that has prevented them from actually insuring the

fulfillment of their rights. i would say as to the men, let me be clear, torture is the most egregious and heinous of crimes, even in situations of war. we do not accept that people can torture. we say this to russia. we say this to china. we say at the many many countries across the globe, whether ap-five-member or small state, you are not allowed to torture, and when you do torture you bear the responsibility for that, which includes an apology to the people you have tortured. jeff: president biden says he wants to" on them obeyed by the end of his term. what obstacles remain as you see it? >> many of us are committed to closure and the united nations has called foreclosure and the president has rightly called and committed to closure, but the path to closure is not simple in my report also recognizes those challenges. one of the things i make clear

is that closure has to be human rights complaint and as the government takes for its closure path, it has to do so in a way that is compliant with international law. i think that one of the things i would say is that given closure is not immediate, there are some options for the u.s. government. one is to transfer individuals to military bases overseas in compliance with their legal and constitutional obligations. the second is to transfer them to governments, but if they do that, they have to make sure they are treated fairly and with dignity and not re-traumatized and finally maybe the most important thing this can and will do, i hope, is to de-exceptional eyes guantanamo and treat these elderly disabled harmed men as victims as much as anything else. 16 of them are cleared of any crime of any responsibility. those men should be released and repatriated as soon as practical. jeff: the special repertory on

human rights and counterterrorism or the united nations. thank you for being with us. ♪ the sudden death of olympic sprinter tori buie at 32 sent shockwaves around the world. once known as the world's fastest woman, she died at her florida home from complications of childbirth. the tragedy is resonating deeply with black women who are at higher risk of dying while pregnant. we look at the ongoing problems of the paternal mortality in the black community. correspondent: jeff, the idea that tori buie, a young elite athlete eight months pregnant could go into labor and then die stunned that so many, but this problem is more common than many people realize, and it is particularly bad for black women. the cdc estimates that in 2021,

the maternal mortality rate among black women was nearly 70 deaths for every 100,000 live births, that is 2.6 times the rate for white women, regardless of income or education. dr. amanda williams is the clinical advisor at the california maternal quality care collaborative and an adjunct professor at stanford university school of medicine. her work is dedicated to protecting black mothers and she joins us now. dr. williams, so good to have you on the newshour. i hope you don't mind me mentioning this but your un-personal story dovetails with tori buie's. you were atop athlete, track athlete, a qualifier for the 1996 olympics in you two had preeclampsia with your first child. when you first heard of tori buie's death it must have sat with you in a particular awful way? dr. williams: absolutely. it was as if the mirror was

shining back at me and i know that were it not that i was very fortunate to be in ucsf medical center and have access to such tremendous care that that could have been me as well. jeff: before we get into the racial disparities in this country', americas overall maternal mortality rate is awful compared to other similar countries. can you help us understand why that is? dr. williams: you know this is a way where american exceptionalism is not in our favor. we are truly the worst of all industrialized couries, and a lot comes down to the way that our care is given. for example, most other countries, low risk care is given by midwives, whereas in the united states, you have low risk care being given by high risk doctors who then are not giving patients the opportunity

to have the physiological birthday might be able to. we have lots of unnecessary c-sections and we do not have psychosocial supports and we do not have easy access to things like mental health support, nutrition coaching. there are so many places where we could be better in the united states. jeff: and so when you think of all of those factors and then look at the racial disparities within the united states, are those all complicit in that as well or are there other things as well? dr. williams: well the thing that is missing um, that is so germane to lack an indigenous people is the history of systemic racism and how racism has been infused into american medicine. and when we look at the data, and some of it does come out of stanford around both education and income, not correcting for uh the differences in black birthing peoples mortality rates, um, lots of times we

think our education will save us or our income will save us, but i could not have been more educationally privileged. serena williams could not be more financially privileged. and yet, these negative birthing outcomes are still happening. jeff: right it is so striking was serena williams, as you mentioned, who had similar complications, and is a woman who seemingly has unlimited funds and access to the greatest doctors on the planet at her beckon call, it is a striking indictmentu of health care in this country. m, the committee -- um, the committee you are part of its down furred found 80% of maternal deaths are preventable. how is that, 80%? dr. williams: it is stunning and i have to admit it was a transforming moment looking in so deeply at the records and operation notes and at the neighborhoods that they are

coming out of. and many of them, it is really stunning, where preventable, whether it was they went into labor and they were in a place where um they could not get easy access to the hospital in what we call maternity deserts, as the march of dimes has designated them, or that the patient's complaints were not being listed to. the patient is saying i have pain. i have pain. i am bleeding more. and being told everything is fine. or lab results not being recognized in a timely fashion. it really is stunning the way that um these preventable deaths are showing up. jeff: so give us some counsel here. imagine that there are pregnant women out there listening to you, what are some advice they should be thinking about as they think about how to go about having the healthiest pregnancy for themselves and their child? dr. williams: i think some of the top pieces of advice i would

give is number one, never interact with the medical system alone. doctors and nurses have great hearts under wonderful people and i have spent my entire caribbean ob/gyn, physician but they are super busy and get distracted easily and they are constantly in their head making connections. that is how we make diagnoses, but also assumptions, and those assumptions can be wrong so have someone with you, your sister, mother, partner to be an advocate for you. also i highly recommend getting culturally concordant care. we know that there is plenty of data to support that it's not just nice to have some informant sumner background who knows people from your background well, it actually is associated with safer birth outcomes. and then finally, get your provider used to hearing your voice, so always come with questions. always have a few things written

down ahead of time so that they get used to you being an advocate, and then finally, i would say wraparound services. so to think about the things that probably should be part of traditional care but are not, things like do law support and things like lactation support and mental health and nutrition, those pieces of the puzzle that are often forgotten yet are an important part of people's well-being and safety. jeff: all right dr. amanda williams, stanford university,, thank you so much for being here. dr. williams: thank you so much. i wish this issue is not going on but i will use every platform i can to advocate for people. ♪ jeff: as the field of republicans vying to win the 2020 for presidential nomination grows, more candidates are hitting the campaign trail and will heard is one of them and

joins us now from manchester, new hampshire. welcome back to the newshour. >> it is always a pleasure beyond. thank you for having me. jeff: you are a former member of congress and cia officer and said your national security expenses what such a part in this race. i want to start with policy before we get to the horse race politics. you accuse the biden white house -- >> i appreciate that come about talking about policy before politics. jeff: we always start with policy at the newshour but you accuse the biden white house of wringing their hands and doing nothing, as the russian mercenary group mounted that short-lived rebellion against vladimir putin over the weekend. why in your mind was intervention the right approach? >> well, so i was not saying intervention, i was saying doubling down on our partners and our friends when your adversary is in a period of chaos and uncertainty. that is actually an opportunity and we should've been doubling

down in our support to the ukrainians and making sure our nato allies were doing the same, and i think that the biden white house is consumed with this concept of escalation. they believe that anything they do um to help the ukrainians is going to prompt the russians going kamikaze, and it did not happen. this is one of the reasons why the obama administration did not want to give uh uh support to the ukrainians. this is one of the reasons that we do not want to escalate support to the ukrainians now, and to me, this was a great opportunity when your ad for mixed up worrying about their own house was strengthening her friends that they can push the russians out of all of ukraine. and the other thing that i was uh that happened over the weekend and tony blinken said it on sunday, secretary blinken set it on sunday, excuse me, is that it seems that the biden demonstrations goal is to help the ukrainians push the russians

out and reclaim the land the russians took for the last 1 months, which means they are not interested in pushing the russians out of all of ukraine which would include crimea and donbas, and that is an absolute bad decision and by policy, if that is indeed the biden administration's plan for ukraine. jeff: in the time that remains, let's talk about your candidacy. you call yourself a dock -- dark horse candidate in our batch critic and remained loyal to donald trump. what lane do you intend to fill? >> well my elaine is simple. it is it is don't be afraid of donald trump but also put for the vision of where we need to go. we are at a period that we are facing a number of generational-defining challenges, everything from china to trying to surpass us a global superpower, persistent inflation at a time new technologies like artificial intelligence is going to upend every single industry, and

recent reporting and recent dath 13-year-olds have the worst scores in math, science and reading in this century. these are major problems and we should be having candidates that articulate a vision and look forward to theur fe, wianshd isy of new hampshire. this is not the most populated parts of the country, but when you go in and talk to real peut aopuehe iyboeypps resscieah at aarnd that resonates, so that is what i would do. nobody thought a black republican could win in a 72% latino district when i ran for congress, so we will take our message and hit the streets. jeff: to the extent that republican voters are looking for a way to make a crane -- clean break from donald trump and focus on the policies you just articulated, there are other contenders who have better name recognition than do you. how will you fill that gap and make up for that? >> well, well listen, the, the

election, the first election will be in january of 2024, and that is a long way away, and the way you earn a name id is get your message out, so we are raising money. we are building an organization. we are spending time on the ground. look, i'm of the opinion that america is great because we have options, and we should be excited about having different options, and hopefully this spurs a competition of ideas because that is what has made this country so special. and so, uh, when i had zero name id when i ran for congress -- my name id is a little bit higher than that right now -- campaigns are not rocket science. it is just old-fashioned hard work and i will be willing to put the work in and put ideas out there. jeff: any concerns at a broad republican field in some way strengthens donald trump? >> no, because again, this is the the the idea that you have

more options is always better. i think that we should've learned everybody is worried about polling now in national polling, and guess what? running for president is not one election. it is 50 elections. in the national polls do not have as big of an impact as local polls. when you look at local polls, things have a little bit of a difference um when you look at it, and the reality is we should've learned since 2016 the polling is just a snapshot in time and it does not always predict who is coming up to vote. and so,, so,, so,, i'm not worried about that. more options are better. jeff: will heard republican candidate for president, thank you for being with us. >> of course. ♪ jeff: recent studies report that two thirds of american

physicians today report feeling burned out, something only aggravated by the pandemic. one of the consequences is a decline in the quality of care for patients who find it increasingly difficult to navigate the health care system. we look into one effort to improve on both scores. >> because it is so important, i am here to say life gets better. correspondent: from her everyday musings. >> i try to be that the mindset that man is inherently good. correspondent: two glimpses of her health care journey. >> they need to make hospital gowns. correspondent: the optimistic social media posts resonated with hundreds of thousands of her generation who became her followers. >> so i am going to join my zoom class looking like this. correspondent: she graduated last year at 21 and at the top of her class with a degree in community health. >> congratulations. [applause] correspondent: and with multiple awards that included a virtual ceremony just for her, one she took leave from a hospice bed to

attend. >> i am proud of you. correspondent: weeks later, she would die from multiple complications of a rare mitochondrial disorder she struggled with her much of her three years in college. >> we did not know if she could've survived it if they had caught it early but the process and the journey that she went through, 100% should have been different. you can really see the difference. and what happened to her. correspondent: her parents by their daughter was a poster case for what is wrong with america's health care system, enduring and uncoordinated journey from one provider to thnext. >> gastroenterology, cardiology, endocrinology. judy: many discounted her systems and just address the issue within their specific expertise. >> agi perspective, a neurologic perspective, a cardiac perspective, and it is almost impossible to get doctors to talk to each other.

judy: she was prescribed close to 200 different medications, a regimen she tracked meticulously and created a 20--- 28-page spreadsheet with all the lab tests she had had. >> she would have to tell doctors you can't prescribe me that in here are the reasons. judy: she was assertive, and i have this 20, 20 one-year-old telling a doctor that you cannot do this, they did not appreciate it. judy: they say she struggled to convince doctors that her various pain symptoms were real in the treatments she was being prescribed were not working. >> -- i was a little green flog -- frog one day. instead her judy: parents had early in her health care ordeal that her symptoms were treated to mental health of the start of what her mother calls diagnostic momentum. >> this idea that once a doctor says what he or she thinks it is , every other doctor is going to look at that as the starting point.

and it is very hard to break from that, and she did have a few really exceptional doctors who said things like, medical science has not caught up to what is happening in your body. that was music to our ears. correspondent: her parents do not name names and have no plans to sue any provider or hospital system. they say they just want to use their daughter's experience to improve a health care system which they say is uncoordinated and ill-equipped to deal with complicated cases like hers. they are part of initiative called the patient revolution. >> hello. correspondent: done by mayo clinic endocrinologist -- >> this form of health care is not humanly sustainable for the patients and conditionss showing up for care, so we need to go to the root cause. the root cause is the industrialization of health care. >> what kind of research to be lead? judy: she says the system prioritizes industrial efficiency as much as actual care.

rewarding providers for volume as much as quality. >> as people get processed through, they become a bit of a blur. we do not see them in their biology and their back story. our response then is to their common characteristics, so here is the treatment we give people with diabetes. here is the treatment we give people with hypertension. the job is not to care for people like you. the child is to care for you. correspondent: and he says you the patient are often far less savvy than she and her parents in navigating the system and says the cause phase outcomes are borne by the neediest patients in under resourced providers. >> it creates a lot of work for people that might even leave their care and stop taking medicine stop showing up for appointments because it is not designed for them. we had patient >>s who were escaping the care that we wanted to give. judy: dr. mark denzer is one of 100 so-called patient revolution fellows across the country and in 2010 when he joined a

minneapolis system that serve some of the cities most marginalized people. he says there was high staff turnover and for patients, long wait times for at best incomplete care. >> they were in the emergency room once or twice a week and they were hospitalized every month, year in, year out, and we wanted a better way for them. correspondent: everything seems less stimulus response. today that better weight is in full swing in the form of what is called a coordinated care clinic bringing together expertise to treat the whole patient, not just the immediate medical need. dr. social worker psychologist chemical dependency specialist and others meet regularly. they are also on speed dial with finance officials if needed. >> how long has it been since i last saw you? correspondent: he first came

seeking treatment for alcohol abuse. >> i had six family members pass on me and i had a really good friend get killed. that is one of the things that drove me to drink. correspondent: he has been sober for six years and loves his job as a restaurant server. the staff he says has become like a second family. >> they are by my side all the time. >> i have had a headache for months now. >> yeah. >> i am a headache. [laughter] correspondent: her medical challenges have been complicated by homelessness and addiction problems dating back three decades to opioids she was prescribed after a severe car accident. >> you feel like you are less restless? correspondent: the clinic has been a shop -- one-stop shop to help her stabilize her life and find shelter for a start. >> tell me when you can see it. correspondent: the team keeps regular tabs on her, in and out of regular clinical points like this one. [laughter] >> dr. graham has been

incredible. he keeps me laughing. the social worker here calls me once erywo tveheee t t wchkso , hospitalization and emergency room used by coordinated care clinic patients have declined significantly, saving this public safety net health system tens of millions of dollars over the years, and early job satisfaction survey show marked improvement. >> i probably spend more time per patient outside of clinic hourss in this clinic than any other clinic i've ever been in. it is not just producing health care trying to produce health, and it is that how production i feel, it is a big value for me. correspondent: it is one small example of many attempts to improve health and care says this doctor, but is realistic about how quickly change can come in a complex of care system and an industry as he puts it,

that accounts for about a fifth of the united states gross to mystic product. >> we are almost building a cathedral, you know, lay out the first set of stones, and perhaps they never get to see the full thing built up, but they hope that when anybody anywhere in e world become sick and goes to the health care system, that the response will be careful, and they will be kind. >> i think we are trying to pick up where she would have taken this fight to fix health care, because that was her passion. >> i am now in a wheelchair with my mother pushing. correspondent: they say they are committed to changing the rules for patients like their daughter. she rode towards the end, children are not supposed to die before their parents, but then i was never one to follow the rules. for the pbs newshour, in st. louis park, minnesota. jeff: that reporting is in partnership with the under told stories project at the university of st. thomas in minnesota.

♪ jeff: the bering sea snow crab season was canceled this year after billions of crabs disappeared. devastating alaska's commercial fishing industry in the livelihood of those who depend on it. from alaska public media and kmx t in kodiak, we report that they are working to figure out what happened. the story was produced in collaboration with nova with major support for the corporation for public broadcasting. correspondent: the snow crab population crashed in alaska but why more than 10 billion snow crabs disappeared in 2022 devastating a commercial fishing industry worth 200 alien dollars dashed $200 million. now researchers are working to figure out what happen and they think warmer ocean water could be to blame.

the snow crab population in the bering sea off the western coast of alaska has fluctuated for decades, an increase in young crabs in 2018 lead to optimism that fishing would rebound, but the hope was short-lived. >> it was just very poor fishing. we searched for miles and miles and miles and really did not see anything. correspondent: he and his family owned this overspray in kodiak, alaska and he says it was obvious something was wrong the last few years. the bering sea fishingrounds are usually covered nci's in the winter but there was not much ice and they fished further north than usual. finding snow crabs was too difficult and the lack of sea ice was a red flag for scientists like this one studying the conditions in the bering sea that led to the mass die off. >> that was an immediate potential smoking gun when we saw this arctic species suddenly decline. correspondent: that is because the ice is an important

agreement in the snow crab lifecycle. in the winter, it accumulates on the water surface, and during the summer, the ice melts, and cold dense water sinking to the ocean for where it hovers just above freezing at around 35 degrees. scientists call at the cold pool , and it is a for young crabs. warmer temperatures can lead to starvation and higher rates of disease. at the kodiak fisheries research center, state and federal researchers are piecing together how all those factors contributed to the crab's collapse. thanks filled with seawater pumped in from the bait replicate conditions on the seafloor. >> and then we can hold different portions of the same population and say five degrees celsius, eight degrees celsius, and begin to look at the response of the species once they are in these warmer temperatures. correspondent: scientists use the pool to study how

temperature and ph levels affect the development of the crabs, how fast they grow and how quickly they die. in a separate smaller tank number researchers hookup monitoring equipment to individual crabs and check their breathing in different conditions and also take blood samples. >> we know that increases in tension picture -- temperature increase metabolic rates and crab causing them to eat more and more. correspondent: in a shrinking cold pool that means more crabs in a smaller space fighting for lessood. across the hall from the federal lab, another person is trying to figure out how a smaller cold pool affects crabs in the bering sea. >> that is part of what were doing now, trying to untangle the what happened part. that is only half the challenge. the other half is what do we do next. correspondent: he and his team have been tacking crabs in the wild with satellit transponders that will track the movement over time and hoping the tags are vied more detailed information about the distribution of crabs across the

cold pool. in this winter, a group of state and federal researchers are heading out on this overspray to continue studying bearing sea crab populations outside the lab. he and his family are grateful for the work in many fissures who rely on snow crabs for income are left with more questions than answers right now. >> our -- we are sitting tightening ring to count our pennies and figure out how to make the way forward. correspondent: scientists say it will likely take years for the snow crab population rebuilds. if another marine heat wave hits the bearing see, it could be longer,, but they're hopeful that lessons learned from snow crabs might provide insight into how other marine species and/or climate change as the ocean warms. the pbs newshour, i am in kodiak, alaska. jeff: and that is the newshour for tonight on the pbs newshour online. we have been speaking with members of the u.s. international soccer team, including megan rapinoe about

how they are preparing for the world cup at pbs.org/newshour. i am geoff bennett. things for joining us. have a great evening. ♪ >> major funding for the pbs newshour has been provided by. >> the ongoing support of these individuals and institutions. and friends of the newshour, including jim and nancy and kathy and paul anderson. >> for 25 years consumer cellular's goal has been to provide wireless service that helps people communicate and connect and we offer a variety of no contract plans and our u.s.-based customer service team can find one that fits you. to learn more, visit consumer cellular.tv. >> the ford foundation working with visionaries on the frontline of social change worldwide. ♪ and with the ongoing support of these individuals and institutions. ♪

this program was made possible by the corporation for public broadcasting and by contributions to your pbs station from viewers like you. thank you. ♪ >> this is pbs newshour west, from weta studios in washington and in the west from the walter cronkite school of journalism at arizona state university. ♪ >>

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