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tv   NOW With Alex Wagner  MSNBC  September 16, 2014 1:00pm-2:01pm PDT

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how far we go in, how long we stay, how much it cost will be determined by military necessity and on the ground reality, not best case scenarios or wishes how we want the conflict to go. no one would dream the last iraq conflict in iraq cost 2$2.2 trillion. there's no such thing as a little bit of war. now back to you. president obama is leading the international effort to stop the threat of ebola and he's leading from the front. >> this health crisis is unparallels in modern times. unparalleled in modern times. >> president obama is announcing this afternoon, a massive mobilization to combat eastbound in west africa. calling this a national security
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priority. >> a significantly increase ramped up united states response. >> the pentagon will divert half billion dollar for the effort. >> also distribute supplies for half million families to protect themselves. death toll now at 2400 and climbing. >> far greater than first estimated. >> the white house is facing criticism from people saying too little, too late. >> you start to get the sense of the rapid escalation we are seeing of the virus. >> any minute president obama is now announcing a major extension of resources to combat ebola. let's listen. >> thank you for the center of
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disease control for welcoming me today. tom and his team gave me an update on the ebola outbreak in west africa. our efforts to help the international community to fight it and the steps we are taking to keep people here at home safe. tom and his team are doing outstanding work between the specialists on the ground in west africa and here at headquarters. hundreds of professionals working tirelessly on this issue. this is the largest international response in the history of the cdc. after this i will meet with some of these men and women, including some who recently returned from the front lines of the outbreak. they represent public service at its very best. i want them to know how much the american people appreciate them. many of them far from their families, doing heroic work and serving in unbelievably
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challenging conditions, working through exhaustion day and night, many have volunteered to go back. we are very, very proud of them. their work and our efforts across the government is an example of what happens when america leads in confronting major global challenges. faced with this outbreak the world is looking to us, the united states and it's our responsibility to embrace and we're prepared to take leadership to provide the kinds of capabilities that only america has and to mobilize the world in ways that only america can do. that's what we're doing as we speak. first and foremost, i want the american people to know that our experts here at the cdc and across our government agree the chances of an ebola outbreak here in the united states are extremely low. we have been taking the necessary precautions including working with countries in west
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africa, to increase screening in airports so that someone with the virus doesn't get on a plane for the united states. in the unlikely event someone with ebola does reach our shores. we have taken new measures so we are prepared at home. we're working to help flight crew to identify people who are sick and more labs across the country now have the capacity to quickly test for the virus. we are working with hospitals to make sure they are prepared, and to ensure our doctors, nurses and medical staff are trained, ra and ready to deal with a possible case safely. here i have to commend everyone at emory university hospital. i met where members of the team and the nurses and doctors sorry, i know they are the ones doing the work. and i had a chance to thank them
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for their extraordinary efforts in helping to provide care for the first americans who recently contracted the disease in africa. the first two of those patients were released last month and continue to improve. it is a reminder for the american people that should any cases appear in the united states, we have world class facilities and professionals ready to respond and effective surveillance mechanisms in place. i had a chance to see dr. brantly in the oval office this morning and although he is still having to gain back some weight, he looks great, he looks strong and we're incredibly grateful for him and his family for the service that he has rendered to people who are a lot less lucky than all of us. as we all know, however, west africa is facing a different situation, especially in the
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hardest hit countries, liberia, see air leon and guiny. scenes are horrific. more than 2400 men, women and children are known to have died and we strongly suspect the actual death toll is higher than that. hospitals, clinics and the few treatment centers that do exist have been completely overwhelmed. an already very weak public health system is near collapse. patients are being turned away and people are literally dieing in the streets. here's the hard truth, in west africa, ebola is now an epidemic of the likes we have not seen before. it is spieralling out of control. it's getting worse. it is spreading faster.
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today thousands of people are infected, that number could rapidly grow to tens of thousands. if the outbreak is not stopped now, we could be looking at hundreds of thousands of people infected with profound, political and economic and security implications for all of us. this is an epidemic that is not just a threat to regional security but a potential threat to global security if these country's break down. if their economies break down, if people panic, that has profound effects on all of us even if we are not directly contracting the disease. that's why two months ago i directed my team to make this a national priority. we are working on this across the entire government, which is why i have met with leaders
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across the board. we have four goals in mind. one, control the outbreak. two, address the ripple effects of local economies and communityize to prevent a truly massive humanitarian disaster. three, to coordinate a broader global response and four, to build up a public health system in these countries for the future. not just west africa but countries that don't have a lot of resources generally. this is a daunting task. but here's what gives us hope. the world knows how to fight this disease. it's not a mystery. we know the science. we know how to prevent it from spreading. we know how to cure those who contract it. we know if we take the proper steps we can save lives. but we have to act fast. we can't doddle on this one. we have to move with force and
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make sure that we are catching this as best we can given that it is already broke n out in ways we have not seen before. so today i'm announcing a major increase in our response. at the request of the library earian government we will establish military command center in liberia to support efforts across the region. it will be commanded by major general, general williams, commander of army forces in africa. he just arrived and is on the ground in liberia. and our forces will bring their expertise and command and control in logistics and engineers. our department of defense and armed system is better at that than any organization on earth. we will create an air bridge to get supplies there faster.
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we will have a staging area to help personnel and aide on the ground more quickly. we will create a new training site to train thousands to safely care for more patients. personnel for u.s. public health service will deploy to the new field hospitals that we're setting up in liberia. and u.s.a. id will join with international partners to distribute supplies and information kits to hundreds of thousands of families so they can better protect themselves. we will also build additional treatment units including new isolation spaces and new beds and the safety of our personnel will remain our top priority. meanwhile, our scientists continue their search in the hopes of finding new treatments and programs vac ians.
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i call on congress to approval the funding requested to carry on all these efforts. this is a global threat and demands a global response. organizations have to move faster than they have up to this point. more nations need personnel, supplies and funding that is needed and they need to deliver on what they pledge quickly. charities have given generously and they can make a big difference and so we are not restricting these efforts to governmental organizations we need ngos and private philanthropies to work with us to maximize the impact of our response. this week the united states will chair an emergency meeting of the u.n. security council. next week i will join u.n.
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secretary general to continue efforts. then at the white house we will bring more nations to strength global health security to prevent future outbreaks before they become epidemics. this is something we actually announced several months ago at the g7 meeting, we determined this has to be a top priority. this was before the ebola outbreak. we anticipate in many countries with ai weak public health system if we don't skr more effective facilities on the ground and are not helping poor countries in developing their ability to catch these things quickly that there was at least the potential of seeing these kind of outbreaks and sadly we now see that our predictions were correct. it gives more urgency to this effort, a global health
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initiative that we have been pushing internationally. let me close by saying this, the scenes we are witnessing in west africa today are absolutely gut-wrenching. in one account, the disease has already killed the father, mother cradling a listless five-year-old son, her other son was dieing too, they finally reached a treatment center and couldn't get in and were just sitting. these men and women and children are just sitting. waiting to die. right now. and it doesn't have to be this way. the reality is, that this epidemic is going to get worse before it gets better. but right now, the world still has an opportunity to save countless lives. right now the world has the responsibility to act.
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to step up and to do more. the united states of america intends to do more. we are going to keep leading in this effort. we're going to do our part and we're going to continue to make sure the world understands the need for them to step alongside us as well in order for us to not just save the lives of families like the one i just discussed, but ultimately to make sure that this doesn't have the kinds of stow over effects that have become even more difficult to control. so thank you very much to the entire team that's already doing this work and please know that you've got your president and commander and chief behind you. thank you. >> that was president obama announcing a major expansion of resources to combat the deadly ebola virus in west africa. it will cost $500 million in defense spending and involves as
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many as 3,000 troops. by the end of this week a general will be on the ground in the capitol of liberia, they have seen the highest infection rates anywhere, in order to command relief efforts. they also will put in 17 new treatment centers and 2,000 beds. in addition 400,000 treatment kits will be delivered this week. an emergency security council has been reached. death tolliver . it is estimated 250,000 people could be infected by christmas.
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joining me now, author of "reinventing america health care" let me talk first about the last time we talked was about the ebola epidemic. the theory was it would burn out in africa and not expand. indeed it has done the very opposite. what do you think has brought us to this point today? >> well, i think everyone predicted because all the previous episodes since the 1970s have bufrned out. this was on a border region. i think we were misled by how much it could is spread from person to person. and frankly there's a very inadequate health system that couldn't deal with the initial cases. i predicted it wasn't going to
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he about a major issue, that's incorrect. i think it is great that the president has moved on this. i think there's a career recognition, it is really the basics of public health, isolation, contact tracing, being able to get public health measures out there. it is not going to be the new experimental drugs that will really stem the tide here. >> the president reiterated it is imperative to act fast and time is of the essence, as it always is in issues of medicine but particularly in this case. how feasible is it they can dispatch all these resources, have 2,000 beds in the country, given the infrastructure and delay between airlifting supplies and getting them up. >> i think they will get them up
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fast. we have a good track record of setting up mass you knunits. we can do that pretty well. the issue will be with military troops on the ground and now big philanthropy dollars. who is in charge? one reason why well-meaning philanthropy doesn't work is because everyone is replicating everyone's work. we have to figure out who is in charge and everyone has to fall in line. that may kpom ocome out of the security counselim. security council. >> we have models that vastly under estimate the scope. >> no doubt about it. >> what accounts for that. >> zeek pointed out, ebola is a
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flam boy ant virus, but it burns out quickly. it doesn't lay low. it burns out with a flash. so if you circle a village or a village unfortunately dies, it's over. but this jumped borders and got on an airplane and went to the streets and got in urban areas. so we don't know how many have died because of the stigma ma. we just know the number of people who have presented themselves to clinics. i think these numbers are part officially low. >> zeke, i think we have you back, we had audio problems before. in terms of the effectiveness of who, is or can be, i wonder what you think of the budget question and funding for w.h.o. -- the fact they don't have the same money they used to has effected the response, the delayed action
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is attributed to lack of resources. >> i think there's a general lack of resources in international public health space. the cdc have a relatively small budget just a few billion dollars. the problem is epidemics come up unannounc unannounced. we had a big scare in 2009 with the influenza. and here we are again in 2014. the funding has plateaued since about 2010. it has really been flat. that has had an adverse effect on many aspects. i want to say in 2010 the president did give priority to
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building up these health systems recognizing how important the infrastructure is. it turns out to be pivotal to addressing these big problems. >> that's a huge point. the health care delivery system is not necessarily about the newest latest drugs. this is about the very, very basic of health, held ng education, aware ness building. on that note. there's a lot of talk about 400,000 homes, some saying it is being quoted in the new york times, saying we will endanger family members more by encouraging people at home to take care of loved ones and programs transmit the virus to themselves or others. >> i think he doesn't want them to test at home or misdiagnose or not go in. i think it is inconsequential. the reality is, global public
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health has to be first and foremost a mandate for all of us. the wealthy countries have to give a dam about the poor countries. and we don't do it, if we don't lead the charge, you cannot be fiscally responsible, you can't make money, you can't have a seat on the world stage if you're not healthy. it is countries like liberia that have come out of years of civil war, you have power vac m vacuu vacuums. there are terrorist group that's would love to take up more and more land. so to separate global health, economy, terrorism, all of these things are more integrated now than ever before. >> on that note, let me bring in zeke. >> can i pick up one point nancy said, which is, the amount of
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money we're talking about here is by any stretch of the imagination trivial. so we calculated, if this whole epidemic cost 1.5 billion dollars that's one penny for 400 gdp of the world. very small amount of $500 million might sound like a lot. but you're talking about the economies of the countries, potential government instability, that's a very trivial investment. and i think it behooves us to really think about the global health spaces really, really important, not just in health but also economics and security. >> glen, you were talking about sort of cost of doing business not doing business, the cost here of helping stench the ebola
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epidemic and making sure it doesn't become a more graver crisis. the president said today he has been very much front and center leading from the very front and i wonder, someone who has covered this administration in great detail, you know, some folks will say this is strategy, others will say necessary, either way, president obama is taking on the mantle of leadership in a very, very focused and pronounced way in the last week. >> i think that is clear in the last week. the one thing that really struck me. he said this thing is spreading out of control. about six to eight weeks ago i was looking at twitter feeds with doctors without borders and were using that same language perhaps earlier than that.
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the folks on the ground have been saying this thing has been spinning out of control. while this is a robust response, we're talking about a drop in the bucket. 1 billion is absolutely nothing. >> none of this is realized in terms of the federal budget. >> in terms of bureaucracy, this administration has been criticized that the response has been incremental, sheparded through cdc, nih, department of deaf, now the bulk of it coming from the pentagon budget. have you written about the amount of power of the white house has, is this run properly
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through the department of defense. >> they have experience of setting up mass units. they can do it. i will tell you i covered tom freeman. he is a top flight health official. st there's a lot of confidence in him clearly it is dire. thank you for being with us. here's a list of charities that you can find on our website. when we come back, president obama's top military advisors saying the problem with isis could last 20 years. we will discuss the prospect of a generational fight when we return.
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>> six days after president obama announced the expansion of the u.s. campaign against isis, one day after air strikes hit targets outside of baghdad, the new military mission faced its first test on capitol hill when secretary of defense hagel and dempsey testified. the two discussed the arming of ground troops in syria and what victory might look like. they demonstrated how complex and drawn out this mission is likely to be. >> this will not be an easy or a broif effort. brief effort.
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it is complicated. we are at war with isil as we are with al qaeda. destroying isil won't be military efforts alone. >> it won't be a shock and awe campaign but will be required to be sustained effort over a period of time. it is a generational problem, which is to say a 20-year problem. >> a generational problem. although the president repeat repeatedly consiinsisted no gro troops until needed. one thing is clear, it's not only the united states that will act to stop isis. >> this is not a west versus east issue. it's important that the world see, especially the people in
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the middle east see that the threat that is confronting them first, and all of us, needs to be addressed by the people of their region. as well as all nations and all people in the world. >> we should do less ourselves, enable partners and build partners. what we're suggesting here is a strategy where we can get others, not only to do some of the lifting but maybe pay for it as well. >> senator s on the committee seemed largely supportive on degrading isis. but protesters came through to declare. something that tested the patients of especially carl levin. >> will you please not take advantage of the freedom of this
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place and please remove that lady from this room. this disruption is not helping [ banging on gavel ]. >> thank you gentleman for joining us. steven, let me first start with you. in terms of the sort of stand out phrase that i heard today, i don'tagree, the idea that isis and the rise of islamic jihadism is generational problem did that surprise you. >> it didn't surprise me because i spend a lot of time thinking of these issues. in the last ten years each time we think we scored a victory we have had to return or face a
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newitnew ---iteration. afghanistan and then yemen and now iraq. this group isis is another iteration of a group that helped terrorize the population of iraq in 2004-06. so i think this is something we certainly -- most americans know we have been fighting since september 2001. we actually fought before then land likely be fighting for another ten, to twenty years. >> how concerned are you that this sort of band of jihadism will eventually unite across north africa across the middle east. today we had had two factions vowing to stop fighting each
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other and against the united states. how much does it concern you that these folks may eventually coalesce. >> that is a concern. but one couldn't imagine hezbollah signing up with others however you could see al qaeda affiliates drawing closer to isis as isis becomes more success. after all isis is controlling a certain amount of materialiterrt offers compelling ideology that really does draw people in. one can imagine we face a broader threat as groups ultimately come together under a single umbrella in ways al qaeda was never able to achieve.
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>> it was surprising to me when i watched the hearings of the -- quietness of the democratic party. 64% of republicans support the presidents plan for military action. 60% of democrats. -- >> i think the code pink folks at the hearing showed it still exists but there's a difference ever since 9/11 between two groups, lots of liberals and people on the left who are against the iraq war, who thought it was the wrong war, it wasn't a response to 9/11, but a lot of those same liberals have said this battle against terrorism is in the american interest. so there was much more support initially for the intervention in afghan and continues to be
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support for the fight againstal kade. but i was very struck by a report in the washington post. if you ask liberal democrats what they are most afraid of. 58% worry we'll go too far. conservative republicans 71% worry we won't go far enough. so we're united but -- and a fairly big "but" there. >> united but, it was wrote yesterday, the boehners and house republicans effectively saying yes to the president. is a reflection of boehner being a institutionalist and the human cry over the last few years,
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this moment suddenly in the interest of national security, do you think it is true, you know the president is making calls to leadership on both sides of the aisle. and calls kevin mccarthy today. which one would seem is not a frequent occurrence. >> yeah would love to be a fly on the wall for that one. we're getting back to the core stuff that the parties have been about. as ej said in post 9/11 there was a lot of unity on this stuff. the thing about isis, isil, whatever you want the to call it, it looks a lot like al qaeda and these beheadings have galvanized people and given this is a force to be reckoned with in terms of the home land. it is amazing to me the debates over the 28 years. the water shed for the anti iraq movement. just how quickly things have
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galvanized in the other direction. it shows a little bit of the perils of the white house's long term stroategy in terms of prioritizing these withdrawals over achieving a longer goal. >> especially when the term "generational problem" is being used. >> it's amazing to hear this broad-based policy being artic lated by dempsey when it has not necessarily been articulated through the white house. >> let me make a point on opposition and that. don't forget, we are not talking about committing american troops. general dempsey raised that with a couple big ifs, if is this coalition didn't work, but if we were talking about a massive
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commitment of american combat troops, as opposed to roughly, i guess, 1500 we have there now, i think the reaction would be quite different. americans still don't want a big ground war in the middle east. >> let me go to steve, one second. in terms of the strategy here. you're hearing it play out right on our air, the sort of mix thoughts of people's of just how coheerns the administration's plan has been. john mccain was unscithing in his criticism towards dempsey and hagel on freeing syria, whether it will be a direct move against bashar al assad and mccain reminded them the free throw syrian goal is not to debilitate syrian but to out bashar al assad and so i guess what degree do you think we need
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to do about the public strategy. >> there is no strategy just yet. there's a lot of reaction to the beheadings, but we don't actually know what the national goal is or what national resources to devote to it and the questions about syria absolutely reflect that. >> gentleman thank you all so much for your time. >> good to be with you. >> thanks. coming up will the threat of losing major sponsorship force the nfl to act, just ahead. copd? it can feel like this. copd includes chronic bronchitis and emphysema. spiriva is a once-daily inhaled... ...copd maintenance treatment... ...that helps open my airways for a full 24 hours. you know, spiriva helps me breathe easier. spiriva handihaler tiotropium bromide
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>> there is still no word yet, but former baltimore ravens running back, ray rice is expected to appeal, contending
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he should not be penalized twice for the same punishment. he will say the harsher punishment last week was due to pressure not because of evidence. joining me now sports writer for the fr new york times. anheuser busch has a statement saying the company is disappointed, campbell soup is out with a statement, thus far, sponsors have been reluctant to pull their dollars from the nfl, do you think these statements are enough to sway the league one way or the other. >> i think it is because you have fans express the same opinions and nothing has been done.
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so where you have money and the bottom line, that's a powerful incentive for the nfl to listen. >> let me ask you about ray rice and his appeal. saying nothing of the crime itself, it seems and sounds, at least from the outside, that he has a real case to be made here. that the second punishment has nothing to do with the case it ske self but is the result of a public outcry. what do you foresee happening. >> i agree. it is in the collective bargaining agreement. there's no double indemnity so they will argue that the two-game suspension was the original punishment and that goodell cannot go back and say you are suspended indefinitely and that anything goodell rules supercedes any punishment given out by the baltimore ravens. this is the problem.
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nfl has lack the a coheernt policy. you have nfl looking at the greater good. the individual teams 245 ais the dealing with the fan base. and the local citizens. and the players association. that's what the nflpa is filing the appeal on ray's behalf. you have all these enti entitti that you hope is working on the same goal but definitely not the case here. let me talk about the nba where the players have been suspended by their teams for an instance of domestic violence where there was an arrest report but no charges filed and then the
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players association files a grievance on the playplayer's behalf to have that suspension dropped. so again, you have to get all of thesentities on board to decide it is an important issue and everyone needs to be involved in coming up with a coheernt policy. >> when you look at the other infractions or crimes, defensive lineman, ray mcdonald who played in both week one and two, these are all folks that have had criminal allegations, panthers greg hardy, who knows about week three, there's an inconsistency here that would seem to be the hall mark 2that would lack recoheerns about what constitutes something worthy of suspension. and not to lose sight 6 the fact, ray rice, by account of the video, someone who
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perpetrated an act of violence against his now-wife. >> right. >> the fact that he, the way he has sort of paid his due for that, which is, pre-trial intervention program, less than 1% of suspects in new jersey were offedred pti. the atlanta county prosecutors offensive said he received the same thing any other defender would. that seems highly questionable, does it not. >> it does. it is almost like sometimes the justice system wants the individual organizations to do right by the issue and meantime the teams are looking for the justice system to take care of it. it's like a hot potato that everyone is passing around but nobody wants to do right by the victims, in this case, the women
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that are bag buzed. that are being abused. it's not just a sports problem but a society problem. i saw a statistic where you have 1500 women a year die at the hands of an intimate partner. >> if this has shown a light on anything it is the unacceptable rate of domestic violence in this country. thanks so much for your time. >> thank you. coming to a committee room near you. >> benghazi. >> benghazi. >> benghazi. >> the sequels will not stop coming. we will discuss the latest benghazi committee and why it might actually have an ounce of reason. hem, right? but when you try to get one by using your travel rewards card miles... those seats mysteriously vanish.
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clowns, tomorrow the house collect committee on benghazi will conduct its first public hearing. this is of course not the first, it's the 14th. don't expect fireworks this week. mother jones says this gop benghazi hearing is actually worth having because it's agreed to kick off things about embassy security, specifically an update on how well the safe department is implementing the safe recommendations made back in 2012. will the proceedings stay serious. seems the democrats are not so sure. today they unveiled a new website, again gauzy on the record, asked and answered,
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expected to push back on the avalanche of republican rumors and conspiracy. joining me now, david, let me start with you. what meaningfully do you expect to get from this. and how likely is it to turn into chaos. >> first, welcome back. great to see you. >> thank you. >> you're right. i'm optimistic. for years some of us have been saying, listen, there's serious questions about benghazi, what happened to diplomatic security, obviously something went wrong. we want to make sure brave public servants, are never in a
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position of detriment again. this is what congress should be caring about. so this new suggestion from adam shift from california is beginning its new round of hearings by focussing on the suggestions that were made, 24 unclassified recommendations made by the accountability review board and how to make things better for the diplomatic security. my question is whether they will stick to this topic, all those republicans, to do the hard, sometimes boring over site that needs to be done to make sure the rest of the government is working well. >> let me ask you. some were muted in their alarm given the rhetoric that is being tossed about, how much of a game if changer is trey gallie in
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terms of rallying good will. at least at the beginning of this thing. >> i think he's made it very clear that he doesn't want to repeat chairman's work into this. >> did he not do a good job. >> i know, right. no, no. yeah. he's trying to avoid thee at ri theaterics that have turned this into a circumstans every time benghazi comes up, and i think looking at serious moves is a good move on his part. it under mines other alleys to say it is just a -- the end yet,
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is that there's still a republican, conservative constituency out there that they will be expecting all those to be proven. if it doesn't happen, they will accuse them of covering up. i get the e-mails on a daily basis, from these groups, they want more than just the good solid policy substance work. >> i feel like you went from being optimist to pestimmist. on that note. trey said the benghazi probe could run in through 2016.
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what else happens in 2016. the hillary-alleys have a new website i believe called benghazicommittee.com which rebuts the secretary of state's role in all of this. >> i think republicans could end this right now. i don't think they will give it up. i think, the thing is, it doesn't matter what happens with this, organizations that are making money off this, putting off theories, are going to continue to do so. that's going to be a reality she will have to deal with. there's one thing democrats need to be careful of, that is, to not look like they are just trying to protect hillary in this situation. if they do that it will look like a cover up and that will
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actually give it more legs than it otherwise would have. >> smoke and mirrors. gentleman, thank you for your time. that is all for now. i will see you back here at 4:00 tomorrow. the ed show is coming up next. good evening americas and welcome to the ed show, live from new york. let's get to work. >> this is the largest international response in the history of the cdc. >> 50% mortality rate. >> ebola is a new infection on this continent. >> we get serious about addressing the public health, humanitarian and security effects of this outbreak. >> our colleagues across the ocean have been dealing with it for 40 years. >> death toll now 2400 and climbing fast. >> serious threat. not jt

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