tough sacrifices. >> that's it for this evening. the rachel maddow show starts right now. good evening, rachel. >> good evening, chris. thank you, my friend. much appreciated. thanks to you at home for joining us this hour. here's just one snapshot, one cross-section, one day in one u.s. state. this is the front page of the minneapolis star tribune right now. governor walz in self quarantine, the former democratic congressman, under quarantine as of tonight after coming into contact with someone with covid-19, believed to be a member of his security detail. the governor says he is not showing any symptoms but he is going into quarantine. that's the governor. also on the front page of the star tribune right now, a story about the lieutenant governor of minnesota, her name is peggy flanagan on the front page of that same paper right now, with

the news that her brother has just died from coronavirus. she described her brother as a tough as nails u.s. marine, and she says this, quote, if you feel fine, that's great, but please consider the possibility that you're carrying the virus and don't know it, and then you walk past the next ron, my big brother, in public, covid-19 now has a personal connection to me, please do all you can to prevent one for you. also on that same front page, tonight, minnesota's confirmed case load as a state, jumps from 169 known cases yesterday to 235 known cases today. also on that same front page, the fact that the transit system in the twin cities is cutting its service by, two days from now, by 40%. and then there's the news from minnesota's senior u.s. senator, amy klobuchar. and again, the context here, in that state, the state's governor is now quarantined and the

lieutenant governor announced her brother just died and the senior u.s. senator senator klobuchar announced that her husband has coronavirus and hospitalized. quote, i have news that many americans are facing right now. my husband john has the coronavirus. we just got the test results at 7:00 a.m. this morning. she says quote, john started to feel sick when i was in minnesota and he was in washington, d.c. and like so many others who have had the disease, he thought it was just a cold. yet he immediately quarantined himself just in case and stopped going to his job teaching in baltimore. he kept having a temperature and a bad, bad cough, and when he started coughing up blood, he got a test, and a chest x-ray, and they checked him into a hospital in virginia, because of a variety of things including very low. gen levels, which haven't really improved. he now has pneumonia and is on oxygen but not a ventilator. while this story is his and not mine, i wanted to let my colleagues and constituents know that since john and i have been in different places for the past two weeks, and i am outside the

14-day period for getting sick, my doctor has advised me to not get a test. as everyone is aware, there are test shortages for people who need them everywhere and i don't qualify to get one under any standard. while i cannot see him and he is of course cut off from all visitors, our daughter abigail and i are constantly calling and texting and emails, we love him very much and pray for his recovery. he is exhausted and sick but a very strong and resilient person. i love my husband so very much, and not being able to be there at the hospital by his side is one of the hardest things about this disease. i hope he will be home soon. i know so many americans are going through this and so much worse right now. so i hope and pray for you, just as i hope you will do for my husband. meanwhile, i'm working in the senate to get help to the american people. and that announcement today from u.s. senator and until recently democratic presidential candidate amy klobuchar. joining us now, live from dc, where she has stayed at works as the senate tries to pass a bill to mitigate the economic collapse caused by this virus, senator klobuchar, thank you so

much for making time to be here tonight. >> thank you, rachel. and thank you for mentioning my good friend peggy flanagan whose brother so tragically died, and i think one of the things about this happening to me and to so many others, it's going to happen to every family, it's going to happen to everyone, whether it is a friend or your grandpa, and one of the things you find out when this happens, which peggy knows too, is you can't go and visit your loved one. i would love to be at my husband's side right now. but instead i'm with you, which is fine, on this show, but it is so hard, because you want to talk to the doctor, and be there, and you want to see what the oxygen level, are you want to bring flowers, and you can't do any of that. and that's going to happen to everyone, because visiting someone in the hospital makes it so much worse. because you can pick up the disease, or spread it to other people. and if my husband hadn't did what he did, he literally went into the apartment, and never

left, except to get groceries, and was very careful, and i think a lot of other people would have gotten sick from him, and i think that's one thing you learn from people that get sick, but it's also people that just have to stay in their houses, and listen to the experts right now. i can't tell you how important that is. >> you said in your statement that he has had low oxygen levels and in the hospital and getting oxygen. can you give us any update on his condition and what you are at least, what his doctors are able to say about what they expect for his prognosis? >> well, one of the things he had, which is so common, is he had over 100 degree temperature, for ten days, and it was really only when he coughed up the blood that he went to get the test, because we knew how hard it was to get the test and then it took, you know, just five and a half days, like so many people have experienced to get the results, so that was this morning, and that's when we knew for sure, but all weekend, we thought that it was probably it. and so right now, he's still at

that low oxygen level, he is still on oxygen, but we're just so glad that he hasn't gotten to the point of needing a ventilator, and so they're waiting to see what happens. because one of the strange things with this disease is it can just suddenly plummet. and of course, he's saying, i got to go teach my class remotely. and i'm like no, and so at some point, i mean the hope is he will probably come home with oxygen, but the minute he can come home, he will. so you know, we don't know. these things have taken a turn for the worse, like peggy's brother, who had cancer, and so that was part of what went on there, but there is a lot of other people that suddenly, for no reason, it takes a turn. so i am just hoping and praying for him like i am for so many people across the country. like i said, many people have had worse or will have worse. and it's made me, as i was, obsessively focused on getting these tests out to people,

getting them in much more available, making them quicker, so health care workers know, getting the health care equipment to worker, everything would make a difference for people right now and that's why i'm here and i'm so proud of our democratic caucus, hanging together, from the most progressive people in our caucus, to the more moderate conservatives, everyone hung together, everyone said no, everyone said we've got to do better for the hospitals, and senator schumer and senator durbin and murray and so many others, did such a great job on this. they've been negotiating through the night, as well as, it was such a team effort, and we are working on of course unemployment insurance, and small businesses, and i keep pushing to get those ballots ready, so we can have our mail-in ballots. there's just so much good work going on right now, and the american people should not settle for what they've had to date. which is not enough tests. not enough equipment. and that's why i'm here tonight, and so many of my colleagues are

working around the clock. >> there has been this fight in the senate, as you're describing, all democrats, standing together, and saying what senator mcconnell is offering is not the right response, it's not enough, it doesn't meet the right priority, not the right way to deal with this, it certainly feels like a clash between two immovable sides but there is also this urgency to get some relief passed. >> i think that actually there have been some really positive developments in the last few hours. because of all of this work that's going on. i know i've talked to at least ten of my republican colleagues today, and i know that those that are in the committees, like i can't even, senator warren, and senator cardin. senator shaheen. who are working so hard, that are negotiating all of this right now. i think that's the, senator leahy, of course, with appropriations, there's a lot of work going on that is positive that i still think that there is

a good chance that we're going to get an agreement, and then of course, speaker pelosi has her bill that has a lot of things in it that is difficult to get through the republican senate, but would make the bill so much better. so i just cannot stress enough for your viewers, how hard people are working so that we have a bill that puts people first, and it's going to get that equipment out, and make us so much better prepared when this next group of patients are going to be coming in, and we know that they're coming in. >> senator, let me just also ask you about your workplace right now. by my last count, i think that five members of the senate are now quarantined, senator rand paul has tested positive, while he was awaiting his test results, he was coming into work every day, reportedly using facilities like the senate gym, and as a member of the government, as a senior member of the government, in the branch that you're in, are you worried about a situation in which a

single, a significant number of people who are involved in the government are essentially out of commission at the same time, we're already in an awkward situation in the senate, where there is a good number of senators who can't come in to cast votes? >> yes, and that's why i'm a proponent for remote voting. that is something that a number, rob portman called me on it today, he has been working on, it senator durbin, others, ranking on the rules committee, and seeing these senators now either quarantined, off and on, off and on, we're going to have to do more work, rachel. i don't think we're going to get everything we want on the mail-in ballots and i think we could because we have democrats and republican sections of state who want to have a democracy, an election where people can vote in the fall, 0 so there is a number of things that we're pushing for right now and there's some things that we're going to be doing in the next month, and people are going to have to vote. so one of the ways you can do this, and i looked at this, i believe it's legal under the

constitution, as long as we change the rules of the chamber, on a very emergency basis, to allow for some remote voting. and especially when it pertains to these emergency measures. so that's one of the things we're pushing for, the staffs are the ones that are on the front line, and i think again, i just keep going back to the grocery store workers, and the doctors and nurses, and the janitors, and the people who are taking care of their neighbors, and leaving groceries on the front porch, we're going to be tested as a country, like we've never been tested before. and the way you have to do this is to step back, and be grateful. and be generous in spirit. when all of these things are going wrong, that there are people that are going to work every single day, including staff members, in the congress, but including those police officers, at the front door of this place, including, but right now, all of these health care worker, like the ones treating my husband that i've never got ton thank because i've never got

ton meet them, because i can't go there, they are doing this incredible job, and putting themselves at risk, and the least they deserve is the best equipment that money can buy. >> senator amy klobuchar, democrat of minnesota, we wish of course john an absolutely swift and complete recovery. >> thanks. >> we look forward to him being immune from this disease after his recovery, so he can be one of the super heroes who will help us on the other side of the curve. >> exactly. that's what i keep telling him to make him feel better. so that is a good point. thank you, rachel. >> tell him that the rachel maddow show is with you on that. thank you, senator. >> thank you. >> excellent. we've got a lot of news to get to tonight and first let me give you what we think may be to a little bit of good news. honestly, good news is overstating it a little bit. but it is potentially the light at the end of someone else's tunnel. at least it's reason to hope. let me tell you about this.

for a couple of weeks now, as italy became the largest epicenter of the pandemic, as italy surpassed china in terms of its death toll, as northern italian hospitals have become overrun by seriously-ill coronavirus patients, as it has just been absolutely terrible in italy, we have repeatedly been warned in this country, by people in a position to know, that the shape and the scale of the italian epidemic is where the united states is heading. that overall of course is terrible news, because italy is in terrible shape. but the reason to hope, that's coming out of italy right now, is that italy may, may, i repeat may, be starting to turn the corner. china and south korea had the two first worst epidemics as you know, and their graphs went straight down and then came down, they had the two first worst epidemics and they each turned the corner against them and they have additional challenges and things aren't

over, but those numbers came down. in italy, things are still terrible. and their death toll is higher now than china or south korea ever got. but after living with weeks of a national stay at home order, italy may have finally come to that kind of inflection point that both china and south korea hit, where things started to turn in a better direction. last week, we reported here on the show that the number of new infections, newly-reported cases in italy, had started to show a smaller rate of growth. still terrible. still getting lots of new infections. but the rate of growth in new cases had started to shrink. as of today, the rate of increase in new coronavirus cases in italy is down in the single digits for the first time. they still have 13.5% double digit growth, as of saturday, but as of today, it is down to just over 8%. the first time they have had single digit growth in new cases since things got terrible. still growing. still terrible. but those numbers are finally

starting to head in the right direction in terms of newly-discovered cases. and now, it's the same kind of news on deaths in italy. we have been watching in horror over the past week, as the death toll rose and rose all week long, last week, as italy started to see one-day death numbers that were higher than anything china reported in any sustainable way, at the worst of the chinese epidemic. well, now, the number of daily deaths in italy is still abominableless ly high, and the daily death numbers have finally started to decline. we reported last week, over 300 deaths a day, over 400 deaths a day, and on saturday, 793 deaths per day on sunday, it was not 793, it was 651. today, they announced it was 608. and that's still very bad. that's still the worst on earth. but in the place that has it the worst on earth right now, it is

starting to very slowly get better. the numbers are starting to go in the right direction. and why is that? well, as i mentioned, and as you know, italy has a national stay at home order. italy put in place a national stay at home order and travel restrictions march 9th. that's only two weeks ago. just like a decade ago, feels like it. two weeks ago they put that order in place and the experts said at the time that the italian authorities were expecting that it would take two weeks to start to show any beneficial effect of that national stay at home order in terms of just starting to slow it, starting to tame that raging out of control epidemic. well, it is two weeks ago today, since they put in place that national order, and now, as of today, their curves in terms of new case, the curves, in terms of deaths, are finally starting to flatten just a little tiny bit. and that is, you know, thousands of deaths down the road.

but maybe for them, the inflection point is within site. maybe the light at the end of the tunnel is at least imaginable. we, on the other hand, have a raging out of control epidemic in this country, and we even now, even with those kinds of examples, around the world, see what china did to fix it, see what south korea did to fix it, see what italy didn't do in time to avoid the calamity they are in now, seeing what their two-week national effort has finally started to yield, in terms of benefits, we in this country, with our raging out of control epidemic, are only barely starting to take the measures that will offer us any hope of slowing it down. california was first. with a statewide stay at home order. then illinois and new york joined them. and now, finally, in hither and yon, when they get around to it, other states are starting to follow. over the past few days, on saturday, new jersey joined the stay at home order as well. on sunday, it was delaware.

and also louisiana. and also ohio. today, it was michigan, and west virginia, and wisconsin, and massachusetts, and indiana, and connecticut goes into effect today. missouri finally announced school closures. but still, there's no stay at home order in missouri. idaho, announced 27 new confirmed cases today, but the governor of idaho has no interest in say banning gatherings of any size, he's apparently fine leaving restaurants and bars and whatever other businesses to do whatever they want and that leaves the state of idaho's cities and towns to in vent it themselves, figure it out themselves, put in place their own measures if they want to if they can figure it out, but no worry, statewide, the governor thinks everything will be fine. right? here's the front page of the idaho statesman right now. for every icu bed in idaho, experts predict we will have one to 14 patients who need it. you may be about to outstrip your icu beds by a factor of 14,

you know what kind of condition people are in when they need an icu bed? and they're not going to be able to get them by a factor of up to 14? no rush, governor. no rush. it will probably work out okay. even if you don't do anything statewide to slow the spread in your state, sure, probably, why not risk, it see what happens. in brazil, they are now using their gigantic brazilian soccer stadiums as field locations for new coronavirus hospitals. in austria, this weekend, volunteers and firefighters converted a convention center in vienna, to an 880-bed hospital, literally over the course of one weekend, they did that. in spain, which has the second worst outbreak in europe, after italy, officials announced today that an ice rink in madrid will be converted into a huge new morgue, because existing morgue facilities cannot keep up with the hundreds of deaths per day,

with increasing numbers expected every day ahead, because spain has not yet hit an inflection point, and started to turn this thing back, or slow it at all. here at home, in maryland today, the governor of maryland, larry hogan, announced that the baltimore convention center will be converted into a large field hospital. the hilton hotel in downtown baltimore's inner harbor will also be converted into a hospital overflow care center. in new york, which is now becoming a world capital of coronavirus impact, it's starting to feel like america has this one president in washington, but a whole different president for the coronavirus crisis who is the guy in charge of new york. who president trump and washington literally said this weekend, that gm and ford are making ventilators, he said, quote, right now. when that is absolutely not happening. president trump has continued,

inexplicably hyping supposed miracle cures for the virus, right? we've got a president of the united states, who is operating in washington, the president of the coronavirus response still does appear to be the guy who is in charge in new york, where new york, as a state, is forging ahead into the darkest days of this crisis. >> we are today issuing an emergency order that says to all hospitals, you must increase your capacity by 50%. you must. mander to directive from the state. find more beds. use more rooms. you must increase your capacity 50%. we would ask you to try to increase your capacity 100%. okay? so we now have 53,000 beds. we node 110,000 beds. >> today they announced that the javits center, the giant convention center in manhattan, they are going to put four

250-person fema hospitals inside it, 1,000 beds, and they think it will be done in a week and the army corps of engineers is reportedly going to filled out another thousand bed capacity at that same site, so 2,000 beds at the javits center, plus new york is planning on three other sites where they will put 250-bed hospitals at two state college sites, in old westbury and stonybrook and another at the convention center in westchester county. they are also scouting nursing homes and other health care sites that the state can temporarily take over to basically commandeer them and make them into new hospital bed space, and new overflow bed space. as new york hospitals, particularly new york city hospitals fill up. in new york, last week, they asked recently retired doctors and nurses to come back into service and help. 30,000 doctors and nurses signed up and said they would. imagine seeing something like that going on inside your

country. seeing new york hospitals filling up lightning fast. and doctors and nurse, by the tens of thousands, answering the call, coming out of retirement, to relieve the doctors and nurses who are themselves going to get sick and themselves die in some numbers, because we don't have the resources to protect them, as the patient numbers surge out of control. imagine being in a position of authority anywhere in this country, looking across this country, no matter how far away you are, looking across this country, to the biggest city in this country, the first worst-hit city in this country, knowing that the virus is already in all 50 states, imagine being in a position of authority, looking at the first worst-hit city in our country, hearing about the nurses already reusing the same protective masks for days at a time, already, imagine being like the governor of idaho, brad little, looking at that and deciding,

eh, no big deal, i'm sure that won't happen us to, why would i tell people to stay home in idaho, we don't need any state-wide order, i'm sure we will be fine and if we won't be fine, i'll leave it to the mayors and stuff to figure it out if they want to do something, but statewide, i'm going to do nothing. imagine that. donald mcneil, the veteran science correspondent at "the new york times" has just published a gigantic and chilling 5,000 word piece about what the expert international consensus now is, what we have now learned, about what needs to happen to shut down the epidemic and save millions of lives. i will tell you right now, it is not what we are doing, with this patchwork of responses, and nonresponses, where maybe some states try to tack tal and some others don't. donald mcneil joins us live next. stay with us. donald mcneil joins us live next. stay with us. this piece is talking to me.

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donald mcneil is the veteran science and health reporter at

"the new york times," we've had him several times since the start of our basically full-time reporting on the pandemic. mcneil has been pioneering reporting on the coronavirus pandemic since its inception and the most recent article is on the front page of the "new york times," above the fold and it will be seen as a landmark piece of journalism in the early u.s. response to this crisis. it is called halting virus will require harsh steps, experts say, near total cooperation from public is key to isolating clusters of infections. and in this piece, mcneil writes, stopping the virus, quote, takes intelligent, rapidly adaptive work by health officials, and near-total cooperation from the populous, containment becomes realistic only when americans realize that working together is the only way to protect themselves and their loved ones. donald mcneil joins us now live, sir, thank you very much for your time. i appreciate you being here. >> thank you. >> i mentioned a few states in

the introduction tonight that have recently added state-wide stay at home orders, singled out a few states that haven't. i should also mention that oregon's new stay at home order goes into effect today. hawaii just announced one that goes into effect on wednesday. we are seeing the sort of patch work quilt of these stay at home orders, are those types of orders in keeping with what international experts told you should be done? >> yes, as long as they're serious orders and they are seriously paid attention to by the populace, there's a lot of wiggle room and people are still gathering out and playing in the park, basketball and stuff, and transfer the virus, people are still, you know, having play states, several kids together, so it all depends on how people cooperate, and if people recognize that they could be passing the virus or picking up the virus in any human

interaction. >> in terms of the american capacity to do what needs to be done, some of the things that you outlined in this new reporting feel doable if not politically difficult, for example the first thing you suggested is the scientists need to be heard, that the people who are doing the day to day explaining of what's going on, what the dynamics are of the epidemic, what needs to be done to stop it and why, should be scientists and politicians, in the same way that general swarz cof was the person explaining what is going on in the gulf war to the american people. that seems at least theoretically doable. but some of the other things that you talk about, i sort of have been reading between the lines but it seems that you are not sure america will ever get it together to do some of the more extreme forms of isolation and intrusive monitoring. >> we are not nearly as together as the italians right now who

are not famous for cooperation with authority at any time. you know, in tennessee, people are still insisting on going, the right to go to bars, and in england, you know, the minute they heard that the bars were going to close down, the bars were flooded for last call. and this is just, this is just the beginning. this is just an attempt to freeze everything in place. then the real work begins. and the real work includes first of all, you've got to get people who are infected out of their homes, so that they don't infect their family members. and that means they're going to have to go, even if they have mild cases, even if they have almost no symptoms, they're going to have to go some blase where they can get over it together, and so that the ones who crash, which is a big phenomena the second week, people who seem to be doing fine and some will crash and need to be on oxygen, you don't want to be having to call 911 at that point. because there may be no

ambulance for you. you would be much better off in something like the javits center where there is a nurse keeping an eye on everybody in the room who has a number of oxygen tanks by the wall so when you need oxygen somebody can get it to you instantly. and plus we need to find the fevers. we need to test literally millions of people because the first thing you get the test, it means nothing. and a negative test yields no information. you sometimes, it takes three or four days, even after you have symptoms, for a test to turn out positive. so there is a lot of, a lot had more to do, even, a lot more to do even after we go into a lockdown. and the president is talking about, after 15 days, this may likely be over. and that's a disastrous way to look at it. >> in terms of finding the fevers, i was interested to see that dr. fauci did an interview with science magazine in which the interviewer asked him, you know, listen in, china, one of the things they do, they point an infrared thermometer at your forehead before they allow you

in the grocery store or the bus and check if you have a fever. is that something that we should be doing and dr. fauci responded positively and said i will bring this up in the task force meeting, logisticcally, i don't know if we can do that and there is a good case to do that and to hear him talk about a measure like that positively is of interest on its own terms but it raises the questions of what we would do with people who had fevers. what you've described is this sort of temporary hospitals where people who have mild or moderate illness, have to leave their families, people who have fevers and get diagnosed, even just mild case, need to be isolated outside of their home, and that would be the, that wa be, that would be the next logistical step you would need in order for it to make sense to screen people for fever, right? >> yes. look, this is tough. you have to see this as an open carry issue. is it safe to walk into a

grocery store while openly carrying a fever? you're in endangering the other people in the store. you know, you yourself may not even recognize that you're sick. the fever is not that you're in isolation, the fever is you're taken for a test to see what the cause of your fever is. they try to pull out flu and they try to pull out the possibility of it being otherwise, and saying okay, if you have coronavirus, we will put you in isolation. and you're free for your own protection. not every case is mild. you probably saw the video today, i mean i had an email from a family of a 25-year-old guy, very athletic young man, he is in induced coma and on a ventilator now, and he can't get gilead's drug and there is a 12-year-old girl in georgia who is now, may or may not make it, this notion that it is all, this

notion that it is all only going to kill grandma, as if that were okay, has got to stop. >> do you think that the problems that we've seen, i don't want you to, i don't ask you to do any political discussion that you don't want to do, but because we have had such a patch work response of mistakes, because there have been problems, with the president's communication, around this issue, where he has said things that weren't true, that he has wild goose chased himself and happy talked this thing to the point that it is unrecognizable compared to the grouch ground truth, do you think we should be hoping for federal nationwide orders from the federal government, in other words, to get its act together or should we be just hoping for individual states to develop best cases that well meaning governors in other states can then copy? >> i don't hold out much hope for federal orders, because the

president is seeming to have a hard time believing in this germ. i mean when he's talking about it, 15, you know, 15 days, the doors are open, it's like, you know, having a lead-lined room next to the chernobyl power plant and say, open the doors and the flowers are still sprouting and a sunny day, i think it is okay to go out. it's not okay to go out. there are things that you haven't seen yet because so many people are getting infected but they will not be hospitalized for another on average ten days after they show symptoms, it is only going to be forced home in the same way that aids was forced home to ronald reagan after four years of not mentioning it by the death of his friend rock hudson. something's going to have to wake the president up to the realization this this is a very serious danger, including to him, and his family, and being cavalier about it, in order to save your 401(k) is probably a

short-term good with really bad long-term consequences. >> donald mcneil, reporter at "the new york times," who again has published what will be seen as a definitive, at least landmark piece of journalism, in terms of rounding up international expert opinion on what to do here. thank you for being with us tonight, don. i appreciate it. >> thank you for inviting me. we've got much more ahead tonight, including some of the doctors who are trying to raise the alarm in trying to create some constructive pathways to get doctors and nurses more protective gear, so that they can stay in the fight. more to get to tonight. stay with us. stay with us. oh, that's a good one. wait, what's that? that's just the low-battery warning. oh, alright. now it's all, "check out my rv," and, "let's go four-wheeling." maybe there's a little part of me that wanted to be seen. well, progressive helps people save when they bundle their home with their outdoor vehicles.

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but you gotta sign up by april 30th. visit coveredca.com or call to enroll today. we know we have a ventilator shortage in this country. as the number of coronavirus cases skyrockets, as the number of people hospitalized starts to rise steeply, as the number of people hospitalized needing

intensive care also starts to rise steeply, we have a shortage of ventilators in this country. but do we even know where the ventilators are that we do have? and where they are most needed? and where they might be repurposed to maximize the number of human lives saved? president trump seems to believe that ford and gm right now are producing new ventilators. he said as much this weekend. ford and gm right now are not producing new ventilators. but if u.s. manufacturing of these things does start to surge, do we know at that point how those new machines would get where they are most needed? one doctor at mass general in boston writes this in "the new york times." where should these ventilators be delivered? which hospitals need them most? how can we build a nimble logistics operation the moment these prove to be imminent. the truth is we have nod no. idea. we're taking every hospital system for themselves approach.

big tech needs to rapidly build and scale a cloud-based national ventilator surveillance platform which will track hospital icu capacity and ventilator supply across the nation in realtime. such a platform which silicon valley could build and fema could utilize would allow hops nationwide to report the hospital bed status and ventilator supply daily in an unprecedented data sharing initiative. that is from daniel horn at mass general in boston. a national ventilator surveillance system, basically. i mean if we're honest, in addition to doing something like that for ventilators, which seems like a great idea, we could really use a similar tracking and delivery and resupply system for the life-saving personal protective equipment that health workers are already running out of. well, there are some people who are now trying to do that themselves. on their own time. but trying to create and run a private sourcing and delivery

system on a national scale for the kinds of equipment that health care workers need to keep them uninfected and alive in this pandemic. the group is called project n95, the national covid-19 medical equipment clearinghouse. it's part of a digital tech-driven response to the coronavirus pandemic, launched by three people who used to work for the white house chief technology officer. that's a position that was created during the obama administration. so do you work in a facility where you need n95 masks? or surgical masks? or isolation gowns? ventilators? tell project n95 where you are, and what you need, and on the other side of the supply and demand chain, do you have any of those things? are you making any of those things? do you expect that you will be able to procure or make any of those things? well, send information to this clearinghouse, about what you have, and where it is. are you a local government

looking for bulk orders to distribute across various health care facility, project n95 says they will work on connecting you with suppliers. it remains to be seen how successful a project like this will be. redistributing resources is really important, at a time of scarcity, but the original sin here is scarcity, the original sin here is the question of whether there is enough, even if you distribute it with perfect efficiency. but hey, it's an effort. we're trying. folks are using the skills they have to try to fill, to fill the gigantic void that has been left by the federal government, who did no planning for this, and who squandered weeks of advanced notice, as to what was coming. but in terms of what it's like living with this situation, as it is right now, as the numbers of coronavirus patients start to rise, in emergency rooms, and am intensive care units, the doctors who are on the front lines in hospitals, as they are starting to become inundated

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joining us now is dr. megan ranee, an emergency physician with rhode island hospital. she founded the websit website #getusppe.org. our front line doctors and nurses. dr. ranee, thank you for joining us tonight. >> it's my honor, rachel, thank you. >> what's the situation right now at rhode island hospital and among you and your colleagues as you're starting to see cases? >> so i'm lucky to be in a state

and hospital system that have been really proactive about this pandemic. we saw it coming months ago and have been working to try and conserve supplies, set up space, and do everything we can to be adequately prepared. but the number of cases is rising in our state and as you know, we're not actively testing the patients who come through the doors of the emergency department. although doctors and nurses and housekeeping staff have trained for this and are 100% committed, we've never faced a pandemic of this nature before, much less without adequate protective equipment. the cdc guidelines are telling us to reuse protective equipment that normally would be completely disposable. we are changing our normal protocols in order to try and conserve supplies. the mood across the nation right now in emergency departments is one of fear.

>> in terms of what we can do as a country, what we can do as citizens to try to lessen the burden on you as an emergency room physician and for other front line providers who are really going to be taking the brunt of this, obviously the idea of these social distancing measures is to try and slow down the rate at which americans become newly infected, so we slow down the number of new cases that turn up in the hospital and that need urgent care. at the president's press conference today he said, our country wasn't built to be shut down, he said, normal life will return soon. he seems to be suggesting that the social distancing measures we're taking should be relieved sometime soon. i have to ask how that landed with you. >> that landed pretty poorly. i cannot emphasize enough how important social distancing is right now. so when you stay apart from people, you prevent the transmission of the virus. we know from italy that it is

starting to work. there is preliminary data out of san francisco under governor gavin newsom's direction that they're starting to see a decrease in the number of new cases because they put social distancing in place early. we know it takes about two weeks for the virus to show up. so maintaining that distance now is absolutely critical. here's the thing, it matters not just because i don't want people to be infected by covid-19, but it also matters because if my emergency department is full of critically ill patients with covid-19, i'm not going to have the resources to take care of appendicitis or a car crash or a heart attack. again, my hospital system is preparing for these eventualities. but nationwide, we're going to be overwhelmed and we're not going to be able to take care of the everyday emergencies that folks have whether or not there's a pandemic out there. so social distancing is just critical. now is to the tnot the time to we're done with it. >> dr. megan ranney, an

emergency physician at rhode island hospital, thank you for taking time to talk to us. getusppe.org is a clarion call to get the health care system what they need, thanks for doing that work. we'll be right back. ork. we'll be right back. i thought, i'm not letting anything take me away from my family without a fight. at cancer treatment centers of america, i had six, seven doctors that work together to take me through this journey. they're not just treating the cancer, they're treating me as a whole person. and that's why i think am where i am today. get care like no other at cancer treatment centers of america. who stood up. who stood strong. who demanded to be seen. to be heard. to be counted. learning about their courage and grit...

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i have just the thing for you. how about a best new thing in the world today? >> today is monday, march 23rd.

the second week. >> that is children's book author mo willems who gave the world the pigeon who definitely should not be allowed to drive the bus. and with the help of the kennedy center he is now america's ad hoc art teacher. with millions of learners, you might be isolated but you're not alone. you are an art maker. let's make some together. you might be isolated but you are not alone. it's basically a doodling master class, which is fantastic. it's called lunch doodles. it's free online. so far it's kind of a hit with tons and tons and tons of kids tuning in and making some pretty fine artwork including, full disclosure here, some of our

own. these are the littlest rachel maddow show producers with their doodles that they have done with lunch doodles, we're very proud. we're all trying to do good work, to be creative, to try to find ways to help our country and be good citizens and members of our families and communities. this is the kind of thing that helps. be creative. be creatively engaged. stay engaged. like the doodle says, we are all connected. that's best new thing in the world. we will see you again, same bat time, same bat channel tomorrow. now it's time for "the last word with lawrence o'donnell." good evening, lawrence. >> good morning, rachel. the difficult thing about us being separated is that i didn't get to see the doodles. i'm assuming they just went up on the screen and i can't see them from here. i'll have to watch the rerun of "the rachel maddow show." >>