first up here on msnbc, the coronavirus taking a staggering toll. more than a quarter million infected here in the u.s. with new hot spots erupting across the country and on the front lines urgent pleas for help. >> we are afraid for our patients. we are afraid for our families. we are afraid for our lives. >> this is life or death. every hospital in the state of new york and of course the united states should have the supplies they need. >> also, covering your face with a nonmedical mask. new guidance from the government. would it have helped three weeks ago? new unemployment crisis. why new numbers don't tell the whole story. a very good morning, everyone. it is saturday, april 4th. i'm alex witt.

thanks for joining us. breaking news on coronavirus. this morning there are more than 276,000 confirmed cases here in the u.s. the death toll climbing now to 7,063. the u.s. reported more than 30,000 new cases friday. it's the biggest single day increase this country has seen since the start of the outbreak. more than 1 million cases have been reported worldwide. the cdc is urging all americans to wear cloth face coverings when you're outside to prevent the spread. don't use medical grade masks. save those for health care workers. president trump announced the new guidelines but says he's not following them. >> you can do it. you don't have to do it. i'm choosing not to do it. some people may want to do it. it may be good. probably will. they are making recommendations. somehow sitting in the oval office behind that beautiful resolute desk, the great resolute desk. i think wearing a face mask as i

greet presidents, prime ministers, dictators, kings, queens, i don't know, somehow i don't see it for myself. >> huh. well, in florida, more than 1,000 passengers from "zaandam" and rotterdam cruise ships finally on land. those without symptoms went directly to the airport. another cruise ship, coral princess, is denied permission to dock in port everglades as 12 passengers and crew tested positive. for yet another week, new york city remains the epicenter of the united states. the department of health reporting 56,000 cases. almost 1900 deaths. as of yesterday afternoon, 12,000 people in the hospital. we don't know how many patients are on ventilators. corey, good morning to you.

andrew cuomo is still very concerned about access to the ventilators, getting the numbers he needs. what is he saying about that. >> reporter: good morning to you, alex. simply put, the ventilators save lives. he is focusing those this week. he said he believes the state has enough ventilators to last only the next six days at the current burn rate. that came before the single largest death toll day in new york, yesterday. so the burn rate certainly went up. likely the days that we have with the number of ventilators we need in the state have now gone done. yesterday the governor authorized the national guard to help allocate resources, take some of the much needed invesigate laters from institutions that aren't using them right now and bring them into hospitals that need them immediately. >> we still have the challenge of ventilators. we don't have enough, period. many of them go right to the icu. in the icu you need a

ventilator. if you don't have a ventilator, the process stops. and we don't have enough ventilators. we are doing everything possible, splitting of ventilators, using bipap machines, anesthesia ventilators. we are talking to the federal government to be as helpful as they can. but i don't believe the federal stockpile has enough to help all the states. >> alex, it is estimated that the number of covid-19 patients hospitalized going into the icu are about a quarter of those patients. it's a staggering number which shows you why those are so sorely needed. the ventilators are used for 20 to 30 days by coronavirus patients versus the normal two to three day rate for a noncovid-19 hospitalized patients which is why the need has skyrocketed, especially here in new york.

mayor bill de blasio estimates the need 2,000 to 3,000 immediately but 15,000 by the end of area. >> pretty frightening numbers. thank you for that. now to pennsylvania where the entire state is feeling the economic impact of coronavirus. the keystone state is reporting the second largest unemployment rate in this country. let's go to maura barrett. normally a really fun place to be on a saturday morning. let's talk about the businesses. and i say good morning to you, maura. how are they being affected? what changes are you seeing to the daily operations there? >> reporter: good morning, alex. the italian market is a cultural statement in the city, more than 100 years old. because of this week's stay-at-home order, nonessential businesses are closed, which means 40% of the shops and businesses here at the market are closed as well.

the governor and the philadelphia mayor also advised just yesterday when you do go out to visit essential businesses to get your groceries, seafood that they are selling here or to the pharmacy to get any medicine, they are advising that you wear a mask to cover your face to prevent the spread of the virus as growing concerns escalate around the country. there is also a problem with masks in the medical industry as well. the mayor, philadelphia's mayor jim kenney gave an update. they were expecting 500,000 to be coming into the area. they informed us those have been canceled. here's what he had to say about that. alex. >> so the 500,000 masks that i referenced, i thought i said earlier this week it was canceled on the national stockpile. we don't have direct insight as to what was in that cache of supplies. but it has been distributed to hospitals.

>> reporter: so while the medical industry is under retraeupbt when it comes to protective gear, the job market is under pressure. this is the second largest state when it comes to unemployment claims in the country. nearly 1 million pennsylvanians have filed for unemployment. those are new numbers we got this week. that is because southeastern pennsylvania closed nonessential businesses back in 34eud march, earlier than other states. so people had more time to file for unemployment. and pennsylvania's office is a little quicker at processing the claims. the leisure, recreational hospitality and manufacturing industries, a lot of those businesses that are closed because they're nonessential businesses right now make up 30% of pennsylvania's unemployment. alex. >> i'm really glad to see you

are wearing gloves. you have a mask to show that is important too. i remember commenting on a lot of people not wearing masks at that point. how about now? i know this market is just opening up. the vendors or anybody walking around, does anyone have a mask on? >> reporter: alex, i did see some people walking around with bandanas or a mask like i have. the vendors are wearing gloves and doing social distancing. but no one is wearing a mask as you can see here. it is quiet. it is early. but quieter than union square we saw at this same time of day. here in philadelphia i have noticed people taking prekaugdzs more seriously. >> maura, thank you very much. get something yummy for breakfast perhaps.

joining me now a critical care specialist at northwestern moyal hospital. dr. gates, with a welcome to you. you saw maura there. she said a lot of people seem to be putting on the masks. does that encourage you? what do you make of the new cdc guidelines? >> so i feel encouraged by the guidelines. so i want to reiterate the mask is not necessarily to protect one individual person. but it is so limit any spread to people whether the people are stt attic or asymptomatic. the mask should not be hospital masks. they should not be surgical masks. they should not be the n 95. we need those in the hospital. this is a shift change to just try to minimize the spread based on information coming out of the other countries. >> doctor, look, there are those who would suggest these open air markets should not even be open.

granted, they are providing food and largely fresh produce which keeps people healthy under normal circumstances. what are your thoughts on whether these types of markets should be open? >> as a group, as a community, we need to put in place protocols that are going to allow us to continue to thrive but minimize the spread. so social distancing is important. perhaps wearing cloth masks is important. we can't lose sight of that. do we need to close the markets? i think that will be a community decision. if they remain open, then additional things need to be taken. like precaution needs to be taken to minimize the spread in this environment. >> you know, the issue of masks and the guide ants now from the cdc, do you think if they had gone ahead of this three weeks ago we would be seeing a lower

number of cases today? >> i think that unfortunately covid-19 is a novel virus and we are learning as we are dealing with this. so i think that the confusion that's happening is more a result of us collectively just understanding the nature of this disease more. i think it is important now, to focus on what we know now and make changes based on the information we have now >> what about the study out of singapore? it says that around 10% of new infections carry the virus but have not experienced any flu-like symptoms. there is a story from the associated press which says a 52-year-old's woman's infection was linked to her sitting in a seat at a church that had been occupied earlier that day by two tourists.

they showed two symptoms. later those two tourists fell ill. investigators said after they reviewed close circuit television. how long of a surface life might it have? >> so we know this virus is much more contagious than other viruses. even the flu. that's the information we have been dealing with for a while and operating on that knowledge. the virus lives on various surfaces for various periods of time, hours to days depending on the surface. i think this study showed a couple different things. it shows that people can be asymptomatic and spread that. we know that. that is the purpose of the 14-day quarantine. we know you cannot have symptoms and still be infectious. that is why this new recommendation for masks is

coming up. and personal hygiene is still important. we know that it can be on any public surface. so if you're in the public, you have to have, have to wash your hands, use hand sanitizer. use whatever personal hygiene that is appropriate so that you can minimize the spread. >> absolutely. dr. gates, thank you very much for sharing that very important advice. to the white house now. and kelly o'donnell. a big saturday morning to you, my friend. let's talk about this shift in the face covering guidance and the president personally rejecting his own administrat n administration's advice. s. >> as you were just discussing, it is intended to protect ourselves and others from the spread of the virus. not medical masks but cloth face coverings is what the cdc is recommending. the president is pushing back against some of the states as we tries to navigate the incoming

requests as they are looking for critical medical equipment across the country. although president trump announced that new cdc guidance on wearing a face covering, he is not planning to follow it. >> i won't be doing it personally. >> reporter: he stressed nonmedical masks are voluntary. >> i think wearing a face mask as i greet presidents, prime ministers, dictators, kings, queens, i don't know, somehow i don't see it for myself. >> reporter: despite evidence that physical distancing slows the virus spread, the president said he will not pressure states to order residents to stay home. >> states that we're talking about are not in jeopardy. no, i would leave it to the governors. >> reporter: as some states scramble for medical resources, the president touted federal action. but criticized governors for not buying more equipment before this crisis. . >> we're not an ordering clerk. >> reporter: the president said

he could not assure new yorkers there will be if you have ventilators in the days ahead. >> they should have had more ventilators. they were totally underserviced. we are trying to do -- we're doing our best for new york. >> reporter: clearly frustrated -- >> our. you know what our means >> reporter: the president explained how it is being distributed. >> our, our, it means the united states of america. >> reporter: jared kushner said the reserve belongs to the federal government not the states. >> the federal government needs it too, not just the states. >> reporter: they are at odds with 3 m in a dispute over exporting medical gear. they defended its work to maximize production. and even during this time of deadly pandemic, the post impeachment purge has resumed at

the white house. the president is firing the inspector general michael atkinson. he was among the first people to turn over to congress in his role that original whistle-blower complaint about the president's ukraine phone call. of course that led to impeachment. the president notified the committees on capitol hill, which was required by law. and in that letter he said he lost confidence in atkinson. speaker pelosi saying this is a brazen attempt to fuel the intelligence community and atkinson was following the oath of his office. alex? >> can i ask you real quick. any chance that there are kings, queens, prime ministers and presidents meeting with this president any time soon, his reason for not meeting at the white house? >> reporter: they have pushed back any international visitors.

he is seeing ceos and different people from the task force on a daily basis. they are getting tested now with the quick test that can get a result within 15 minutes for exposure to the coronavirus. but, yes, the idea that the president would be holding formal parts of his job when masks are recommended just doesn't bear out. the white house has been pretty buttoned up. the relief that came for stranded cruise ship passengers. their story next. but first what might be a coping mechanism for you during these difficult times. a new article on how you can live vicariously during live streams around the world. for instance, the monterey bay aquarium. you can see the fish swim around all day long. come on. theres got to be one. oh, there they are. oh, there they are but what i do count on is boost high protein.

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the morning at los angeles international airport. quiet skies there this morning. they will be picking up to some degree. the airlines cut back considerably. from there to south florida where another cruise ship carrying at least a dozen people in the coronavirus is not allowed to dock. sam brock at the port everglades in fort lauderdale. this is most curious. where do things stand now? >> reporter: yeah. this has been quite the saga, alex. good morning. there are about 70 people over my shoulder and the two ships that did arrive this week, rotterdam and "zaandam". now 2,000 others on a completely different ship have no idea when they will be getting home. near days after sick passengers pored out on stretchers from two

cruz ships, carrying 1,9 00 crew and passengers and 12 confirmed case of the coronavirus. for those who have experienced an ordeal like this, words of comfort. >> some i know how the people feel. it's a terrible feeling. they want to go home to their family. >> reporter: that was laura and juan, the south american dream cruise that brought them to the beaches of chile in wonder of the falkland islands turned into a masked affair and quarantine. >> not knowing when there would be an end to the situation, when we would finally have a destination and a date and a plan. >> four people died. and a couple others experienced flu-like symptoms before they found a home thursday in fort lauderdale. after at least a dozen people were hospitalized. >> we took the sick off first. we were able to transfer them over to care to make sure they

got the treatment they needed. >> reporter: now signs of hope. 1200 passengers boarded charter planes to somewhere they haven't been in a month, home. >> when i went g et to new jersey i might have to kiss the ground with my mask. >> for juan and laura, freedom meant reuniting with their 21-year-old son who they worried about for week while at sea. >>. >> it was very emotional. just nice to be able to be embraced once again. >> reporter: obviously so many other families aboard the princess hoping to experience the same connection. we did receive a statement from the parent company for all the ships. princess cruises. they said they were working on formalizing plans for arrival and disembarking for passengers. this morning still no word on when that is going to be. it was supposed to be in fort

lauderdale today. obviously that is not happening. >> yeah. i have to call in a question. the comment being all the planes waiting to take the passengers who passed health checks back home. these are ships with international passengers. they are going on planes that aren't necessarily going back to their home countries but getting them as close as they can. the coral princess, is it not docking because there is not dock space? is there a reason for them? >> i don't think it is an issue of dock space. we haven't received that level of specify fistity. we encountered this with the "rotterdam" and the "zaandam". the countries rejected them about what it would mean for a public health crisis. after all of this negotiation, bringing in the unified command, the state governor commenting, that is actually -- all that

wrangling, they brought the two ships in and with 1,900 plus other people also now has to get to dock. you have to imagine that the continued exacerbation in south florida is more to be part of that equation here than simply weather they have enough space. but i couldn't tell you definitive definitively. >> what an odyssey. thank you, sam brock. new restrictions that could leave shoppers waiting and wondering. wondering. for many of our members, being prepared... won't be a new thing. and it won't be their first experience with social distancing. overcoming challenges is what defines the military community. usaa has been standing with them, for nearly a hundred years. and we'll be here to serve for a hundred more.

one of my co-workers last week, her patient's spouse called. it was their wedding anniversary. i'm not sure how many years they had been married for. but she brought her phone in the room and facetimed the patient with their spouse. and, you know, it's hard to hear

these things. these are the things that we deal with that are really hard. hard to deal with. we deal with death more frequently than we would like to admit. these are hard. what they say to us, what family members say to us is they were fine. they were fine. and now they're not. and that is where we are. >> it can be that sudden. just one of the many emotional stories from nurses and doctors that are serving on the front lines against coronavirus. now to the latest numbers for you. more than 276,000 people are infected here in the u.s. more than 7,000 patients have died. the cdc now urges everyone to wear masks if these leave their homes. americans are stranded in moscow after they suspended all flights. they learned it after they boared the plane.

the flyers will now have to fill out a special form of sorts. here in the u.s., montana is stationing the national guard at airports to screen travelers coming into the state for coronavirus symptoms. five states have yet to put any kind of stay-at-home order in place. north dakota and south dakota, nebraska, iowa and arkansas for partial orders in states. and this. that's here in new york city where firefighters are cheering for the nurses and doctors outside elmhurst hospital in queens being called the epicenter of the outbreak. they held signs, blared their sirens calling them exactly what they are, heroes. here's now newspapers are reporting on the pandemic. the main headline of the "houston chronicle" says 83 texas city nursing homes infectioned with coronavirus.

the dallas "morning news" reports on dallas county extending their orders until april 30th to coincide with federal guidelines. "chicago tribune" highlights the dramatic transformation of a convention center into a 3,000 bed hospital. a striking woman showing her getting her hair washed at a tempe salon. amid the dwindling supply of life-saving ventilators. health care workers are making an urgent plea for the basic protective equipment as they put their very own lives on the line to save others. kathy park joins us from mt. sinai hospital. try and put into perspective how critical this need is at this hour as i say good morning to you. >> reporter: hey, alex. good morning to you. new york city mayor bill de blasio is sounding the alarm saying it is a race against time. listen to this.

he said the city still needs 15,000 additional ventilators and workforce of more than 45,000 medical personnel. he also stressed sunday is a critical day saying all the resources need to be put in place at that time for a difficult week ahead. after days of depate, the federal government is now recommending americans wear nonsurgical masks or face covering in public. after the cdc added talking to its list on how the coronavirus spreads, even among those not showing any symptoms. 41 states across the country are under stay-at-home orders as new hot spots are emerging in new jersey, michigan, and florida where they just issued the mandate late this week. new york still hangs onto the grim title of being the nation's epicenter with 100,000 positive cases and over 3,000 deaths after the highest single day spike so far. and more first responders are

falling ill. one out of every four fdny ems worker is out sick. 17% of firefighters are also on medical leave. governor andrew cuomo signed an executive order friday allowing the state and national guard to take and reassign critical medical supplies, including ventilators, to areas in the state that need it most. >> i'm not going to let people die because we didn't redistribute ventilators. a hospital outside new york city staging a demonstration demanding personal protective equipment like gowns and face masks so they don't have to see another colleague die. >>er they are putting all of us at risk every single day. >> reporter: in response, mt. sinai officials put out a statement saying in addition to the resources by the city state and government we are willing to move heaven and earth to make

sure staff have access to proper ppe. the navy announcing overnight that patients screened for the "usns comfort" will no longer require a negative covid-19 test before seeking treatment. but the dark details of this public health emergency put the spot on the goodwill of others. like new york city police officers delivering meals to medical staff saying our uniforms may be different but our mission is the same. and in new jersey the governor directed that all flags on state buildings be flown haft staff to honor those who have died for the coronavirus. governor murphy also warned new jersey is one week he behind new york when it comes to seeing a surge in coronavirus cases. alex? >> okay. kathy park, thank you so much for that. new numbers released friday show the u.s. unemployment rate climbing to 4.4% in march, from

3.5% in february. this is after 10 million claims were made the last two weeks. joining me now alexis chris tore rouse from yahoo! finance. give me a perspective on what lies ahead for the nation's unemployment picture. i know you have said the numbers for april are expected to get worse, right? >> reporter: they are, unfortunately. economists are saying that this march jobs report doesn't give us a clear picture of our labor market crash right now and what the impact of the coronavirus has been. that's because 10 million americans you just mentioned applied for unemployment benefits in the past two weeks were not included in that survey. it is only taken the first half of march. we know a lot of the lockdown in this country happened in the latter part of the month. april will give us a much clearer picture. some economists are saying we could lose 20 million jobs in the month of april. it may get even worse in may. we could see the unemployment rate rise to a record level.

some are saying we could top 13.5% in the coming months, alex. . >> staggering numbers. i'm glad i was sitting down. i had no idea we had those numbers ahead of us potentially. let's get to a couple other headlines quickly with superstores like target, lowe's, walmart, all imposing limits on the number of people shopping. disney is furloughing all of its union nontheme park employees. starbucks will pay employees through may 3rd with benefits. pretty big changes for big companies, alexis. talk about the impacts this could have on wall street. >> reporter: we didn't mention macy's. furloughing 130,000 of their employees. day by day the way we shop and the retail landscape is changing. sometimes by the hour. you mentioned target. starting today, they will start monitoring the number of people

they will let into their stores at one time. this is going to be dependent on store locations and square footage within that store. if they feel there are too many people and social distancing isn't happening, they will ask the shoppers to wait outside in a designated waiting area. we have lowe's, costco, walmart doing the same thing. i have gone out to the supermarket and seen the plexiglass shields. thank goodness. they are being put in place to help secure and protect their workers. and also target saying they will give their workers finally some masks and gloves while they are at work to protect them and to protect us. >> yeah. i just saw that plexiglass at my own grocery store locally. good to see it in place. thank you so much. getting help for desperate hospitals. first a bidding war. you'll hear from outraged governors, next. hold my pouch.

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you have 50 states competing for the same item. it is like being on ebay with 50 other states bidding on a ventilator. >> just a little over week ago we made an $18 million purchase on ppe equipment and things for our first responders and hospital personnel out there. as of today, that same order will cost you now over $30 million. >> governors saying they are competing with each other for desperately needed equipment during this national emergency.

president trump is doubling down on the idea first articulated by jared kushner, each state should have its own stockpile instead of relying on the federal stockpile. >> yesterday jared kushner said the notion of the federal stockpile was supposed to be our stockpile. it is not supposed to be state stockpiles that they then use. what did he mean by our. >> why are you asking. >> and the fact that -- >> gotcha. >> it's not a gotcha. >> it means the united states of america. >> it means our, our. it means the united states of america. then we take that our and distribute it to the states. >> why did you say it's not supposed to be state stockpiles. >> because we need it for the government. it's such a basic simple question and you try to make it sound so bad >> it's not that. >> you ought to be a shamed of yourself. >> well, joining me now retired army lieutenant general russel

honore, commander of joint task force katrina. we spoke a lot back in 2005, sir. good to see you again. let me ask you how you interpret the president's explanation that we just played there, this idea that every man for himself, every state for themselves. is that the best way to run a pandemic response? >> it is most unfortunate. and it's not the -- the no procedures that have been adopted and trained on and practiced in washington for decades. no, it's not the way to do it. it is not every man for himself. it's the federal government in a disaster, their primary job is to provide the states what they need. >> so after jared kushner's initial remarks, the department of health and human services changed the wording on its website about the purpose of the federal stockpile, specifically highlighting supplemental state and local supplies. so did they get it right there?

>> jared doesn't know what the hell he is talking b. he probably got lost going through the slides on the briefings in washington. he doesn't know what he's talking about. that is the second lie. why would you go change something overnight to meet in this statement at a podium. that's very -- i can't use the right word, but that's not good. >> you ran the katrina task force in 2005, certainly a massive operation in its own right. but this unique situation, 50 states needing supplies at the same time. what can the government do, if anything, to catch up and get on top of this? >> well, yeah, this is a lot bigger. it's a lot bigger mission also for fema. where the entire united states is engaged in this disaster.

the normal flow of equipment that you need as backup during a disaster would be backup through the fema logistics director to the states either by ordering it directly from producers or coming out of the national stockpile, if it's medical, or out of the war stocks out of the defense logistics agency. that is the plan. but we certainly have a challenge here we have not faced before. that being said, we have to get better at what we do and that is to acquire what the states need and supply them. that is the role of the federal government. and in many cases, you go into a disaster like what's happened in new york, that they themselves are going to need help. >> all right. we thank you for your help, general. good to see you. thank you so much, russel honore. ♪ limu emu & doug

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with americans staying home amid the covid-19 pandemic, day after day, life is surreal and repetitive. for harry smith, that reminded him of the movie "groundhog day." ♪ put your little hand in mine ♪ there ain't no hill or mountain ♪ >> the morale of the movie is bill uses his time to become a better person. we are all living in a groundhog day now. >> what would you do if you were stuck in one place and every day was exactly the same and nothing you did mattered? >> little changes for those of us hunkered down. honestly, can you tell me the day of the week? >> for a second, al, i forgot what day it was. >> p what many of us did not

anticipate was the coronavirus partner pathogen. anxiety. how to pay the bills. when can we go back to work? should i get a test? are my adult kids or my parents abiding by the distance guidelines? the numbers keep going up. >> 92,000 tested positive. 32,000 hospitalized. >> temporary morgues set up outside hospitals. >> mortality estimates enough so sober the most cavalier. >> as many as 240,000 deaths in the united states over the coming months. >> as we worry, we wonder how on earth they do it. >> i would be lying if i said i wasn't scared. >> the health professionals who face the pandemic every day. what we see are face shields and gurneys. what they see are people with needs sometimes they cannot meet. and coworkers who themselves are

getting sick. mercy. the first responders and some parts of new york neighbors say it seems the sirens never stop. the empire state building lit like an ambulance every night. we cook. we cope. we watch crazy tv shows. >> this is my way of living and nobody's going to tell me any other way. >> that guy with the lions and tigers. oh, my. for some of us, turner classic movies has been the answer. >> operator? i want to speak to the hotel ritz. please hurry. this is an emergency. >> the world in simple black and white. music abounds and virtual orchestras and chorus uplifts us. our souls yearn for lent and passover. the holy week. we miss the feeling of community.

>> let's get you some place warm. >> in the movie, bill murray's weatherman found the answer in service. and this week, we saw restaurants delivering meals to hospitals. gratis. the newspaper delivery man tending to the needs of his shut-in customers one by one. >> you get a chance to help them. you help them. >> the person who inspired us most is the texan introduced to us by cynthia mcfadden. chris's backyard business. >> if that was our son or daughter or grandfather sitting in bed gasping for air and we have to explain to them that sorry, we don't have anything for you. and this, i think, will make it much more available for a larger number of people. >> the cost? $162 each. and get this, he's willing to share his design with other

manufacturers for free. >> thank you for that, harry smith. that will do it for me. i'll see you at noon. ali velshi is up next. he will talk with the mayor of the indiana town that is a coronavirus hot spot. hot spot motor? nope. not motor?

it's pronounced "motaur." for those who were born to ride, there's progressive. to support you during the current health situation... cvs pharmacy is now offering free one to two-day delivery of prescriptions and everyday essentials you need to stay well in the days ahead. visit cvs.com/delivery or call your local cvs pharmacy to learn more. so you can be prepared, stay on track with your medication, and stay well, with free prescription delivery from cvs. but maybe not for people with rheumatoid arthritis. because there are options. like an "unjection™". xeljanz xr, a once-daily pill for adults with moderate to severe ra for whom methotrexate did not work well enough.

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