every day has been an apex for us. if you're in the trenches and you're this close to a painting and you just see the trauma that we're seeing every day like to us. it feels like every day is worse than the last.

>> we're a long ways away from being out of the woods. >> yeah. >> we have not got down to anywhere close to where we need to be to declare victory of this horrendous virus. >> this is going to be a bad week, unfortunately. if you look at the projection of the curves. we're going continue to see an escalation. >> the next week is going to be our pearl harbor moment. it's going to be our 9/11 moment. it's going to be the hardest moment for many americans and their entire lives. >> good afternoon. aim alicia menendez. sobering warnings about what's ahead in the fight to contain the coronavirus. at this hour, doctors are dealing with 322,000 cases across the country. 9,000 people have died. nearly 1500 in just the last day. new york is still the epicenter of the crisis where more than 4,000 people died statewide. governor andrew cuomo pointed out today the number of deaths over the last 24 hours ticked down slightly. he says he hopes it's an early

sign of a state starting to turn the corner. health care workers on the front lines across the country are pleading for protective equipment, afraid their work is putting their own lives at risk. >> i quit my job today. i wanted to work. i was assigned to a covid-19 patient. i had my own m-95 mask. i told my manager i understand we're short on supplies. but let me protect myself. i have family that i have to go home to. and the way things are looking, this isn't going to get any better. america is not prepared. and nurses are not being protected. >> i'm joined by amy patchaw, a surgical trauma nurse at stoney brook university hospital at new york, also with me, dr. esther chu, associate professor the aoregon health and science university and luke, president of the ohio state nurse's

organization. thank you all so much for joining us. amy, i want to start with you. give us a sense of what you're day to day is like at this time. >> as people are saying, we can see that it's just worsening. every day our patients are sicker. they're calling rapid responses on the floors and coming to us in the icus. our institution has every day we have a new covid-19 icu opening. a new covid-19 icu. a new covid-19 icu. our ancillary staff is being redirected to help us on the floors. our procedure staff is redirected to help us on the floors. the our or staff is redirected to help us on the floors because the patients just keep coming. >> rick, you have people in your union who have coronavirus. what are you hearing from them? what are the main concerns? >> so right now, you know, we're bracing for the surge of patients that's expected here in ohio in the coming weeks. you know, nurses are really, really feel shocked and betrayed

by the falling standards and the lack of appropriate ppe. we're worries right now because we're already rationing personal protective equipment and reusing masks. >> so, rick, when you look at what is happening in epicenters like new york and new orleans which is a hot spot, what is the lesson for you in ohio? >> we're so thankful for the leadership of governor and the hem health director with everyone staying home. you know, we're really bending the curve in ohio. and minimizing the spread of the coronavirus to keep our hospitals safe and keep our communities safe. >> dr. chu, how much of what you're hearing from the others

resonates for new oregon? >> yeah. i mean, exactly what we're experiencing here. all of us around the country are watching places like new york and louisiana. it's like watching the wave crash over, you know, pulling for them and doing as much as we can for them in terms of our advocacy and sending support and knowing we have to brace ourselves as well. we are rationing ppe everywhere. but also we have a little bit of breathing room to try to build up our supply. our ppe problem actually is intimately related to how much people can stay in place at home and prevent the illness from spreading so that we have time to build up our resources and patients are spread out so we

can adequately care for them. >> we heard next week is going to be the hardest week yet, what does that mean to you? >> it's really concerning. last night i didn't even leave work for a couple hours late because we received multiple patients that were really ill. the truth is that we don't have enough staff to support these people. we're tripled and quadrupled with people that are single and doubled with. there are so many patients and not enough staff. so that to put further stress onz a variety of different things, in our health care system and themselves, on the doctor's, house keepers, clerks, on everybody working and especially our respiratory therapists. they're working side by side. they're helping care for the patient that's are vented. they need airway protection.

>> yeah, the governors are really stepping up for each other and trying to do that coordinated work. the best thing would be if that if we really had a national -- had national coordination so that states don't have to broker these relationships and exchanges themselves, we really need to know not just for ppe, not just for ventilators but for every single type of resource including health care workers and hospital equipment of all kind including ventilators. we need to know who has what and who needs what at every moment.

we were very happy that oregon was able to mobilize some resources and support our fellow health care workers in new york. >> dr. chu, when it comes to plasma treatment which is something we're hearing about, using plasma from those that recovered from covid-19, do we know about how effective this treatment is or isn't? >> we don't know. it is -- there is so much we don't know. theoretically, it should work. this is called con voluntary less ent plasma. ideally you have vaccines or you have more purified blood can you give to patients. those thing takes a long time to develop. now you take people that are recovering around the infections take their plasma hoping that it has those critical antibodies against covid-19 and we're giving it to patients in

controlled studies. but we don't know a lot. we don't know is it best given to people to prevent disease or people early on in disease or should we give it to our most critically ill at what doses should we give it? there is a lot of hope this can tie us over. but we're studying it now in the coming weeks. that will tell us a lot more. >> rick, again, i have to ask you, the surgeon general saying that next week is going to be the toughest week wlachlt do. what ask z. that look like for you? >> we're bracing ourselves in ohio. we're working on our plans. we're doing procedure nurses to be able to care for patients that need acute care. we just hope and pray that the federal government will step in and put together a coordinated strategy to make sure we have what we need to care for

patients. >> thank you all for your time. i want to bring in mary kay h henry, the nation's largest union of health care work aernz also represents airport and good service employees. mary kay, what are you hearing from your members? what is the major concern? >> a lot of what we heard from the illinois nurse who is crying from rick and shocked at the lack of equipment, to esther who talked about rationing. our members are outraged and scared about the terrible position that government inaction and irresponsible cooperations have put 10 million health care workers. it's just wrong. nursing home workers are issued rain ponchos because there is not enough personal protective equipment. rns are having to jury-rig their own masks.

respiratory therapists are having to wear personal protective gowns from one patient to another in violation of their own practice standards. it's just unconscienceable that president trump and the federal government have put health care workers, fast food workers, airport workers, grocery workers, restaurant workers, everybody who is on the front lines of this pandemic that is trying to care and serve for america doesn't have the tools they need to get the job done or to protect themselves and their families. and president trump has a choice. he can take direct action in the way that we just heard from esther and rick, coordinate across states and government, inventory the supplies. get manufacturers pumping out supplies we need. we are america. we can get the job done. and working people are getting up every day and going to work and doing the very best they can in the worst situations that

they faced in their lifetime. there is a decision by a home care worker, registered nurse, hospital worker to show up and go to work every day. >> when it comes to these workers, what is your take on the relief package that's passed through congress and the one that is likely on the way? what more do you want to see done? >> it was a good step forward. but too many workers were excluded from that relief package. contracted out airport workers aren't covered. home care workers have been excluded from paid sick. there is lots of holes, no immigrant workers were covered. and the most incredible tragedy to me of all is what we're talking about is that the gowns, gloves, and masks that 10 million health care workers need to slow this pandemic aren't being provided to them.

and that's what is required in this next package. with you need to make sure there is replacement income reimbursed so they don't have the insecurity that everyone is feeling and we have to make sure that working families are at the center of the package. corporations like mcdonald's refuse to pay sick time. we had a walkout this morning in los angeles because one of the fast food workers got infected with covid-19 and mcdonald's refuses to pay health care testing, paid sick. and that's got to change. >> all right. mary kay, thanks so much for your time. >> thank you. >> up next, new york senator kristen gillibrand with us and we'll talk about the dire situation in new york and what more congress should be doing to help. later in the hour, castro

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the measures are the complicating reality of our nation's economy. the financial times editorial board puts it, radical reforms, reversing the policy direction of last four decades needs to be put on the table. governments have to accept a more active role in the economy and they must see public service as investments and look for ways to make labor markets less insecure. redistribution will be on the agenda. the privileges of the elderly and wealthy in question. policies until recently considered eccentric such as basic income and wealth taxes have to be in the mix. with me now kristen gillibrand. i want to play sound from an official earlier today.

>> do you think we need a fourth rescue package? >> i felt like this one was well sized for the situation. i think the impact is going to come in the second quarter. >> senator, do you agree? were the relief packages enough? >> oh, they're not nearly enough. i talk to the heads of all the hospitals in new york. they are still reeling. they don't have the resources from the covid-19. so they're trying to apply for them and get them. small businesses are finding a lot of trouble with being able to get basic assistance. and get those loans and hopefully grants. also, having one check for people who are unemployed or underemployed or laid off because of this crisis, it may well not be enough. we didn't guarantee sick days

for every worker. people on the front line and the service industry. a lot of them don't have sick days. we have paid leave for every worker. we have paid sick leave for family members that are sick and are being fired because they can't show up for work. that has to stop. we need national paid leave sick days. the more money for resources like food. a lot of our food banks are struggling because people are not able to donate as much. so we need more relief. and i think we have to get back to work in the next week or two. >> to that point, what are you going to do for those left out of the packages, undocumented workers, family caregivers, those who are outside of the formal economy? >> one of the easiest things we can do is actually create a national paid leave plan. we are the only industrialized country in the world that doesn't have access to paid leave. 20% of workers have it today.

and so if we made that available, what that means is in a crisis like this, you can take up to three months off to be with a loved one when their sick or take care of children that are normal fli in school and not lose your job and pay. i hope this bill is in the next package. make it universal. it covers all employees as well as the universal two weeks of sick days. those are the most urgent economic issues we can do today to make sure that people are still receiving a paycheck. if they can be employed because they're a front line worker. and for those who are unemployed, again, we need to make sure that that resource is made available. a lot people never even got through. so there is millions more that will likely declare unemployment. we need to make sure the infratruck stur is up and running so they can get the basic unemployment check as well. >> i want to read a part of a letter you sent to president trump this week. new york and others are unable

to successfully procure medical equipment and ppe in the marketplace because they are being out bid by fema. this makes the allegations to states all the more important and the prioritization of states with lower numbers of cases over those with higher numbers must end immediately. this is clearly dysfunctional. how do you fix it? ? >> so president trump made several big mistakes from the beginning of the crisis. he refused to use the defense production act early when he could have absolutely ramped up the production of masks and ventilators and gowns all the ppe and medical equipment that we are now lacking. he failed to do that. today we need to somehow nationalize the medical supply chain so it's not up to governors to have to call china and say, can you please send ventilators or another state that doesn't have the spike in cases that new york has. so we should have a federalized supply chain for medical equipment. so governors can let people know

this is when we're going to need them. this is how many we estimate how many we need. make sure the resources can be moved around the country as needed. they're doing it in france. they're doing it in other countries that already had had their spike and it's working. we need to move equipment and patients if necessary to be able to receive care they need. >> chuck schumer is calling for a senior military official to oversea production and distribution of medical equipment from the federal stockpile. do you agree that's needed? >> absolutely. the stockpile has minimum yonz of masks and still tends of thousands of ventilators. the stockpile should be absolutely empty. the masks and ventilators should be sent to states that are in an urgent crisis, places like new york, new orleans, detroit, california, these are states that are in the absolute throes of this epidemic. they need that equipment.

we allocated 16 billion dollars in the covid-19 bill to rebuild the stockpile. i don't think fema is doing what they're supposed to do because they keep prioritizing some states over others. and they're often filling needs of states that don't have their type of con tajon right now. we don't know the basis on whichic th which they're making the judgements. so that's why we want oversight accountability as well. >> senator, i don't know if you heard the read i did at the top of the block from the financial times editorial board talking about some of the radical policy initiatives that are going to be needed. in the wake of this pandemic. i wonder given what america is going through if it increases the sense of urgency for members of your party around single

payer health care. >> yeah. i think the best solution still is letting people buy into medicare at a price they can afford as a not for profit public option. if you can build on what obama care covered, best way to complete that is let people who walk to create a not for profit profit public option. i think people would choose medicare. it covers most things. it is really efficient and effective. i think it's the best solution. health care is a right. it should be guaranteed to all americans and no debate about that. it shouldn't be whether can you afford it or not. that is necessary. i also think the universal sick days and universal paid leave. >> senator jill brand, thanks for your time. >> thank you. >> the nation is in crisis. but we're still in the midst of primary season. the elections go on. now the big question, is how to do it safely. hot! hot!

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the krocoronavirus is shaki up the time line for how to hold elections. let's bring in alex thompson, a national political correspondent for "politico" and the senior director of progressive programming for sirius/xm and nbc political analyst. all right, alex, you have wisconsin moving ahead. other states bumping back their elections into the summer. big picture, how is covid-19 and this pandemic changing the rest of the election season? >> it is changing everything. probably in the -- [ inaudible ] voting by mail. joe biden and nancy pelosi offer $4 billion to give the states in order to do mail in voting. you're also going to see at the very minimum a bunch of states go on june 2nd which again could be backed up.

we could be seeing this primary races not actually vote until july or august. and that also raises the nation in question about what do bernie sanders do that he's determined to stay in this. he can end up staying in through july or august and some of the new contests are going to be held. >> you've been in the room where the decisions are made. this is a situation like none we ever faceded before. what are the conversation that's are happening in that room and the decisions that are having to be made about how to proceed in light of the new realities? >> well, i think you have a number of different factors at play. the number one priority for anybody organizing the democratic convention this year is the health and safety of everybody that participated. that includes the nominee. so you have two older white men as potentially the democratic

nominee. they hold a convention at a time when the nation will just have experienced a mass amount of trauma, hold the convention, get everybody organized and ready to vote and then the priority needs to be how are we going to do that process in the safest way possible? i think health and safety is the number one priority in this moment. politics in my opinion is almost an after thought. >> alex, i mean, you heard what she is saying. a lot of that around just the basic blocking and tackling semantics of holding a convention in this reality. you in "politico" write about the messaging reality that this poses. you write, the new date would put the democratic national convention back to back with the republican counterparts. which is set to begin august 24th in charlotte, north carolina.

the proximity in time presents messaging challenges for both sides. biden will not have much time to enjoy a potential polling bounce before the republican national convention begins dominating coverage. and republicans will not have as much time to plan out responses to speeches and events in milwaukee. i know that we're pretty far out, alex. >> it's fascinating to watch. if the economy does head into -- [ inaudible ] what do people do with the optics with the big parties and conventions. conventions cost tens of millions of dollars. democratic conventions cost $70. are you going to have private boxes with corporate employees from united airlines and lots of other businesses that have just got bailed out by the government and, you know, hobnobbing with democratic officials? and just because the republicans do it, does that mean the democrats do it?

it will be less than three months before election day. of. >> i'm sure you have already seen some of the ads aimed at general election, taking a look at the way that president trump has handled this crisis. we're of course a few months out. but how much of november's election do you think ends up becoming a referendum on how the president has handled this crisis? >> i think that it's the number one issue. you can't deny that the 70 plus days that the administration bungled the response by not having an adequate amount of testing. i'm the daughter of a micro biologist that studied coronaviruses. i learned since being quarantined with my family. one thing that is really important to know is that, yeah, one of the things that is really important is that you have to

stick to the facts. you have to listen to the experts, listen to the scientists. the spin is not appropriate in this moment. and so, look, the election is important. but essentially i think in retrospect, the 2016 election seems to be the most important because donald trump is not equipped and fit to handle this type of crisis. and so when we fwheed to need t nation is get through this moment and each state will respond in a way and get the ventilators and equipment they need and we need a change in leadership at the top so there is a national effort to, again, make sure that this doesn't happen year after year after year because the fact of the matter is that viruses can mutate. we need to make sure that we're looking long term as we handle the short term crisis in this moment as well. >> thank you both so much. most of us are social distancing including the castro brothers.

so we're getting them back together via skype, of course. up next, i'll talk to the congressman and former hud secretary about what that he would like to seat government doing moving forward. all streng♪ ♪we ain't stoppin' believe me♪ ♪go straight till the morning look like we♪ ♪won't wait,♪ ♪we're taking everything we wanted♪ ♪we can do it ♪all strength, no sweat (bobby) you're concerned that it's going to cost you money.ouble, (ben) to this day, i only paid what i had to pay for the device. when i go back, everything is covered. there's so much you're missing by not having hearing aids. (vo) we'll find you a hearing aid that fits your lifestyle and your budget at one of our 1,500 locations. call 1-800-miracle to start your 30-day risk-free trial and schedule your free hearing evaluation at your locally owned miracle ear today. i do motivational speakingld. in addition to the substitute teaching.

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he need to cultivate and value it. it should prompt all of us to do our part to contribute in this time. the more we can share responsibilities, the more we can ensure that no one is left behind. >> although many states across the country are struggling to conduct enough coronavirus testing that, problem is exacerbated in towns along the southern border. two weeks ago greg abbott promised all those that need awe

coronavirus test will get one. public health officials, politicians, and doctors up and down the rio grande valley say that hasn't happened and they're scrambling to assemble sufficient testing kids. joining us is the castro brothers. thank you both so much for joining us. how are the communities specifically at risk in the rio grande community. >> well, these are communities that are -- tend to be lower income communities. they're people that known that live often in unsanitary conditions even today. these are also communities that traditionally have been short changeded in texas. less hospitals, less research universities, less resources in

general. from friday the numbers were that toechl tex is testing about 174 people for every 100,000 people. you compare that to louisiana right next door, they're testing 1100 people foreevery 100,000 people. that is how far behind texas is. and so in the rio grande valley which is particularly vulnerable, can you imagine that adds up to a real danger. >> something i feel like we haven't heard enough about is what is happening in detention centers across america. detainees in a u immigration jail are begging to be released after covid-19 composure saying the conditions are so brutal they would rather suffer deportation than remain locked up. as chair of the hispanic caucus, you sent a letter to dhs asking for them to release detainees, what you have heard from them?

>> not much, actually. they have released a few people. bear in mind that 13 migrants being detained that are infecteded with the coronavirus. you have another nine or ten staff members at i.c.e. that have the coronavirus. and these folks are very vulnerable position. these are place that's are underresourced when it comes to a medical supplies and health care officials who are there to help. so i should do the right thing and the trump administration should do the right thing and place these folks outside of the detention centers. remember, five years ago a lot of these people would not even have been in detention. they would have been placed with relatives in the united states while they wait for their court hearings for their asylum claims to be processed. and so really the president is playing russian roulette with the people's lives. it's just like a situation you have a bunch of people on cruise

ships, a lot of people on the u.s.s. roosevelt, folks in nersing homes. you have to get them out of the places. >> secretary castro, i think on april 1st we all collectively knew rent checks are due and so many americans already housing insecure. this has made that additionally complicated. what more should the federal government be doing to offer relief? >> there's a lot the federal government can do. congress has taken some steps and in fact, in the last relief legislation there was about $12.5 billion that was allocated to the department of housing and urban development to deal with housing issues. there are millions of americans families for whom that is not nearly going to be enough. this is what should happen. the national relief package should offer specific mortgage assistance and rental assistance and i believe that, you know,

depending on how long this goes on, it may be time to look at actually freezing evictions in addition to offering mortgage and rental assistance so people can stay in their homes whether they're renting or purchasing a home. but they need to taylor that specifically for rental and mortgage assistance. on top of of that, you have thousands of people in this country that are homeless. we need to make sure that they're being taken care of as well. we need to make sure they're not in insanitiy conditions and not in a shelter that is not maintained so there is investment in resources for that. >> to add to what my brother just said -- >> yeah, please. >> well, i want to say in this next package, i think there out to be a hazard case stipen for the grocery store clerks, farmworkers, sanitation workers, for all of the folks who are keeping american society

running. they don't have the luxury of staying home. and they're risking their lives, literally, as they go to work and interact with people every day. the government should step up and offer them a hazard stipen for their work during this time. >> i want to talk to you about on friday you and several lawmakers including senator warren sent a letter to vice president pence trying to get a sense of how the funds are distributes. much what is the main concern for the island as the relief efforts are juntd way? >> this is an island still reeling from a hurricane the last few years. many, many earthquakes that have affected the island. and so -- bear in mind, it affected major infrastructure

there. for texas or any other state to deal with the coronavirus, it's even tougher for puerto rico because of everything they've been going through. we ask the administration and vice president pence who is heading up the response to explain to us what the strategy is in puerto rico to make sure that the folks on the island are okay. >> congressman, there are a lot of people that felt the relief package that's have gone through have not gone far enough. what would you like to see in that fourth relief package? >> i agree. i don't think it's been enough. i don't think the $1200 for folks who all of a sudden can't pay their life bill and rent and other bills and are having their landlords threaten to kick them out is enough. there needs to be more assistance to americans. also, folks who have paid into

our estimate that don't have a social security number, the farmworkers undocumented and others that have paid taxes but get zero from this relief package should get taken care of. again, these are essential workers. the hazard pay stipen is something that we mentioned. freezing evictions and making sure that there is rental assistance for folks. so there's a lot that we should do. the governors have responded poorly. he was slow in his response. some governors are better than others. but, for example, the governors need to use any rainy day funds they have to also offer relief to their residence and their states and to help produce more masks to bring together retired or other health care providers, doctors, nurses that may be able to step up and help. so there is a lot of different

things that the congress can be helpful with but that the states also need to do. . >> congressman castro, thank you so much for allowing us to facilitate this family reunion. we appreciate your time. straight ahead, she kept up the fight against covid-19 even though she was suffering herself. we'll talk to an ohio doctor who used technology to continue to see her patients. that's coming up. at&t has connected us every day for over 100 years. and we're here for you - especially now, doing everything possible to keep you connected. through the resilience of our network and people... we can keep learning, keep sharing, keep watching, and most of all, keep together. it's the job we've always done... it is the job we will always do. i don't have to worry about that, do i?are irritated. harmful bacteria lurk just below the gum line. crest gum detoxify, voted product of the year.

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health care workers are risks their lives to take care of coronavirus patients and some are remaining on the front lines even if they contract the disease themselves. it's the story of one dedicated ohio doctor who fell sick with the virus but still kept working with patients through her laptop. i want to read you what the wall street journal wrote about your story. as the only doctor at a local community health clinic for low income patients, dr. krebs was

on call and advising patients. she didn't tell them she was sick herself. how did you make this decision, doctor? >> as a doctor, we're here for our patients. the great thing about the current situation is we were able to use technology so that i wasn't infecting anyone. typically, when we're sick, we have to take off in order to not infect our patients. very fortunately, we have had such great technological add advances so i was able to still care for my patients even with the infection and not having to infect them. >> i have to ask you you've been declared covid free, how are you feeling now? >> i feel much better. i've not had a fever for several days. i'm still a bit tired but doing so much better than i was. i was needing like 14 hours of sleep for a few days. i'm doing much, much better

thank you. >> what was your experience like of diagnosing and treating patients with covid-19 while you, yourself, had it? >> well, as a physician, we are used to so many circumstances where it is really tough to take care of our patients where we're tired or stressed or we don't feel good. we just go on because our patients need us. i think really most any family doctor would have done the same thing. we're used to taking care of our patients in tough times and we're there if our pashttients n they need us. >> can you tell us about the community you serve. what would have happened if you were not able to serve these patients? >> i'm serving a rural community. i work for health source of ohio which is a federally qualified health center, which means our patients often are poor.

they might not have access to care otherwise. one of our primary goals has been to keep people at home and keep them out of the emergency room. our first responders and emergency room doctors and nurses are preparing for the onslaught and we need to keep our patients home. one of the key things in our community is keeping every one home just like it is all across america and keeping our emergency rooms able focus on the covid cases and keeping our patients from going to the emergency room and contracting something themselves. >> what lessons are you taking from your fellow health care workers who are in hot spots right now dealing outbreaks of this cvirus? >> i'm so inspired by our doctors and nurse who is are selflessly working so hard in really challenging situations. i have family medicine colleagues all across the country who are struggling with lack of ppe.

who are struggling with trying to take care of their patients and trying to keep their practices open despite financial challenges. health care workers are a tough, dedicated group. it's really inspiring to see all of them pulling together and working so hard for our country and patients. >> a lot of the conversations we have been having are about treatment and outbreaks in urban areas in cities. for someone in a rural health environment whar environment, what are the unique challenges of treating your patients? >> we already have a shortage of physicians in rural areas. that situation can be even worse if some of our rural physicians are not able to take care of our patients. also, many of aour patients dont have good access to internet. telehealth can be more challenging. we have fewer stores. if they don't have what they

need in terms of grocery and supplies then our patients need to do without. we have been having a lot of challenges of making sure they have medications. we have been trying to do 90 days and mail orders because theys are significantly harder in rural areas. my patients might not be able to drive the two hours or an hour or two to get to place with more -- higher level of care. >> all right. dr. krebs, thank you so much. that wraps it up for this hour. in the next hour we expect queen elizabeth to deliver a rare address to the british people on the coronavirus pandemic. my colleague joshua johnson picks up coverage at the top of the hour. and telling people that liberty mutual customizes your insurance, so you only pay for what you need! [squawks] only pay for what you need. ♪ liberty. liberty. liberty. liberty. ♪ atthe perfect schmearnow of cream cheese.

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