advice as we head into the fall. they have been warning us for many months that there will be a get real moment here in the united states so we need wear a mask and stay socially distance until the science say we need to seize that behavior, we listen to them until it is time to stop. >> zerlina maxwell whose new show is on peacock. great to have you. thank you both. >> thank you, chris. >> that's "all in" this week. "the rachel maddow show" starts right now. >> this has been a week, this has been a year on the air this week? thank you for joining us at this hour. i am supposed to have a long day planned off today. i am here because what's going on here is a big deal and there is nowhere i rather but trying to figure this all out.

hope hicks got her positive results yesterday morning. the white house told no one about it. we learned of her testing positive by jennifer jacobs from bloomberg last night. in the meantime, telling no one and the president had been in contact with hope hicks and traveled to a fundraiser at his new jersey golf club and attended this event with upwards of 100 people. even though he had been in close contact with someone tested positive yesterday morning. he had been in really close contact with her and close spaces for significant periods of time inside the president's plane and helicopter. the president and the first lady and hope hicks were all at tuesday night's debate in cleav

cleveland. the president's guests refused to wear a mask. sotomayor was in the hall, she sees a doctor approaching the trump's family and guests reminding them wear a mask and even offered them but they did not wear them. at that debate the president mocked his democratic opponent for his mask wearing. >> i wear a mask when needed. when needed i wear a mask. i don't wear a mask like him. every time you see him wearing a mask. he can be at 200 feet away and he shows up with the biggest mask i have ever seen. >> that was tuesday. a couple days before that the president hosted a big gathering to announced his nomination of amy coney barrett and as you can see the footage from that. yes, it was outside, no one was wearing a mask and everyone was packed in tight.

at least five people at that ec event since tested positive. mike lee has tested positive and you can see no mask. he had his mask in his hands and giving out big hugs. senator lee tested positive for the virus and everyone else in this footage have got to be unnerved by that and all tested and hopefully they're all quarantining. the behavior at this event and the number of people at that event who we know tested positive so far led to some peculati speculation may have been its own super spreader viral disaster, watching the maskless mingling and hugging and talking. you think there is no pandemic at all or you are in some universe where everybody pretended there was not one because for some reason they thought they were -- journalists are trying to do our own version of contact tracing since the

white house does not appear to be doing it. journalists are trying to figure out who else may have been exposed. state health officials in places where the president have held rallies are inviting anyone who attended those events to seek testing because they may be exposed to coronavirus from the president's team. this is the headline today. president trump, first lady and home hicks may have spread coronavirus at the cleveland presidential debate. just remarkable time. let's start tonight just by sort of skipping to the en. let's get to the chase. there is not reason to expect that the president is going to die from covid 19. a fraction of people who get

infected become ill and the president has become ill. a fraction of those have to be hospitalized, the president has been hospitalized. even among covid patients who have to be hospitalized or even among men who are older and who are obese and existing morbidi y morbiditi morbidities, there is a wide outcome of patients with covid-19 that are in the hospital. the president was well enough to walk on his own steam that took him to the hospital. he was well enough to speak in an 18 seconds video thanking people fror well wishes. there is no reason to expect that the president is going to die from this. it is possible, more than 209,000 have died from this.

the president is a born and raised new yorker. more than 34,000 new yorkers have been killed from this. the president is a relatively small -- this thing has already killed another recent republican presidential candidate, herman cain contracted the virus. the president for months was the only entity holding congregate events during the pandemic and he flouted health guideline ds designed to get people from infect infected. he's done almost immesurable

harm. when the person doing the most damage is the person in charge of those public health efforts. that's all you need for a large scale public failure which is what we have and why the united states has more dead and more infected than any other place on earth. it is understandable to be enraged at the president and at this white house for endangering all the other people who he se s they have risked and squandered. being enraged with this president for botching the response to this epidemic so royally. so aggressively under cutting the guidelines that could keep people safe and for themselves brazenly defying public's he'll guideli health guidelines. the rage that you feel about that is righteous rage and inevitable. it is at least rational.

the president himself getting it is a different kind of cat. it is a different kind of thing. of course it is clear that he and this white house had been playing with fire and now they gotten burned in the worst way. we as a country have a serious situation. we have to understand how we got here but also how to get out from here. i mean if you -- if you know someone who smoked for years and years and never even tried to quit despite knowing the risk of lung cancer from smoking and that person who you know got lung cancer, how do you react to that? well, part of the way you react is you understand why they likely got it. your instinct may be to blame them, you are a human being in this situation, if your friend

has lung cancer regardless of what you feel of how he or she got it, once you find out they are ill, you wish and hope and try to save them. you get them into treatment and help them try to survive it and you move heaven and earth to cure them. that's how we do as humans, right? understanding how we got here and now coping with what we have to do to try to survive it are two things that we can keep in our heads a the same time and two things we can keep in our souls at the same time. that's how this works, too. accountability for the president's disaster mishandling of coronavirus. accountability for him cutting the heads out -- that's political accountability. that's what the election is for. accountability for all the americans who died on his watch

and who got infected and sick and survived but they got long-term consequences because of it. this has to be political accountability for that. there should be accountability for that and for the economy that was destroyed by us not getting the virus under control and for the destruction of the trust, we need to have in public health authorities to make a vaccine possible and led alone successful. all those terrible failures upon failures gotten worse and not better all the time. those all cry out for accountability and political accountability. the election is in a month and that's what that's for. the president is in the hospital now. with him getting infected and getting sick from it and hospitalized because of it. this is a sober thing. it is separate from any political prize. this president and administration will pay for his past actions. statistically speaking the

president is absolutely likely to survive, there is a chance he may not. but it is worth trying to understand everything we can about what's going to happen next. it is worth keeping perspective, right? other world heleaders have contracted the disease by this virus. multiple u.s. governor has it including ralph northam and they are both recovering and as their wives. the british people went through a scare with their prime minister, boris johnson, he tested positive. ten days after the test, he was hospitalized. the day he went in the hospital, he was in intensive care. downing street announced he was not on a ventilator but did not help with breathing support. before he was released to

recover slowly and for a long time at home but he's recovered. the british people went through this already with their prime minister. expect that our president is likely to survive, too. i mean boris johnson is almost 20 years younger than the president. no offense by this. he's just as unhealthy generally speaking as our current president is, he's out of the woods. president trump will likely recover too. this is a serious thing we'll go through. as you know the president has been hospitalized tonight at walter reed. given the track record of this white house even specifically about the president's health, it is hard to trust at all what they tell us now about this situation. but if the president is sick, walter reed is a good place for him to be and he'll get the best care p tin the world and the wh house should level with us and be perfectly crystal clear about

the president's condition and prognosis. tonight we'll talk with a few people who i asked to be here specifically to help me and help you understand parts of the story that i feel we can't yet fully grasp. we were told by the white house that the president receiving an experimental treatment for covid. why is he getting experimental treatment? covid-19 has no approved treatment, there is no known cure and no known drugs or vaccine that's shown u unequivocally effective. tonight we'll speak to one of the world's leading antibody and anti-viral research about what the treatment is and why are they giving it to the president. it is a weird thing the president is taking an

unapproved drug. what appears to be the quick progression from the president's positive test to this hospitalization today. the white house has not released the timing of when and where the president tested negative before he got this positive result. the president so regularly flout social distance and mask ruling that it is hard to piece together a timeline when he's likely exposed and who he may have infected since he's positive. but, we'll talk tonight with a physician who worked in the white house medical unit and who knows what kind of things can be handled while he's at home and what kind of medical worries may exceed and what they're saying from the outside is going to be multiple days. they're also remaining questions about the protocols lack there of around the white house and

the president personally. that have led to what now appears to be a white house cluster of infections. we'll talk with somebody who's apart of the coronavirus task force and seen these protocols up close. tonight she's saying, warning that the white house is effectively a peachtree dish and cultivating of transmission of this virus. those details can help us understand how it is the president got infected and who else is at risk from the president from whoever infected the president and the rest of the white house staff and for everyone on capitol hill. so far the president and the first lady and republican senator from utah, mike lee, and also in the last hour we learned another senator thom tillis from north carolina all tested positive. the white house insisted that three journalists been in the white house ground have tested positive.

and the chair of the republican party ronna mcdaniel also tested positive. a slew of household names exp e exposed to the president or his contact, people like vice president biden and the vice president serving now and both of their wives or nancy pelosi and the mark meadows and including the attorney general and the secretary of state. all of those peeople have put ot statements saying they have tested negative. that's great. if they were just exposed, it may take a few days for results to show a positive result. and so that has very practical implications. the question of who ought to be in quarantine right now away from all other people and even with masks. that's a live question. with the president and senator lee and senator tillis and hope

hicks and the first lady and multiple journalists and, and, and. it is possible we are talking about a whole lot of people at the highest level in washington. not to mention all the people who don't know the name who work around them. there is a lot of people who have been exposed to what appears to be a large cluster at the top of the government in washington, d.c. we'll talk to the member of congressional leader tonight about that. and other presidents have had to temporarily hand off power to their vice president because of medical issues in the past because if needing surgery or other temporary situations. what do we need to do or be prepared for if the president is temporarily disabled by covid-19 or god forbid if he succumbs to

it and dies. we also never had a president hospitalized with a lethal illness just a month before asking the american people to vote him in for another four years. while we are in the middle of that process already, 2.9 milli 2.9 million americans already cast their votes. a lot about the trump era is unprecedented. this is both not an exception and also feels like an exception even to that. all right, eyes open, everybody, no days off. lots to learn tonight and lots to figure out. joining us first is dr. emanuel. thank you for being here. nice to see you. >> nice to be back, rachel. >> correct me if anything i laid out there is wrong or i am putting wrong emphasis in terms

of people understanding the severity of what we are up against here. >> i would say two things, to have the leader of the free world, our president with some where between a 5 a% or 11% ris of dying is not trivial. that's substantial risk of dying the next few weeks. that's a national security threat. it is something to take seriously. i agree with you the odds are for him and those are high odds. i am speaking as an oncologist taken care of a lot of people from cancer. early in the morning he was symptomatic fever and he meissd the 12:00 meeting and he's been

short of breath and other under line condition. i think this is much more serious than what we have been told. we won't know until we have the doctor giving us the information to evaluate the president's condition >> because the president is presumably being tested all the time. the progression here seems fast. we heard a lot of tragic story and people talking about their family members testing and immediately being ill and quickly dying. in a lot of those cases people were not able to get a test until deep into the process of their illness. in this case, the president is being tested all the time and it does feel a fast progression from fast positive test and progression and hospitalization. does it tell you the way this is

progressed. >> you must have an m.d. to the middle of your name. this is really fast a few days confirmed to be positive, usually it takes ten days before you need a hospitalization or oxygen or having fever and shortness of breath. yes, it does make you worry that he got a lot of virus in his exposure and not doing too well in fighting off the infection. look, i have not examined the president or transparency of his condition. i am making hypothesis there and i don't want to make a diagnose. i agree with you, it does seem rapid and a move quickly to experimental medicine which you pointed out is not even gotten the emergency use of authorization also raises

concerns. all of this raises many red flags. we know for a long time we have not had the president's actual health condition. does he have metabolic syndrome or what is his cholesterol? we know all day today the white house has been under playing his conditions and some what -- so we don't know. >> thank you so much dr. emanuel for being here. >> scary and clarifying. >> it is scary. thank you very much for having me. >> i want to bring in dr. david ho, the scientific director of the research center, he's a

legend in the fight of hiv and in terms of insights and research break through. he's leading a team working on a treatment for covid-19, he's been working with several companies to produce ant body cocktails, along the line of the drug that the president is given today. dr. ho, good to have you here. >> good to be back with you. >> for those of us who vaguely remember tenth grade biology but otherwise don't have an expert grasp for these things at all. can you explain to us in lament terms what is this type of treatment that the president has been administered. we know it is not approved as a treatment for coronavirus. we read it shows some promise as a potential thut i cerapeutic. what kind of drug is it and how

unusual is it for somebody to get it early on after being diagnosed? >> well, the president is getting antibody cocktail. these antibodies were isolated from the infected person months ago. these are products that came r from human beings. in general antibody therapeutics are safe. the therapy that's given today recognize this protein of the virus and buy into it and prevent the virus from entering a cell. it would interrupt the cycle of the virus. in addition the antibody could mediate the killing of the in

fegt infected self. we know from clinical trials of the antibody which is what the president received. they're beginning to show some promise. the antibody given to patients early in the course of infection could reduce the hospitalization rate from about 6% and the placebo recipient to about 1.7% in doses that were treated. that's done with 450 patients. it is promising but not definitive at this point. t

they have administers to about 275 patients, some placebos and some receiving the antibody at a high or low dose. the president did receive the high dose. and what the company has recorded that those who received the antibody can see a measurable decline in the amount of virus detected. in addition, the symptomatic duration seems to be short. these are promising signs and i work on the antibody side. i believe these are the results i expect and i am glad we have this kind of experimental therapy rather than hydroxychloroquine. >> dr. ho, you already answered a number of my questions about this in terms of the stage of development and why he would be treated early on with something like this and what the hope is

for this kind of thing. two quick follow-up question. one given the early developmental stage of this, these types of therapies, is there any reasons to worry it may be dangerous? two, is the way these drugs are administered, part of what may explain why the president is hospitalized. >> well, let me take the second one first. this is for my reading of the online coverage. he apparently received the antibody prior going to the hospital. in general these antibodies need to be given intrave intravenous.

so it must be injection and not orally. these antibodies came from human beings so they're not immediately toxic. there are situations where the antibody could cause an acute allergic i creaction so that co be dangerous. there are complications but i don't think it will be so prominent in anticipation at this point. >> dr. david ho at the research center, currently working on antibody treatments for covid-19. thank you for being here tonight. it is an honor to have you here. >> my pleasure, thank you, rachel. >> as we continue to absorb the news a bout the president's hospitalization and trying to understand his implications. we'll talk about congressman jim

clyburn to talk about the sobering implications of the potential succession issues, stay with us. potential succession issues, stay with us woo! you are busy...

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still a father. but now a friend. still an electric car. just more electrifying. still a night out. but everything fits in. still hard work. just a little easier. still a legend. just more legendary. chevrolet. making life's journey, just better. but despite the rising pain and anguish made worse during the pandemic, insurance companies still refused to cover mental health and addiction treatment. until now. senator scott wiener went to work - taking them on. passing a law requiring the insurance industry to cover mental health and addiction treatment.

now more than ever, californians need mental health coverage. i won't let up until the stigma of mental health and addiction is finally over. lawmakers raced to determine among other things who may have been in contact with the president and with his close

contacts and anger grew over the lack of any comprehensive testing system for members of congress and their staff. i should tell you that jeh johnson said the next five officials in the line of succession should now be quarantined for their own safety in order to protect the line of succession for the country. the senate president, senator chuck grassley and mike pompeo and secretary of treasury, steven mnuchin. jeh johnson suggesting that they should be quarantined now. joining us now is chairman of the host select committee on the coronavirus and the majority whip of the house of representatives, the honorable jim clyburn, thank you so much for being here, sir. >> thank you, rachel.

>> i first want to get your reaction to the events of today. i know you held your big hearing today on the coronavirus crisis and spoke with health secretary azar. this is all after the president tested positive. now we know that the president have symptoms or hospitalized, i want to get your reaction. >> first of all, i think all of us in respective of whatever may be, however our persuasions or to be keeping the president and the first lady in our thoughts and prayers, hopefully they'll have a speedy recovery. that's first and for most. i believe that the country must move forward and our constitution will guide that.

the 25th amendment is conduluded. the goal is for us to sit together and have discussions as to what will happen whether or not there will be a vice president under the president pie seiby seizing power to the president. if he's not able to do that, i think it is a collective decision that's got to be made pie the speak by the speaker of the house and the vice president. hopefully these discretionary discussions are taken place. >> congressman, the white house has been less than transparent when it comes to the president's

health. they have not release the president's health that's been keeping in what we have seen with modern presidents. the president went to walter reed without any explanations in terms of what he was there for and after mike pence having been told to standby. vice president pence simply said he was not recalled whether or not he had been asked to standby. all of that in terms of how much we can trust coming from the white house. have you and other leaders in congress been briefed about the president's condition or have you been advised that you will be briefed? >> no. i have not been in any briefings of the president's condition. i have been in a lot of discussions about what is may or may not be.

everybody may be having this kind of discussion. i may say this that i do believe it is necessary for the leadership of the vice president of both houses need to be sitting down having those discussions now. this country is teetering on two pandemics. covid-19 is taking its toll on this country and it has significant racial issues involving law enforcement and other things. these things alone are testing the country in a big way. now to have this issue of leadership, that tips the country in a precarious situation and it needs to have

bipartisan leadership gathered around to ensure -- it could become a national problem for s us. we should be having those discussions and setting our differences aside and think about our country to get things stabilized. >> chairman clyburn, south carolina, jim clyburn. thank you for your time. >> thank you very much for having me. i should mention this terms of what congressman clyburn said there by partisanship. the biden campaign took out all

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what you have is a virus that is contagious and continues to be regardless of whatever protocols that we may have. the president, we keep a wide circle that all of you that interacted with him know that. >> chief of staff mark meadows this morning not wearing a mask talking to the press of the president being infected and how their protocols have not worked and obviously keeping the president protected.

joining us now is olivia troye, the top aide of the vice president, she left the white house since august and has been critical of the president hahn li >> it is good to see you again. >> thank you, good to see you again. >> how has it been for you today? >> rachel, this has been a hard day for me the last 24 hours of hope hicks and honestly last night when i heard that, i just knew that we would be hearing more people would be positive because of the proximity of the immediate staff and i know how close she was to the president. she was part of the inner circle. as i watch this throughout the day, it has been a somber, sad

day for me. it is something very serious. i know a lot of these people and i know that a lot of them are here right now and i have been in touch with some of them and this is very real to them. i think to be honest a reality check for everybody in that white house right now. >> i think a lot of people and certainly speaking for myself, i think that i assume part of the reason the president seemingly so cavalier of the risk of this virus because he was almost exquisitely protected of the protocol in the white house to keep him safe in the white house as president must be so good that he legitimately had no fear of the virus and that worked against his ability to develop empathy for people of all the rest of us who are at risk. what kind of protocols were there in the white house to keep people safe? do you think that it was

well-run and well informed by science and they took it seriously? >> rachel. that's the irony. i think most americans thought that looking at the white house that it is the white house and you assume that the president or the vice president should be the most protected place especially during a papanikolao p pandemic. they had guidelines and a mask policy and masks available. you can get masks in the doctor's office in the medical unit. i had this conversation with dr. sean conelly himself. you walk around the west wing and people did not wear masks. the only time i saw people

wearing them were in line. i saw dr. fauci and dr. haun and redfield when they were coming into the west wing, they would have their mask on but everyone else was cavalier about it. >> it did not make sense. >> we were not following it on the white house's ground. >> one last question for you. was there an explicit plan within the white house task force for what the reaction would be and what the plan would be and contingency would be if the president himself got sick? we didn't have those discussions

on the task force but i can tell you that i find it interesting because in the past hwhen we ha staffers tested positive, it did not seem like we were following guidance and measures internally of taking the seriousness of the virus and separating people and making sure the