that does it for me. thanks for watching. i'll see you back here next weekend at 5:00 p.m. eastern. my colleague ayman mohyeldin picks up our news coverage right now. >> thank you very much, rev, have a great evening. good evening you to all at home. welcome to "ayman." congress is back in session on monday with a busy session scheduled ahead of them. how will the outcome of this next month shape the midterms? plus concerns over the new omicron variant rises as cases continue to pop up in countries across the globe with new travel restrictions going into effect on monday. what do we actually know about this new variant? and the rise of far right extremism. how do people fall down the qanon rabbit hole, and how we can prevent it from happening. i'm ayman mohyeldin. let's get started.

i hope you had a relaxing holiday weekend, because things in washington are about to get at the very least tense. the house and senate return from their thanksgiving break this week. at the top of their agenda, staving off an impending government shutdown. funding expires on december 3rd and you won't be surprised to hear that congress remains at a standstill about what to do. the senate also needs to consider the $768 billion national defense authorization act which funds the military, but ironically that very pricey defense bill is actually expected to pass and is not causing nearly as much trouble as the far smaller build back better bill. it passed the house but major changes are expected in the senate. we're going to dig into that in just a moment. but looming over all of these developments on capitol hill is what the future will actually bring, not just for the midterms in 2022, but for the next

presidential elections in 2024. the white house press corps has been analyzing the frequency of president biden's travel to battleground states. and we're seeing plenty of revealing background scoops, some suggesting vice president kamala harris is unhappy, others questioning the health of the commander in chief. all of these stories have one thing in common, to be frank. people want to know whether biden, who just turned 79, will run for reelection in 2024. the white house insists he will. and frankly they are beginning to get annoyed at that question. but if biden doesn't run, what will that do to the tenuous and very fragile democratic coalition forged between the progressives and the moderates, which will be tested again this week, particularly given the fact that donald trump has consolidated more and more power over his party after the violent january 6th attack on the capitol? all of this remains top of mind as congress gets back to work tomorrow. what happens in the next week will tell us a whole lot about what we can expect to play out

over the next year. so let's start with looking at where things stand with the build back better bill. for that we are joined by elina trini, a congressional reporter. it's great to have you with us. when we spoke about build back better before the holidays, it was just after the house had passed it. senator joe manchin was lurking in the background, hinting there were going to be major changes in this bill. this morning michigan congressman debbie dingell was on this network and talked about the future of the bill. take a listen to this. >> i also know that change takes time. we've got the commitment of republican and democratic senators to go to work on that if for some reason once again wins at doing something that's going to not -- i mean, that's going to harm a lot of people. i believe we'll get build back better done by christmas. we need to get it done. it will make a difference in so many american lives. >> so to that point, elena, can we expect joe manchin to remain,

you know, a clog in the wheel of democrats moving on this? what do we know about his positions as to where the bill stands at the moment? >> definitely a cog in the wheel. a lot of people are pointing to the house vote passing the package as a great indicator. but it's not. we always knew it would be a lot easier to get this bill passed in the house than in the senate where every democrat needs to vote for it. that's why there is so much attention on joe manchin and kyrsten sinema. and it's still going to be tough. there are negotiations. joe manchin is now looked at as the more controversial one and the one who needs more convincing to come on over and get on board with this package. they're negotiating right now with majority leader chuck schumer, with the white house, and those negotiations are going to play out over the next several weeks. this isn't something that i think is going to be wrapped up in a couple of days.

i know that chuck schumer has said and hopes this gets done by christmas. it's unclear whether that will happen. i think from my reporting and my understanding right now, that is of course still the goal, and most people are confident. but as we've seen, every deadline, really, that's been placed and laid out by congressional leadership over the past several months, they've blown past many of them. so it's going to be -- there's going to be a lot more to this over the next several weeks that we'll be paying attention to. alayna, let me put this up on the screen for viewers to see. it's a look at major changes that are expected in the senate version of this bill. paid leave, obviously a high priority for many democrats. manchin has concerns about that. s.a.l.t., the state and local tax deductions, were raised in the house version of the bill but some critics see it as a giveaway for the wealth. that could be under some scrutiny. immigration. the house bill would grant provisional work permits, but the senate parliamentarian is

unlikely to agree that the provision complies with the senate budget rules on that front. then you have medicare. the house bill includes hearing benefits. senator bernie sanders wants additional dental and vision coverage, but this is seen as a lower priority for many democrats in the senate. how do you see this all playing out, and what do you expect will be in the final price tag of this bill based on your reporting and your sources? >> those four items and topic areas are definitely the ones that we're paying attention to, that i'm paying attention to as i chat with senators and people in the house. it's going to be tough. paid leave is something that joe manchin has said he doesn't want in the build back better package. it's not that he's not a proponent of paid medical leave and paid family leave, but it's more of, he doesn't think that the reconciliation process and the process that they're shepherding this massive package through the senate is the way forward, that they should have the paid leave provision in.

so that's something that we'll see. i think some people, senator gillibrand of course is spearheading this, is hopeful that they'll have something, but unclear whether that will actually make it in. then you have medicare. from my conversation, it does seem like that's something that, like you said, ayman, is keeping that price tag really high and expensive. but could be an area where we see some cuts. i think we can expect medicare expansion to be in the bill at some point, and be in the bill, parts of it. but it could be pared back a bit. that's the same with s.a.l.t., which is expected to be in there, a lot of people will be very angry if it doesn't make it in. the question is to what extent. these are all things we'll continue to see. i know i'll be chasing senator joe manchin and other senators around the hill this week to get some more answers on this. there have been negotiations over the thanksgiving recess, but nothing, you know, nothing that i've heard that's very substantial to the point of any decisions in these different areas. >> you'll have a very busy week ahead of you, we'll be following

all of your work. what's your sevenths timing on this, alayna, can this bill get done before the end of the year and do we expect any votes in any republican votes in the senate on it? >> no republican votes are expected. we've seen people like senator bill cassidy, who helped craft the bipartisan bill, say he's very much against this. i wouldn't expect any republican votes. question of timing before the end of the year, it's going to be tough. i think they could do it. it's going to mean late nights, weekends, as chuck schumer said. it could spill into january. i think they're eager to get this done. i can see the marathon sessions happening right before christmas. >> best of luck to you and all the congressional reporters who will be covering it. alayna treene, we'll be following your work this week. best of luck. thank you. turning now to the midterms. they are less than a year away and already the race for control of congress, as you can imagine, is gearing up. recent polling has in fact some mixed news for democrats. and an "economist" poll released this week shows republicans and

democrats each tied with 40% when asked which congressional candidate they would support if the election were held today. that result was far better news than a "washington post"/abc news poll which showed republicans favored over democrats by 10 points, the biggest margin in the 40-year history of that. to help us sort through all of this and look at some of the key races, we are joined by mark murray, senior political reporter for nbc news. it's great to see you, my friend. thanks for joining us this weekend. the "washington post"/abc news poll found republicans favored 51 to 41, that's the biggest republican advantage i mentioned in the poll's history. that goes all the way back to i believe in the earthly '80s. what do we make of the big difference between these two polls? is that something that is typical? can you explain it? how should we read it?

>> yeah, ayman, now that we're 11 months to go before the 2022 midterms, these generic ballot polls are going to be all over the place. sometimes margin of error, sometimes different methodology, whether they're registering registered voters or likely voters. your viewers looking at the midterms should focus on joe biden's approval ratings. to me they're usually the greatest and best guide on what the midterm environment looks like. historically, first year presidents in their very first midterm election lose on average more than 20 house seats, their party does. but when a president's approval rating is below 50%, ayman, that goes to more than 40 house seats. and so joe biden, whose approval rating is in the low 40s right now shows you the really rough environment that democrats face and for democrats to better their odds in the upcoming

midterm elections, they need to see president biden's job ratings go higher, and certainly higher than 50%. >> not to mention it's also happening against the backdrop of the gerrymandering in some of the congressional districts which some say will give republicans an advantage since they are redrawing some of theses maps. what are some of the key races, mark, that you are tracking early on in this year ahead of the midterms next year? >> ayman, i'm focused on the six trifecta states. those are battleground presidential states that are going to be having really competitive senate and gubernatorial contests. so going from arizona, georgia, nevada, florida, you end up having pennsylvania as well as wisconsin. and ayman, i am fascinated not only because these are presidential battleground states but also because the gubernatorial races in these battlegrounds matter. we end up seeing in the 2020 presidential races who was in the governor's mansion made a whole lot of difference. so democrats have governors in places like michigan, in wisconsin. and given that those are really

important presidential battlegrounds, those governors' races are going to be must-watch. >> mark, when you look at some of the data behind the polling in terms of what it is that is making americans feel anxious, is there a clear consensus on it? when you hear democrats and the white house talk about the economic numbers, they point to all that is going well. the unemployment numbers, where we were in terms of vaccination efforts compared to a year ago, and just generally they believe and try to point in the direction that the economy is on the up. but it seems when you look at things like inflation, supply chain problems, people are still anxious about this. so what is it that weighs heavily on the minds of voters that is dragging down the polling for joe biden? >> yeah, ayman, my reading of the polling, nbc's polling and others, is it's all of the above. and certainly when you look back to august, you could end up seeing the delta variant and rising covid cases across the country as well as the chaotic withdrawal from afghanistan

brought down the president's numbers. then the rising inflation, some of the economic worries. and now all of a sudden there might be another coronavirus variant. when we look at our polling, more than 70% of americans say the country is headed in the wrong direction. to me that leads to -- whether it's the economy, covid, afghanistan, whether or not you think that congress is paying attention to what is the most important priority, it is this kind of sense of, things are off right now. even though there are so many numbers, whether it's economic, jobs numbers, that you can point to the right direction, hey, no, things are a lot better than a year ago, but right now americans don't feel that. the good news for democrats is that the midterms are still 11 months from now and maybe there starts to be some equilibrium on better economic numbers, better job numbers starting to penetrate voters who say, hey, the country is headed in the right direction. at least right now democrats do have time on their side.

>> let me ask you about something i alluded to at the top of this show and that is the big question around joe biden will run again and how that actually impacts things at the white house if he is running again. but i'm cures you to get your thoughts on the impact of him running good. ranging from bernie sanders to never trumpers like john kasich from ohio. is there enough material to stretch the tent without breaking it, especially if biden is part of the picture in 20234. so as of today, do we have a sense of the answers to the questions that you are posing? >> yeah, so ayman, we don't have an absolute question to president biden. he said he is planning to run for reelection. there's a lot of wiggle room in that term "planning to run." and to me, this does kind of

like play out on the midterm elections. often if a president's party doesn't do all that well, you end up having the next elections, and saying that, hey, i got the message from voters, we're going to run against the out-of-control republicans in congress. but if president biden doesn't run for reelection, that can throw things off that normal kind of pattern. >> all right. nbc's mark murray. we're going let you attend to that beeping sound. i'm not sure if that's copping from your end or not. >> i think it's the oven, ayman. i think it's the oven in the back. >> dinner is ready. go and enjoy, my friend. thank you for joining us. nbc's mark murray. coming up, new u.s. travel restrictions go into effect on monday due to the new omicron variant. how concerned should you be and what do we know about it thus far? plus in tonight's edition of "that's what they said," fox news is back at it again, believe it or not, with a new conspiracy theory about the coronavirus. i will see your tin foil hats and raise you some science, guys. stick around. wayfair's cyber monday sale is on now!

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we were paying an arm and a leg for postage. i remember setting up shipstation. one or two clicks and everything was up and running. i was printing out labels and saving money. shipstation saves us so much time. it makes it really easy and seamless. pick an order, print everything you need, slap the label onto the box, and it's ready to go. our costs for shipping were cut in half. just like that. shipstation. the #1 choice of online sellers. go to shipstation.com/try and get 2 months free. president biden returned to washington today, holding his first in-person meeting with his covid-19 response team since the discovery of that worrying new omicron variant in south africa. last hour, canada confirmed its first two cases of omicron. just a short time ago, the white house released a readout of that meeting. dr. fauci informing the president it will take, quote, approximately two more weeks to have more definitive information on the variant.

fauci also stressing he believes existing vaccines are likely to provide a degree of protection against severe cases. the administration promising another update on the u.s.'s response on monday. also on monday, new travel restrictions for eight southern african countries set to go into effect. joining me now to discuss what we do and don't know about omicron, dr. kavita patel, a physician and former obama white house policy director, also an msnbc medical contributor. dr. patel, it's great to see you again. thanks for answering so many of our questions about this. i just read part of what came out of that meeting at the white house today. do we know anything, you know, for certain about the transmissibility and severity of this new variant based on the details coming out of south africa so far? >> yeah, ayman, it's important to stress the details are all kind of fast and furious and somewhat anecdotal. we do know it's more transmissible, possibly more transmissible than delta. remember, delta was more transmissible than the strains and variants we had before it,

like beta and alpha. that does not mean it's more severe. that's what we're waiting to see, because we need to dissect who are the people that got three infections, were they breakthrough infections in vaccinated people, it seems like it was, who could have had other chronic conditions. we're all kind of waiting for that data that dr. fauci mentioned would be available worldwide, by the way, not just from the united states, but from south africa and other countries, in a matter of weeks. in the meantime, what we can do as individuals is get boosted. i can talk about why boosters actually can make a difference even with a variant like omicron. >> so let's just talk about -- and we'll get to the boosters in just a moment, but in terms of the scientists, what are scientists in south africa doing right now to try and answer all these questions? walk us through some of the testing if you're familiar with what they're doing to try and get some clarity on things like transmissibility. >> yeah, it's great. the public health infrastructure in south africa

is one to be applauded because they really were transparent and very forward-facing, even though it's been penalized across the world for travelers to and from that country. but what they're doing right now is kind of mocking up an exact copy of that omicron virus, and then they're putting that in petri dishes and combining that with blood from people who have been fully immunized and don't have any chronic conditions or other issues and trying to see how much of that person's blood's antibodies neutralize this new variant. and from that data, we will know, and that's what takes a couple weeks, ayman, we will know do the antibodies that we produce from our vaccines and boosters cover enough to protect us against this virus. that's critical data. and as dr. fauci mentioned, that data will probably show there is a level of protection against severe death and hospitalization. but we've had a degree of luck with our vaccines that we could love to know if being update on our boosters can give us more

protection. . >> >> so that's exactly what i was going to ask you about here for a moment. vaccine makers have already announced they're pivoting their efforts to combat omicron, including testing higher doses of booster shots and designing new ones. does this mean americans who haven't gone for that extra shot should hold off to wait and see? should they go out and get the booster shot based on the science now and not wait for a future booster shot? what do you anticipate happening? >> no, i don't think anyone should wait. here's why. what a booster does is it just kind of reminds your body that has already developed immunity to produce not just more of that specific immunity but ayman, it actually sends a signal, this is how amazing our bodies are, it sends a signal to develop even broader immunity. we know this from other studies that look at covid antibodies after boosters and they develop even broader antibodies. think of our antibodies as a lot of different locks that fit into the key of the virus to neutralize it. the boosters give us a lot more

locks to unlock that key. the critical question is, do these variants change the way their key looks enough that our locks don't fit. it's highly unlikely it's zero, but it could reduce our effectiveness from 94%, ayman, to maybe 60 to 65%. that's what we're going to learn in the next couple of weeks. so get your booster today. don't wait for something because it could be several months, ayman, to have a tailored vaccine and enough manufacturing and all the different authorities and approvals to see the actual shots in our arms. >> let's talk a little bit about what is happening right now on the ground in some of these countries in southern africa. the travel ban, including eight countries, including south africa, but mostly southern african countries, goes into effect tomorrow. however, as i've mentioned, new cases of omicron are popping up in countries not on that list. you just had, in the last hour, canada announcing they have two cases that have been detected. you worked in the white house and you understand the science behind the virus. are these travel bans based in

facts or is it more about public fear and public consumption and, i hate to say, politics? >> a little bit of the above, when you work in the white house you have to manage all of those incoming streams. it's obviously grounded in science. but i'll be honest, as you point out, we probably have omicron in the united states, we just don't know it yet. just like i predict in the next couple of days we'll have our first case, but it probably wouldn't be our first technical case. it's just we haven't seen it yet. when we see other countries doing what they're doing, the eu, uk, other countries limiting travel, there's a big gaping hole, when our stock market is crashing, to say why isn't the united states doing that. it feels like this minimum crude policy. ayman, i would love to see that get stuffed up and have better pcr testing for domestic travel. i would love to keep our definition of fully immunized to potentially include boosters as well. that could possibly go a longer way than even some of these global international travel restrictions.

>> i have a really quick one for you. i know we talk about the changes in possible vaccines based on these new variants. does it impact testing at all? or is the testing standard regardless of the variants? >> lucky enough, our current pcr testing picks up this variant. there is a specific gene that drops out that you can see on pcr. so that's the good news, ayman. there's more good news than bad news here. >> certainly good news, hopefully we can do better with the testing, we still don't have at-home, rapid, reliable tests. dr. kavita patel, very good to see you as always. >> thank you. still ahead, the house january 6th committee continues to push forward in their investigation into the capitol attack. what is driving people to radicalize in the first place? when our daughter and her kids moved in with us... our bargain detergent couldn't keep up. turns out it's mostly water. so, we switched back to tide. one wash, stains are gone. [daughter] slurping don't pay for water. pay for clean. it's got to be tide.

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it's been almost a year since the insurrection and there's still so much we don't know about what led to that

attack on american democracy. as congress' investigation continues, former president donald trump is headed back to court this week as his lawyers work to keep hundreds of pages of his documents secret. you have ten new subpoenas that were handed out by the january 6th committee just this past week. that list included far right conspiracy theorist alex jones and former trump aide roger stone. also on that list are the proud boys and the oath keepers. as we try to piece together what happened on that day, another big question is how. how these people were radicalized into believing this was the right thing to do. it's a question i've been asking for the past year. and in my new podcast "american radical" i examine the death of roseanne boylan, one of those who died on the steps of the capitol. her family said she was radicalized into a trump extremist in less than six months before her death. her story tragically similar to so many who took the road to

washington, d.c. in a whirlwind of conspiracy. joining me now is frank figliuzzi, the host of the podcast "the bureau with frank figliuzzi." frank, it's great to see you again. i appreciate you joining us. let's talk about these subpoenas here for a moment. why is this list of people in particular, groups like the proud boys, you know, what will the committee hope to learn from them, i guess? >> this got my attention, because now we're getting to the heart of those organizations that seemed the most coordinated, that seemed to be running, recruiting, planning the operations and seemed to be moving forward, the future of what radicalization will look like in our society. these are groups that are poised to commit violence, have the capacity, the will, the motivation to do it. oath keepers, as you know, a group that specifically wants to recruit and has successfully recruited law enforcement, former and active military, former and active.

we're going to learn a whole lot, potentially, about the connection between those groups and those in and around the trump orbit. >> you have your own podcast, as i mentioned, this week's episode actually looks at specifically january 6th and whether the justice system is reaching its breaking point in terms of number of defendants and investigations it can handle, which i actually thought was a very fascinating angle in all of this. what is the significance of that, what can we possibly learn and what do we know about these cases and whether or not the justice department has the bandwidth to take on these hundreds of cases? >> there are indications now, ayman, they may not have that bandwidth. here's why. we're already at the 700-defendant mark. what we're learning is we're nowhere finished with regard to the number of defendants that will be prosecuted here. in fact there could be additional hundreds of people charged, indicted. what's happening behind the scenes? certainly the dc jail is

reaching its max, if it hasn't over-resourced its capacity to hold these people. every single fbi office in the country, maybe save one, is involved in this in large numbers of surveillance operations, search warrants, you name it, intelligence analysts working 24/7, weekends, holidays, and prosecutors are being flown in from around the united states. federal prosecutors coming from everywhere but dc. and public defenders coming from places like nevada to dc. so the system is there. and what's now happening? what's the real indicator? at least one defendant has said i'm waiving my speedy trial act, i want to go now, i'll represent myself, let's go. the problem is the judge and prosecutor are saying, we're not ready for you, we have a mountain of data to process just from your phone, your ipad, your devices. imagine that times 700, times a thousand, and now you see if everyone were to say, i want to

go now, take me now, i waive my rights, we've got a problem. >> i can see that in the way that you're describing it. let's talk about, frank, the issue of radicalism and extremism. you and i have spoken about this in the past mostly dealing with overseas extremism and radicalism. but domestically it's fascinating because in the case of roseanne boylan and so many others who were there that day, this radicalization didn't happen over years or a decade. it happened in the span of months, according to her family. from what you've seen, what is it that drives people to take that sort of extreme action and get radicalized so quickly? >> you know, the speed with which we're seeing radicalization particularly online, not even having met anyone else of a similar relief but doing it virtually, remotely, is eerily similar to those who are recruited to violent jihad. 19-year-olds who say sign me up,

i'm going over to fight. very much like this. why does it happen? look, experts will tell you there is a number of variables. first, there is an innate human desire to belong to something greater than yourself, to find something to fight for, to have a group that will have your back and give you affirmation. normally in normal society we see that happening in the military. you volunteer for public service. you become a journalist because you believe in the role of the free press in a democracy. that's what you do. when those things become perverted, distorted, the truth is not findable anymore, and you're vulnerable because you feel disenfranchised. your group has been taken away. there's no alternate force pulling you in a safer direction. you're vulnerable. and more people are vulnerable than ever before. what do we do to counter it? that's the challenge in our divided society. as we work out a strategy with education, teachers, clergy, social media platforms play a huge role in that.

there also has to be consequences. civil lawsuits and criminal prosecution will send a message, this isn't going to work for you, there are better ways for your life. >> frank figliuzzi, thanks, frank, for joining us, i greatly appreciate your insights as always. a reminder from next sunday, december 5th, you can listen to the first episode of msnbc's newest original podcast, "american radical," hosted by me and it is a story that hits close to home for me. days after the riot at the january 6th capitol, i heard about roseanne boylan who is from my hometown. in this new podcast, i return to kennesaw, georgia to explore how roseanne became a foot soldier in one of the most dangerous movements in america. scan the qr code on your screen to listen to the trailer and follow "american radical" now wherever you get your podcasts. you do not want to miss that incredible story. coming up in this week's "that's what they said," a "fox & friends" host has a new and

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♪ i remember when you were here ♪ that's mommy! ♪ and all the fun we had last year ♪ watch the full story at www.xfinity.com/sing2 in tonight's edition of "that's what they said" let's start with the weekend "fox & friends" crew where they completely misrepresent what transportation secretary said about the supply crisis, and boy, it actually only gets worse

from there. watch this. >> pete buttigieg, our transportation secretary is potentially our new president in 2024 or so the democrats want, has said we can't fix this supply chain problem until the pandemic is over, until covid-19 is over. and now we see these new variants. that's the answer, is more lockdowns, more lockdowns, more fear, uh, and therefore he doesn't have to do his job fixing the supply chain because we'll keep this whole thing going. >> there's always a new variant. >> you can count on a new variant every october, every two years. >> you're probably right. however, they could speed up, the variants can come more quickly. >> oh, man, i don't even know what to say about that. can we not, please? how would that even work? new variants are good for no one. no one thinks we need more variants. what's more, that's not what secretary buttigieg actually has been saying. here he is in his own words on their network just last month.

>> for the long term, best thing we can do about that is invest in our infrastructure. for the very short term, there are steps we can take in and around the ports we think are helping and in the medium term, again, at risk of repeating myself, if we really want to see all these disruptions end, we've got to end the pandemic. that's what getting everybody vaccinated is all about. >> i mean, come on, guys, maybe you should start watching a little bit of your own network a little bit more often. nothing else to add there. still ahead, while the new omicron variant has americans on edge, as they are still recovering from the scars of the first covid outbreak, we're going to introduce you to a new documentary that gives us a rare glimpse into new york city hospitals and the battle they went through during the height of the first wave. as a dj, i know all about customization. that's why i love liberty mutual. they customize my car insurance, so i only pay for what i need. how about a throwback? you got it. ♪ liberty, liberty - liberty, liberty ♪ uh, i'll settle for something i can dance to.

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with voltaren arthritis pain gel. my husband's got his moves back. an alternative to pills, voltaren is a non-steroidal anti-inflammatory gel for powerful arthritis pain relief. voltaren, the joy of movement. news of the omicron variant has americans on edge. there's still a lot we don't know about the new strain. and it's the fear of the unknown that could take some back to the early days of this pandemic. from march 2020 to june 2020, new york city was the epicenter of the coronavirus in those initial months. in fact hospitals were overwhelmed and health care workers were pushed to their limits. i remember because i live in new york city. this four-month period is now the subject of a new documentary titled "the first wave." the film takes viewers inside long island jewish medical center's covid unit where health care workers put their lives on the line to battle a virus they didn't even quite understand.

>> last week, there were like maybe one, two, three patients that we kind of heard about, like whispered about. >> i'm telling you, you're not needing as much oxygen. >> is this a covid patient, is this not a covid patient? >> the infection went into his bone. >> and now i have a list where pretty much all of the patients have covid-19. we are taught pattern recognition. and as of right now, there's no clear pattern. >> that was dr. natalie dugge. she is a board certified internalist and hospital doctor. doctor, it's great to have you with us. i know when you signed onto the film, did you have any idea of how dire the situation in your hospital would get in such a short amount of time? >> first of all, thank you for having me. and to answer your question, absolutely not.

we had no clue how quickly and rapid an influx of patients we were getting. because initially when we first heard about covid, there wasn't even testing. so we were really on edge initially. but we were ready to combat whatever we had to do. >> i know the u.s. bureau of labor statistics estimated the health care sector lost nearly a half million workers since february of 2020. another survey says 18% of health care workers quit while another 12% have been laid off. did quitting health care ever cross your mind after what you experienced in those first couple of months of working on the front lines? >> to be completely honest, i did resign from being a full-time physician simply because my goal is always to give optimal care to my patients. and i felt in order to do so, i

would have to be at my best. and mentally i had found it harder and harder to push back some of the flashbacks of 2020. so i have decided to just resign from full-time being a physician. i do work at other hospitals, just on my own schedule. >> when you look back at those early months of what we went through as a country and certainly where you were on the front lines, some are wondering and we haven't done a post mortem yet on the pandemic and our preparedness because we are still in it but what were some of the lessons or reasons why we were so ill prepared? what are some of the lessons you learned from the preparedness of our health care infrastructure and hospitals? >> so i think we tend to be at times complacent. we think we know things when at the blink of an eye as you can see with the pandemic woe can be faced with new challenges. and i think what the pandemic

taught, when we come collectively with a clear mission and motive to equitably treat populations worldwide, we can come up with measures that are shown to help deal with such crises like this pandemic. >> i know that the pandemic hit communities of color and immigrant communities particularly hard. your parents were born in haiti and said that the patients in your hospital could have easily been members of your own family and extended community. did that connection make things harder for you as a doctor? did it help you connect with the patients and earn their trust when it comes to the medical care you are providing? >> as a doctor, it did not affect my ability to help my patients, because my decision to become a physician, i looked at my patients equally, whether their economic status, whether their background, when i took

that oath, i decided to treat everyone like they are, human beings who want to live their life as fully and as wholly as possible with a quality of life that they are striving to achieve. now, as a black female, seeing -- especially with family members who are from a different country who are immigrants, it does dishearten me and it does give me a sense of frustration to constantly see people like myself as well as my family and friends who due to our system are subjected to such disparities. >> i got to ask you about the first few months of the pandemic coinciding with the era of protests in the u.s. after the murder of george floyd because in the documentary we see you attend one of those protests dressed in your scrubs with a mask reading, i can't breathe. you said that phrase had multiple meanings to you. tell us a little bit more about

that and why given the risk that the country was going through you still decided to go out there and protest the way you did. >> that phrase "i can't breathe" i was hearing that every day multiple times a day with such fear, with such stress, such longing and isolation from the eyes of my patients. and as i was striving to preserve my patients' quality of life i then have to then hear about the murder of george floyd and his last breath, his last saying, i can't breathe. so at that point, i see our system where we can have actions where police officers can blatantly disregard human life. like i said, as a black woman i was a black woman before i was a

physician. i feel it is my calling to try to preserve quality of life we all deserve. so i without hesitation felt i had to go out in the street. the same way i advocate for my patients i have to advocate for people like myself. >> certainly glad that you did. a very powerful documentary that gives us some insights that i don't think we have seen and are very rare. thank you very much for your time and for coming on and sharing your story with us. >> once again, thank you so much for having me. >> my pleasure. up next, a tragic loss of life in the english channel as at least 27 people died heading to the uk from france but what is being done by either government to address the reason these migrants took such a terrible risk? we'll bring that to you next. emy of small business bookkeeping. having someone else do your books for you.

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tragedy this week as at least 27 people died in the english channel headed for the uk from france. their deaths have raised questions about why so many people are attempting the journey despite the dangerous conditions and how to tackle the problem. sky news' adam parsons explains. >> it had set off from the french shore a few hours earlier. almost everyone who had been on this boat died in these cold

waters. as on so many other days hundreds of people had left the french beaches in an array of boats, some sea worthy and others manifestly not fit for purpose. this wasn't a day like any other. instead, it was shrouded in death. in the hours that followed the french interior minister came to the hospital here in northern france and blamed people smugglers and said britain and france must cooperate more. >> translator: we really have to work together. two major countries who are friends have to fight against these traffickers together. they play on our borders and sadly our differences in legislation. sometimes this means a slight lack of cooperation. possibly we are not working together enough yet but we really must fight against these criminals just as we fight

against terrorists. >> reporter: the waters twoen here and northern france and the british coast are trechouserous, busy, and this time of the year very cold. we've had near misses before. a bad accident was predictable. but this loss of life is clearly terrible. now, a criminal investigation has started. a number of suspected people smugglers have been arrested. the question is how will this disaster change the debate about how france and the uk should manage cross channel migration? britain has long claimed the french should do more to stop these boats leaving. last month we filmed these people running down a beach near calle with their boat headed for the uk and watched by the french police who did not intervene. but now political debate has coincided with tragedy. one of the first people to reach the scene in the middle of the channel was this life