tv Chris Jansing Reports MSNBC November 22, 2024 11:00am-12:00pm PST
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for high performance heating. maximize cooking. minimize cleaning. scratch free. worry free. forever. get 25% off at circulon.com ♪♪ it is good to be back with you on this second hour of "chris jansing reports." at this hour round two. donald trump's newest pick for attorney general, her track record of defending the next president and attacking his adversaries. and while trump works to shore up support for his cabinet picks among senate republicans, we will talk about his mar-a-lago meeting with the newly elected leader. and long-standing tradition. two power players, one in joe biden's world and one in donald trump's, just set politics aside. and bible school. the ruling just moments ago from texas on whether bible lessons
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can be taught in public classrooms. our nbc news reporters are following all of the latest developments. we start with one of donald trump's most loyal allies, pam bondi, picked to be the next attorney general. nbc's ryan reilly has been digging into this. fill us in on who bondi is and why we think she was chosen. >> she has been a strong supporter of donald trump. you contrast this with matt gaetz. they are strong supporters. obviously, the distinction, you know, pam bondi has never been investigated for paying a 17-year-old to have sex with her. that's one thing off the bat. but also she has more of a history than matt gaetz has just on the type of experience and leading a large agency. you talk about her experience as florida attorney general. after she left as florida attorney general, she then went to donald trump's first impeachment team and was a strong defender of him there, appeared on fox news, guest
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appearances as a guest host on fox news, made regular appearances there. that fits into what donald trump is sort of looking for. people when are going to drive home his message all together. and also i think it's important to note after what happened during the 2020 campaign when donald trump made false claims he won an election that he lost and pam bondi went to philadelphia, held a press conference and supported those false claims and was initially part of this effort to overturn or push back on donald trump's election loss. so that's definitely the sort of background she brings to it. i think she will be definitely someone who ask in his camp and that's, obviously, causing some concerns within the justice department, but there is still this sort of sigh of relief that sort of i think the worst-case scenario that any justice department employee could have imagined was that matt gaetz would have been the attorney general of the united states. >> ryan reilly, thank you for that.
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incoming senate majority leader john thune met with trump at mar-a-lago. aaron gilchrist is in west palm beach for us. what more can you tell us? >> reporter: well, we know from a source familiar that june thune was in florida last night to meet with the president-elect at his estate outside west palm. that meeting happened just hours, we understand, after the president-elect also met with senator tim scott of south carolina who is is the incoming chair of the national republican senatorial committee. this meeting with thune comes at a time when we are looking at this steady flow of republican officials and people who want to work in the trump administration coming down to meet with president-elect trump to talk about the possibility of jobs coming that place and then in the case of a john thune, who would play a role in the confirmation process of anyone that the president-elect puts up in a position that would need confirmation.
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we know john thune said he wants the president-elect to hit the ground running, be able to hold hearings on the people that were nominated to be in roles in the trump administration and he said that the new republican leadership is very much behind -- so to have this meeting [ inaudible ] next step to get that going in terms of confirmations. >> aaron gilchrist on a windy day. thank you. in washington, a meeting of power brokers of white houses past, present and future. white house correspondent monica alba has the reporting. chiefs of staff are folks that people may not know their names, regular folks out in america. they wield a lot of power and there were several of them last night. tell us about this dinner. >> reporter: exactly this is really a unique club of people who play a pivotal role in any given administration. sometimes you see a lot of turnover in this particular job as well.
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so chiefs of staff of bipartisan past administrations who worked with several presidents have been gathering informally and formally the last couple of years. we know that the current white house chief of staff did host a dinner for his predecessors. he also decided to include somebody in that which is the incoming donald trump administration white house chief of staff, susie wiles. she was new to the group and part of this dinner that included again chiefs of staff that we have heard of, who go back decades, who have played really key critical roles for some historic moments on both sides of the aisle, and this is something that is a bipartisan tradition. the chiefs of staff often convene at the white house, sometimes at somebody's home, and they try to really give the current person or the incoming person in this case as well advice on how best to approach this very, very tricky job and
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one that sometimes falls to the person to really have to be the one to deliver bad news to the president, to try to convince the president of certain decision-making criteria or things to evaluate. and so they pledged, we understand, when they came together to do this again for susie wiles once donald trump, the president-elect, is inaugurated in january to continue this kind of tradition. but there is an interesting and notable backdrop, which is they pledged, both sides, the white house and the trump transition outstanding, these memos of understanding that they need to both sign and commit to in order to really unlock some resources to the transition to allow for agency people to be in touch with their counterparts, and that has yet to happen and it's something that is still being negotiated. so watch for that to develop and pro grest the coming weeks as they try to make this a very
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peaceful transparency which is different than a we saw four years ago. >> very different. thank you. let's go to texas now. the board of education just officially approved adding lessons from the piebl to the school curriculum. nbc's antonia hylton has been following this. how did we get here? >> well, chris, there could be a very long answer to that question. but it's been in motion for a while with advocates on both sides of this issue reaching out to educational leaders in the state, speaking at public hearings and people very intensely and powerfully about this. for the advocates who wanted this change in curriculum they believe christianity is fundamental to the history of the united states and that learning about it will help children with their moral development and help them with their scores. they are learning overall. and then a kind of bipartisan group of both democrats and republicans say that, look, even for those who identify as christians, who love the bible, they don't think school is an
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appropriate place to give kids sermons. they are going to learn about jesus' sermons when they learn about juneteenth, for example. learn about abraham lincoln being a christian and how christianity played a role in the decision to free slaves. some would say, well, that's not what juneteenth is about, we should be focused maybe on the experiences of the formerly enslaved. that's a key part of this debate here. does religion then overshadow over important parts of history and leave some kids who don't identify as christian feeling left out. that's really the test now. how does this change the environment in texas schools and which schools adopt it because it's optional but comes with a carrot and stick. you get more money and a lot of public schools need that money. >> yeah, most public schools always need more money. there are other states we are watching. thank you. in 90 seconds his bid for attorney general ended as suddenly as it began, but now the buzz is all about what could
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called it a bright future. and in an interview earlier today, gaetz said he doesn't intend to join the incoming congress. >> i am still going to be in the fight but it's going to be from a new perch. i do not intended to join the congress. i am 42 now and i have got other goals in life that i'm eager to pursue. my wife and my family. so i am going to be fighting for president trump. i am going to be doing whatever he asks of me. as i always have. but i think that eight years is probably enough time in the united states congress. >> so what is that new perch? and would he pursue another elected office? nbc's ryan nobles is reporting on capitol hill. also with us mike steele, former rnc chairman, msnbc political analyst and co-host of msnbc's the weekend. maikel, remember when politics would face allegations like this and in their political, it was over. i wonder what it says that, i mean, it wasn't even dry. the announcement wasn't even
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dry, you know, wherever they sent it out, and gaetz is already talking about he has other plans, the president is saying he has a bright future. where are we with this? >> reporter: i was trying to figure out why should i care. to be honest with you. i don't give a rat's behind what matt gaetz does next. i am just flood he is not going to be the attorney general. if he does anything else in the public, we will relitigate and revisit the sex allegations against him with minor women. you know, young girls. so that's going to follow him, but i am not interested. i have moved past that. i am focused now on his new replacement, bondi. the attorney general of florida. herself an election denier. stepping in. so a lot of this noise around some of these folks, you know, because they are so hot and it's such how could he pick this
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person or that person, you've got to also think about who is in line, who is behind them, which will be a much better, dressed-up, more articulate version of the terrible thing you have in front of you. so i'm just looking at that and matt gaetz, you know, goodbye. >> we will talk about him anyway, here's why. there is broad speculation that florida republican senator rick scott, in fact talked to politico about who might be named to replace marco rubio, right, because he is going to be secretary of state or probably be secretary of state. he said, quote, i think laura trump is great pick, but matt would be a great person. i think laura would do a great job. that's one possibility. last hour the state attorney for palm beach county told me absolutely matt gaetz is going to run for florida governor in 2026. i mean, are you going to rule out those as realistic next steps for him?
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>> no, i am not. wait and see what happens. look, like you said at the beginning, the ink is barely dry on his stepping down from the perch as a.g. nominee for trump. so he always had plans to run for governor. so we have that for a long time. so that's there. you have the opening of rubio's seat on the senate. appoint him. you don't think the ethics questions will follow him to the u.s. senate? of course they are. this is washington, d.c. he is a hot controversial figure that no one likes. so, yeah, that's going follow him. so that's a further distraction from what the trump agenda may be relative to project 2025 and other things they will be implementing by other appointees. so, yeah, that's a real possibility. let's see where he lands. then we should care possibly at that point. but until then, i think that there are other things now we're past that point with him that we
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need to focus on. >> all right. there is one thing hanging out there, ryan. he said he won't rejoin congress. does that end the conversation about releasing the ethics committee report on the investigation into alleged sexual misconduct and illicit drug use? >> reporter: it doesn't immediately, but i think it definitely makes the path towards the release more difficult. democrats put a resolution on the floor before they left for the thanksgiving holiday that would require the entire house to vote on whether or not that report should be released and that means republicans and democrats every single member will have a chance to vote on it. if there is a majority, it will come out. that would mean a hand of republicans would have to join democrats to make that happen. now that he is no longer in the running to be attorney general, he said he is not going to come back to congress, i think the chances of republicans breaking ranks becomes even smaller. but i do think that that is perhaps the biggest reason that
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he won't attempt to regain his seat in the congress for the next year. he keeps using this word intends, which i think opens the possibility that he could change his mind. but i don't think that it's a possibility. based on what i have -- the conversations i had with people close to him, i also don't think it's a possibility that's something he is looking for. gaetz has other options. in addition to the ones that you mentioned, i think it's unlikely he is appointed to the senate seat but he could run for that seat in two years. when the next time that election will happen, because of the way the calendar works, certainly florida governor is a possibility. he would have competition, there, byron donald, close to trump is thought to be considering a race for that and has the organization behind him to make that happen. there is the possibility that donald trump appoints him to a position in his administration that doesn't require senate confirmation but has a lot of influence over the administration. that is a distinct possibility. there is also the possibility
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that he just becomes or increases his kind of maga podcasting empire which has a potential to be lucrative for him and double down on being a conservative internet star. those are all options on the table for matt gaetz right now. but the idea that he is just going to fade away i think is something that we probably shouldn't expect. >> all right, in the last minute, michael, there are three other people who have been kind of not gotten as much attention maybe because matt gaetz was sucking all the controversial oxygen, right, and that's tulsi gabbard, rfk jr. and pete hegseth. do you see all of them getting confirmed? >> yeah. at this point, you know, unless there is internal noise among the republican senators about any or all of them, the glide path is there. there is still the pressure that trump imposing or wants to impose on the senate to bend its senate procedure towards trump's
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will that they have the opportunity to -- that he has the opportunity, rather, to make a recess appointment. so, yeah. those folks will likely get through. the controversy regarding hegseth and the sexual allegations now that he has to confront, the sheer competency questions and really suspect alliances or at least philosophical alliances of someone like tulsi gabbard will probably be a part of the conversation. so you do have -- and then, you know, robert f. kennedy jr., what the hell more do you want me to say about that? that thing keeps talking and making its own point. so we have a lot in front of us. this is what comes with an election when you pick someone who is inclined to support and elevate people like this. the country will have to adjust and we're now in the normalization of all of this. chris, if you want to be honest
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about it, everybody is now from media to politics trying to do their best to normalize all of this because they don't want to have to deal with what's going to come and what's been told is coming, and so we'll see how it plays out. >> competency questions and suspect alliances. that's my phrase of the day from michael steele. you are staying with us. ryan nobles, thank you so much. still to come on "chris jansing reports," the democratic rebrand. former president bill clinton has ideas. >> we should have been more against big corporations, and if you take a poll and find people in both parties really do favor that. do favor that iberogast bloating iberogast thanks to a unique combination of herbs, iberogast helps relieve six digestive symptoms to help you feel better. six digestive symptoms. the power of nature. iberogast. new projects means new project managers. you need to hire. i need indeed.
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it's a question that many democrats are trying to answer right now, where does the party go from here? senator chris murphy laid out some ideas in a memo. quote, democrats have the opportunity to call republicans on their bluff and prove to the american people that we are the ones on the side of the workers. but that's only possible if we have the courage to pick fights with powerful corporations and billionaires and fight against the status quo. and senator murphy says he has internal polling to back that up. pack with me, michael steele, joining in on the conversation msnbc host editor jonathan kay part. senator murphy's message is that
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democrats need to take on corporate power, billionaire class. that's popular across the board for voters. what do you think? >> yeah, get that. you know, always good to have a target, you know. but you have to understand fundamentally where your party is. in order to move it where you hope it needs to go. and so you have to fundamentally step back and really assess what the message from the voters was in this election. this was not -- oh, it's running donald trump's authoritarianism and i want to be a dictator for a day. really at the end of the day it was not just about gas prices. it was this combination of culture and economics coming together in a way in which the voters felt in both cases culturally put upon by democrats with, as they describe it, wokeism and, you know, trying to groom my kids and all the ugly narratives that emerged without an appropriate response from the party.
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economically, people do feel that pinch and still do. so you can't just talk about we're building bridges and fixing the potholes on your way to the grocery store that's going to cost you a lot of money. understanding both of those are very, very fundamental before you start, oh, let's just attack billionaires and corporations because at the core of it that's not what this was really about. >> and they were happy to elect a billionaire a second time. >> exactly. >> but bill clinton, jonathan, good to have you here, by the way, getting out of d.c. he seems to be on the same page adds chris murphy. i want to play it. take a listen. >> where does the democratic party go from here because senator bernie sanders, who doesn't even belong to the democratic party, says that the party wasn't progressive enough.
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do you see it that way? >> no. no. i mean, look at -- not progressive enough. the infrastructure bill. they have 60,000, i think, projects underway that will soon be up to 100, and that chips bill. they are all over america. and interestingly enough, both of those bills, a majority of the investments have been in rural red areas. so, no, i don't think -- i think he means by that that we should have been more against big corporations, and if you take a poll you find people in both parties really do favor that. that's when we can always pass a
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vote on making the minimum wage in a red state. because blue-collar workers who distrust the government feel like those votes are something they can control. and they are skeptical of big corporations. on the other hand, the richest guy in america, maybe the world, elon musk, is up there listening in on foreign phone calls with the president-elect, and they are not too concerned about it. >> look, bill clinton, obviously, knows a little bit about connecting with the american people. got elected twice, right. he was very popular. but i think it also, for me, raises the question of message versus messenger, right. so there is a little bit of that in there. are both of those things in there. anyway, how did you read what he had to say as part of the larger conversation about where does the democratic go, which is exactly what you asked him. >> it sounds like he and senator
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murphy and apparently senator sanders to a certain extent are on the same page, you need to go after big corporations and remind people that, you know, part of what's happening is because big corporations and billionaires, doing my senator sanders impression, are gaming the system in their favor. but in the interview, which we are going to show in two big chunks saturday and also on sunday, the number one thing pretty president clinton kept coming back to, democrats need to communicate. they need to talk to people even when they know those folks don't want to talk to them. you need to tell people what you have done. so when the president mentions the infrastructure act, the c.h.i.p.s. act, those are things that are helping red areas. democrats need to go into red areas, which vice president harris and governor tim walz and lots of people on the campaign did, but it's hard to do that in
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107 days. you need more time to do that. and so the number one issue from the president, in addition to we should have gone after big corporations, looking ahead we, meaning democrats, need to go into these places and talk to people and listen. democrats need right now, need to sit and listen to people where they are coming from, what their concerns are. otherwise, democrats will be, my assessment, in the wilderness for a while. >> no who knows about communication, the guy doing an interview anytime, any place, anywhere, right, talked to democratic electeds and he was talking about online -- taking online conversations offline at scale. it's interesting because clinton said he deliberately didn't want to do big events. he wanted to talk to people, as you say, one-on-one, and he added to that, you know, you
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don't get anywhere, talking about the shock. the shocking things that are going on. he doesn't say it that way. that's me. the hocking things that are going on. he says you need to move past that. you just need to talk to people at scale. that's kind of what i think made bill clinton one of the great poll tigs of a generation. >> well, yes, that is that. but what makes president clinton one of the greatest politicians in modern presidential history is that something that he writes in his book, and he said later in the interview, actually in the book talk that we did after that interview, he said, if you scratch someone long enough, a real person will emerge. and by that he means you've got to keep talking. talk past your differences. talk about what you have in common. ask questions. listen. eventually, you will get to a point where you find -- you will find the real person. and the person will find you. and that's how you make those connections.
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he tells a story about how during the campaign he -- i love jumping over the barbed-wire fence and going out and talking to people. he was at a fair, i think, in georgia where there were guys in maga hats and he talked to them and they loved it and asked for pictures with him. he says, you know, you would not expect those guys in the maga hats wanting to talk to me and take pictures with me, and yet they did. in that, that's where he sees hope for the future, that it is possible for all of us to talk, no matter where we are in the political spectrum. >> michael, billions of dollars were spent on this campaign, and i don't know how many hours on television, on radio, on podcasts, in newspapers have been spent trying to deconstruct what happened, and it seems like we are getting back to a pretty simple place. number one, it's the economy, stupid. number two, the best politicians
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listen to people. am i oversimplifying? >> no, you are not. you are not. i am looking forward to jonathan's interview because i think that there are some real -- there are some interesting nuggets in there as exposed in the clips that you played. but it also raises, i think, the fundamental theme line to the point you -- to your question, is how that communication occurs. and that communication occurs on two-way lanes where you are asking questions and listening at the same time. politicians are not very good at listening. voters are very good at telling you what they want. that has been the disconnect that led to the rise of occupy wall street, the tea party, maga, and now you are at a point where the extremes much both the democratic and republican parties have met. there is such a creature as the bernie sanders/donald trump
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voter. they were real in 2016, '20 and again in 2024. their numbers are not shrinking. they are increasing. so understanding that piece between these -- each party is important. i understand where bill clinton is coming from, talking about going after corporations and all of that. but he also -- you have to understand it's the democrats that gave the workers nafta, which shifted the jobs offline, out of the country. so that reconnection with that working class voter has got to be established cleanly with an understanding why that voter is ticked off at you in the first place and 10 million of them stayed home in this election. >> yep. totally off the topic, which is an important topic, could i speak about the sartorial splender in different ways. michael's hood is arranged so perfectly.
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and jonathan is just jonathan. not 0.25 inch off. >> i try to. >> thank you. >> chris, it helps if you are once a monk and know how to get your collar together. >> there you go. straighten it out. you can watch more of jonathan's interview with president clinton 6:00 p.m., sunday as well 6:00 p.m. eastern. and michael steele on the weekend tomorrow 8:00 a.m. eastern. both are right here on msnbc. start your day with your coffee, maybe do the 6:00 glass of wine with -- yeah, little cocktail hour. coming up, the 50 million-dollar question. the arguments happening to decide whether sean "diddy" combs should get out of jail. utl why use 10 buckets of water when you can use 1 fire extinguisher. and to fight heartburn, why take 10 antacids throughout the day when you can take 1 prilosec. for easier heartburn relief, one beats ten. prilosec otc. one pill. 24 hours. zero heartburn. ♪
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right now sean "diddy" combs legal team is making its case he should get out of jail and they are offering a $50 million bail package. joining me is kristen gibbons, former prosecutor and civil attorney and msnbc legal correspondent lisa rubin is in studio with me. what are the arguments each side is making? >> i think sean combs' lawyers are returning to the same arguments they made before in prior applications for bond that he is not a danger, that keeping him in the metropolitan detention center in brooklyn which is rifle with civil rights violations is problematic for him given his public profile and that there are other ways to
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secure him and ensure that the public and the community is safe other than keeping him in, home detention, 24 hours a day, limiting his contact with the outside world, et cetera. the prosecutors say there is nothing here that would guarantee that the public is safe other than keeping sean combs in detention pretrial. the reason they say that is because sean combs from his jail cell at the metropolitan detention center, according to prosecutors, is continuing to obstruct justice. they say that, for example, he has used other inmates' phone accounts to contact witnesses, to orchestrate a social media campaign designed to taint the jury pool, that he is in fact even paying people off with respect to what they are willing to say about him from his jail cell and orchestrating it all even behind bars. they say if there was a risk of his obstruction before the prior bail hearings, that doubt about whether or not he would continue
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to obstruct is now non-existent, chris. >> okay. i want to ask you about that last part in a second. could we just talk about the bail package itself. $50 million. his net worth is around $400 million. how does a judge come to a decision about, like, what's an amount of money? i guess is it supposed to be painful to the person that would discourage them, right, from skipping bail? and if the judge would believe that he was a flight risk, then there is no amount of money i presume. >> that's absolutely right. what the judge has to do whatever they are evaluating a proposed bail package is they have to understand that there are constitutional rights. the judge has to make sure that he is or she is giving that defendant the presumption of innocence. they have to balance it against the seriousness of the allegations and likelihood that
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this individual won't come back. not only does he is have that high net worth, but the seriousness of the allegations. and one of the reasons that the prior judges decided to deny him bail in its entirety saying there is no amount that we would accept to allow him free or leased pending trial is because of the seriousness of the allegations and his likelihood by which to intimidate any witnesses that could be called in order to allow the prosecution to put on their case. so that's what the judge balances. as lisa said, those elements are still there. in fact, there is an additional element considering he has been engaging allegedly in unauthorized communications with third parties. >> obviously there is not a trial on whether or not he has done that or not, but that definitely is something the judge will consider? >> absolutely. the presumption of innocence, he has to -- but in terms of the third-party communications, yes, because intimidation of potential witnesses at trial is serious.
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it's a serious twa to taint the government's ways. and so in order for the government to put on a case, witnesses cannot be tainted or intimidated. and in fact that would probably be part of his bail condition not to communicate with any of the victims or potential witnesses in this case. >> a common question, kristen, in situations like this, what does it mean to be a very famous defendant. we've seen of course many high-profile sex abuse cases in the entertainment industry. harvey weinstein, r. kelly, bill cosby. is there anything about those cases that is instructive as we watch this, or frankly that might influence either side in terms of how to approach this trial? >> it's interesting you ask that because you're right. there are many different -- there is very similar pattern -- or trends that you see. it's the same common argument. can a celebrity, a high-profile individual receive a fair trial.
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and particularly in this case, and we saw in some of the other cases as well with r. kelly, harvey weinstein, can these individuals really exercise their sixth amendment right, allow themselves to communicate with counsel if in fact they are incarcerated during the pendency of their trial. so those are the common themes. in terms of the right to a fair trial, what jury doesn't know what's going on here? and that is also the common trend. but again what boils down to the ultimate issue is whether or not he or she can receive a fair trial. a high-profile individual in the past have gotten a fair trial. and certainly they will be able to find a jury who will be fair and impartial and be able to give diddy combs a fair trial. so i think those elements are always there. they are always raised but they are always in some way found by the judge to be a ameliorated. >> thank you both. and coming up, could trump's pick for secretary of health and
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human services, rfk jr., dramatically overhaul medicare? what you need to know next. you're watching "chris jansing reports" only on msnbc. but less than 10% of us get enough each day. good thing metamucil gummies are an easy way to get prebiotic, plant-based fiber. with the same amount of fiber as 2 cups of broccoli. metamucil gummies the easy way to get your daily fiber. to me, harlem is home. but home is also your body. i asked myself, why doesn't pilates exist in harlem? so i started my own studio. getting a brick and mortar in new york is not easy. chase ink has supported us from studio one to studio three. when you start small, you need some big help. and chase ink was that for me. earn up to 5% cash back on business essentials with the chase ink business cash card from chase for business. make more of what's yours. type 2 diabetes? from chase for business. discover the ozempic® tri-zone. i got the power of 3.
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trump's pick to head that organization is looking at changing medicare's decades-old payment formula, a bid to shift the health system incentives towards primary care and prevention. they say the system drives doctors to perform costly surgeries rather than combatting chronic disease. while a number of kennedy's idea including those around vaccines have been criticized, this idea is one that has been debated for a while as a way to spend those hundreds of billions of dollars. joining us now dr. patel, former obama white house policy director and msnbc medical contributor. i'm told you actually worked in medicare policy with rfk junior's uncle, ted kennedy, is that right? >> yes, on this exact topic. >> we have been talking about it for decades. it's a complex issue involving billing codes, a bunch of
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different financial interests. so i will ask you to try to break it down for us in ways that, you know, those of us who aren't steeped in it understand. why are many people and now apparently rfk jr. convinced it needs to change? >> yeah, so several decades ago we were convinced it needed to change because it was a committee that was intended to help create kind of a more rationale payment model in 1991 base odd on how we valued goods and services provided by physicians. it's volunteers hosted by the american medical association with national kind of association representation from all specialties. but over the years, chris, health care, it's complicated. we realize that people who are in primary care like me don't get paid as much as people who do procedures. those procedures don't always lead to kind of improving our incentivizing prevention and preventing chronic diseases. bottom line up see this
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asymmetry. there is a lot more money to kind of go after certain types of health services and there are a lot of services like all pediatrics, children's care preventative primary care for women that just don't have any oxygen to be able to do what they need to do. so this needs to be modernized. i think the biggest issue, chris. you can rip this apart. what do you replace it with? that was where we got stuck several decades ago. what better system could we find to actually pay people accordingly. >> yeah, i think one thing that some people, and i'm thinking about, for example, elizabeth warren has suggested and these are my words, that this is a little like the fox guarding the hen house because you have doctors who have a vested financial interest in how these things are paid out helping to guide the decisions of how they are paid out. she goes so far as to call it plain unethical. and bipartisan senators have
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called for changes to the system. look, a complicated system is going to take complicated solutions, but is there -- >> right. >> is there something inherently that needs to change? is it about you don't necessarily get the most money because you are willing to do a surgery. sometimes preventing people from having to have surgery or long-term chronic illness should be worth more. >> yeah. i mean, you nailed it. how you do that is complicated. but getting people to get paid for what we call value in care over volume that you will hear that a lot when you come into kind of health research. value over volume. that's what we want to drive. i should be paid to make sure that you're living the life you want to live and how you want to live it. that involves a lot more attention to diet, nutrition, exercise, helping facilitate that for you. when you look at what doctors like me could get paid more for, it doesn't line up with those procedures or those conversations with patients.
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it costs me more time to talk to you about this than i can get paid if i did a procedure. i'm simplifying it for the sake of time, but i that i you're right. we want to get to value. you imagine a doctor being paid to take care of someone over the course of their entire medicare life and being kind of incentivized, take great care of a person kind of over years, not just in an episode of care. >> dr. patel, it is really important and we are lucky to have you to talk with us. thank you. have a great weekend. that's it for us this hour. our coverage continues with "katy tur reports" next. have some really encouraging news that you'll definitely want to hear. depending on the plans available in your area, you may be eligible to get extra benefits with a humana medicare advantage dual-eligible special needs plan. most plans include the humana healthy options allowance. a monthly allowance to help pay for eligible groceries, utilities,
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rent, and over-the-counter items. the healthy options allowance is loaded onto a prepaid card each month. and whatever you don't spend, carries over from each month. plus, your doctor, hospital and pharmacy may already be part of our large humana networks. so, call the number on your screen now, and ask about a humana medicare advantage dual-eligible special needs plan. and remember, annual enrollment ends on december 7th. humana. a more human way to healthcare. dry... tired... itchy, burning... my dry eye symptoms got worse over time. my eye doctor explained the root was inflammation. xiidra was made for that, so relief is lasting. xiidra treats the signs and symptoms of dry eye disease. don't use if allergic to xiidra and seek medical help if needed. common side effects include eye irritation, discomfort, blurred vision, and unusual taste sensation. don't touch container tip to your eye or any surface. before using xiidra, remove contact lenses and wait fifteen minutes before re-inserting.
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