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political correspondent emanuel emanuel chancellor merkel in quarantine she's at home we believe after coming into contact with her doctor who had tested positive for corona virus what more do we know right now. well indeed a government spokesperson stiffens i have confirmed that angle america has been ordered to stage a home to go into quarantine after being in contact with a doctor on friday days doctor who came to give her a vaccine a precautionary vaccine against a new mechanical inspections and seems to end this doctor has been tested positive oh dear no hole current of our is. 19 so as a precautionary measure the chance of the husband will do it to go into quarantine and the government is being transparent about it since as she only found out shortly after the announcement of new us title measures to try to contain and to spread of the virus in the country and she immediately went into current seen at home the chancellor has been taking more and more of a leading role in germany's response to the pandemic how might this latest announcement of course the chancellor has not been in
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emanuel after this break. back emanuel after this break ♪ we cannot do all the good that the world needs. ♪ but right now, the world needs all the good that we can do. ♪ to all of our employees and everyone working to keep america strong, thank you. to all of our employees i need all the breaks, that i can get. at liberty butchumal- cut. liberty biberty- cut. we'll dub it. liberty mutual customizes your car insurance so you only pay for what you need. only pay for what you need. ♪ liberty. liberty. liberty. liberty. ♪ and ask your doctor about biktarvy. biktarvy is a complete, one-pill, once-a-day treatment used for h-i-v in certain adults. it's not a cure, but with one small pill, biktarvy fights h-i-v to help you get to and stay undetectable. that's when the amount of virus is so low it cannot be measured by a lab test. research shows people who take h-i-v treatment every day and get to and stay undetectable can no longer transmit h-i-v through sex. serious side effects can occur, including kidney problems and kidney failure. rare, life-threatening side effects include a buildup of lactic acid and liver problems. do not take biktarvy if you take dofetilide or rifampin. tell your doctor about all the medicines and supplements you take, if you are pregnant or breastfeeding, or if you have kidney or liver problems, including hepatitis. if you have hepatitis b, do not stop taking biktarvy without talking to your doctor. common side effects were diarrhea, nausea, and headache. if you're living with hiv, keep loving who you are. and ask your doctor if biktarvy is right for you. if you're living with hiv, keep loving who you are. still fresh... ♪ unstopables in-wash scent booster ♪ downy unstopables we find a way through it. it's about taking care of each other. it's the small parts that make a big difference. at chevy, we promise to do ours. we're offering chevy owners complimentary onstar crisis assist services and wifi data. if you need a new chevy, interest-free financing for 84 months - with deferred payments for 120 days on many of our most popular models. you may even shop online and take delivery at home. it's just our way of doing our part... >>> three out of four people in the united states are being urged by government to stay home within their states. 31 states the district of colombia and pouerto rico issue orders to shelter in place that applies to at least 261 million people in the united states, 79% of the country's population. daily life is changing drastically including for the people staying home. we have many questions about this new normal. and we want to consult with dr. zeke emanuelneed to live your life. zeke, let's start with masks. the general advisory seems to be changing on masks. at first it was you don't need one unless you are sick or treating someone who is sick. what's the latest guidance on masks? >> let's be clear. those n 95 respirator masks that everyone is talking about, those are needed for hospital workers, doctors, nurses, respiratory therapist and other people. they filter out 95% of the airborne articles. right? the healthy public doesn't need n 95 respirators to walk around and if they use them, we wouldn't have enough for the health care workers. having health care workers have those masks is most important. but that doesn't mean we shouldn't be wearing masks. it has been the case that both the cdc and the w.h.o. said people that aren't sick with covid-19 or caring for someone sick with covid-19 should not be wearing them. i think that's probably wrong. or at least overly restrictive and here is how i've been thinking about it and i have to
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emanuel. dr. emanuel, welcome back. i will let you take a crack at the president's proposed idea of sort of these quadrants and going county by county in a moment. but that litany of countries mika just read from china west across the world, what can the united states learn from that? we heard so long we're ten days or two weeks behind italy taltz. what should we be looking at this morning as we look at the statistics across the world combined with what we're seeing in hospitals here? >> well, you want to look at italy, spain and not do what they're doing, which was too little too late. you want to look at china and mainly south korea and taiwan, which, you know, have a better response. you know, a shelter in place, lockdown, quarantine, whatever we're going to call it, has to go in place. you have to have physical distancing and you have to keep that up probably for eight weeks. after four weeks you kind of get to the peak and then it begins to come down. that's what you would like to see before -- you need to see it come down before you relax. that is critical. now, italy did it late. they're only a few weeks into it. you will see. you have to hold on. part of the problem is people get -- you know, it is very hard to stay inside and only do essential travel and people get anxious and break this physical distancing. if we don't hold on for -- to it for long enough you won't really get the full effect from a public health standpoint in terms of slowing the coronavirus. we have to remember, everyone in the united states, that this virus, you know, doubles in terms of the number of people infected every three to four days. we probably have a million people already in the united states infected, and if we don't do anything, in less than four weeks we will have 100 million people infected. >> zeke, we are hearing from the front lines that hospitals are making very difficult decisions based on a shortage of supplies, specifically ventilators and other supplies to help save lives. i hate to put you in this position but we need facts for our viewers, facts that they can depend on. >> yes. >> i'm concerned what is happening at the top on the part of the president's team. here is dr. deborah birx talking about whether or not hospitals are in bad positions right now, those people on the front lines. take a look. >> we are reassured and meeting with our colleagues in new york that there are still icu beds remaining and there's still significant -- over 1,000 or 2,000 ventilators that have not been utilized yet. please, for the reassurance of people around the world, to wake up this morning and look at people talking about creating dnr situations, do not resuscitate situations for patients, there is no situation in the united states right now that warrants that kind of discussion. you can be thinking about it in a hospital, certainly many hospitals talk about this on a daily basis, but to say that to the american people, to make the implication that when they need a hospital bed it is not going to be there or when they need that ventilator it is not going to be there, we don't have any evidence of that right now. >> so, actually, we are hearing evidence of that from front line health care works every day. andrew cuomo has said it as well. i want to read to you a letter from columbia surgery, the head of -- the chief -- head of the cardiac division for pediatrics. his name, dr. emile baca. it is to his colleagues. he says new york city is the epicenter. this has led to a complete change for every single health care worker here, professionally and personally. specific to pediatric cardiac surgery, we have had to make decisions that i personally have never had to contemplate before. we have had to ration care and make decisions about who is considered an urgent or emergent case. these boundaries are fluid in our specialty. we have only one o.r. team. we have yet to decide what to do about endless other cases such as shunt-dependent infants, teenagers with bad valves and so on. all families in need are looking for our help. the most recent guidelines from the hospital is that only truly life-threatening problems are allowed. the problem is that we don't really know when we can get these patients back on the schedule, and so the anxiety of the parents is extreme. we have initiated transfers to other centers, but they have their issues as well. i sincerely hope that we will be the only ones faced with these decisions. i don't mean to depress anybody, but that's the reality now for us. it is not just the health care workers on the front lines, in the ers dealing with the covid-19 patients, zeke, it is all across the hospitals where they're dealing with having to ration their surgeries. >> yes. we've -- look, the health care system was busy before covid-19 and now you add on covid-19, and that is a huge stress to the system which we weren't prepared to do and we hadn't had a surge plan. i think i was on your show probably three or four weeks ago talking about the need to address surge and to think about it now before it became serious, and i don't think there was much thinking in washington about that. the idea that we're not having shortages, at least in new york and some other cities, detroit, california, and san francisco and seattle, i think is belied by the interviews you have, that you have just quoted. "the new york times" ran a very moving video of a frontline doctor in new york, in queens. >> yes. >> these are real decisions, and the idea that we have a surplus of ventilators in the country, there may be parts of the country that don't have a big demand at the moment. maybe it is nebraska, and we should be getting those ventilators and shipping them to new york where there is clearly an overload of demand. the idea that the president dismissed, you know, the need for 20,000 or 30,000 ventilators, i think that is just wrong. if you just do the math, there is -- that kind of need is if not present absolutely today will certainly be present within the week in new york city. the head i think of virginia mason in seattle said april 8th is their day to run out of ventilators. so this is a gripping problem that i know every head of every major hospital in the country is trying to address rapidly. you know, i think debbie birx is saying this in part -- i made this point -- that, you know, the government, especially the republican administration, does not like to admit that rationing of health care is happening under its watch. they use rationing as a cudgel to attack democrats or government-run programs that ration. here we have real rationing in this country by doctors because we don't have enough services and we have an overload of patients to the system. again, it is not just coronavirus patients, as you quoted, patients with other condition whether it is pediatric heart disease, cancer, multiple sclerosis, other things, are going to suffer because of this virus. we have to address all patients equally. they all need our care. >> and as you know, dr. emanuelspitals are being turned into icus to process the coronavirus patients, surgeons called in from their specialties to work on coronavirus. you talked about president trump questioning the need for 30,000 or 40,000 ventilators. he also worried about the price. he said you wouldn't believe how much these cost. in that same interview on "fox news" last night the president went after three democratic governors who have been critical of the federal government's response to the coronavirus outbreak in the united states. new york's andrew cuomo, michigan's gretchen whitmer and washington state's jay ensley. most notably as dr. emanuel noted, president trump questioned governor cuomo's statement about how many ventilators new york actually needs. >> new york is a bigger deal, but it is going to go also, but i have a feeling that a lot of the numbers that are being said in some areas are just bigger than they're going to be. i don't believe you need 40,000 or 30,000 ventilators. you know, you go
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[ doorbell rings ] paper anholi u wartime foot this virus. >> i do. i view it in a sense i'm wartime president. that's what we're fighting. >> president trump striking a more serious tone at one of his near-daily briefings which have sometimes sown confusion and doubt over the government's response effort. joining me now to discuss that and more, abc news chief medical correspondent dr. jennifer ashton. former trump homeland security adviser tom bossert and kevin mcaleenan. secretary mcaleenan, i want to start with you.si f information, we were talking and you said it looks almost like a military commander, you need a military commander to run this massive operation on what's essentially a battlefield. do we have enough people, you heard the fema director, what are you seeing? >> right, well, i had the opportunity to work closely with pete gaynor at fema on responses. now we have the operational muscle of fema backing the medical professionals at the hhs, but this information flows at a different scale than any crisis i have seen. we got all 50 states engaged. we're trying to bring in data from hospitals, medical professionals, we're trying to look at what's happening in 140 countries where this disease is in presently. >> and you heard me press him about warnings and about intel, how does that work? there had to be warnings. >> sure. >> one of our contributors just texted me a short time ago, and said, there were warnings, they were ignored, we should have been more prepared. >> epidemic response for the department of homeland security, has the lead role. just in my 20 years at dhs we dealt with things from ebola in 2016 very significantly to zika, h1n1, sars, mers, these were periodic. what's different about this is the infectious combined with the lethality. this is a different pathogen. it's created challenges that are unique and different. >> if you had warnings about a pandemic, they would be unique and different it would seem? >> right. >> and so why not prepare for something like that, given the fact that obviously it's enormous and it's global and it's a new virus, but is there not a way to be prepared for something? >> there's a lot of preparation. there's a lot of equipment in the stockpile. again, the scale of this is very different. what i see in this crisis right now is that we have reached a very important point. two key points in any crisis, you have an action point and a turning point. i believe we hit that first point, we have the clarity and shared strategy. key elements of the nation mall machinery mobilized toward that end -- public health. you heard about the state and local governors are fully engaged. you got the coronavirus task force. you got the private sector. 20 vaccines according to the world health organization already in testing. you got antiviral testings on the therapeutic side might make a difference. we're all moving in complementary direction and lack of partisanship. >> when you look at the data you've seen, and you know people at home are so nervous about this, when do you think we'll know more about how long this might last? >> so, we're about halfway the 15 days to flatten the curve period, i know the coronavirus task force, all the public health professionals, columbia university,everyby'worg fang.awe'll be i think a aetter picture.llks going to las the extent of the outbreak in the united states and what we're going to have to do in our daily lives to address it. >> thank you for joining me. >> thank you. >> former acting dhs secretary kevin mcaleenan. >>> let's bring in dr. jen ashton and our own tom bossert now. you heard in the press conference yesterday that not everyone should be tested. dr. ashton, prioritizing everybody, are we in a new phase of this disease? >> i think we absolutely are in a new phase, martha. if you go back just a few weeks ago, there was such a big push and focus on getting more tests out there and i think now it's almost looking like that was an unfortunate diversion because, yes, data does drive decisions it's important to know the penetrance of this virus in our society, but right now, the focus on testing everyone is drawing our attention and our valuable resources away from critical care, not just of patients with severe covid-19 but with the patients that are already and always in our healthcare system at baseline, the heart attacks, the strokes, the accidents. so i think we are going to switch very rapidly, and we heard dr. fauci mentioned it yesterday, to this message, if you have mild symptoms don't try to get a test because as you see the focus on ppes, you know, we have to understand that our surge capacity here on a healthcare, hospital level depends on staff, supplies, space and systems, they're all interconnected. ppes don't work by themselves unless there are healthcare workers to use them. so i think we need to rapidly shift to the more critical patients so that we don't have a situation as we're seeing unfold in europe. been wching this for wks and tracking t data, iwh are today with the number of cases, number of deaths, where you expected us to be? better, worse, because many healthcare experts are showing we're tracking with italy and that's obviously not good. >> so, martha, one of the problems with this is to treat the united states as a monolithic thing, we're a really big country, so much bigger than italy, what dr. jen said is right in terms of testing. we needed more case ascertainment. was to target these clampdowns to places that needed to be clamped down. because we didn't have that testing capacity and because it came on us quickly, we ended up shutting down the entire country economically and social distancing all at once. where we are today is, his plan. to worked if peopl i'm upset for those who don't stick to it. because we're all paying a heavy cost economically. if you don't follow these rules, then you're slapping us all in the face because we don't get the public benefits of that cost. i would say there's a dichotomy to answer your question between the 47 states that seem to have a problem, but one that can continue to control, and the three states led by new york unfortunately, that seemed to have a problem that's going to grow now in a way, and i say this and i hope my wrong that, that's going to overwhelm the new york healthcare system in the coming days. >> and why not a national shutdown, slowdown? >> what we don't want to do is fatigue the communities that don't have the need to act in this fashion and/or leave those communities that are in a dire situation with the impression they're not in that situation, i'm not trying to be alarmist but a clear-eyed assessment. administrator gaynor said, quote, every single governor is looking for the same thing. that's a problem. we need to focus our resources into new york, california, washington state, the places right now that are seeing significant potential explosive growth, i mean more than our hospital systems can bear. martha, think about this, if you're worried about keeping ceding coming from europe, think about within intrastate, if a state that hasn't yet seen the seething of this virus that you got time to act not that you dodged a bullet. >> and dr. jen, there's been new data this week showing a wider swath of the population is more susceptible, younger people, many more males with mortality rate, new symptoms, possibly stomach problems, do these revelations mean the data is catching up or we're simply learning more about the disease? >> i think it's a combination, martha. we do have to remember that we're less than three months just into the medical and scientific understanding and familiarity with this novel coronavirus. so everything you said is really important. new information that we gleaned in the last couple of days, it's part of the reason why we need to track data and understand how this virus is behaving in the u.s. and what the patient characteristics and profiles look like. but i can tell you, martha, to dovetail off what tom just said, in new york city the hospitals are already under water. we have seen urgent pleas for anyone with a healthcare license -- doctors, nurses, physician assistants -- to identify yourself to a local hospital system, we have an evolving situation in obstretics, with mothers, fathers and kids being separated. there's confusion on a clinical level here. without the information you just mentioned we can't integrate all of this. i think we're going to rapidly see a strong message that if you have mild symptoms, at any age, don't focus on getting tested right now because you're taking resources away from someone who literally may be in a more critical medical situation. >> dr. jen, i got to wrap you there. we so appreciate everything you said this morning. tom bossert and dr. jen ashton, thanks very much. >>> rahm emanuelanding by. thank you very much. >>> rahm emanuel and chris christie are standing by. >>> this is a >>> this is a very, very important meeting. as you obviously know. as it relates to domestic and our national security. there's no higher task to any administration than protecting the american people. whether we're democrats, republicans, we'll have our policy differences. there's no policy difference when it comes to protecting the american people. ptt bch inpathe hellffth beach at asburt out. this is going to be an enormous storm and for new jersey, something that we haven't seen in over 60 years. don't waste any more time working on your tan. >> a flashback there. governor chris christie who managed two major storms including hurricane sandy during his run as governor of new jersey, and then incoming chief of staff rahm emanuel, as he managed the fallout from the 2008 financial crisis. rahm is out with a new book the nation city, why mayors are new running the world. both join me now.
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emanuel, an oncologist, bioethicist and former obama administration policy adviser. dr. emanuel, what is your reaction to what donald trump had to say today about this possibility of what he calls reopening the country and the specific refusal to say he would follow dr. fauci's advice? >> you know, last sunday, he saw the modeling from the imperial college, london, that predicted 2.2 million deaths in the united states. the tone changed very radically in the early part of the week. and then you have seen some kind of backlash in the media about, well, maybe we don't have to close the country, maybe that's too drastic, we're tanking the economy, we could do it more surgically i think has been the word that's been used, and donald trump has latched onto that and basically said, well, tony fauci doesn't know what he's talking about. he didn't come out and say that, of course, because he can't, given the power and respect that tony fauci has gotten in the country. and he says, but, you know, we're going to reopen for business or consider reopening for business and not have this physical distancing, closing of schools, closing of businesses, curtailing of transportation. and i think he made quite clear, you know, tony's one voice, he's not the -- necessarily the most important voice. he's going to listen to others. the problem here is that the others, at least in the public health community, are pretty uniform that you really do have to have this physical distancing, you have to shut down spread and contact because that's the only way to limit the spread of the coronavirus. once we reach a peak and then come back down, then you can begin slowly opening up businesses and other things. but it sounds like the president is going to do it prematurely. there is no way in 15 days that you are going -- especially because its systematic around the country, it's haphazard -- that you are going to reach the peak of spread and come back down. and the consequence of this is going to be pretty clear. hundreds of thousands if not millions of people will get this virus and tens if not hundreds of thousands of people will die. >> governor cuomo in new york today said it could be four months, he said, it could be six months, it could be nine months, we just don't know. and it's governor cuomo that's actually in charge of closing down or reopening new york. all donald trump can do is make a recommendation. it's really up to the governors. >> well, lawrence, yes and no. it is true, governor cuomo has new york. he can control closing and opening new york. but if the rest of the country or other states like florida are not doing it and people are still transmitting the virus in florida and then they come up to new york, governor cuomo's efforts are going to be less -- much less effective. and yet the economic pain is going to be experienced by people in new york. you need this uniformly across the country to really make a big impact and that's what donald trump has so far been inhibiting. >> doctor, i want to continue this conversation but i have to squeeze in a commercial break. if you could stay with us when we come back. >> yes. >> i would love to ask you about what the affordable care act means in this situation and the fact that the president is trying to basically have the supreme court repeal the affordable care act. stay with us, i would love to bring that up after the break. we'll be right back after this break. right back after this break. can my side be firm? and mine super soft? with the sleep number 360 smart bed, you can both adjust your comfort with your sleep number setting. but can it help keep me asleep? absolutely, it intelligently senses your movements and automatically adjusts to keep you both effortlessly comfortable. and snoring? no problem ...and done. so, i'll wake up ready for anything? oh, we've got your back. so, you can really promise better sleep? not promise. prove. and now, save up to $900 on select sleep number 360 smart beds. plus, 0% interest for 48 months on all smart beds. only for a limited time. 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(vo) save over 40 hours a month with intuit quickbooks. the easy way to a happier business. missions in iraq as aand afghanistan.89 combat as a national security advisor, i worked to keep our country safe. i'm amy mcgrath. now i'm running for senate in kentucky against mitch mcconnell. i can win, but i need your help. with your contribution, we can finally remove mitch mcconnell from office and start repairing the damage he's done to our country. i approved this message... because this is gonna take all of us. 1 in 3 deaths is caused by cardiovascular disease. millions of patients are treated with statins-but up to 75% persistent cardiovascular risk still remains. many have turned to fish oil supplements. others, fenofibrates or niacin. but here's a number you should take to heart: zero-the number of fda approvals these products have, when added to statins, to reduce the risk of cardiovascular disease. ask your doctor about an advancement in prescription therapies with proven protection. visit truetoyourheart.com >>> today house speaker nancy pelosi reminded america that right now, tonight, and tomorrow, donald trump is trying to take health care coverage away from over 20 million people. >> now we find ourselves in the depths of one of the most serious health and economic emergencies our nation has ever faced. the protections of the affordable care act are more important now than ever. but right now, in the middle of the coronavirus, the trump administration is in court suing to tear down the entire affordable care act. every last protection and benefit. today, therefore, i'm calling on president trump to abandon his lawsuit seeking to strike down the affordable care act. instead, the president should urge the 14 states who have refused to expand medicaid to do so. >> back with us, dr. zeke emanuelelped write the affordable care act in the obama administration. dr. emanuel, your reaction to what nancy pelosi had to say, that here we are in the middle of this pandemic and donald trump is still, still trying to kill the affordable care act. >> yes, there is this suit by attorneys general from a number of states led by texas that has gone through the appellate court and that has said, you know, you can strike down the affordable care act, it's unconstitutional because the individual mandate has gone away, you can't just strike down one little part of it, the whole bill. and donald trump and his department of justice have sided with texas. first of all, let me tell you, everyone in the whole health care world, insurers, hospitals, doctors, whether they're republicans and democrats, think this bill has really improved the health care system. it hasn't made it perfect by any stretch of the imagination. there are many complications. there are many inadequacies. it's gotten 20 million m
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emanuel bishop is a down syndrome advocate with an ambitious bowl, to inspire young people like himself around the world. in today's human factor, emanuel shows us what's possible when you reach for your potential. here's dr. sanjay gupta. >> at age 22, emanuelg common preconceptions of young men with down's syndrome. >> i'm a violinist. a swimmer. a golfer. >> as a kid, the violin became his first love. >> i started to play at age six. >> emanuel's passion for music has taken him to stages around the globe, including an invitation to perform at mass at the vatican. >> i am an ambassador of the pope, an ambassador of hope. >> an ambassador in many languages. >> off the stage, emanuel has sites set on his next special olympics win. >> laps in the morning. and hitting the greens in the afternoon. proving he can excel in the pool or on the links. >> i'm living the dream. >> to those who doubt his abilities, he says -- >> presume competence. >> to young people like him -- >> i want people with down syndrome to follow your talents. hi, i'm bob harper, and i recently had a heart attack. it changed my life. but i'm a survivor. after my heart attack, my doctor prescribed brilinta. it's for people who have been hospitalized for a heart attack. brilin
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. >>> and rahm emanuel says this is going to be anything but normal. >> and an evening was hosted with rahm emanuel was true a month ago where it looks like this guy is going to get re-elected. and the economy and the stock market he was living and dying by is more dying than living. this is a disaster for him. >> he says while joe biden may have a lead now there, is still a long way to go. >> all right. not too long of a way to go bfore rain finally. >> finally here's sandy patel. >> finally some rain. as we take a look at doppler 7, we have a cold system from the gulf of alaska. 4:00 a.m. to 10:00 p.m. saturday. snow level around 4500 feet. and even more over the peeks. just keep in mind if you are traveling, take those chains because travel could be tough. if you're wondering about the tahoe forecast. partly cloudee. saturday could be dicey with the snow and wind and definitely tough travel on saturday and sunday wim be a better day if you are coming back. and the marine layer really rushed back last night. high clouds over head. sea breeze was back and this beautiful time lapse cap chrca d what
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. >>> and rahm emanuel says this is going to be anything but normal. >> and an evening was hosted with rahm emanuel. >> so what was true a month ago where it looks like this guy is going to get re-elected. and the economy and the stock market he was living and dying by is more dying than living. this is a disaster for him. >> he says while joe biden may have a lead now there, is still a long way to go. >> all right. not too long of a way to go bfore rain finally. >> finally here's sandy patel. >> finally some rain. as we take a look at doppler 7, we have a cold system from the gulf of alaska. 4:00 a.m. to 10:00 p.m. saturday. snow level around 4500 feet. and even more over the peeks. just keep in mind if you are traveling, take those chains because travel could be tough. if you're wondering about the tahoe forecast. partly cloudee. saturday could be dicey with the snow and wind and definitely tough travel on saturday and sunday wim be a better day if you are coming back. and the marine layer really rushed back last night. high clouds over head. sea breeze was back and this beautiful time lapse cap
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emanuel, former obama white house health policy advisor. dr. emanuel, let me start with you. the new measures, we understand, involve two navy hospital ships. those won't be ready to go, really, in the next days at all, it will take weeks, but to deal with overload, but the pentagon confirmed they will provide 2,000 hospital beds. i mean, how many days away are we from knowing how big this surge, this huge surge that they say could be a few days or a week or so away will be? >> in terms of number of cases, you mean or in terms of response? >> in terms of how many people need that hospital care. >> well, it's very interesting because a lot depends on who you admit to the hospital, how sick they are, how many of them need intensive care unit beds. i think we don't fully know. we've done a calculation based upon 20% of the population being exposed which is 64 million people and you get pretty high up pretty rapidly in terms of the demand for things like intensive care unit beds goes over 3 million. so, you know, even if we had 5% of the population that was exposed, which is, you know, about 16 million people, you're quite rapidly into the hundreds of thousands which -- needing icu beds which drar dwarfs our capacity. our capacity even, you know, there's a little bit of argument how many icu beds we actually have for adults but it's certainly under 100,000. how long are we until -- in certain regions, san francisco, seattle, new york, a few other real hot spots, you know, we could be a week -- less than a week away. remember the numbers we're looking at, those 8,000 cases, we don't have a lot of testing, they're probably -- that probably means there are ten times the number of cases, at least 80,000 cases confirmed, and that's 15 days ago because to get a positive and have the incubation so you're looking at what the picture was two weeks ago at the start of the month. not really today, though. it progressed well beyond those 80,000 cases today. so, it's a serious, serious issue, and you know, if only 5% of those people need an intensive care unit bed, that's a lot of people built on a system that already, already had a lot of people in the intensive care unit. >> right, right, i mean, it's -- flu season, you got a lot of people in those beds, it's not as if all of them are empty to begin with. >> right, people who have heart attacks. >> yeah, all kinds of issues every day and people need to be in those beds. so the president signed the wartime law to expand the production of masks and protective gear. but then he tweeted that he only signed it, quote, should we need to invoke it in a worst case scenario in the future. so, when you look at the situation and then i know talking to doctors, even in hospitals where they believe they have maybe the ventilator and the icu bed situation under control, there's not a hospital in the country that seems to think they have what they need in terms of the masks and protective gear that prevent the spread of this. does he need to invoke this now or produce this now or is there just not even the capacity to produce it? >> well, i think that there is -- there is production has been ramped up. i think it's the private sector has responded very critically to this need, and whether there will be sufficient supplies really depends on the actions that we take today as a population to implement the social distancing and the hygiene measures that the federal government, the cdc in particular, has recommended. it's really ultimately going to be up to us to slow the epidemic curve, to flatten the epidemic curve so that we get to a point where we don't really break the hospital system. i can't stress that enough. i think governor cuomo communicated this very clearly yesterday where he said that as scientists show him the epidemic curve, what he really sees is a wave, not a curve, and a wave that has the potential to break upon hospitals, so the idea is that we really need to work together as a population to shelter in place and to avoid social interactions that will continue to propagate this terrible, terrible epidemic. >> so, dr. emanuel, one crucial thing that could be in short supply, of course, in some of these, even the moderate case scenarios, certainly some of the worst case scenarios are ventilators and trump was asked about that today and i wanted to play that exchange for you, doctor. >> there are a tremendous number of ventilators that we have but for weeks, hospitals have been warning about a critical shortage that they say we are not prepared for. so, why did it take so long to invoke the defense production? >> you know, hospitals are supposed to have ventilators too. and when we we have thousands of ventilators, it sounds like a lot, but this is a very unforeseen thing. nobody ever thought of these numbers. >> but we knew for weeks we needed more ventilators. >> well, we knew -- it depends on how it goes. worst case, absolutely. best case, not at all. so we're going to have to see where it goes. >> dr. emanuel, you've worked on emergency preparedness and, you know, seen what curves like these can look lik
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emanuel on wyatt local leadership is needed now. first, judy: rahm emanuel's political career has taken him to the white house twice, serving as a top advisor to presidents clinton and obama elected to the , u.s. house of representatives for three terms and elected mayor of chicago twice. but in his new book "the nation city," he argues that mayors are the country's most effective government officials today. we sat down recently, and he started by explaining how his family's immigrant roots inspired him to write this book. >> i dedicate the book to my father, who just passed away. he came here as an immigrant. he had a postcard of the boat that brought him here. he had not a bucket to spit in or a window to throw out of. he makes it and he ends up with one of the largest pediatric practices in the city. my uncle was a police officer. my grandfather, when he thought he made it, moved to albany park. i represented albany park in congress. we traveled many miles but did not go very far as a -- family. judy: you have a hopeful message here, but it's based on a depressing premise. [laughter] >> you are so jewish, judy. what a way to discover that. [laughter] judy: it's based on the premise that the federal government is dysfunctional. everyone goes around saying that. what do you mean by it? >> there's a lot of things that lead to it, but it is distant, disinterested good, it is dysfunctional. it matches against the city streets that are intimate, immediate, and impactful. i write the first chapters about education. i'm very proud about what we did. we made four more years of education in chicago. pre-k became universal. kindergarten became versatile. we added an hour 15 minutes everyday. we made community college free to every person who got a b average in high school. it gave transportation, etc. what i mean is chicago started something. 8000 kids have now gone to community college for free. seven other cities are replicating it. the federal government never called. we were never asked to testify. we were never asked, how is this working? my mother thinks it's the most influential thing to happen of the last 10 years, but don't you think if we are going past high school, eight or nine cities doing this, someone within the national government saying, what is the retention rate? judy: and you are saying the federal government isn't interested. >> blind. judy: what do cities need to realize their full potential? >> you have to make quality investments. quality public education. number two, great investment in transportation so everybody in the city can participate in the opportunities, not just one part. third, the parks and the libraries are the levels set for people of all walks of life to have the same access. those are the types of things i think are essential. most importantly is the city's growing economically. you have to make sure that growth is shared and given to other communities that have challenged, whether it is an education or economic investment. judy: you write about a number of mayors who have done a good job. there's a former mayor running for government. you don't write about him here. that's bernie sanders. why did you leave him out? >> i didn't leave them out intentionally, it is the mayors i served with i know. interestingly, he might talk more about what he did as mayor of burlington. judy: i think people are saying they've never seen the democratic party as conflicted as it is right now, maybe is divided. why is that? >> it's interesting. you have real pressure on the party. it's interesting you say this, because there are some elements coming out of the progressive wing that see the obama and clinton years as unsatisfying for the progressive agenda. as a student of politics, there's only three democrats in the past 100 years that got reelected. roosevelt, clinton, and obama. it is interesting to be dismissive of bill clinton's policies and obama's. they did get reelected. i'd rather have eight years of their programs versus another four years of donald trump's. judy: and you are saying if bernie sanders is a nominee, you are afraid? >> there is an energy in the prressive wing that somehow is dismissive not just of the policy but the politics. you have six election since 1992 , all following in the singular political paradigm. it would be reckless with all that's at stake from congress, senate, the governors, state houses, let alone the presidency to cast away that lesson and say we will not take the lesson of 2018, we will say get it to swing voters, independent voters who don't want to vote for trump, we will have a record turnout of young voters and working-class voters, which we have never experienced. i think that is putting too much at the roulette table when you have a model as recently as 14 months ago that was a national model of success. judy: rahm emanuelthe book is "the nation city: why mayors are now running the world." thank you. a quick news update before we go. president trump announced tonight that the administration will discuss a payroll tax cut and other measures with congressional leaders tomorrow to counter economic impact of the coronavirus. he did not answer questions about whether he haseen tested for the virus. vice president pence said he has not been tested, and does not know if the president has. and that is the "newshour" for tonight. i'm judy woodruff. join us on-line and again here tomorrow evening. for all of us at the pbs "newshour," thank you and see you soon. announcer: major funding for the pbs "newshour" haseen provided by. >> on a journey with american cruise lines, travelers experience the maritime heritage and culture of the maine coast and new england islands. our fleet of small cruise ships explore american landscapes, seaside villages, and historic harbors where you can experience local customs and cuis
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emanuel will join us. he said america is losing the war of covid-19 but believes there is way to turn that around. zeke emanuel joins us next. your mission: stand up to moderate to severe rheumatoid arthritis. and take. it. on with rinvoq. rinvoq a once-daily pill can dramatically improve symptoms... rinvoq helps tame pain, stiffness, swelling. and for some... rinvoq can even significantly reduce ra fatigue. that's rinvoq relief. with ra, your overactive immune system attacks your joints. rinvoq regulates it to help stop the attack. rinvoq can lower your ability to fight infections, including tuberculosis. serious infections and blood clots, sometimes fatal, have occurred as have certain cancers, including lymphoma, and tears in the stomach or intestines, and changes in lab results. your doctor should monitor your bloodwork. tell your doctor about any infections and if you are or may become pregnant while taking rinvoq. ready to take on ra? talk to your rheumatologist about rinvoq relief. rinvoq. make it your mission. we find a way through it.y, it's about taking care of each other. it's the small parts that make a big difference. at chevy, we promise to do ours. we're offering chevy owners complimentary onstar crisis assist services and wifi data. if you need a new chevy, interest-free financing for 84 months - with deferred payments for 120 days on many of our most popular models. you may even shop online and take delivery at home. it's just our way of doing our part... the network has to be prepared to absorb whatever is going to come its way. we're always preparing. make sure that the network is working all the time. we are constantly looking at it, we're constantly monitoring. we take that responsibility very seriously. the most rewarding thing about the work we do is whenever we see a customer able to communicate back to their loved ones. that is why we do what we do. (vo) we're relentlessly committed to the network. so in times like this, we can all stay connected to work, school, and most importantly, to each other. >>> three days ago, dr. zeke emanuel browrote in the "new yo times" america is losing the war against covid-19 but we can win it with decisive and extraordinary actions now. monday night at this hour, dr. emanuel will join me for the full hour and he will lead us with the help of other experts in a special hour-long discussion of the best practices we can use in confronting this pandemic, best practices for our own personal health and for the public health of this country. along with an assessment of the damage done already and the repair work that will be necessary in the health care system and the economy. joining our discussion is d zeke -- dr. zeke emanuel. zeke, thank you very much for joining us tonight and a special thanks already for what we're going to team up on on monday night. i want to get your reaction to the president's proposal which will be made possibly next week. ranking the counties in the quite, counties by low risk, medium risk or high risk. >> well, you know, i'm not sure what to make of it. i'm no
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emanuel says the november presidential election will be anything but normal. >> dan ashley hosted an evening with emanuel at the commonwealth club last night. he said part of what will make the election different is that president trump could have serious competition if joe biden gets the nomination. >> what was true a month ago where people were like, boy, this looks like easy street, this guy will get re-elected. the candidate he didn't want to run looks like they'll get the nation. the economy and the stock market he was living and dying by is more dying than living. this is a disaster for him. >> emanuele biden may have a lead over bernie sanders, this is still a long way to go. >>> some of you when you're dining out, you get the fries and order diet soda with it. >> a new study says don't do that. this is why. yale researchers performed a small study to test the impact of diet sodas on metabolism. they focused on drinks sweetened with what is used to make splenda. diet soda by itself wasn't bad, but when you combined it with a fry -- why they put the mcdonald's fries. they know they're hot. oh. this is when you get in trouble, when you pair it with a carb. this is important information if you're trying to watch your weight or your health, and especially if you have diabetes. it's not a good combination. your sugar metabolism is impaired when you pair it with with a carb. so drink fries with water. >> it's fries, still amazing, but not fries -- >> with diet soda. >>> coming up, the ship where passengers were likely exposed to coronavirus could return to san francisco. >>> and stopping
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emanuel says the november presidential election will be anything but normal. >> dan ashley hosted an evening with emanuel at the commonwealth club last night. he said part of what will make the eleifferent is that president trump could have serious competition if joe biden gets the nomination. >> what was true a month ago where people were like, boy, this looks like easy street, this guy will get re-elected. the candidate he didn't want to run looks like they'll get the nation. the economy and the stock market he was living and dying by is more dying than living. this is a disaster for him. >> emanuel says while biden may have a lead over bernie sanders, this is still a long way to go. >>> when you're dining out you may enjoy a diet soda and chow down on fries. >> a new study says this may do more harm than good.t' op. small study to test the impact of diet sodas on metabolism. they focused on drinks with splenda. diet soda by itself wasn't bad, but when you combined it with a carb like the fries, sugar metabolism became impaired. this is important information if you're trying to watch your weight or your health, and especially if you have diabetes. if you're trying to watch your weight, drink water. >> i was more concerned about the fries. >> then drink water and have an air sandwich. >> no, i need my fries. fries are staying. >>> coming back with another 90 minutes of news. prince harry and meghan markle step out for one of their last royal engagements. the romantic surprise they witnessed. >>> the grand princess cruise ship is waiting out in the ocean. will it be allowed to come
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emanuel from the university of pennsylvania and former policy adviser for the obama administration. first of all, dr. emanuel, let's talk about what the president is now talking about. he's certainly hinting towards lifting some of the restrictions perhaps in certain parts of the country that are not as harshly affected by the outbreak. >> yes, well, they may not be as harshly effected yet but they have coronavirus swirling in them. if you lift the restrictions and allow people to go to bars, restaurants, gyms and other places you will allow them to spread the virus because a lot of those people, as noted, are asymptomatic or mildly symptomatic and think they have a cold, cough or mild fever. that will spread the virus out and those areas will get a lot more cases. they're just at an earlier stage of this upswing. they're not, you know, virus free. and i think that's a problem. a smarter way of thinking about this is if we take the people who have already been exposed to the virus, who are immune to the virus, and allow them to be circulating somehow, that would be a much smarter way. but the president seems -- i don't know what's happened in the last week, he's obviously shunted tony fauci aside saying, you know, he just wants public health stuff. he wants to go with the economics people, let's minimize the economic damage. but that psychology or that analysis is all wrong. you can't minimize the economic damage until we actually get our arms around this public health emergency. after all, people aren't -- are not going to go to disney world if they think they can die or get coronavirus and end up in the intensive care unit, no matter how open the economy is. and i think that analysis is still the operative one. >> and there is a tragic situation that comes out of the white house briefings also from arizona where men died after ingesting the wrong kind of chloroquine after listening to the president. you are own vaughn hillyard talked to this man's wife about what happened there. let me just play that for us. >> did you see the president's press conference? where did you hear about -- >> yeah, yeah. we saw his press conference. it was in vermont actually. >> and then what -- did you seek out chloroquine? >> i had it in my house because i always have koi fish. >> clearly, dr. emanuel, this is what people without perhaps knowing the science and being perhaps misled with the wrong kind of chloroquine and it was fatal. and he did not have symptoms. >> right. it's a horrible tragedy. it's not a drug you take -- even if it does work, it's not a drug you take as a prophylactic to prevent covid-19. it's all tragic and tragic result of this information coming out and, you know, these kinds of episodes or something similar are going to happen. we clearly all desperately want something which is therapeutic to treat people who have covid-19, even better would be something that's prophylactic, prevent us from getting covid-19 from infection by the virus and a serious case of covid-19, but at the moment we don't have those data and we don't have anything proven. to take something which is just announced by the president as promising, it's just tragic in every sense. now there are many other people who are dyeing of covid-19 infection and that's tragic too. we have to remember
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emanuel will join us. he said this week in the "new york times" that america is losing the war against covid-19 but he believes there is a way to turn that around. zeke emanuel joins us next. want to brain better? unlike ordinary memory supplements neuriva has clinically proven ingredients that fuel 5 indicators of brain performance. memory, focus, accuracy, learning, and concentration. try neuriva for 30 days and see the difference. but maybe not for people with rheumatoid arthritis. because there are options. like an "unjection™". xeljanz xr, a once-daily pill for adults with moderate to severe ra for whom methotrexate did not work well enough. xeljanz xr can reduce pain, swelling and further joint damage, even without methotrexate. xeljanz can lower your ability to fight infections like tb; don't start xeljanz if you have an infection. taking a higher than recommended dose of xeljanz for ra can increase risk of death. serious, sometimes fatal infections, cancers including lymphoma, and blood clots have happened. as have tears in the stomach or intestines, serious allergic reactions, and changes in lab results. tell your doctor if you've been somewhere fungal infections are common, or if you've had tb, hepatitis b or c, or are prone to infections. needles. fine for some. but for you, one pill a day may provide symptom relief. ask your doctor about xeljanz xr. an "unjection™". no, because on a sandwich,t no they ask you if you want cheese. but on a papadia, cheese is what's holding the whole operation together. get one now for just six bucks. better ingredients. better pizza. better than a sandwich. papa john's. you want a fresh-smelling home, but some air fresheners use heavy, overwhelming scents. try febreze one; a range of innovative air fresheners with no heavy perfumes that you can feel good about using in your home to deliver a light, natural-smelling freshness. febreze one neutralizes stale, stuffy odors and releases a subtle hint of fragrance like bamboo or lavender & eucalyptus. to eliminate odors with no heavy perfumes, try febreze one. brand power. helping you buy better. peshould become at scelebrity accountant. and, i tell them, "nobody should." but, i just don't think you need a separate private plane. but i, but i want it! hey, buddy. what's the damage? i bought it! the waterfall? nope! a new volkswagen. a volkswagen?! i think we're having a breakthrough here. welcome to caesar's palace. thank you. it's more than just fast. it keeps all your devices running smoothly. with built-in security that protects your kids... ...no matter what they're up to. it protects your info... ...and gives you 24/7 peace of mind... ...that if it's connected, it's protected. even that that pet-camera thingy. [ whines ] can your internet do that? xfinity xfi can because it's... ...simple, easy, awesome. [ barking ] >>> three days ago, dr. zeke emanuelte in the "new york times," "america is losing the war against covid-19 but we can win it with decisive and extraordinary actions now." monday night at this hour, dr. emanuel will join me for the full hour and he will lead us with the help of other experts in a special hour-long discussion of the best practices we can use in confronting this pandemic, best practices for our own personal health and for the public health of this country. along with an assessment of the damage done already and the repair work that will be necessary in the health care system and the economy. joining our discussion is dr. zeke emanuel. he's a verptd of the clinton administration and obama administration and vice provost of global initiatives at the university of pennsylvania. zeke, thank you very much for joining us tonight and a special thanks already for what we're going to team up on on monday night. i want to get your reaction to the president's proposal which will be made possibly next week. ranking th
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emanuel, university of pennsylvania vice provost for global initiative and former obama health care policy adviser. dr. emanuel, thank you for being with us. >> good to be here >> let's talk about what you think right now, where we stand with this, what's likely to be the situation here in the united states. >> first off, i would note if you look at the nasa satellite nitrogen oxide observation over china, which tests, you know, industrial production, car, driving, it's virtually clear now. nothing happening in china i think that leads you to the problems that was noticed. there is a lot of fear and there are a lot of people who are worried. i think for any individual, as pointed out, the risk is low but collectively from a public health standpoint, there could be big risks i think what we're going to see in the united states is we now have 80 cases. as we test and test more people, you'll see that number rise. double every day when we really get testing out there. we know that in washington state, for example, it's been circulating in the community for at least six weeks, back to january 20th or something like that it certainly has been passed from person to person. we know that long-term care facility, there are going to be a lot of people who are probably infected and i think, you know, that does stimulate fear this is a lot of psychology, as pointed out, but psychology does play a big role, as you know it plays a big role on wall street and plays a big role in how people are acting. i've noticed the university of pennsylvania, you know, the phrase an abundance of caution, you're going to see that people will say, maybe i won't travel to this meeting do i really need to go somewhere? and i think you've seen the airlines, they recognize it. you're going to see this for all sorts of cruises, i think, are down for a very long time. i think people are cautious. a rate hike isn't going to change that kind of behavior. >> zeke, you point out the long-term care facility. we're focusing on that because particularly for people who areundarhave underlying conditions, the virus could be worse there are several things we know put people at increased risk older people probably the immune system isn't working as well you have comorbidity, smoking, lung function, you'll see that have an effect on people young people don't seem to have -- are often asymptomatic or mild symptomatic. in washington state where the guy came back from wuhan and passed it on and saw it late february the teenager recovered at home, no problem that's the scenario you're seeing let me remind your viewers, that doesn't mean if you're young, it can't be very serious. it's just a very low risk of that, kind of like the flu. >> it strikes me because there's an incubation period of up to 14 days and we're just getting testing kits out, any snapshots of where we were a week or two ago in terms of what the infection is that may be the concerning part. >> the 80 is a substantial undercount and it's an undercount because of the testing. that's probably true in china as well we don't know exactly what their protocol is. there's some suspicious of the data at the moment i think the main issue is get more testing out it does raise an interesting dilemma. who do you test? if a number of people are asymptomatic, do you test people -- we need some sense of prevalence what's it like in a community, say in washington state, where we know it's in the community, what's the frequency there and how many people will convert to a serious illness? we just don't know that given the fact we've had all these problems on the testing kits hopefully they'll be resolved very soon and we'll have more widespread testing so we'll have a handle on the epidemiology, who's getting infected, how it's spreading and how much it's spreading to people and what proportion of people are actually getting sick. that will be very important for making prognostications about how bad this is. let me say one other thing the president keeps talking about it's going to go away with the warm weather that's possible but it's also not possible we don't know. to make basis of policy on that -- or to use that as a basis of policy, to me, seems to be a mistake we need to prepare for the worst and not hope for the best and make our policies on the hopes we need to be prepared this might not go away. >> what needs to happen in terms of that preparation? i've heard about shortages when it comes to things like respirators, the masks, any needs for the hospitals that might be there on the front lines. what needs to happen >> i think you're right. you're already hearing potential shortages of drugs they're not here today but soon they might be because of all the raw materials made and drug made in china we need to prepare that supply chain. >> because of problems in china. just to be clear problems with the supply chain in china for those drugs. >> 90% of the raw chemicals come from china we need alternatives to that and we need them pretty quickly. everyone is focused on the masks but it's not just the masks. you need gloves. you need the items over the gowns, over the clothing and remember, you're going to need to change those quite frequently as i point out we have about 250,000 icu nurses alone forget the doctors if they're changing their masks five times a day, that's a million masks a day. just to give you a sense of the magnitude and numbers of things we're going to need. in addition, i think, and i've been saying this for a while, we need some hospital surge capacity we don't know where hospitals will be overwhelmed. we just don't -- there's too much that's unpredictable about this situation at the moment. >> you're not saying that average people on the street need these things. you're talking about hospitals you're not suggesting other people should stockpile these things >> no, no. the average citizen should not go out and buy masks and gloves. that is not helpful. wearing the mask is probably counterproductive since we'll either wear it wrong, take it off, not dispose of it properly. remember, the coronavirus is in droplets it's not just in the air and if you have a droplet and you just put your hand on the mask and then on your face, that's a problem as was mentioned, get the flu shot make sure you have that to distinguish so you don't get the flu. if you do have symptoms, you know, it's more likely to be coronavir coronavirus. wash your hands a lot. don't share utensils stay home. if you go to the hospital, go to the emergency room, call ahead to tell them why you're coming because you're whoer ed about so they can treat you differently so you don't sit in the waiting room potentially affecting other people if it turns out to be positive i think that -- you'll see facilities triaging people with different symptoms in different ways so we don't have cross-contamination as much as possible. >> dr. emanuelthank you. it was good talking to you today. >> good. thank you. >>> coming up, much more on the market impact of the coronavirus outbreak advocacy groups calling on the ncaa to hold march madness basketball games in empty arenas because of the virus first, twitter ceo jack dorsey facing a new activist challenge. details after the break. new york state is taking business to the next level. supporting innovative companies that will shape tomorrow and building workforce development and tuition-free college programs to generate the talent companies need. with a $150 billion investment in state of the art, modern infrastructure, and a nation-leading commitment to low-cost clean energy, new york is doing more than any other state to build for the future of your business. new york state, the state of the future. learn more at esd.ny.gov. you know what i'm talkinge the tabout, right karen?? huh? you wanna let yourself woah, but you can't do it here. or here. it hurts more when you fight it. b
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emanuel laying out the details of the stimulus deal and next steps for congress and griff jenkins with the latest on the urgent battle against the growing pandemic. we begin with chief congressional correspondent mike emanuel capitol hill for us this morning. what a night last night, mike. >> no doubt about it. good morning. a deal announced on a $2 trillion relief package including 130 billion for hospitals, 150 billion for state and local governments, 350 billion for small businesses, four months of unemployment insurance, 1200 for most adults. 500 per child. senate democratic leader talked about it earlier. >> this package is big help, quick help for the american people right in the places we need it most. first and foremost our healthcare system and second to all the people who are under duress and losing jobs. >> tom cotton spoke this morning about getting to this point. >> a bill that senator mcconnell and republicans proposed several days ago. will pass-in-law with more money. we needed regrettably for things like unemployment insurance for people losing their job because of this pandemic, for more medical emergency equipment for our doctors and nurses, as well as for cities and states that are bear
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emanuel. chris hayes is here with us as well as well as brian williams. dr. emanuel, thanks for being with us. let me just ask you. you just heard vice president biden's remark along with the rest of us. is he saying the right things, the kinds of things you want to hear from a national leader in the context of this pandemic? >> it was good to be upaestaged by a guy who's showing leadership and being presidential. he is saying the right things. i do think that we can come through this. we lost a lot of time in introducing things like social distancing and the measures we need to put in place to prevent widespread dissemination of the virus when the population lacks immunity. we, i think, you know, can get it in place. we need it across the country, not just in the focal areas that are showing leadership like ohio or california or new york. and i think that's -- you know, that's the major challenge at the moment, to get all the states working in the same direction. it's still too much of a checkerboard out there in terms of these policies. and i would also say to your viewers, one of the important things to remember that the numbers you're seeing today, the the roughly 100 dead people who unfortunately have died because of this virus, more than 5,000 americans who have been infected, those are reflecting where we were 15 days ago, that the testing is slightly out of date in terms of giving you a picture of what's happening today. and this virus is going to continue to spread and has already spread from those numbers. and those numbers suggest that we have something like 80,000 cases in the country that we know of. but it's gone beyond that. >> your op-ed today with your coauthors in the "new york times" makes a detailed factor of an argument about why americans should not only obey the social distancing orders and recommendations, but we should be prepared to do so for a long time. we should not think of this as something that is a short-term intervention but something that is going to take a couple of months at least and we need to get our heads around that now. if, as you say, these things should be happening not in a checkerboard but nationwide, do you think we can sustain that kind of distancing nationwide for a couple of months minimum in the way that you're projecting? >> well, it's going to be a couple of months minimum. then we're going to ease them up and the virus is definitely going to come back. and we're already beginning to see that in places like taiwan. so, we would call it a roller coaster that you're going to flatten the curve. you're going to ease up. it's then going to go up and you're going to have to put in social distancing again. that's what we have to get our heads around. that's what is going to be the reality until we get a good vaccine out there that can establish herd immunity in 50% or 60% or 70% of the population. i don't think most of the public has thought that through. you see stores closing for two weeks, schools out for two weeks. it's not going to be two weeks. i do think governors and mayors who said the rest of the term is going to be cancelled and we're going to go to online, they're being much more realistic. and i have to say if you're thinking about the fall, you've got to think of contingency plans for the fall, for schools, my university the same. i don't think this is going to be one social distancing episode and we're done. and so that is going to put a lot of stress on the economy and especially those small service businesses where if they can't do it, how do you expect a restaurant to stay operative for this social distancing on and off over the course of the year, year and a half until we get a vaccine? >> you know, we're in uncharted territory here, dr. emanuelrs looks like on the other side of the curve. the places that have tackled this like china obviously using authoritarian means, south korea which is quite differently through mass testing and contact tracing. so, i guess i ask you. is the south korean model essentially a possibility here? south korea has not had to resort to sort of mass wuhan style shutdowns like in lombardi and the bay area because of the thoroughness of the testing and also a bunch of other measures in terms of people with protective equipment and contact tracing and temperature checks at the front of every office building. is that a future you can imagine here? >> i would say we don't know for sure, chris, and it's a maybe. remember they also have the one distinction in that it was a very isolated group -- >> correct. >> -- that brought in a lot of it. and we know now that this is the united states. the president earlier today was talking about west virginia. west virginia had no cases. of course just to prove him
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