our thoughts are with this healthcare worker. she is now being cared for, and we understand that she is clinically stable. refer any questions on her care to the hospital where she's being cared for, for the information that she and her family want released is released. the existence of the first case of ebola spread in the u.s. changes some things, and it doesn't change other things. it doesn't change the fact that we know how ebola spreads. it doesn't change the fact that it is possible to take care of ebola safely. but it does change substantially how we approach it. we have to rethink the way we address ebola in infection control. even a single infection can unacceptable. i'll get into details of what we're thinking about with regard on how to make care safer in a minute, but i want to step back first and outline what we're doing and what the current status is. first, before the index patient in dallas was hospitalized and isolated, there were 48 potential contacts, ten known to have contact with him. 38 who may have had cont

-- for healthcare workers. this week, our team based out of atlanta went to alabama to the department of homeland security training ground where the cdc had roughly 30 to 40 healthcare workers that are on their way over to west africa and what we witnessed there was a very meticulous, tedious process, that the healthcare workers went through. dozens and dozens of steps, literally, they take to make sure that they do not get infected with the ebola infection. i can give you one example. one of the nurses there, i introduced myself. i put out my hand to shake her hand. >> she said, no. i'm sorry. i cannot shake your hand at this point. she was in such an intention roll playing that she didn't even want to break that kind of protocol. but literally, from start to end, it is amazing to watch as the amount of different things that they have to go through, to put these suits on, to take them off, to even get the mask and the head dress off after they treat a patient takes -- could take up to 10 minutes. so, you know,

healthcare worker tests positive.s a surprise from the vatican, bishops hint at greater tolerance for gays. >>> and five days in alaska, why healthcare costs are soaring in a key battleground state. ♪ >>> an update on the top story tonight, the global effort to stop the advance of ebola. the director for the centers for disease control says hospitals must change their infection prevention protocols in this country. >> we will double down on training, outreach, education, and assistance, throughout the healthcare system. >> leading those changes, the dallas hospital where dozens of people are now being closely monitored. heidi zhou castro has more. >> reporter: inside the same hospital where she struggled to save thomas duncan's life less than a week ago, the healthcare worker diagnosed for ebola fights for her own. >> she is a heroic healthcare professional, who we all need to be concerned for and pray for, and she has a great family. >> reporter: how are their spirits right now? >> they are brave people. and they are

now that a healthcare worker has been infected. tonight i am asking that that's too little too late to protect the rest of us. also economic war games in washington i'll tell you what america and britain hope to find out from a financial disaster drill. plus plunging oil prizes put some of opec's member nations at odds, i'll tell you why this global supply ship could mean for america. i am ali srel-y and thi velshi s "real money." ♪ ♪ ♪ ♪ >>> this is "real money," you are the most important part of the show, so tell me what's on your minds by tweeting me at ali velshi or fates book.com/alivelshi. the sad store by america's growing fear about ebola includes this ridiculously stair aisle but potentially life threatening phrase breach for protocol. that's how the centers for disease control and prevention is describing what happened at a texas hospital where a healthcare worker became infecteinfected with bola after treating the liberian man who ultimately died of the disease, by simply doing her job that healthcare worker has become

it prohibits anyone from following and harassing any person within 25 feet of a reproductive healthcare facility in san francisco. it inhibits impeding access to a door. it prohibits individuals from shouting on any public street or sidewalk within 50 feet of a property line of a reproductive health facility. if an individual violates any of these prohibitions after a written warning a police officer can require the person to disperse and remain 25 feet away from the health facility until eight hours or until close of business of the facility. i want to thank the city attorney's office, and especially erin bernstein for the incredible work she has done throughout this process with this piece of legislation. i want to thank the police department for the work they have provided. i believe that we are simultaneously complying with the law, but in the typical san francisco fashion, pushing the envelope to ensure we stand up for women and reproductive choice in no uncertain terms. what i will continue to say is that if a woman's right to choose cannot be protected in san francisco, then wher

underperform on healthcare, it has the most expensive healthcare system. americans are getting little bang for their big buck. those are the findings from a private healthcare think tank that examined the healthcare systems and ranked them. number one, the best, the united kingdom, two, switzerland, sweden, australia, germany and the netherlands, new zealand and norway, france, canada, dead last, the united states. here is data. the u.s. averaged on healthcare was $8,508. compare that the uk. the nation with the number one healthcare system, $3,405 per brit. which is $5,103 less than the u.s. and despite that $8,508 spent per american citizen the u.s. ranked last in efficiency, and the over all health of the population. people in the u.s. go without needed healthcare because of costs more often than people do in other countries. these deficiencies lead to the u.s. ranking last on infant mortality and second to last on healthy life expectancy at age 60. and for those who do get care, the cost is high in part because of administrative hassles, avoidable emer

i want to start with healthcare workers.regulations seem to be highly effective but also even the smallest human error which is likely to happen in circumstances, particularly where people don't have a lot of experience, can lead to exposure very easily. is there any reason to think that this can cause healthcare workers to make decisions to choose not to treat patients? >> there's always -- i think almost all healthcare workers in this country recognize that they have an obligation to treat sick people no matter who they are. we also recognize that that obligation which goes well beyond the obligation of any individual in the public sphere has limits. you can't expect people to risk their lives at very high risk. so that will be something that's going to be debated, how risky exposure minimizes or reduces that duty. i think in general healthcare workers in america, we had this big debate in the late '80s about do we have an obligation to treat aids patients and the answer was overwhelmingly, absolutely, they're just like ev

is healthcare, and it's rising costs.llen shoff her has more on that story, as part of our sery ares 2014, five days in alaska. is geographically the state is huge, with far flung centers and that is a big part of why healthcare costs so much, prices are are through the roof and still going up. some think that obama cash is just one of the factors in the already overpriced medical care on the last frontier. >> in the 1950's, pray for their employees healthcare, and today this is costs are soaring. about 18,000 a month, for healthcare for 25 people. so few employees club paris is not legally required to provide health insurance, under the affordable care act, but they do it anyway, because that's the way stan's dan would have wanted it. and the restaurant pays more than $200,000 a year. one of a declining number of alaska businesses still providing insurance for workers. >> i just keep putting one foot in front of the other, keep paying the bills and right now we are doing all right. >> in alaska the word outside is often

a healthcare worker has been diagnosed. they work at healthcare presbyterian hospital.he original man who flew from liberia to texas with ebola passed away. a large team of 76 people treating him here. one nurse was officially diagnosed over the weekend and just this morning news coming in a second healthcare worker came down with a fever yesterday immediately isolated. the preliminary test results are in positive for ebola. a second healthcare worker at this hospital. this is really a concern, and the sentiments are being echoed by healthcare workers all across the country not just here in texas not just here in dallas. a lot of people are saying they do not have the proper training to deal with an ebola outbreak and they do not have the proper equipment to treat patients effectively and also protecting themselves. the national nurses united union voiced many concerns saying policies ver re -- vary greatly. the gowns needed are in short supply. the cdc in so many words apologizing for the botched response saying the latest cases could have been avoided which is why the

healthcare is a human right we should be spreading widely. and another thing breast cancer is serious and it's not just awareness we need people to have screening and one of the best things to do today with the system would be to have the 23 states that have not expanded medicaid to make healthcare accessible to more people. and with breast cancer we have a lot of these awareness campaigns that have no teeth we need to see more looking into just corporate responsibility and particularly around chemicals and things that we're being exposed to which is linked to the crisis. >> i do not want to undercut how much the awareness campaigns and the pink in the grocery stores do. someone my age that was my first exposure to breast cancer i didn't know breast cancer was an issue and because of susan g. komen i know more. they have helped raise awareness and i agree with some of your points but i want to make that clear that that awareness campaign the pink lids in the grocery store are doing a lot to make sure that women are finding about this early. >

that will be the next test of the healthcare law here.nt starts two weeks after the mid-term election. i'm renee shaw with ket. >> woodruff: a record amount of money has already been spent in this midterm election, some $4 billion. today, in a rare message on its website, the federal election commission acknowledged being "overwhelmed" by the unusually large amount of paperwork coming in from campaigns. it's all part of the race to the finish of this election. here analyze it all, shields and brooks. that's syndicated columnist mark shields and new york times columnist david brooks. gentlemen, it is the most expensive campaign ever in this country, and it is coming right down to the wire. but, david, what we're hearing more and more about is ebola. we're hearing a number of republican candidates use this, blame the democrats, blame the president. is this helping republicans? >> well, it feeds into the mood. this is sort of a mood rather than issue election. i guess barack obama on the ballot obviously is strong in all the red states. but

and finally as we say in healthcare, above all do no harm. we have to make sure that whatever we do we will to make sure that we don't increase the risk. the sars outbreak cost the world $40 billion, but it wasn't to control the outbreak. those were costs from unnecessary and ineffective travel restrictions and trade changes that could have been avoided. what we want to do is to insure that we don't undermine our ability to stop the outbreak at its source and unintentionally increase our risk here. so to outline some of the new measures being taken and review some of the measures that are already taken i'll turn it over now to deputy secretary mijorcu. >> thank you very much, dr. freidan. the department of homeland security is focused on protecting the public and taking steps to screen medical personnel. we have implemented a range of measures to insure a laird approach. to date the existing measures in place include issuing do not board orders to airlines if cdc and the doesn't of state determining passenger is a risk to the traveling public

in spain healthcare workers accuse authorities not equipping them. there is a lot to know about ebola. we look back at the early days of this outbreak and forward to prevention. >> we have to rethink the way we address ebola control. even a single infection is not acceptable. >> what has been called a breach in protocol as the first transition of the disease on u.s. soil. >> it's a detailed investigation to better understand what might have happened with the infection of the healthcare worker. we look at what happens before beam go into isolation. what happens in isolation, and what happens when they come out of isolation. >> over the weekend a health worker in dallas fell ill with ebola after treating patient thomas eric duncan. he went to the hospital in dallas. despite the fact that he had told the emergency team that he just got back from nigeria, the hospital sent him home. two days later he was hospitalized, and last week he died. they cannot pinpoint when the transition between duncan and the nurse happened. >> we wish this individual had not

it's another healthcare worker. we don't know that they were doing that here. >> so there are assumptions and then there are realities and now there are fixes. i know cdc is telling these hospitals think ebola. what does that mean, elizabeth? >> what that means is that when someone comes in with symptoms of ebola which include a fever, abdominal pain, that ordinarily when you hear hoof beats, you think horses. you don't think zebras. they say maybe you should think about zebras. you need to ask has this person had a travel history to west africa? here at the hospital when they did that when thomas eric duncan came in initially in september but then somehow that information got lost and they kind of forgot somehow that he had that travel history. so they're saying think about ebola when a patient comes in with this set of symptoms. >> elizabeth cohen in dallas for us for weeks. thank you so much for your reporting. >>> then there's so many layers of this story. you have the nbc news crew on mandatory lockdown here af

the gentlemen who flew here first, patient one was not a healthcare provider. >> i understand.ut we have different categories of risk, and i would like to turn it over to explain the risk and mitigation for each one. >> thank you for the question. the protocols put in place we think exceed the cdc standard as you mentioned. we will be testing personnel twice a day while deployed, take their temperature, and to ensure that they -- if they were exposed and did become infected we would isolate them effectively. the time line that you discussed is the time line that will take place in country. come maneders -- >> but as we already know from the doctor in new york he indicated that his symptoms occurred at 11 days. so isn't your ten days too short. >> the 21-damon -- day >> which means they could be traveling. >> yes, sir. >> which could result in additional exposure. >> yes, sir. but the 21-daytime line won't start until -- >> i am high of skeptical, i believe these need to be revised. the ohio delegation believe they need to be revised. the american public are concerned that the p

the cdc is monitoring more healthcare workers who could have made the same mistake. >> sdpornl, it issible in the coming days that we will see additional cases of ebola. this is because the healthcare workers who cared for this individual may have had a breach of the same nature of the individual who appears now to have preliminary positive tests. >> risk is in the 48 people who are being monitored, all of whom have been testified daily, none of whom so far have developed symptoms or fever and in any other healthcare workers who may have been exposed to this index patient while he was being cared for. >> al jazeera's heidi zhou castro has more from dallas. >> reporter: the cdc's director said there must have been a breach of protocol here in the way that these healthcare workers handled the ebola patient, am thomas eric duncan who passed away here on wednesday. >> remains the major question, what the breach was, that investigators have yet to answer. they say they have interviewed the healthcare worker who was diagnosed as of this morning whose positive test results for ebola in her b

with 10, 7 are healthcare workers three are family or community contacts. in addition, there are about 38 other people in whom we could not rule out that they had contact. so all of those 48 people will be tracked for 21 days to determine whether they have fever and if any develop fever, they will be immediately isolated, tested and if they have ebola, given appropriate care and determined whether there were any additional contacts to their case. >> is how we have stopped every outbreak of ebola in the world until this one in west africa and that's how we stopped it in lagos, nigeria and that's how well stop it in texas. >> going on to the u.s. situation, we have seen a lot of underable concern because of the deadly nature of ebola and we are really hoping for the rofrnling of the patient in dallas. we understand that his situation has taken a turn for the worse. we know that ebola is a very serious disease, and we are hoping for his recovery. but because it's such a deadly disease, people are scared. and it's normal to be scared. in fact, for the healthcar

and tomorrow, we will have a conference dedicated to healthcare issues and domestic violence. and we will discuss issues of access, health access for survivors and the intersection with reproductive rights, and which by the way, i am not too crazy about the label of reproductive rights, the commissioners know. that i have always said that it should be sexual rights or sexual health because, some of us, or cannot have chosen it is important in and it is important to recognize that all that we talk about sexual health, and we are talking about men, women, and people who choose to be different and not just choosing and sometimes it is not a choice. and so, service and trauma in the form practices. and so, well i noted that the health department has done tremendous work in a variety of areas. people are not comfortable about talking about domestic violence and when i talk about the issue with children, what i hear is but, you know, the kids who are in the street and there is violence in the street. if you look at the zip codes that are affected by the street violence, they are the

three were healthcare providers. the american public is very concerned that individuals have been exposed to the ebola virus have had a significant public access after being exposed. this is during the period while they were falling ill to ebola. on october 10 ebola came to visit ohio. amber vinson traveled from dallas texas to cleveland while she was in cleveland she was at local businesses and of course she flew on a flight almost 300 people had contact with her while she was falling ill to ebola. fortunately ohio doesn't have a report at this time but on october 20, the ohio delegation on a bipartisan basis sent a letter to the cdc challenging their particles with respect to people who have been known to have been exposed to ebola. we all know the stories, trying on wedding dresses, flying, going on a cruise, bowling, riding on the subway. although some of these issues are personal responsibility they do go to the issue of protocols and if you look at the october 10 department of defense guidelines in paragraph nu

if anyone involved in delivering healthcare. i would submit, what kind of stock pile of this personal equipment. >> let me ask this question, you know, what did you think the first person would look like? when you knew -- or that it was a possibility, we with have the gentleman who died in nigeria at the end of july that could have gotten on a plane, what did you think that would look like? what was patient zero going to look like. >> the time is expired. >> what is the match up there. >> you may go ahead and answer quickly, thank you, doctor. >> our goal has been to get hospitals ready. the specific type of personal protective equipment to be used is not simple, and there's no single right answer. but there's a balance between protective equipment that's more familiar or less familiar, more flexibility and less flexible that can be decontaminated, so the use of different types of protective is something that we are looking at very intensively now in dallas in conjunction with the healthcare workers there. >> thank you, we now r

. >>> gathering in new york today, training healthcare workers. >> john, healthcare workers welcomed this training after the two nurses became ill. they began asking questions about the centers for disease control protocol, the rules by which to keep staff safe. the new rules, total body coverage, and lots of practice. >> healthcare workers signed into a new york city auditorium to learn mere about ebola. >> we are the nurses on the front line, taking care of all patients, and we need to be educated in taking care of all kinds of patients. >> the speakers were public healthcare experts, but new york governor, andrew cuomo was there, cautioning the audience that dealing with ebola is not the only challenge. >> the second problem is dealing with people's anxiety and people's panic. so you have two missions today. one, learn, train yourself, pay attention. second, when you go home, when you're talking to your family, when you're talking to your neighbors, keep the anxiety down. >> so far, new york has had no cases of ebola. but public health officials want all healthcare workers to be r

word this morning that a healthcare worker who treated thomas duncan has been diagnosed with ebola. we will get details from the head of the centers for disease control, dr. tom frieden, house homeland security chairman michael mccaul, and we will have a report from liberia where u.s. troops are in place to help fight the deadly disease. we will go to iraq where the latest on the war with isis, we will talk to former secretary of defense leon panetta, whose withering criticism of the president's strategy has stunned official washington. >> plus an all-star panel, including peggy noonan of the wall street journal, david ignatius of the washington post, david rohde of reuters and susan page of usa today. >> 60 years of news because this is "face the captioning sponsored by cbs >> and good morning, again, we want to go first to atlanta and the cdc director dr. tom frieden for the latest on this new case of ebola, which was confirmed in dallasing over might. >> doctor, thank you so much. the authorities at the hospital are saying that the person who is, has now been diagnosed as having

healthcare worker has ebola!he first time we are hearing from nurses who worked with the sick nurse. ,,,, insurance companies are spending millions of dollars trying to mislead you about the effects of proposition 46. well here's the truth: 46 will save lives. it will save money too. i'm bob pack, and i'm fighting for prop 46 because i lost my two children to preventable medical errors and i don't want anyone else to lose theirs. the three provisions in 46 will reduce medical errors and protect patients. save money and save lives. yes on 46. bring them all to the table with the kfc favorites bucket. 8 pieces of chicken with 12 hot wings or 6 extra crispy tenders. ♪hey! i found a happy space ♪somewhere to call our own ♪a happy little place and it all starts with you♪ ♪whoa-oh-oh-oh, all this goodness...♪ after-school snacking should be fun and nutritious which is why we put whole grains first in every general mills big g cereal what matters most should always come first general mills. look for the big "g," it mean

>> well, our health--america is the world's healthcare superpower. we have the deepest level of technology, ironically we also have great deficiencies in coverage of low income people not accessing health insurance. so there is vulnerability in the american system when travelers enter the country asymptomcally and become ill. and if ebola were to strike a low income neighborhood where access to healthcare is not efficient. we have to in the long term address these major inefficiencies. >> we don't want to doubt our authorities or question the good will of these healthcare workers and the senator center center for disease control, but there are people out there wondering is what i'm hearing true? are we safe? jack chow, form u.s. ambassador on health. >>> searching for 132 passengers who flew with the newest ebola patient. will news like this spark a fear of flying? that's next. real reporting from around the world. this is what we do. al jazeera america. >> airline stocks landed hard today. news that a healthcare worker diagnosed with ebola flew on a

for quarantining healthcare workers. >>> the suspect in

most are not healthcare workers. they're engineers, logistical experts, and they're there to support the cdc and the u.s. aid. they're going primarily to liberia where they have set up testing labs. those labs can do 100 test as day. they're also starting construction now on two of the 17 hospitals or healthcare centers they will open. each will house 100 patients. the military also saying that a center for any healthcare workers who may become ill will be opening in two weeks. by the end of this month the military expects to have some 1400 troops in west africa. again, mostly in liberia as it ramps up the efforts to take on this deadly virus. >> lisa stark reporting in washington. there are questions about the u.s. airport screening process in keeping people infect with the ebola coming to the united states. some say that popping a an an ibuprofen to deceive the screening. >> it is simple. several questions. one of them as to whether or not you've been around someone with the ebola infection. clearly what country yo

that's about healthcare in kentucky. >> murphy?t get allison to admit who she voted for with the jaws of life machine. that's a disaster. when the president's numbers are down to 40%, broccoli is at 45. you will have a rejection. what they are trying to do -- i don't think it's working well, they are trying to make the election about some negative wedge issue. i believe that the thing is moving in a good republican direction because the national reject the president numbers. we have had a conga line of screwups. now we have ebola, which i think you have to be careful about politicizing it. it does become a narrative of incompetence. >> there does seem to be a line on ebola. of the debates, it seems as if the most telling moments -- the most telling may be the florida moment. if any debate has an impact on numbers right now it appears that's the one. >> that's right. crist was leading before the fan fiasco. >> not by much. >> republicans now kind of throwing in the towel knowing that this is something that voters will remember when

but they deserve good healthcare for themself and for their families. thank you. >> thank you. >> if there are any other public speakers, i have no other slips and we will always proceed with our discussion, commissioners? >> yeah, commissioner? >> i am sorry i have three small questions, one is that i am the new commissioner and so i am trying to get the scope. with regard to what is covered under the chao act and the hca, how to quantify what is capturing with the hco and verses what is not. already being covered under the mandate and i think ta we are going to be missing small employers; is that correct?? and that is a very, very small employers at that. >> could you reword that? >> yeah. >> hco and the hca mandate and i am trying to get a capture of how big of an impact that where we are, and we are putting all of this work in to keep the hcao in place, verses what there with the hca and the affordable care act and could you quantify, what addition and capturing a population, and demographic of who we are additionally covering with the hcao that we

but it's not clear whether the healthcare worker did this or not.ut more people are being monitored. more health-care workers in touch with duncan, and sort of the events on the ground are changing very rapidly. >> you are a man of science, jake. we were assured that protocols were put in place and there were definite statements to say ebola cannot spread in america because of the protocols we have in place, and now the deeper we dig, we find out there is less and less in place. four hospitals that are properly trained for this. this is really now gnawing at americans to say are we safe or aren't we safe? >> well, it's really -- the question here is what is the sort of basic standard that you can impose across the united states. as you mentioned only four hospitals are truly built for the kind of infection disease work that is required in this case. but we're used to a model where host hospitals don't have a shock trauma unit. you can't expect every hospital to have one. the problem with ebola is anyone can wander in to any hospital at anytime. so t

healthcare workers knew what to do. they even told us the chances of it happening here were infinite. >> the chances of an ebola outbreak here in the united states are extremely low. >> it seems however the only thing is the amount it takes to catch it. the dallas hospital a major metropolitan health center sends a man home who tells them he is from west africa all of the while presenting symptoms consistent with ebola. the hospital then sends him home while contagious to live in his familiar lace apartment which family refuses to follow the health department quarantine by sending their children off to school. today a healthcare worker not even one of those prioritized, but cdc is at risk who had all of the benefits of the protective gear con twrakted the virus. reminiscent of the doctor and nurse who also con tracteded the virus in west africa they, too, used all of the precautions in suiting up. noticeably absent in the press conference ance announcing the new case of ebola was the cdc. they opined there was a preabre

. >>> here today, to communicate about a healthcare worker who has contracted the ebola virus. >> centers for disease control and prevention confirmed that texas health care human being worker who cared for an ebola patient has tested positive for ebola. the first time someone has contracted ebola onest soil. it's what health officials and the american public feared. we now have the first caisson's of the deadly ebola virus spreading from one person to another. here's the latest from dallas. reporter: this hospital in dallas, another ebola case. a health care worker who treated the patient who died from the vie rust last week, now infected. >> she identified symptoms immediately on onset. she was isolated promptly. >> officials from texas health presbyterian hospital say the worker filed guidelines, including wearing full protective gear while caring for thomas eric duncan. but the cdc says the infection shows there war a breach in protocol. officials saying there's no risk to the community, but sending out a reverse 9-1-1 call towater the healthcare worker's neighbor. >> a healthcare wor

that our healthcare system was incapable that hospitals knew the protocol, healthcare workers knew what to do. they even told us the chances of it happening here were infinite (indiscernible) >> the experts in the cdc and the government agree the chances of an ebola outbreak here in the united states are extremely low. >> it seems however, the only thing this says about ebola is the amount it takes to catch it. yet the dallas hospital sends a man home who tells them he was from west africa all the while inconsistent with ebola. the hospital sends him home while contagious to live in his family's apartment which family refuses to follow the health department quarantine by sending their children off to school. today a healthcare worker not even one of those prioritized the cdc is at risk had all of the benefits protected here has contracted the virus. reminiscent of the doctors and nurse who also contracted the virus in west africa. they used all of the precautions in suiting up. the new case of ebola was the cdc yet opined the preach in protocol the preach in handling of such cases will

or could include healthcare workers in u.s. treating ebola patients. they, too, should be monitored but can be self reporting and last category is no identified risk. for someone who has not traveled to west africa or who is out of the 21 day incubation period.. protocols issued friday in new york and new jersey exceed federal guidelines and they led to hickcox held in this tent over the weekend after returning from see air owe he own despite no symptoms of the virus she was released today and guide lips were amended in these two states and called for healthcare workers and aid workers running from south africa garn teen at home 21 days. white house criticized these protocols. >> these policies should be driven by science and best scientific advice as possible. >> and concern is mandatory 21 day guarantee making healthcare workers more likely to travel to west africa to help stop the outbreak which is what we need. meanwhile results are expected soon to determine if a 5-year-old child at bellevue hospital in new york city has xwoel. dr. craig spencer i

and healthcare enrollment is already being debated in one state election. >> the healthcare website, cover oregon is a major campaign topic in that state's race for governor. under incumbent democrat, a former emergency room doctor, the $248 million website never completely enrolled a single person. nearly 1/4 of a billion-dollar spent. and not a single successful sign-up. the problems ranged from bad management and contracting decisions to thousands of software bugs, so for most in oregon who did enroll, it was an old-fashioned paper process. they decided to switch to a state-federal partnership. even with the debacle, oregon's sign-up numbers were in the middle of the pack and now the state is suing oracle and oracle is suing the state. both the attorney general are investigating. and thousands of the people who decided to enroll in the plans through cover oregon will have to reenroll to healthcare.gov for the open enrollment period. >> there's much more coming up in the next half hour. our special report, america votes 2014, while obamacare works well in kentucky, it's all in the

and then he infected two healthcare workers in dallas, correct? >> at this point, none of the 48 contacts he had before getting isolated have developed symptoms and they are mostly well past the maximum incubation period although not completely out of the woods. >> for everybody on the panel it's been code red. we've had two instances of infection here in the united states but this is such a highly contagious disease that we're on full alert, correct? >> it's a disease that is very severe. it's not nearly as contagious as some other diseases but any infection in a healthcare worker is unacceptable. >> we appreciate the efforts you are making. there have been lessons learned about what's happening in dallas. the hospital is forthcoming about mistakes that have been made. you are telling us there is information provided to all of our hospitals in the country about what protocols to follow, correct? >> correct. >> on a practical level, does it really make -- is it feasible that all of our hospitals are going to be in a position to provide state of th

state to implement a solution that actually tackles the cost of healthcare. 75% of healthcare costs are the ride from chronic illness and disease disease in the single-payer does nothing to address that as it is being addressed today so i'm against the single-payer system and i think free-market solutions work best and i want you to have more choice, not less choice. you pick your doctor, your hospital and your insurer. >> moderator: how does that sound to you mr. shumlin? shumlin: we have very different views on healthcare. if someone wants to create jobs and economic opportunity and as a business person before i was governor i can tell you the biggest obstacle to the income growth of vermont and to the job growth for business people is the ever rising cost of health care. so what does a single-payer system do for vermont is two things. first to move from a system that spending literally 20 cents on every dollar that vermont takes. on average 20 cents per dollar on health care. we read -- reimbursed for the quality of care and the current fee-for-service quantity of care i want wan

iran... healthcare... ad guests on all sides of the debate. >> this is a right we should all have... >> it's just the way it is... >> there's something seriously wrong... >> there's been acrimony... >> the conservative ideal... >> it's an urgent need... and a host willing to ask the tough questions >> how do you explain it to yourself? and you'll get... the inside story ray suarez hosts inside story weekdays at 5 eastern only on al jazeera america >> september was a strong month for most major car companies. general motors and chrysler led the industry with 19% sale increases. only ford and voxing wagon saw a decline. auto sales have remained a bright spot this year. september's pace follows a robust august which was the best month in the industry in eight years. pickup trucks remain a big driver and gm will take advantage of ford's decision to pull back on 150 truck as it prepares for an aluminum version next year. >>> automakers stock rose 2% on a day when the broader market plunged. they seemed to like