Combat mission, but President Bidens goals are daunting. The mission is off to a owners start. The covid19 czar said what we are inheriting from the Trump Administration is so much worse than we could have imagined. And while we were all focused on the inauguration, again yesterday the new cdc director that warned that the doth toll is expected to hit half amillion. They warned the vaccine will not be as widely available as the Previous Administration promised. I dont think late february were going to have a vaccine in every pharmacy in this country. We sad 100 million doses in the first 100 days, and were going to stick to that, but after 100 day theres is still a lot of americans that need vaccine. There are reports that they are inheriting no rollout at all. One big change already, dr. Fauci addressed the world health organization. He is also expected to be in the White House Briefing room this afternoon marking the return of information directly from the nations top scientists. As we await President Bidens remarks, and we will bring them to you once they happy, were just beginning to scratch the surface of how deep the challenge is. We will take you through those and the past significant process is far longer and deeper than was feared. Joining me from washington is carol lee. From lancing michigan, dasha burn. Carol, lets start with those checktive orders. What exactly will they be doing . Today the big focus is on coronavirus. The plth be signing a few executive orders to try to help schools and bids stay open. It has been an issue in the past nine to ten months. And invoking the defense production act as you noted to ramp up vaccine production. As you noted that the president has set this goal for 100 vaccinations in the next 100 days. And so what theyre trying to do here is show this is top priority. He will sign these ten executive orders at the white house to say that this is a new theyre turning the page and trying to start a new chapter on this. Sign this one that is a mask mandate for federal property. If youre on federal property you have to wear a mask. Well see some efforts to get people to wear a mask on places like airports and trains. Requirements for testing on international travel. So a whole host of issues and then you have executive orders that fall into different categories, which is like economic focus, saying specifically that student loan payments can be deferred. Trying to continue to moratorium and also an what are they telling you about getting these things enacted . There is people saying they are finding things worse than they thought. It is a system that just wasnt really functional. So what their hope is that there are steps that they can take early. They heard it from Biden Administration officials that things are not going to happen as quickly. There is some promises made by the administration, and theyre saying that is not the reality here, things might take a little longer. So theyre trying to set expectations for the country and theyre also saying here are all of the steps that were taking to try to get things moving as fast as we can. So they had their first press briefing yesterday and she told reporters that the pandemic is the issue that biden wakes up with every day focused on getting the pandemic under control. He goes to bed focused on getting the pandemic under control. That is quite a line from the press secretary. That this is all he is focused on right now, but given what were hearing with the plans from the last administration, and the plans from this administration, it sounds like he could be having nightmares. One year in to this pandemic as of today, and in that year 400,000 people have died. That is equivalent to oakland, california. And its not slowing down, right . 4,000 plus, right . So it is a nightmare situation, and he is trying to convey to the public that he takes is seriously at a way that the last president , of course, at times said not to. He did not say anything about the death toll as it rose and rose as rose. And i think he is trying to say i get it. There is a setting of the stage by saying oh, gosh, e inherited no plan whatsoever and were trying to make sure the expectations are low. Pulling back on some promises that we made. But youre right, it is a high priority if not the number one priority for a president coming in in the middle of such a material or deal. Youre hearing from folks on the ground that have a clear message from joe biden, what is it . Yeah, a big uphill climb ahead for this new administration. This used to be a sears auto center. Theyre going to pull through these doors here, get a shot in the arm, come out the other end, but the ceo of Sparrow Health that set this up says at this rate it will be three years before the majority of michigan is vaccinated. They say theyre not getting enough information about supply. And hospitals and health departments, they told me they did the leg work. They built out this infrastructure. I spoke to the county Health Officer here who said she cried tears of relief watching this new president talk about a plan. She has been so infuriated. The states are doing a good job. They werent ready. We are ready, we are organized. We can do this and i hope he knows, and that it just needs to start rolling out. We dont know what is going on. We just keep hearing were sending it out, and youre not administering it, but we are administering it, and where is it . Sparrow Health Systems saying they could do much more. They are all saying give us the doses and well get it done, katy . Yeah, many Health Officials are saying the same thing lately. Should we expect to even hold this Administration Accountable . They have not been changing the time line on that, but were hearing that they just got nothing out of this administration. And it makes you wonder how quickly even the most prepared administration can scale up. We saw a transition that was not a regular transition, right . They are going to share information to develop an understanding of where things are so the new president and his team coming in can have a better plan in place. The old president refused to concede defeat, and he was blocking and even after he stopped blocking the transition, he was resit tant toward doing anything to help. So the new guys coming in certainly have their work cut out for them and they have excuses if it doesnt work out, but i think it is important to hold the new team accountable if is important to point out when politicians dont meet their goals and explain why that is. It is important to remind people what has been promised and measure that against the results. Everybody, thank you very much. With me now is the former director of the cdc, dr. Tom freedman. We could be seeing them today at this executive order signing. Given all of the reporting now coming out about what this team is inheriting, what would your first move be . I have to say im so encouraged by the content of these ten borders. Theyre doing exactly what they need to do on day one. And that is just enormously encouraging. What is discouraging is that you expect them be passing the baton, but it doesnt sound like there was one to be passed. It is finger pointing instead of joining hands and working together. And some of the things that were seeing that are really encouraging is an organized structures response. A clear evidence based focus on using masks. And focus on controlling what you can control. So transportation, that is overseen by the federal government. Contesting. Looking at protective equipment. Using the defense production act. These are all things that frankly should have been done six to nine months ago. But doing them on day one, i can only say three cheers. Well have to see how it goes. It is not going to be easy. This is a very challenging pandemic. The Vaccination Campaign is the most complicated in u. S. History and the virus continues to mutate in ways that make it more dangerous. So were far from out of the woods, but at least we have taken a step in the right direction. Im just wondering where it is so complicated. Were a country of a very different size, but they have been just speeding through their vaccination process and making it look like it is not as nearly difficult or complicated as it seems to be here. There is an easier fix and a harder fix. The easier fix is that it has not been well organized. It was handled by the Prior Administration as a Logistics Program instead of a traction nation program. You need micro plans, kmooungs, detailed work. It is hard and important but only a small part of the program. Now the easy part is Getting Better organized. The harder part is that the u. S. Health care system is not well organized. We have a very week health care system. We need all government, all providers, and all of Society Working together. Its like we need the structures in place to get this done as quickly as we would have want it had to. There is reporting that fooizer will issing to sell directly to states if they get the okay from the federal government. Where do you stand on that . I hope the producing of a hunger games attitude among states is over. Lets get it and distribute it equitably. Not to the highest bidder, but these can benefit the most, save the most lives, and stop the pandemic as soon as possible. Lets talk about some inner workers of the government. Scientists were not necessarily they were not entirely in charge. How do you take the handcuffs off of them to get things working smoothly . The things we dont see. They are speaking directly to the American People on a regular basis. It was an unprecedented degree of sensorship where they werent allowed to talk about where they are going. That, i hope and i trust, will they really spent issues like a respiratory viral infection. And hearing that on a regular basis will be a big part to rebuilding trust. I keep thinking about the doctor that said early on that she was talking to her family about how they would need to stay home nap woman that was muffled and fired she wasnt fired. She has been very quietly and i know her well, i worked with her for many years. She has been developing the plans to roll out an effective vaccination program. Now with a Supportive Administration im confident that what can be dloen not be earthquake, easy, or smooth, but i think the goal of 100 until 100 days. Good to know that she is still on, thank you for that correction. Doctor, thank you so much. Nancy pelosi says her party is prepared to take advantage of the new authority granted to them with control over the house, the senate, and the presidency. Three new senators, a new democratic majority now. We can recover from the pandemic and get to work. To build back better. So what should that advantage look like . They go directly to joe biden. Lets talk about what is going to happen in congress. Joe biden has been very clear that when he legislates he wants it to be as bipartisan as possible. How do you get there . Thank you so much. Thank you for having me. It will be certainly completely fine if you have to cut me off so we can hear from the new president as he addresses the challenges our nation faces. I think even with a democratic majority in the house and the senate we will still be able to get many victories for the people including badly needed vaccine assistance and lowering Prescription Drug prices, an increase in the minimum wage. Creating a livable future for all. The Democratic House and the senate is tense. But we have a lot more in common than what divides us and there will be a lot of opportunities for us to unite on behalf of the American People and deliver. You said for yourself and for your caucus an ambitious agenda. Im going to read a little bit of it. We knead to read unchecked politics. They have full voting rights. The voters in washington. We must demonstrate that we must go further and remove the democratic elements. Including eliminating the phil buster. Abolishing the Electoral College and moving toward a ranked Choice Voting system. Much of what youre talking about, not all, but much of it is in hr 1, the one that was passed. How soon do you expect to see it . It is one of the last things that i worked on. It was in an introduction. It is a great piece of legislation that makes our democracy accountable. And i look forward to passing it. I have to tell you i never expected to experience a direct assault on democracy in the United States. One of the oldest most prosperous in the world. And i thought a lot about how our republic did not arrive overnight and how it requires attention and growth to meet the needs of the population. It is going to take all of us to make sure it is strong, and that it can withstand the corruption, and that work really begins with hr 1 and everything that were able to do in the next two years for people that continue to believe this is a system that they want to participate in. Im certainly interested in the voting. I think it is a different way to go about our elections. Perhaps one that i went to minneapolis and we had it now for a little over a decade. It is a really great system that enables people to it is supposed to stop the extremes from getting elected. They are undoing the muslim ban. Here is some reporting from the washington suppose. Even if you undo the damage that the Trump Administration very creatively inflicted a youre left with a discrimination against muslims. They are going back to what it was before. Are you working on any legislation . Any proposals, in order to rectify some of the issues that we already faced as a country. With our immigration system. I agree. With the person that you just quoted. We certainly is not had a humane immigration system and we have a lot of work to do. The muslim ban was not born out of thin air. It was part of policies that were being implemented for decades. And now that we dont have them any more because of the executive order signed yesterday, we still have to pass the no ban acts so no president in the future has the ability to institute something so pateful like a muslim ban. There subpoena a lot of pieces of legislation that were looking forward to introducing again. I know the Biden Administration again has a robust immigration policy that theyre looking to introduce themselves. Well see where we can find Common Ground and where there needs to be a push for a more humane immigration system. One question on a domestic terror legislation. A lot of people in Law Enforcement want to see that happen. An officer. He say its will be very useful to stop what we saw happen on january 6th at the capitol. Being able to monoto the extreme groups. Youre not a fan of that idea, please explain why. The tools already existed for them to monitor. Tools already existed for them to protect our nations capitol. They already exist. They incited and they took part in the insurrection. And the criminalization of more people. We see what happens when we infringe on civil liberies and when we create more laws to criminalize people there usually are used to penalizing people like myself and minorities in this country. I am opposed to us creating more tools for the government to use its power. Im for utilizing the tools that we have right now and acknowledging the failure of Law Enforcement in what took place on january 6th. Congresswoman, thank you so much. We got through the whole interview without being interrupted by joe biden. We appreciate your time. And again were still waiting for joe bide ton have an event where he addresses covid19. Dr. Fauci should be in attendance. Coming up, what the Trump Administration did on its way out, too, as one official put it to screw the Incoming Administration on its immigration agenda. And with each passing day there is a looming senate trial of president trump. L of president trump. 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And we should continue in that spirit today. That was the newly minted Chuck Schumer. They will try to tackle three major objectives. Second, there is the looming senate trial of the impeachment of trump, and third, passing more covid relief. But does the second affect complicate the third . Lets bring in garrett haake. Dont mind the gentleman that passed by the camera. There is conversations between Mitch Mcconnell and Chuck Schumer about how things are going to operate. I think from a layman stand point. You wont have Kamala Harris here for every day, every committee hearing, they need to organize the senate and say this is how we will run committees, this is how with we will organize office state, staff, and floor time. Just basic and dull things. Its on this issue that Mitch Mcconnell has decided to try to fight out the future of the phil buster. Mcconnell is trying to lock in that schumer and the democrats wont make changes to the filibuster resolution rather than in the future when it is part of a specific piece of legislation. Well talk about it on the other tide. The talk of unity on Common Ground. If the rules of 20 years ago is to be our mind. And his side will not be breaking the standing rule of the senate. So the quick reality check hire is that schumer says he will not agree to any such thing at this majority in time. The other reality is that there might not be votes. But there is a letter from back in 2017 that more than 20 Current Senate democrats say they dont want to get back for the filibuster. They dont want to get rolled by Mitch Mcconnell on this. Lets bring in senator tammy ductworth. I think it needs to remain on the table. I dont think that Mitch Mcconnell should be the one dictating whether or not it stays on the table. Not to mention not allowing a hearing for the Supreme Court nominee thats is a basic majority of vote. So at this point i want to make it clear that democrats won the election in jazz, were in the ma yourty and he doesnt have any position to try to force us to give up tools like a 2,000 check to the americans out there struggling with the covid pandemic right now. A lot of folks would say yeah, its a good one. You represent more americans, but it has been hart to get them passed. Let me read you this oped arguing for getting rid of it. People have repeatedly proven themselves more committed to preserving the status quo of the political system than fulfilling their promises to voters. They prefer the false piece of decorum. If they choose that path again, they will loose that ma yourty in 2022 and they deserve it. He says get rid of the filibuster. Get things done, and show voters you can improve their lives and do it quickly before time has ryder cup up. My focus is on helping the American People, no not about the election season. It is about getting work done, exactly. And he is forcing more and more democrats to realize that we should not and there is a lot that needs to be done. And we can get it done. Lets talk about impeachment very quickly. When do you expect to be hearing arguments . I dont know when that will be because we dont even know who the president s lawyers will be, who president trumps lawyer will be. But it is not going to slow us down from really the postimportant thing on the next covid relief package. Should it be rolled into other things in order to pass something popular with other agenda items to, i guess force through some support . I personally am open to just the stand alone 2,000 checks. This is because i talk all of the time to family thats are struggling and they need that money right now. And when you talk to janet yellin, the increase in benefits will keep the economy from cratering and help the families most. Were watching on that seed of the screen, the room where joe biden is going to be signing executive orders and talking about covid with dr. Fauci. He is going to be seening 10 executive orders. You were critical of trump for using his power unilaterally. Is it a good idea to keep going down this path of using exec testify orders in order to get things done . The difference is that the National Emergency was a lie, and covid was a real threat. That, to me, is the priority. We want to crush it and get our economy going again. Is it a good precedent to continue setting in. I think this is the place to use the executive order. Thats not the only place he is using it. No, but you asked me about covid and i think this is the place it should be used. And i think with all of the republicans and their ep stance, this is the way you need to be moving forward. Theyre trying to keep it from happening. This is a hearing for an entire year and it is continuing to stop any progress. The American People need us to get to work and that is what i need to do. That might just be the way that we have to move forward. Thank you so much for joining us, we appreciate all of your time. Were still watching the white house where we expect to see President Biden come out very shortly. We will go there live when he comes in. In his inaugural he argued if enough of us come together the country could break the gridlock and tackle our big issues. So is there enough in congress . And what about what has become one of the most controversial issues of our time . Immigration. We have the changes at the border that are happening right now. Border that are happening right now. Because when caught in early stages, its more treatable. Im cologuard. Im noninvasive and detect altered dna in your stool to find 92 of colon cancers even in early stages. Tell me more. Its for people 45 plus at average risk for colon cancer, not high risk. False positive and negative results may occur. Ask your prescriber or an online prescriber if cologuard is right for you. Ill get on it thats a step in the right direction. Go pro at subway® for double the protein on footlong subs and the new protein bowls. And if you want to go pro like marshawn, dont let anything get in your way. Here we go yeah, appreciate you, man go pro and get double the protein for just 2 more. Im greg, im 68 years old. I do motivational speaking go pro and get double the in addition to the substitute teaching. I honestly feel that thats my calling to give back to younger people. I think most adults will start realizing that they dont recall things as quickly as they used to or they dont remember things as vividly as they once did. Ive been taking prevagen for about three years now. People say to me periodically, man, youve got a memory like an elephant. Its really, really helped me tremendously. Prevagen. Healthier brain. Better life. With oscar mayer deli fresh its not just a sandwich, far from it. Its a reason to come together. Its a taste of something good. A taste we all could use right now. So lets make the most of it. And make every sandwich count. With oscar mayer deli fresh it was only a few houring before President Joe Biden signed an executive order to undue his predecessors singular issue. Haulting construction of the border wall and pausing deportations for 100 days. On its way, trumps team made doing that more difficult. Joining me now is jacob sobero if tf. Why would you be on the northern border, the southern border, jake. Whats go on down there . So look, you mentioned these agreements, they are attempts according to former Trump Administration officials, to jam one of the sources, they told us, from doing any of the laundry list of policies that will be doing whatever it is, like stopping construction. They have seven days to do that. Extending daka, changing the way that ice acts in the interior these are all things that President Biden tried to put into place recently. Even the people from the former administration that we talked to, but another attempt to tab damage the former administration. We have not heard yet what he plans to do about it. Miss l. Was detained, what will happen with this task force . There was 611 families separated. They have not been able to reach, they still have not been able to reach three years after. They took away, tortured, and abused all of those children and were waiting to hear what President Biden plans to do about it. Will he allow a path way to citizenship. There is all kinds of options. Ultimately the question is what will they do about it through this task force and that is what were waiting to find out, kate why i. We are certainly waiting for that. Coming up, if democrats think they only have two years to get things done, should they go nuclear to make it happen . Lets continue the conversation on this phil buster. Dont go anywhere. Buster. Dont go anywhere. announcer do you want to reduce stress . Shed pounds . Do you want to flatten your stomach . Do all that and more in just 10 minutes a day with aerotrainer, the total body fitness solution that uses its revolutionary ergonomic design to help you to maintain comfortable, correct form. Joe biden, now hear in the white house. Lets listen. I want to thank all of the Law Enforcement folks for all they did, all of the military personnel from all across the federal and state agencies that secured yesterdays inauguration committees and a special thanks to the members of the National Guard from around the country. It was an unprecedented situation. Hopefully it will never have to be done again. As commander in chief, i always respect and revere their service and that of their families. But now, to todays announcement. Vice president harris and i were joined by members of our covid19 Response Team and dr. Tony fauci. Our chief medical advisor. Our nominee for Secretary Health and Human Services. Our nominee for surgeon general, dr. Michelle rowinski, the director for the centers of Disease Control and prevention. And jeff and natalie who are managing the whole effort. Yesterday during my inaugural address, i offered a prayer, a silent prayer, i thought it was important that people understood what happened. That we all pay tribute to our prayers for those 400,000 americans that lost their lives in this pandemic. On tuesday jill and i, kamala and doug stood near the reflecting pool to remember the 400,000 moms, dads, children, sons, daughters, that are gone. To heal we must remember. It is important to do that as a nation. We must also act. Not just remember. Yet for the past year we could not federal government to act with the urgency and focus and coordination we needed. And we have seen the tragic cost of that failure. 3,000 to 4,000 deaths per day. To date, more than 24 million americans, 24 million americans have been infected. To put that in context, america makes up 4 of the worlds population. But 25 of the worlds confirmed covid19 cases and only 20 of all the covid19 deaths, we have 4 of the worlds population. The pandemic has disproportionately impacted on blacks, latinos and nativeamericans who are about four times as likely to be hospitalized. And nearly three times as more likely to die from the covid19 pandemic than white americans. Hospitals are out of beds. Businesses are closed for good. Schools are caught in between. And while the vaccine provides so much hope, the rollout has been a dismal failure thus far. So, i understand the despair and frustration of so many americans. And how theyre feeling. I understand why many governors, mayors, county officials, tribal leaders feel like theyre left on their own without a clear National Plan to get them through the crisis. Let me be very clear, things are going to continue to get worse before they get better. The memorial we held two nights ago will not be our last one, unfortunately. The death toll will likely top 500,000 next month. The cases will continue to mount. We didnt get into this mess overnight. Its going to take months for us to turn things around. But let me be equally clear. We will get through this. We will defeat this pandemic. And to a nation waiting for action, let me be clearest on this point, help is on the way. Today, today, i am unveiling a National Strategy on covid19. An executive actions to beat this pandemic. This plan reflects the ideas i set forward during the campaign. And further refined over the past three months. It consists of my transitions people, the task force, tony fauci and the team here today and other experts put this plan together. Our National Strategy is comprehensive. Its based on science, not politics. Its based on truth, not denial. And its detailed. You can review this entire plan, this entire plan, by going to whitehouse. Gov. It is so detailed its 198 pages. And complete detail what were going to do. Our plan starts with mounting an aggressive, safe and effective Vaccination Campaign. To meet our goal of administering 100 million shots until our first 100 days in office. Were on day one. This will be one of the greatest operational challenges our nation has ever undertaken. And im committed to getting it done. Were committed to getting it done. And i explained last week, well move heaven and earth to get more people vaccinated for free and create more places for them to get vaccinated, to mobilize more medical teams to get shots in peoples arms, and to increase vaccine supply and get it out the door as fast as possible. Yesterday, we got started. We directed the federal Emergency Management agency, fema, to start standing up the first federally supported Community Vaccination centers with the goal of standing up 100 centers within the next month. The centers for Disease Control and prevention will launch the federal Pharmacy Program to make Vaccines Available to communities in their local pharmacies, beginning within, i think, by the 7th or 8 of february. Very early february. I will also task the department of health and Human Services to prepare and expand the pool of medical professionals who can administer the vaccine, can administer the vaccine. And ensure we have enough vaccinators, the people doing the vaccines, to meet the nations needs and quickly. In addition to this effort, our administration will be asking congress to fund for the funds to grow the Public Health workforce. We also are going to take immediate steps to partner with governors, mayors and other local officials who weve been talking to all along who are on the front lines of this fight. We directed fema to establish a Covid Response liaison for each state which means every state will have a point person at the federal level to maximize cooperation between the federal government and the states. And where it falls short to be made known immediately. This is a model we used to respond to Hurricane Sandy which i was deeply involved with. And in just a few moments, im going to sign a declaration to immediately begin reimbursing states 100 for the use of their National Guards to help covid relief efforts, something democrats and republican governors alike have called for. But the brutal truth is its going to take months before we can get the majority of americans vaccinated. So, while we increase vaccinations, were going to take steps necessary now to slow the spread of the disease as well. One of our 100day challenges is asking the American People to mask up for the first 100 days. The next 99 days. To mask to become a partisan issue unfortunately. But its a patriotic act. But for a few months to wear a mask, no vaccines, the fact is that the single best thing we can do. Theyre more important than the vaccines because they take time to work. And if we do this as americans, the experts say by wearing a mask from now until april, wed save more than 50,000 lives, going forward. 50,000 lives. Im asking every american to mask up for the next 100 days. Yesterday, i signed an executive action that requires masks and social distancing on federal property. Today, well be signing an additional executive action to extend masking requirements on interstate travel, like on trains, planes and buses. And in light of the new covid variants that were learning about, we are we are instituting now a new measure for individuals flying into the United States from other countries. In addition to wearing masks, everyone flying to the United States, from another country, will need to test before they get on that plane. Before they depart. And quarantine when they arrive in america. Our National Plan launches a fullscale wartime effort to address the supply shortages by ramping up production and protected equipment, syringes, needles, you name it. When i say wartime, people look at me like wartime . As i said last night, 400,000 americans have died. Thats more than that died in all of world war ii. 400,000. This is a wartime undertaking. Today, im signing the executive action to use the defense protection act and all other available authorities to direct all federal agencies and private industry to accelerate the making of everything it needs to protect, test, vaccinate and take care of our people. Weve already identified suppliers. And were working with them on moving the plan forward. Now, look, our strategy includes a plan to safely reopen schools and businesses while protecting our workers. Today, were directing the department of education and the department of health and Human Services to immediately provide schools and communities with clear guidance and resources to safely reopen the schools and child care centers. Were putting and by the way, when you do that, think of all of the people that can get back to work. Be able to get back to work. All of the mothers and single fathers staying home taking care of their children. Were going to put full force in the federal government, behind expanding testing by launching a covid19 pandemic testing board. This effort will ensure that we get testing to where it is needed and where its needed most. Helping schools and businesses reopen safely. And protecting the most vulnerable by those who live in longterm care facilities. And for the millions of workers, many of whom are people are color, immigrants and low wage workers who continue to put their lives on the line to keep this country going through the pandemic, im calling for the enforcement of more stringent worker Safety Standards so that you are better protected from this virus while you have to continue to work. To protect the rest of us. Our plan also protects those most at risk and works for everyone of all races and urban and Rural Communities alike. Today, im formalizing the Health Equity task force that we announced in the transition led by the brilliant dr. Marcella nunes smith who assures that quality is at the core of every decision. That includes increasing vac seen hesitancy as well as fighting disinformation campaigns that are already under way. Above all, our plan is to restore public trust. We will make sure that scientists and Public Health experts will speak directly to you. Thats why youre going to hear a lot more from dr. Fauci again. Not from the president. But from the real genuine experts and scientists. Were going to make sure they work free from political interference. And they make decisions strictly based on science and health care alone