Night on cnn town hall saying all states should have stayathome orders. Alabama about face, just last week governor ivy dismissed the need. Were not louisiana, new york state or california. Shes wrong according to Johns Hopkins data, per capita rate is same as california californias kborcher announced the stayathome order before ivy did. North dakota, nebraska, south dakota, wyoming. Asked about the difficulties for getting supplies and testing and answer could apply to much we heard from the white house today. Theres no federal plan for this, every state is on their own. Its the wild west out there. Here. According to Johns Hopkins, theres cases in the u. S. , 7,078 people have died. Joining me is the cnn chief medical correspondent gupta and analyst and at nyu medical school. Sanjay, the source telling cnn that cdc felt pressured to draft the guidelines and would not have made the recommendation if not for the white house and president reiterated theyre voluntary, not going to do it. Should people wear a Face Covering . This is a significant change, no question. Cdc and world health organization, up until yesterday, we talked to doctors yesterday, were not recommending people wear the face masks in public but started to hear a bit from people, including dr. Fauci, they were likely to lean into this because the evidence thats been out there for some time you can spread this virus even if you dont have symptoms, not coughing or sneezing. Idea these would not be medical grade face masks but a cloth mask to protect others from you i think is where this came from. But it is confusing, admittedly, even among the Coronavirus Task force, should wear it, not wear it. Should not take away from hospital workers or replace social distancing. Shouldnt be going out in public anyway unless you absolutely have to. Wonder what you make of it, Governor Cuomo has said probably cant do harm as long as it doesnt make you feel you can go out and interact with people and not obey the six feet distance and other guidelines. I think an easy way to think about it anderson, this is a hose thats spraying out something. And you put something here, essentially what youre doing with cloth face mask on the source of infection, that actually works really well in terms of preventing spread to other people. But you talk about im going to wear that to protect myself out here, that doesnt work so well. So the recommendation is really about preventing spread from you who may not even realize you have infection, you may be a carrier to other people. To protect the lady at the checkout counter at the gross from you. Its really important for people to understand the reason this is being recommended is only now realizing how many people may not it know theyre carriers and spread it to others. Not to make you feel guilty. Maybe you made somebody else sick, we didnt know that, but now you know, protect others. Jim acosta, still no national stayathome order from the president. Im surprised to hear the president say that the states that dont currently have them i dont have the exact quote but essentially theyre not in jeopardy. Right. The president has essentially been responding this way all along. Said again this evening hes going to leave it up to individual governors to decide what they want to do. Talked to senior white house official earlier today, why is the president reluctant to say we want every state to issue stayathome orders and official said our current guidelines are implying that. Its not the same thing and obviously not as far as where dr. Fauci went with you and sanjay last night when he said he thinks every state had should be doing it, nationwide thing, everybody pulling together. Even when the president is pressed by this governor in florida, governor in other states, some now catching on and doing it themselves, president has praised governors not taking the steps. Mixed message from the white house. One of several were tracking. Sanjay, when the president introduced or maybe two days ago, 100,000 to 240,000 likely deaths with current social distancing efforts under way, president seemed to embrace and believe those, and yet hes not even willing to publicly say i think all the governors should do this, even if hes not ordering them to or telling them directly to. He says its just contradictory, his logic on this. He should directly tell them too. Its quite striking to me that i feel theres been a slow roll through this entire process, despite the fact that data and i know the guidance, Public Health officials have been giving him has been really clear. Even before the 15day pause, it was clear at end of the 15 days it would need to be extended. Even now they say april 30th, but very models youre talking about are based on the idea it would the social distancing guidelines and stayathome orders would last until the end of may. So its kind of really strange i think to sort of look at this dance thats going on between science and policy. Science is there, obviously you have renowned people like dr. Anthony fauci who know this. Im not sure if this is just not shock the country, ease the country into it, or what it is exactly. But it is a bit bewildering. We know what needs to be done, its going to happen. Pretty confident of it, even if it feels like its kicking and screaming, its going to happen but why not just do it . Not sure i fully understand that. Dr. Gounder, does it make any scientific sense not to be telling South Carolina or iowa they should have stayathome orders in place . Is there any scientific validity to the president saying those places are not in jeopardy . Theyre not in jeopardy yet, longer they wait to implement the measures, more in jeopardy they will be. By the time you realize you have transmission locally, its too late. This is one thing ive really very disappointed in my own city, new york city, we waited too long. Even just a couple of days because of the exponential rate of growth, even a day or two can make a huge difference. I hope and pray for the rest of the country they learn from our mistakes and take measures as soon as possible. I dont understand any state says theyre not in jeopardy. Not like testing is statewide, ubiquitous, tests every street corner. They just dont know. People just dont know what the actual numbers of people infected are. Right. They dont know for sure. And what they would see as celine was mentioning is a picture thats behind the curve. Right . Because by the time someone actually gets tested its reflecting exposure some time ago. And its not just affecting their state either but probably the entire region. And most importantly anderson, its become clear to anybody following the story, we dont have enough of resources, including ventilators. Governor cuomo of new york is saying maybe shift them around to hot spots that need them. If we keep doing that, keep the supply and demand issue even more out of proportion to one another. By doing this theyre not just affecting themselves but the entire country. How they behave affects the entire country, you and me and everybody else. They should do it, be told to do it at this point. Were running out of time. Models youre citing are predicated on the idea that by tonight every state would have a stayathome order. Doesnt look like thats going to happen. I think that means the models and projections will be worse as a result. Jim, were now in a situation if the models presented at white house, based on all states doing this, if all states arent doing it, models could go up, 100,000 to 240,000 figure could go up. Absolutely. Thats been the fear by Public Health officials all along. Dr. Deborah birx said it, communities are not doing enough. Pressed on whether or not theyre sticking with the models offered up earlier this week, they were hedging on that answer. I think as sanjay was saying, we dont know what we dont know. You would think at this point, anderson, the president would be humbled by being wrong so many times. I pressed him at one point, its april, you said its going to be over. He said it is going to be over. Hes been wrong, health and scientist experts have been right and he cant grasp that reality. Lets address the supply chain. President blaming previous administrations for lack of supplies and theres blame to go around. Argument that after the swine flu in 2009 or 2009 pandemic they didnt restock some of the stockpiles, but that was ten years ago. This administration has had several years and warnings we now know about a pandemic like this one to stock up and supply and they havent. Whats the latest i mean ive yet to see breakdown of theres a billion masks coming by this date, theres x number of ventilators that will be made by se end of this month and next month. Hear piecemeal things, lot of things being made and folks working on it. Ive yet to see a breakdown of what is coming down the pike and when. Part of the reason why is you recall a couple of weeks ago they were saying there would be millions of test kits sent out by end of this week or next and they couldnt hit the benchmarks so i think theyre reluctant to do that. One of the things were saying, i brought it up at the briefing and so did other reporters, why is the president shifting the blame, blaming other states when he also had the opportunity to fill the National Stockpile, make sure that shelves werent quote empty and president just doesnt have good answer for it. He blames the Obama Administration for it. As i told him in the briefing, hes been president for three or four years, had plenty of time to prepare. Hes put out this notion we couldnt have seen it coming, unforeseen problem, thats just not the case as Andrew Kaczynski was reporting earlier, secretary azar at ahs was talking about the potential for pandemic flu a year ago. Asked the president about that, he said he was aware of pandemic as concept and knows pandemics are a problem but flatout truth of the matter is this administration did not prepare when it had the chance. Thank you very much. Joining me now is dr. Jeremy faust, instructor at Harvard Medical School and bringman womens hospital, 154 employees have tested positive for covid19. 1,851 have been tested out of 25,000 employees. Thank you for all youre doing for being able to be here tonight. I know youre going straight from spoking to us to working overnight at the hospital. Day to day level, what are you seeing that most concerns you right now . Thank you. What im seeing right now is increasing number of cases where all over the country weve seen cases increase, increase and you wait for the floodgate to open like what happened in new york. Waiting for that floodgate to open. Taking care of the patients coming in in boston but are we about to be in the next place where resources are stretched . What does that say to you . Is it inherent in dealing with the virus or unsafe conditions because of lack of proper equipment . Right. When we heard hear about our colleagues dying, that gives us tremendous pause, concern and just sadness. We never thought we would be in a situation where we would be unsafe. When that happens, you have to question are the doctors safe, is there enough ppe . Where i work right now, i feel say. Were certainly rationing, never seen anything like it, like line up like a food bank. Answer is now, will we feel safe in a week or month . And were hearing that the National Stockpiles arent really adequate, as you were talking about the previous segment, isnt adequate we think to keep up. We need to lean into the tools we have to get more ppe so i can continue to feel safe and do the job i want to do, help as many people as possible. Weve heard about ventilators and ppe. Also the question of medication. Wondering your thoughts on that. In order to have someone on a ventilator, they have to be essentially sedated for the time theyre on. Are those supplies in danger too . Thats correct. Were hearing of shortages of those medications which would be another capacity issue in a sense, even if you had the ventilators can you effectively use them. Were very concerned thats the next thing. In the whole crisis one of the big criticisms has been could we have done more sooner . I dont think it makes a lot of sense to look back and point fingers, we like to look forward and say what we can could now. Find out the pipeline issues and dig deep to find out where the bottleneck is. If we cant do that, cant use the tools we know how to use to save lives. My mom died earlier this summer and had clear instructions about not wanting to be on an ventilator, specific instructions how she wanted her life to end. I bring it up because i know you think its important that people think about it now and make sure their wishes are known with family members and also possibly written in a Health Care Directive or dnr order. Can you talk about why thats important . Question about the ventilators, if youre put on a ventilator, what is the chance youll survive and recover after being on the a ventilator . Very important questions, glad you brought them up. Everybody needs to have these conversations all times, not even in time of crisis. Often people come into the hospital and made explicit wishes and we dont know about them or think theyre up to date and patients get care they never wants, that can be burdensome, end up on machines when they wanted to have a natural life. We have to have these conversations as difficult as they are. We dont want to convince anyone of what to do just honor their wishes, decrease suffering and keep things available, equipment and other capacity issues available to do the best for every Single Person. To answer your specific question, i dont think we know the rates of recovery. What i would say, in general it just depends more on less the condition you have, and more who you were before. Could have a lifethreatening illness, be a young, healthy person and recover, and older person, frail with many conditions and not do well. Weve heard good news that people across the age spectrum can come off the ventilator, theres a glimmer of hope there. Most important we know peoples wishes. I ask that question because i think in peoples consideration, speak for myself, if im on a ventilator for x days and two weeks and sedated, ill recover, okay, good shot. If on a ventilator and little likelihood ill get off it, i might have other decisions. Thats right. Those are the calculations people have to make with doctors, family and friends. Individual profiles. Yours is different than mine. Those are the questions to be asking. Cant do it later in heat of the moment, especially not able to have visitors in the hospital. Need to have the conversations ahead of time to do the right thing. People need a Health Care Directive . A dnr . Dnr is very specific. Whether or not you would want to receive certain Critical Care like chest compressions if your heart were to stop. Wide inspect lspectrum of thing do. Every state has Different Things online. You can talk to family and doctor about what you would want. Lets talk about the complexities so everyone gets what they want. And make it known to the medical personnel known to you. Thanks you. Happy to do it. Interesting thing happened overnight after president s soninlaw Jared Kushner suggested that the strategic stockpile was for government use, government supply. Seems the definition was changed ov overnight. soft music [female vo] restaurants are our family. The cornerstone of our communities. And our family needs help. Right now theyre facing a crisis. And theyre counting on your takeout and delivery orders to help them through. Because if we dont treat restaurants like family today. They might not be around to treat us like family tomorrow. Grubhub. Together, we can help save the restaurants we love. Keeping our customers, employees, and communities safe. During these Uncertain Times we want you to get Great Service without leaving the safety of your home. Shop at sprint. Com for free next day shipping and no activation fees on our best new phone deals, like the Samsung Galaxy s20 5g for just 0 a month. Plus, youll also get a 100 prepaid mastercard when you switch online. Stay healthy and visit sprint. Com to get the services you need. For people with hearing loss, visit sprintrelay. Com the Trump Administration is facing new questions tonight after comments by the president s soninlaw who serves as one of his senior advisers. Jared kushner appeared at briefing and seemed to redefine how the Strategic National stockpile was meant to be used. Notion of federal stockpile is its our stockpile, not state stockpiles that they use. Reporters checked and didnt match with the hhs website, when states, territories and tribal responders request federal assistance overnight the website was changed to what Jared Kushner said at the podium. New language, role is to supplement state and local supplies during Public Health emergencies. Many states have stockpiles as well. Can be used as shortterm stopgap buffer when immediate supply is not immediately available. Perspective now from maggie haberman, and National Security analyst julian cayenne. Asked about Jared Kushner and the National Stockpile a while ago, he said it was a gotcha question. What do you make of the change and kushners role . I think federal officials are saying the change was in the works before Jared Kushner said this, but its quite the coincidental timing if thats the case. And anderson, Jared Kushner has put himself flush in the middle of the discussion about and efforts to procure equipment and efforts to send equipment to the states. Why he has chosen to do this is a bit of a mystery to a number of people, while i think he thinks hes helping, some federal officials think this just added another layer of intervention and confusion they say. In terms of what Jared Kushner said yesterday, this is not as you say the federal stockpile. Stockpile exists so that it can buffer the states and help the states. Were in unprecedented situation where a