Impose a travel ban . And would it work . Number three, its probably not possible for all u. S. Hospitals to treat ebola patients shouldnt she only be treated at specially equipped hospitals . Number three, has the media overblown ebola . Number five, has ebola already decided the midterm elections . Has this october surprise cost the democrats the senate . Number six, we have to stop this where it started. So whats the mission of the u. S. Troops on the ground in liberia . And finally, number seven, what if airplanes are exposed to the virus . Can they ever be properly cleaned and decontaminated . Whos in charge of the crisis . Now we know. Its this guy, ron klain. But now the big question is, is he the right guy . Joining me is dr. Alexander garza of the st. Louis University College of Public Health and social justice. Hes the chief medical officer in the department of homeland security. Doctor, of what level of concern is the fact that ron klain doesnt have a medical background . Are you worried about that . I dont know if im so much worried about it. Its certainly an interesting choice, michael. And so he brings to the table a wealth of policy and political knowhow. I think he knows how to work the bureaucratic challenges. The challenge that he has is that Public Health is an interaction with the federal government and State Government and if hes going to be working on the mission in west africa as well, its going to bring in the International Component as well. You have to be comfortable operating in all of those spaces and have to have some degree of credibility in a lot of those spaces and you have to be able to build coalitions and coordinate those issues between all of those different moving functions. So i think thats what separates the issues of whether youre a good manager or whether youre a good operations person. Because really what i think this position needs is somebody who understands operations. Let me show you, doctor, an example of the criticisms that has come to the administration and from ron klain. If we could put up andy harris who says, worst ebola epidemic in World History and president obama puts a government bureaucrat with no Health Care Experience in charge. Is he serious . Hes an insider and can coordinate among the vast bureaucratic arms that are involved in the fight against ebola. Correct. And if that is his primary role, i think hell be very successful at it. He clearly understands the policy and the political angles. So i think if his right and left fence is contained within that, then hell be successful. I think hes going to have a little bit of a learning curve to understand how Public Health medicine i think he has some challenges but, again, a lot of people put in these positions have faced similar challenges and some have been very successful. Dr. Garza, are we putting too much emphasis on the federal response and not enough on the state response . I noted that on friday there were restrictions that were imposed on Health Care Workers in texas who had had interactions with mr. Duncan but they were imposed by the Dallas CountyHealth Department as well. It occurred to me that all of the conversation thus far has been on the feds. What if texas im not saying that they are but what if texas is deficient in handling ebola . Well, this is an interesting case study in the division of powers between the federal government and the State Government, especially as it applies to Public Health. And so from the concept of federalism, its installed in the constitution. The federal government has certain authorities and certain legislative issues that it deals with. The cdc, by and large, collects and distributes information and advice. But the Police Powers to execute and to protect the people and to do things like isolation and quarantine is really a state power. And the state designates that power through its authority. So the cdc, by and large, does not have the power that people think they do at the state level. The states inherently have that power. Thats their legislative authority, is to issue quarantine orders. Well, im glad i asked because it sounds to me like the state needs 51 different responses. Dr. Garza, thank you so much for your time. Absolutely. Thank you. My next guest does not think that ron klain should be the ebola czar and has ideas about how to stop others from coming into this country with ebola. Hes california chair of the House Foreign Affairs committee. Congressman, explain to me the beef that you have with ron klain as the ebola czar. I think its the right step to point a czar. The question i have, why not appoint someone with a background in Public Health or an understanding of Infectious Diseases because it seems to me that many of the mistakes have happened here because we havent been focused on the expertise from those who really understand pathogens and can put together a plan that has everyone on the same page. What about the argument that what we really need is a manager, not a medical doctor, someone who is wired, who knows the bureaucracy and can get elements working in tandem . Well, think for a moment. What we need is a manager who is a medical doctor and there are many of them. There are many with a background, they came out of the military and understood pathogens or who are experts in this field who also have this experience in managing health care systems. I know some personally and it would seem to me that that would be the logical inference from that. I hope hes successful in this. I think its a step in the right direction. Congressman, youve asked secretary kerry to suspend the issuance of visas. Well, issuing those visas in the past and i can think of a situation in 2009 when we had the h1n1 flu, so the decision was made to suspend the issuing of those visas for a while, for three weeks. And one of the consulates. Why . Because we wanted to wait until that got under control. And so youve got a similar situation today where ebola is a problem, you have people taking flights and the question is, what can we do to contain the problem to west africa and treat it there . This seems to compound the problem in terms of containment. Congressman, if we were to do that and if others were then to follow in our footsteps, what about the argument that says were going to bring about the economic crippling of those nations, they wont be able to engage in congress the way that they do now and will put ourselves in a worst position because ebola will spiral even further out of control there . I dont know that thats necessarily the case because it seems to me that if youre talking about travel visas, tourism and so forth, people from west africa, putting a hold on that for these three countries at this point in time, i dont think its as crippling an impact as would be allowing this to continue and to have the spread of ebola into on to planes potentially. Its because we dont the gestation period of this, frankly, is a longer period of time than can be easily screened for. So we have to develop some type of solution to these problems and screening and Everything Else and what im suggesting, since 100 people a day are coming in and asking for these visas and most of them are receiving these visas, put a temporary hold on that. Put a stay on that. Chairman royce, thank you for your time. Thank you. A lot of ground to cover on todays program. Tex Texas Health Presbyterian sits twothirds empty due to its mishandling of ebola. 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What if there were a major Ebola Outbreak . Im joined by National Nurses united and dr. Sanjay gupta, cnned chief medical correspondent. Two nurses caring for an ebola patient in texas, both contracted ebola. Where and was the breakdown . Among the nurses and the care they afforded or in the Hospital Administration . It was actually in the hands of the Hospital Administration for the breakdown and it wasnt communications. It was actually lack of preparation, lack of training and lack of practice with all of the protective equipment that would be needed to provide care for mr. Duncan. Dr. Gupta, that doesnt bode well, then, for caring for other ebola patients should there be other ebola patients at hospitals across the country. What of my idea that the model instead should be of instead of instilling the ability to diagnose ebola but then to treat those patients at only a handful of select facilities. I can see where that would be appealing especially given what happened in dallas and i agree with deborah in terms of what happened in dallas. Michael, a couple things to keep in mind. This becomes a question, first of all, if youre sending patients from wherever they might arrive in the United States, they could arrive from anywhere, the question is, if you send that patient, then, to one of these four centers, what is the goal . What are you really trying to achieve there . Are you doing it for the patient or are you doing it for the hospital . And i say that in the context of this. There is no specific treatment for ebola, right . Theres no sort of magic wand or position that these places can offer. What they can offer is their training in being able to contain ebola, in being able to contain the ebola virus and infecting other patients. Youre really doing it to protect the hospital, the initial hospital where the patient arrived. So can those hospitals come up to snuff and be able to isolate patients just as the Doctors Without Borders have been able to do in really remote and rural areas in africa. Theyve been able to do it in sort of these tent field hospitals in tough spots. Ive been there myself. And if what youre saying is true, that means big hospitals in the United States cant do what they did over there. I hear why thats become sort of the mantra and i hear what happened in dallas, this is a crisis of faith. But i just dont know Going Forward that we have to immediately surrender and say that all of these patients can only be treated at one of these four places. Deborah, you have nursing expertise. Go ahead and react to dr. Gupta. Well, i agree with i am had. The reality is, patients dont know that theres a center of excellence in emory or nebraska. These patients are going to be presenting in our hospitals and maybe in our other health care facilities. So we actually need the education, training and proper equipment to be able to handle tho those patients and handle them properly if were giving the proper drills and practice and confidence to be able to implement those safety measures. Dr. Gupta, can we talk transparency or lack thereof . At what point does the public right to know take control of these situations to the exclusion or detriment detrimen patients right to privacy . I think this notion that its mutually exclusive, i think you can still release enough information to the public without completely violating the patients privacy. There are lessons to be learned in dallas and some of those lessons are going to be released. Some already have been released. So, yeah, i think that look, what deborah is saying, the missteps in dallas with, you know, not just the guidelines being difficult to follow because the protective gear was not available to these nurses, its crazy the stories that ive heard. Frankly, even some of the guidelines provided by the cdc, when i looked at some of those guidelines, even if you followed them to a t, they wouldnt protect the Health Care Workers taking care of these patients so intensively. Theres a lot to be learned there and you have to be transferred. You have to release that information. You have to be honest about your mistakes otherwise they will be in the same boat that dallas was. Debra, has the issue with respect to the cdc guidelines been fixed . I dont think they have been. Were asking president obama to give authority to the new ebola czar and to the cdc to make these guidelines mandatory. As weve seen in dallas, texas, and we continue to see in all of our hospitals, they are merely guidelines. We know we can handle this if were given the support and mandates and the penalties to fine the hospitals if they dont do what they need. Thank you both. Thank you. I need to take a quick break. When we come back, are you scared about ebola . 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When a big news story breaks, the media has a job to do. Report the story, tell you information that you need to know. But what happens when its a scary story, even terrifying, full of conflicting information that confuses people . Thats the moment when the media really needs to step up to the plate. But have we . Joining me now to talk about this issue, director of the school of media and Public Affairs at George Washington universi university and the New York Times columnist. Frank says, no, i feel conflicted because during my day job ive been very critical of the massive coverage of this issue and now i find myself devoting a whole hour to it. The point is, its hard to strike the right balance. Its hard to strike the right balance but its not impossible. First of all, this is a real story and people are really wondering about it, scared about it, asking a lot of questions. I had somebody ask me today whether they thought they should send their kid to school in the suburbs of virginia because theres so many diplomats around here, are they wondering whether theres a child who has come into contact with somebody who has been in an infected part of africa. People are asking these questions and the role of the media is to answer them. Its a global story, a medical story, a political story, as we know. The problem is where we hyperventilate. Its so easy to hyperventilate. Thats when we lose our way and lose perspective on this. Frank, you wrote, i thought, a terrific piece on ebola. You said on matters exotic were rapt. Explain. What i meant by that is were talking so much about ebola and people are very concerned about their personal safety and we have more questions than answers when it comes to this virus and disease. We