Vaccination on monday and that the United StatesSupreme Court justices are all being offered doses of the vaccine as well. Signs of hope that finally, finally the end to our nations suffering is within reach. So the news out today that the Vaccine Supplies are sitting in warehouses and that states are receiving a fraction of the supply of vaccine doses they were promised threatens to shatter both our sense of safety and hope. The New York Times reporting, quote, in Oregon State Health officials said they were told they were only scheduled to get about 25,000 doses of the vaccine next week. Significantly less than the nearly 41,000 doses the state received this week. Iowas Health Department issued a similar release saying they were told, quote, they will not receive the volume of vaccine initially anticipated and that their shipment would be as much as 30 less than what they received this week. Governor jay inslee spoke out about the inability to plan for his states rollout by saying, quote, the cdc has informed us that washington states Vaccine Allocation will be cut by 40 next week and that all states are seeing similar cuts. This is disruptive and frustrating. We need accurate, predictable numbers to plan and ensure on the ground success. No explanation was given. And the confusion is even greater when you consider this statement from the vaccine maker, pfizer. They said this, quote, we have millions more doses sitting in our warehouse but as of now weve not received any shipment instructions for additional doses. What . How is that possible . We are the country that is doing among the worst in the developed world in terms of the number of infections and deaths. And now it would appear that of the countries that have approved vaccines we are the first known to have doses just sitting in warehouses. But the chaos has a source. And that source is very likely donald trump and his white house. Donald trump is also sowing chaos around the stimulus package nearing approval on capitol hill. The Washington Post reports, quote, on a phone call thursday afternoon trump told allies that he believed stimulus payments in the next relief package should be at least 1,200 per person and possibly as big as 2,000 per person. Officials said congressional leadership is preparing a stimulus package that would provide checks of 600 per person. Trump was in the middle of formally drafting his demand for the larger payments when white house officials told him that doing so would imperil delicate negotiations over the Economic Relief package. Government funding which right now is tied to the relief bill is set to expire midnight tonight if a deal cant be reached. Donald trump, the chaos president , is disrupter in chief is where we start today. Msnbc political analyst robert gibbs is here, former White House Press secretary under president obama. Also joining us dr. Michael anderson, Critical Care physician, Health Care Executive and disaster care consultant. And msnbc contributor laurie garret. Laurie garret, what do you know . Whats going on . How can there be vaccines sitting in warehouses without being preallocated . Well, this is complicated because weve only been a week of unloading Pfizer Vaccine to begin with and then a noreaster hits. And right from the very beginning fedex, ups were warning they were going to have disruptions in their abilities to keep pace with just routine christmas deliveries much less the Pfizer Vaccine because of airport closures and the noreaster. Now you add to that apparently general pernum whos the ceo of operation warp speed made a decision to set a fair amount of the vaccine off in reserve in case any of these planes that did try to get through the storm crashed or had disruption in their ability to deliver on time. So much of the dosage was actually set aside and preserved, and thats why states got orders they were going to receive far less than they expected. But the real problem with all this, nicolle, is that each time theres a disruption even if it seems apparently to be relatively legitimate in source and reason and rationale, it undermines the credibility of the entire effort at a time when we have real concerns about Public Acceptance of vaccination and willingness to go along. And it underscores another key problem. Neither moderna, which had its hearings that were concluded 200 with one abstention, approval for their new vaccine nor pfizer have agreed to meet their original production quotas with the United States on the original timetables laid out in the summer. Both have indicated theyre probably going to come in later with fewer doses than originally expected because there are real production issues, real supply issues on basic raw ingredients that go into making these complicated rna vaccines. You know, laurie, just to follow up you hit the i think the political issue on the head. We have a country that is i think director osterholm calls it not pandemic fatigue but pandemic rage. We have a country that is not known for its patience, a young and impatient country. Really pressing against the few things that we can do to protect ourselves. And for all americans there is great hope in the vaccine, and i think your point about competence and trust is central. Is there a i mean just from where you sit are there examples of other countries communicating more clearly and more coherently about whats going wrong in distribution . Well, the u. K. Is running up against problems as well. Theyve just zroved a new mutant strain of the virus is circulating in the south eastern part of the united kingdom. And it appears to be a mutant that gives the virus the capacity to spread more readily. It doesnt seem to make it anymore lethal or dangerous, but it does seem to coincide with more rapid spread thats being experienced in the u. K. And they think it may be a break through mutation that is the result of so much virus circulating so widely in an uncontrolled epidemic in that country that a lot of people acquired immunity because of exposure and now the virus is breaking through around that immunity. I dont think we can point to a country and say those guys are doing their vaccine rollout perfectly. I think whats much more important to ask is all day today the National Academy of science convened a meeting on how do we establish trust in our vaccine programs . How do we get the public to believe that everybodys trying to do the right thing and that the product is safe to use and it will work . And currently we dont have the right kinds of messaging going out, and were not acting in a way that makes all of this clear. If everything about this lower dosage supply to states boils down to preparation for the noreaster and disruptions in the northeast corridor due to snowfall, that should have been said, right . You know the general should have issued a statement. The states should have been led to understand. We need clear messaging, clear absolute trance parent messaging because each failure to be clear about why somethings not going smoothly results in more distress in the public. And people leap to their preconceived political notions, you know, red state, blue state whatever it may be and start accusing and reaching conclusions that may be completely wrong. You know, i mean dr. Anderson, i think lauries become not only the preeminent science reporter we turn to but quite a political analyst and someone who understands this political climate. And from where you sit, i mean, when people are sick, if their parents are sick or child is sick they dont give a hoot what your political affiliation is. People just want their families to we safe, to be healthy and they want them to be protected. How do you address both snafus if you want to call it that. It sounds like its a known unknown why these Vaccine Supplies and shipments are sitting in a warehouse and not going to the states as the states had expected them to go as well as the i wont call it lack of trust but questions and skepticism about the safety of the vaccine. I come back to something you said and laurie said. You used a word thats really important, and that is hope. Hope is on the way. The amazing time from learning about this virus to having an mrna vaccine from two companies is an incredible time line. So hope is here. You also said it, how do we get back to normal . How do we have normal holidays and normal celebrations . So hope is here. But laurie also said it. We are a divided nation, a distrustful nation, and quite frankly it brings warmth to my heart when i see leaders who are getting the vaccine who say i dont care about red, i dont care about blue. We know that this vaccine is safe. We know that the companies have been meticulous in how theyve studied. Now weve got to figure out how to get the message out. You know, were in this together. The other message is a little less hopeful and that is its still a long winter ahead. The vaccine is coming. I believe well get over these logistics, but you cant let your guard down that the intensive care units across this country in the rafters, you know, truckload after truckload of vaccine is shipping, and well figure that out, but we cant let our guard down going into this winter. Robert gibbs, i want to hit you with both of these. Let me start with the politic and the trust issues around the vaccine first. Im going to say two names i dont often utter on this Program Tucker carlson and chris christie. Tucker carlson still has a very large audience on fox news, and hes articulating a lot of vaccine skepticism. Chris christie understanding that maybe red states and people that supported donald trump are still resistant to wearing a mask. Let me show you some of an ad that he released this week. This message isnt for everyone. Its for all those people who refuse to wear a mask. You know, lie in isolation in icu for seven days i thought about how wrong i was to remove my plask at the white house. Today i think about how wrong it is to let mask wearing divide us especially as we now know your choice is likely to get covid19 if you dont wear a mask. Because if you dent do the right thing we could all end up on the wrong side of history. Please wear a mask. Robert gibbs, i am in harsh and strong disagreement with crist christie on the question of his support for donald trump, but i think joe biden is clearly looking for partners with credibility in the Tucker Carlson viewing world to help him vaccinate the country. What do you think of that message and the messenger . Bravo to that message and that messenger. And i think, nicolle, we need far more of it. Look, i was heartened to see Vice President pence and the Surgeon General get the vaccine publicly and on television. Im excited to see president elect and dr. Biden get it. On monday i think we need to have athletes get it and nascar drivers get it. And quite frankly anybody with a following, anybody that is an influencer of some sort needs to preach the message that governor christie is preaching about being vigilant. This has been a tale of two cities week. We see these great pick dhrz and the hope of the vaccine coupled with a Record Number of new cases yesterday. Nearly 7,000 people dead in two days and a record of that. And a Record Number of hospitalizations climbing. Everyone has to get onboard with the Public Health messaging and i cant agree more with the clarity of this. Reading some of those articles about the vaccine potentially just sitting in a warehouse i felt like i was listening to a Conference Call where the government says, well, if this vaccine is sitting there, we need to know about it and the company is saying the vaccine is sitting here and we need to know what to do about it. That clarity has to get figured out. That clarity needs to be communicated because, look, we not only have Significant Trust issues around sort of the vaccine as we know it and mask wearing, but think about some of the generational issues were going to have to overcome in some of the populations in our country. We tested vaccines on black americans for generations. It is understandable when you look at research its about 5050 in some earlier polling whether black americans were going to get vaccinated. We need public examples, clear public messaging on this to overcome generations of hurdles to getting this country vaccinated and on the path to safety and normalcy. You and i have been on the same kind of Conference Calls, because when you read these stories you have that feeling and it usually falls to communicators to make these points when you work in the federal government, this reeks of incompetence, it reeks of bureaucracy. And i wonder what your degree of confidence is in the last 30 days the Trump Coronavirus Task force, which has been undermined by the president of United States, which has been left to languish with a focus in that white house around overturning that election trump lost and a transition that is delayed by Donald Trumps refusal to concede. What is your confidence that the next round of calls will be more productive and more competently executed . Well, look, i dont have a lot of faith not shockingly in the current occupant of the white house. Nicolle, imagine where we would be in this virus if Chris Christies video had been done by donald trump in march . Where would we be, right . My guess is wed all be making holiday plans. Wed all be thinking about getting around the table with our friends and family and celebrating in a far different way than we are celebrating. I do have good faith in the logistics of the military moving this out. I do have great hope in watching a partnership between government and companies create in record time a vaccine. I am hopeful that the politics can get out of the way or at least it can get coordinated in a sense that we are all rolling in the same direction. But, boy, you know, had donald trump maybe had he stood on the top of the steps at the white house after coming back from walter reed delivered through the greatest health care in the world and filmed on video about wearing a mask i doubt wed be on this show talking about a Record Number of new cases and a Record Number of hospitalizations. It is an opportunity missed. We can all remind ourselves it did not have to be this way, but now we can get this right. Laurie, robert gibbs words hit me like a ton of bricks. Everyone whos been doing what weve been asked to stay home and not travel, feels that pain what could have been. If donald trump had been an advocate of public mask wearing and social distancing and not being a vector for them, i wonder what you make of the biden teams warning about too much optimism and hope around the vaccine time lines. Theyre saying it might not be until late summer or early fall before the vaccine begins to be widely available to the general public. Is bidens additional messaging challenge going to be to call for more patience . Well, of course it is, nicolle, and hes right. And heres the thing. The National Association of governors the National Governors association, excuse me, said november 25th we need 8 billion to be able to rollout a vaccine on a massive scale to the entire population of the United States. Because you put the full burden of response to this epidemic on the states all this time, and now youre turning around and telling us were in charge of disseminating vaccine and we dont have any spare human beings. We dont have any extra employees waiting for something to do so they can now be involved in vaccine efforts. And the response from the federal government this week was, hey, good news the cdc is dispersing 227 million to the states. 8 billion, 227 million, thats a bit of a difference. When you go down to the local level and ask how is this all going to get out the door, putting aside whether the vaccine is going to get produced at scale in a timely fashion, which i have a great deal of cepticism, you have to ask can the states actually execute the dispersal especially in rural areas, especially in already highly underserved communities. If youre out in the Navajo Nation spread out over three states where it could be a 100 mile drive to get to drugstore do you think theyre going to have the vaccine to all the Navajo Nation by august . Go guam, puerto rico, rural iowa and you can begin to get a sense of the scale what were trying to accomplish. And heres another one, a curve ball to throw your way, nicolle. Each time we have an outage whether its due to weather or some other political machinations in the delivery of vaccine, we may interrupt the timetable for boosters. So individuals who are supposed to get their booster in 21 days might not get it until 40 days. Well, does that work . We dont know. All we know is whats been done in Clinical Trials which was 21 days. And in the case of moderna, 28 days. So were playing with fire. And each time we play with fire we have the potential of undermining public trust. Dr. Anderson, i want to give you the last word. These first doses, the ones that came in large undercounts for the states were expecting were all four Front Line Health Care workers who have bore the brunt of this. The populations laurie has articulated have been hit the hardest, but its the front line workers who have risked their own lives, their families health, their families lives. So it is their doses that came up short. What are your thoughts about how our countrys doctors and nurses and hospital workers are doing and how this news lands among them . They had an expectation and they