Transcripts For MSNBCW MSNBC Live With Stephanie Ruhle 20200

This morning. At the same time, california, texas, mississippi, alabama, gaerks a georgia and the carolinas are smashing records for new patients. Arizona, mississippi and texas are seeing their highest death tolls of this pandemic. Despite all that, President Trump is demanding that schools reopen this fall. And while decisions like that typically fall to local officials, the president said he would, quote, put pressure on officials to get schools open without offering any details. I want to start in texas, a state thats waking up after a record 10,000 plus new cases on tuesday. My colleague, Garrett Haake, is in dallas and hell be joining me throughout the hour. Garrett, you made your way there from el paso yesterday. What are things like in dallas . Reporter chris, its such a challenging picture here in dallas. In the county of dallas, more than 1,000 new cases reported yesterday. Hospitals are seeing record influxes of patients with more than 750 patients currently hospitalized for coronavirus around the county. Just yesterday the Texas Education Administration announced that schools will open in person in the fall. Districts are struggling to figure out how to do that. Of course theres the economic hit. The state fair of texas, which usually brings in more than 2. 5 Million People here in dallas, announced that theyd be cancelling this years fair. Its the first time they have done that since world war ii. Of course the medical picture here is the challenge and were here at Texas Health Dallas hospital. Im going to bring in dr. Gary weinstein whos been treating covid19 patients since the beginning. What are you seeing over these last few days and weeks in terms of the volume of patients and whos coming in . Theres definitely more patients that require hospitalization now in the last several weeks than there were last month. Its two to three times the number. What are the challenges . I talked to doctors in el paso yesterday who told me that they can finding more beds, they can make more icu beds if they have to, but that staff and exhaustion are huge issues for them. Are you seeing the same thing here . We have similar issues. We have lots of beds and weve been working hard from the beginning, the Hospital Administration and nursing, to make sure that the staff gets plenty of rest and working to bring in as much staff as we can and as much help as we can. I work mostly in the intensive care units and they have been working really hard to bring in people who used to work in the icu who now work in other areas who are willing to come back and work in the icu and help us. Youve been treating these patients for a while. Youve had some success with convalescent plasma to cure people or to heal people who are sick now. What else have you learned in the course of treating . If somebody comes in in july, are they going to be better off than had they come to you in april . I think we all learn things as we have more experience taking care of especially a new disease, but any disease, but certainly a new disease. Weve been using convalescent plasma routinely since its become available. I would urge everyone who has survived the disease and recovered to donate convalescent plasma because as the number of patients who have the disease and get ill rise, we need more and more convalescent plasma to treat those patients to help cure them. What do you need from the government, from state or local officials, from the federal government . If you could snap your fingers and a truck pulls up, what comes out of it . What would help here to save lives . Thats a hard question. I dont know if i need anything that i can think of anything that i need from the government. We have plenty of personal Protection Equipment and medicines that we need, so we have not had those issues, fortunately. All right. Dr. Gary weinstein, thank you for your time. Hold on tight. Keep doing the good work that youre doing. So, chris, this is the picture in texas. Weve heard this from the governor especially from the beginning. Texas does have frankly enormous hospital capacity. They have some of the best hospitals in the country. Theyre prepared in that sense for a surge. But now here it comes. It didnt come in april, it didnt come in may, its coming in the late summer. Youre seeing that with the spike both in obviously the positive cases and those hospitalization numbers which continue to be the dramatic and i think the numbers that bear the most close attention being paid to them. Yeah, a couple of weeks ago i asked a doctor in new york what advice would you give to doctors in texas and arizona, and it sounds like theyre doing the things that he recommended, but he also said, you know, theres nothing that can actually prepare you for what its going to be. So garrett, thank you so much for that great interview and well check back with you in just a bit. We want to go florida now where almost, listen to this number, almost one out of every 100 residents has contracted coronavirus. Catie beck is in Miamidade County, one of many counties running out of space in their icus. Were talking about 54 hospitals facing this problem statewide. Tell us more about it. Reporter yeah, thats right, chris, exactly what garrett was just describing, that surge incoming is certainly being felt here in florida. Right now across the state of florida, hospitals are operating at about 80 , but those numbers are rising and in counties that are particularly hardhit like miamidade, where we are, theyre operating at about 90 capacity. So obviously officials are watching these numbers closely and trying to determine what is next in terms of keeping resources and staffing available for all of these new incoming patients. In Miamidade County just two weeks ago, 600 to 700 Covid Patients were hospitalized. Two weeks later its 1,500. That number has doubled. So it is really becoming an intensified situation here as people try to figure out what can we do to get these numbers to start going in the other direction as these icus and hospital beds fill here in this area, specifically Miamidade County, the hardest hit and most populous in the state is really getting the brunt of that. Now, we talked to an epidemiologist yesterday at the university of florida who brought up an interesting point about the fact that this is not all hospitals are doing. You have to keep in mind they have a Broader Mission amidst this pandemic and that is why keeping an eye on this number of beds is pretty vital for state officials. Heres what she had to say. I think you have to remember that we do still have a lot of people out and about. Theyre not all covid admits in icus. Weve got other patients in there as well. Most hospitals do have Surge Capacity for beds and for ventilators as well. I do worry a little bit about are we going to have enough personnel if we really get into a serious situation, though. Reporter here in Miamidade County, restrictions are actually coming back on restaurants, on gyms, on shortterm rentals, and that is because they want those numbers to start declining so they are basically rolling back their own reopening to try and get control of things. Chris . Thank you, catie beck. Let me bring in carlos jimenez, mayor of Miamidade County. We really appreciate you taking the time to talk to us. So much to cover here. Let me start, mr. Mayor, if i can with the Positivity Rate in your county that has gone from 12 to midjune to nearly 20 now. What happened . Well, actually it went from 8 to over 20 , so its actually worse. We saw a big spike in young people around the middle of june, and we feel that what happened, youve got to go back two weeks before that. At memorial day you had some of the demonstrations at some of the openings. I think that the young people like that story you had about tulane having parties, et cetera, that we were seeing here in Miamidade County and sleepovers and so this really was driven by young people going back to being young people and partying and getting together and it started to spread really fast among the young and then it started to spread obviously with their parents and their grandparents. And so thats what we believe happened. People were not abiding by the rules that we had set up. We had opened up the economy with some pretty strict set of rules but unfortunately a lot of people disregarded those rules and were seeing the consequences of it. Yes. So that leaves you with some tough decisions. Earlier this week you announced gyms would have to close down, then you reversed that decision. The miami herald said you were going to limit restaurants to just delivery and takeout but opted to let Outdoor Dining continue. Why . Help us to understand the process of thinking. Well, look, the decisions that we make here are made with our doctors. And when i sat down with our doctors, they felt that we could we should do x, y, z. Then we sat down with the doctors and the industry and said can we do this not quite so drastically and we all agreed that we could Outdoor Dining is fine. Thats what theyre doing in other states too like california and new york and even in europe. And then with the gyms, we said, look, gyms are also allowed to operate indoors when theyre exercising without a mask. We said, no, were going to eliminate that because the use of masks is the number one thing that we can do in order to combat the rise in this virus, and so now its really consistent. Every interior space you have to wear a mask. Outside you have to wear a mask unless youre actually exercising and then you must maintain a distance of ten feet and so its Pretty Simple rules to follow. Wash our hands, dont touch our face with our hands. If we do that, we all do that and we keep our social distance, then we can start to drive down this virus. Unfortunately, some people are not listening to it. People are still going out, theyre still socializing and getting together with people that are maybe friends, but with the high degree of positivity that we have here in this county, youre more than likely to encounter somebody who has covid19, doesnt even know they have it and is spreading it to other people. Thats why we need to keep our masks on, keep our distance, follow the rules. Understanding that, mr. Mayor, there are critics who say that part of the problem is that there has been inconsistent messaging. The mayor of the city of miami tweeted this. Quote, the county order caught everyone by surprise. Our communities need a Clear Strategy for a sustainable path to recovery. The decisionmaking process should be transparent and driven by facts, not impulses. All leaders must communicate and collaborate more. So let me get your response to that, because is the net effect of any backandforth to further confuse your residents who are looking for clear, consistent guidance on what the right thing to do is . Look, i believe the right thing to do is the right thing to do. And so the first message was were going to do x and then we changed our mind because i thought that was the right thing to do. We dont do that often. Its the first time really weve done that. As far as communicating on a process, we have a very clear process of how we do it. We communicate three times a week with the league of cities. Theyre part of the process. Our doctors are part of the process. We have meetings all the time about what it is that were going to do. We have, you know, the gating criteria. I was very clear when we started opening up and they asked me, hey, could we ever go back, its not something that i want to do, but its something that we have to do in order to tamp down the rate of infection here in Miamidade County. We have a very clear process. The problem is that the mayor of the city of miami doesnt participate in that process, which he could, but he doesnt. And hes also led to a lot of the confusion by issuing different orders than the ones that were issued by Miamidade County. Thats not the confusion i caused. So how do you fix that . Excuse me . How do you fix that . The way that it works here in miamidade, Miamidade County sets the bar, all right . And then cities can do something stricter than what miamidade does, all right . Thats up to them. Thats part of the way we operate here. But remember, the city of miami is only 15 of what you all know as miami, all right . And so im the county mayor, im the strong mayor of the entire county, but some cities have the right to put more strict measures. When they start to do that, then it starts to create confusion because, hey, am i in miami beach or am i in miami. Am i in coral gables . What are the rules there . The good news is that the vast majority of the cities and the towns do follow the county rules and we Work Together very closely, but there are some that dont and it is their right to do so under our charter. Mr. Mayor, thank you so much for taking the time. Were all rooting for all the folks in florida throughout the state. Thank you so much. Lets go phoenix now where Steve Patterson is standing by. Arizona is a state where one in every four coronavirus tests are now coming back positive. That is the highest percentage in the entire country. Steve, what does that number tell us . Reporter chris, the official rate is 25. 3 . Thats higher than texas, its higher than florida, its higher than california, its higher than anywhere else in the country. It means a few things according to Health Officials, none of them are good. First of all, when you have more testing, that rate is supposed to be much smaller. Its supposed to get smaller because the testing is reaching asymptomatic people, its reaching people that arent sick, its reaching maybe people that are just looking to do a job. And so it indicates that the demand for testing is far behind the surge of the virus in this area. It also may mean that the virus is surging, that Community Spread has increased to a point in which its out of control in some places and that they cannot track it. When youre not able to track through testing, you essentially dont have eyes on the virus, you dont know where it goes, you dont know what the hot spots are, and thats very difficult in a state thats strapped for supplies and hospitals that are strapped for staffing. And now Health Officials are very worried about this state moving to whats called crisis care, which essentially means a form of triage where youre determining treatment based upon the limited pool of supplies that are available. So some people may get treatment and if things get bad, some people may not. Health officials of course are trying to avoid that but its a very difficult situation with the current pool of supplies here in arizona as those numbers continue to climb. Chris. Thank you, Steve Patterson. And joining us now is the mayor of phoenix, kate gallego. Lets start with what steve ended with which is the possibility of crisis care. How close are you to a situation like that . We have already had hospitals run out of beds. Our doctors and nurses tell us they are exhausted. They would like more resources. They didnt go into medicine to decide who lives and who dies. This is the United States of america. We should do better. So what needs to be done better . Im going to ask you a question that earlier my colleague, Garrett Haake, asked an e. R. Doctor in dallas, which is if somebody could drive up a truck to the hospitals around your state or in your city, what would be in it . What do you need . What is your most urgent concern right now . The federal government has provided a testing surge in other states such as texas and florida. I request that they do the same in phoenix. When you see that positive rate that steve just mentioned above 25 , we are only testing the sickest of the sick. We need more help with testing right now. We also need more medical personnel. We are stretched right now and our hospital ceos tell me its going to get worse over the next two weeks. Well, your governor and the director of Health Services says fema has been actually very helpful, just not with this particular kind of testing site. Whats your message to them . Whats your message to your state officials . This weekend i went to a testing site where people had waited over eight hours. I saw a man who was sweating and struggling to breathe try to refill his gas tank because he had run out of fuel on our city street. If anyone looks at that and doesnt want to do better for him, then i just dont understand it. We need that testing surge in particularly our latino areas of phoenix. We are in a crisis right now. The resources and testing have not reached every part of our state. And for months now we have been asking for additional testing. The time has come to deliver. For months, literally youve been asking for months for this in anticipation of the situation youre in . Phoenix is the largest city in the country to have not received one of the large testing sites from the federal government. Even in april the houston mayor was announcing everyone who wanted a test could get one whereas we were struggling for our critical workers and sickest patients to get testing. At the time i asked why they had such a better result than we did and learned that the federal government had set up mass testing sites. At the time they told me we didnt have the number of cases to justify it, but unquestionably we do now with the highest positive rate in the country. We went for our first 50,000 cases in arizona, it took five months and then it doubled within two weeks. The rate of growth is staggering and scary. Are you getting any indication, if not from the federal government directly, from members of congress, from your senators, from your local congress people, from any contact you might have with the coronavirus experts at the federal level, at the cdc, any indication that that help is coming . Yesterday i was able to speak with the admiral whos in charge of testing for the President Trump<\/a> is demanding that schools reopen this fall. And while decisions like that typically fall to local officials, the president said he would, quote, put pressure on officials to get schools open without offering any details. I want to start in texas, a state thats waking up after a record 10,000 plus new cases on tuesday. My colleague, Garrett Haake<\/a>, is in dallas and hell be joining me throughout the hour. Garrett, you made your way there from el paso yesterday. What are things like in dallas . Reporter chris, its such a challenging picture here in dallas. In the county of dallas, more than 1,000 new cases reported yesterday. Hospitals are seeing record influxes of patients with more than 750 patients currently hospitalized for coronavirus around the county. Just yesterday the Texas Education Administration<\/a> announced that schools will open in person in the fall. Districts are struggling to figure out how to do that. Of course theres the economic hit. The state fair of texas, which usually brings in more than 2. 5 Million People<\/a> here in dallas, announced that theyd be cancelling this years fair. Its the first time they have done that since world war ii. Of course the medical picture here is the challenge and were here at Texas Health Dallas<\/a> hospital. Im going to bring in dr. Gary weinstein whos been treating covid19 patients since the beginning. What are you seeing over these last few days and weeks in terms of the volume of patients and whos coming in . Theres definitely more patients that require hospitalization now in the last several weeks than there were last month. Its two to three times the number. What are the challenges . I talked to doctors in el paso yesterday who told me that they can finding more beds, they can make more icu beds if they have to, but that staff and exhaustion are huge issues for them. Are you seeing the same thing here . We have similar issues. We have lots of beds and weve been working hard from the beginning, the Hospital Administration<\/a> and nursing, to make sure that the staff gets plenty of rest and working to bring in as much staff as we can and as much help as we can. I work mostly in the intensive care units and they have been working really hard to bring in people who used to work in the icu who now work in other areas who are willing to come back and work in the icu and help us. Youve been treating these patients for a while. Youve had some success with convalescent plasma to cure people or to heal people who are sick now. What else have you learned in the course of treating . If somebody comes in in july, are they going to be better off than had they come to you in april . I think we all learn things as we have more experience taking care of especially a new disease, but any disease, but certainly a new disease. Weve been using convalescent plasma routinely since its become available. I would urge everyone who has survived the disease and recovered to donate convalescent plasma because as the number of patients who have the disease and get ill rise, we need more and more convalescent plasma to treat those patients to help cure them. What do you need from the government, from state or local officials, from the federal government . If you could snap your fingers and a truck pulls up, what comes out of it . What would help here to save lives . Thats a hard question. I dont know if i need anything that i can think of anything that i need from the government. We have plenty of personal Protection Equipment<\/a> and medicines that we need, so we have not had those issues, fortunately. All right. Dr. Gary weinstein, thank you for your time. Hold on tight. Keep doing the good work that youre doing. So, chris, this is the picture in texas. Weve heard this from the governor especially from the beginning. Texas does have frankly enormous hospital capacity. They have some of the best hospitals in the country. Theyre prepared in that sense for a surge. But now here it comes. It didnt come in april, it didnt come in may, its coming in the late summer. Youre seeing that with the spike both in obviously the positive cases and those hospitalization numbers which continue to be the dramatic and i think the numbers that bear the most close attention being paid to them. Yeah, a couple of weeks ago i asked a doctor in new york what advice would you give to doctors in texas and arizona, and it sounds like theyre doing the things that he recommended, but he also said, you know, theres nothing that can actually prepare you for what its going to be. So garrett, thank you so much for that great interview and well check back with you in just a bit. We want to go florida now where almost, listen to this number, almost one out of every 100 residents has contracted coronavirus. Catie beck is in Miamidade County<\/a>, one of many counties running out of space in their icus. Were talking about 54 hospitals facing this problem statewide. Tell us more about it. Reporter yeah, thats right, chris, exactly what garrett was just describing, that surge incoming is certainly being felt here in florida. Right now across the state of florida, hospitals are operating at about 80 , but those numbers are rising and in counties that are particularly hardhit like miamidade, where we are, theyre operating at about 90 capacity. So obviously officials are watching these numbers closely and trying to determine what is next in terms of keeping resources and staffing available for all of these new incoming patients. In Miamidade County<\/a> just two weeks ago, 600 to 700 Covid Patients<\/a> were hospitalized. Two weeks later its 1,500. That number has doubled. So it is really becoming an intensified situation here as people try to figure out what can we do to get these numbers to start going in the other direction as these icus and hospital beds fill here in this area, specifically Miamidade County<\/a>, the hardest hit and most populous in the state is really getting the brunt of that. Now, we talked to an epidemiologist yesterday at the university of florida who brought up an interesting point about the fact that this is not all hospitals are doing. You have to keep in mind they have a Broader Mission<\/a> amidst this pandemic and that is why keeping an eye on this number of beds is pretty vital for state officials. Heres what she had to say. I think you have to remember that we do still have a lot of people out and about. Theyre not all covid admits in icus. Weve got other patients in there as well. Most hospitals do have Surge Capacity<\/a> for beds and for ventilators as well. I do worry a little bit about are we going to have enough personnel if we really get into a serious situation, though. Reporter here in Miamidade County<\/a>, restrictions are actually coming back on restaurants, on gyms, on shortterm rentals, and that is because they want those numbers to start declining so they are basically rolling back their own reopening to try and get control of things. Chris . Thank you, catie beck. Let me bring in carlos jimenez, mayor of Miamidade County<\/a>. We really appreciate you taking the time to talk to us. So much to cover here. Let me start, mr. Mayor, if i can with the Positivity Rate<\/a> in your county that has gone from 12 to midjune to nearly 20 now. What happened . Well, actually it went from 8 to over 20 , so its actually worse. We saw a big spike in young people around the middle of june, and we feel that what happened, youve got to go back two weeks before that. At memorial day you had some of the demonstrations at some of the openings. I think that the young people like that story you had about tulane having parties, et cetera, that we were seeing here in Miamidade County<\/a> and sleepovers and so this really was driven by young people going back to being young people and partying and getting together and it started to spread really fast among the young and then it started to spread obviously with their parents and their grandparents. And so thats what we believe happened. People were not abiding by the rules that we had set up. We had opened up the economy with some pretty strict set of rules but unfortunately a lot of people disregarded those rules and were seeing the consequences of it. Yes. So that leaves you with some tough decisions. Earlier this week you announced gyms would have to close down, then you reversed that decision. The miami herald said you were going to limit restaurants to just delivery and takeout but opted to let Outdoor Dining<\/a> continue. Why . Help us to understand the process of thinking. Well, look, the decisions that we make here are made with our doctors. And when i sat down with our doctors, they felt that we could we should do x, y, z. Then we sat down with the doctors and the industry and said can we do this not quite so drastically and we all agreed that we could Outdoor Dining<\/a> is fine. Thats what theyre doing in other states too like california and new york and even in europe. And then with the gyms, we said, look, gyms are also allowed to operate indoors when theyre exercising without a mask. We said, no, were going to eliminate that because the use of masks is the number one thing that we can do in order to combat the rise in this virus, and so now its really consistent. Every interior space you have to wear a mask. Outside you have to wear a mask unless youre actually exercising and then you must maintain a distance of ten feet and so its Pretty Simple<\/a> rules to follow. Wash our hands, dont touch our face with our hands. If we do that, we all do that and we keep our social distance, then we can start to drive down this virus. Unfortunately, some people are not listening to it. People are still going out, theyre still socializing and getting together with people that are maybe friends, but with the high degree of positivity that we have here in this county, youre more than likely to encounter somebody who has covid19, doesnt even know they have it and is spreading it to other people. Thats why we need to keep our masks on, keep our distance, follow the rules. Understanding that, mr. Mayor, there are critics who say that part of the problem is that there has been inconsistent messaging. The mayor of the city of miami tweeted this. Quote, the county order caught everyone by surprise. Our communities need a Clear Strategy<\/a> for a sustainable path to recovery. The decisionmaking process should be transparent and driven by facts, not impulses. All leaders must communicate and collaborate more. So let me get your response to that, because is the net effect of any backandforth to further confuse your residents who are looking for clear, consistent guidance on what the right thing to do is . Look, i believe the right thing to do is the right thing to do. And so the first message was were going to do x and then we changed our mind because i thought that was the right thing to do. We dont do that often. Its the first time really weve done that. As far as communicating on a process, we have a very clear process of how we do it. We communicate three times a week with the league of cities. Theyre part of the process. Our doctors are part of the process. We have meetings all the time about what it is that were going to do. We have, you know, the gating criteria. I was very clear when we started opening up and they asked me, hey, could we ever go back, its not something that i want to do, but its something that we have to do in order to tamp down the rate of infection here in Miamidade County<\/a>. We have a very clear process. The problem is that the mayor of the city of miami doesnt participate in that process, which he could, but he doesnt. And hes also led to a lot of the confusion by issuing different orders than the ones that were issued by Miamidade County<\/a>. Thats not the confusion i caused. So how do you fix that . Excuse me . How do you fix that . The way that it works here in miamidade, Miamidade County<\/a> sets the bar, all right . And then cities can do something stricter than what miamidade does, all right . Thats up to them. Thats part of the way we operate here. But remember, the city of miami is only 15 of what you all know as miami, all right . And so im the county mayor, im the strong mayor of the entire county, but some cities have the right to put more strict measures. When they start to do that, then it starts to create confusion because, hey, am i in miami beach or am i in miami. Am i in coral gables . What are the rules there . The good news is that the vast majority of the cities and the towns do follow the county rules and we Work Together<\/a> very closely, but there are some that dont and it is their right to do so under our charter. Mr. Mayor, thank you so much for taking the time. Were all rooting for all the folks in florida throughout the state. Thank you so much. Lets go phoenix now where Steve Patterson<\/a> is standing by. Arizona is a state where one in every four coronavirus tests are now coming back positive. That is the highest percentage in the entire country. Steve, what does that number tell us . Reporter chris, the official rate is 25. 3 . Thats higher than texas, its higher than florida, its higher than california, its higher than anywhere else in the country. It means a few things according to Health Officials<\/a>, none of them are good. First of all, when you have more testing, that rate is supposed to be much smaller. Its supposed to get smaller because the testing is reaching asymptomatic people, its reaching people that arent sick, its reaching maybe people that are just looking to do a job. And so it indicates that the demand for testing is far behind the surge of the virus in this area. It also may mean that the virus is surging, that Community Spread<\/a> has increased to a point in which its out of control in some places and that they cannot track it. When youre not able to track through testing, you essentially dont have eyes on the virus, you dont know where it goes, you dont know what the hot spots are, and thats very difficult in a state thats strapped for supplies and hospitals that are strapped for staffing. And now Health Officials<\/a> are very worried about this state moving to whats called crisis care, which essentially means a form of triage where youre determining treatment based upon the limited pool of supplies that are available. So some people may get treatment and if things get bad, some people may not. Health officials of course are trying to avoid that but its a very difficult situation with the current pool of supplies here in arizona as those numbers continue to climb. Chris. Thank you, Steve Patterson<\/a>. And joining us now is the mayor of phoenix, kate gallego. Lets start with what steve ended with which is the possibility of crisis care. How close are you to a situation like that . We have already had hospitals run out of beds. Our doctors and nurses tell us they are exhausted. They would like more resources. They didnt go into medicine to decide who lives and who dies. This is the United States<\/a> of america. We should do better. So what needs to be done better . Im going to ask you a question that earlier my colleague, Garrett Haake<\/a>, asked an e. R. Doctor in dallas, which is if somebody could drive up a truck to the hospitals around your state or in your city, what would be in it . What do you need . What is your most urgent concern right now . The federal government has provided a testing surge in other states such as texas and florida. I request that they do the same in phoenix. When you see that positive rate that steve just mentioned above 25 , we are only testing the sickest of the sick. We need more help with testing right now. We also need more medical personnel. We are stretched right now and our hospital ceos tell me its going to get worse over the next two weeks. Well, your governor and the director of Health Services<\/a> says fema has been actually very helpful, just not with this particular kind of testing site. Whats your message to them . Whats your message to your state officials . This weekend i went to a testing site where people had waited over eight hours. I saw a man who was sweating and struggling to breathe try to refill his gas tank because he had run out of fuel on our city street. If anyone looks at that and doesnt want to do better for him, then i just dont understand it. We need that testing surge in particularly our latino areas of phoenix. We are in a crisis right now. The resources and testing have not reached every part of our state. And for months now we have been asking for additional testing. The time has come to deliver. For months, literally youve been asking for months for this in anticipation of the situation youre in . Phoenix is the largest city in the country to have not received one of the large testing sites from the federal government. Even in april the houston mayor was announcing everyone who wanted a test could get one whereas we were struggling for our critical workers and sickest patients to get testing. At the time i asked why they had such a better result than we did and learned that the federal government had set up mass testing sites. At the time they told me we didnt have the number of cases to justify it, but unquestionably we do now with the highest positive rate in the country. We went for our first 50,000 cases in arizona, it took five months and then it doubled within two weeks. The rate of growth is staggering and scary. Are you getting any indication, if not from the federal government directly, from members of congress, from your senators, from your local congress people, from any contact you might have with the coronavirus experts at the federal level, at the cdc, any indication that that help is coming . Yesterday i was able to speak with the admiral whos in charge of testing for the United States<\/a>. He said they dont take requests from mayors, but if i could push the governor to do so, they do have the ability to do a testing surge in phoenix, so we are pushing as much as possible. Our congressional delegation sent a letter urging more federal support for testing and for our medical personnel so i do feel like we have a lot of elected officials pushing for more resources in this type of a crisis situation. It is five months after we began this and we should be able to test the people in our community who need one. I think thats a reasonable request that, frankly, a lot of people have been talking about for months and months and months. Kate gallego, madam mayor, thanks so much and good luck. We will stay close to your city and keep all of our viewers posted on how things are going. Thank you, good luck. Thank you. Still ahead, its a decision plaguing parents. Should they send their kids to School Next Month<\/a> . And with stress already weighing on them, are they equipped to even make that decision . Plus President Trump<\/a> wants a Republican National<\/a> convention, but more and more republicans are saying no, im not going. But first, we are expected to get a major decision from the Supreme Court<\/a> in the next hour, and we just found out this morning that chief Justice John Roberts<\/a> was briefly hospitalized last month. A spokesperson for the court says Justice Roberts<\/a> fell while walking near his home on june 21st. Doctors believe it was likely due to lightheadedness caused by dehydration. Can bring y on to life and save in more ways than one. For small prices, you can build big dreams. Spend less, get way more. Shop everything home at wayfair today. The open road is open again. And wherever youre headed, Choice Hotels<\/a> is there. Book direct at choicehotels. Com. At choicehotels. Com. vo verizon knows how to build unlimited right. Start with americas most awarded network. Give people more plans to mix and match at a price built for everyone. With 700 off our best phones when you switch. Because everyone deserves the best. This is unlimited built right. With herbal ashwagandas help turn the stress life into your best life live like a stress baller with stressballs i geh. Common bird. E. Ooh look over here something much better. There it is. Peacock, included with xfinity x1. Remarkable. Fascinating. Very. It streams tons of your favorite shows and movies, plus the latest in sports news and. Huh run the newest streaming app has landed on xfinity x1. Now thats. Simple. Easy. Awesome. Xfinity x1 just got even better with peacock premium included at no additional cost. No strings attached. Just say peacock into your voice remote to start watching today. This morning the debate is heating up over one of the hardest decisions lawmakers and parents will have to make amid this pandemic, whether or not to reopen and send children to school this fall. In florida, as cases surge and some counties are taking a step back from reopening, the education commissioner there is issuing an order mandating schools hold inperson instruction in the fall. And in texas, the education commissioner is taking a similar step, saying schools must reopen for inperson classes if they want to receive state funding. Further complicating this decisionmaking, new reporting from the wall street journal that state and local governments have cut 1. 5 million jobs since march with education taking the brunt of those cuts. Joining me to weigh in is dr. Ashish jha, Garrett Haake<\/a> is back with me in dallas. Dr. Jha, what do you think about this push to reopen schools . In your mind, what has to be in place to make it safe . Yes, good morning, and thanks for having me on. Look, im a parent of three kids. I desperately want them to go back to school this fall. I feel the pain of every parent in america. Its good for parents, its great for the kids to be back in school. So the question isnt should we try to get kids back to school. The answer is of course we should try. The question is how do we do it in a way that is safe and how do we do it in a way that schools can stay open. And the single biggest thing thats going to prevent us from having schools open this fall is the large outbreaks were seeing across the country. Until we can get that under control, were not going to be able to get kids back in safely and keep them there. Cornell University Says<\/a> its going to reopen and hold some inperson classes because their research showed that if they didnt reopen, a lot of kids would still come back to campus and just live off campus but they wouldnt be able to test or monitor these students. But other universities consider this . I mean thats a little different situation obviously than Elementary Schools<\/a> or high schools. Yeah, so a couple of things about that. First of all, cornell is in ithaca, new york, which is rural new york state. New york state is doing a great job now on the outbreak, has very few cases, and rural new york is probably a pretty safe place to be able to open up a college. Its very different than to think about a Primary School<\/a> or a secondary school in phoenix right now where the mayor was on or in florida or in texas. Its a completely different situation. Also cornell has a lot of resources that theyre going to throw at this. Most Public Schools<\/a> dont. Its just going to be much harder, and weve got to get going on planning for a fall where i hope we can get kids back in. Dr. Jha, ive been fixated on this concern about burnout and exhaustion among the doctors and the nurses who have been on the front lines of this pandemic for months. Is there a Public Health<\/a> solution to this . Are there ways that the public or the hospitals should be thinking about how to avoid just the complete burnout of the professionals that were going to need in the months ahead . In the fall, flu season will start and this will just continue. Yeah, its a great question. A couple of things. First of all, we have fewer doctors per population in our country than most other highincome countries. So its not like we have lots and lots of additional staff. Were always a little bit constrained. Second, weve had issues with burnout for a long time and this is putting a huge strain on nurses and doctors across the country. The single biggest thing americans can do is push for policies that keep infection rates low so our doctors and nurses are not having to work overtime in e. R. S and hospitals across the country. I really am very worried. Were early in the pandemic, folks, and weve got a long way to go. Im really worried about whether our Health Care System<\/a> will be able to keep up for the weeks and months ahead. Reporter forgive me if this is asking you to skate out of your lane, but is there a role for the federal government here . Should the military be used in a more creative way . Is there a way to incentivize something i mean we cant create more doctors, but to try to clear the path a little bit to get more folks surged into the places where theyre desperately needed . Its a great question. We saw some of that happening in new york. I do think states have been pretty creative about making sure we can give licenses pretty easily across state lines. The military definitely has great doctors and nurses who can be surged into places. These are all bandaids and theyre going to get us through short periods of time, but were going to be with this pandemic for at least another 9 to 12 months, so we need a strategy and absolutely the federal government has to play a role to get the country through that entire time period and not just be dealing shortterm solutions. Let me ask you finally about this big decision that the Trump Administration<\/a> made, dr. Jha, officially beginning the process of withdrawing from the world health organization. From your perspective, what are the implications of that . Yeah. I think this is a terrible decision. Look, ive been a pretty big critic of w. H. O. And they have certainly not been perfect in this pandemic. But we need w. H. O. For a couple of reasons. One is a lot of countries rely on them. If they become weaker, were going to see bigger outbreaks in those countries. W. H. O. Is running the largest Clinical Trial<\/a> in the world. We want a seat at the table. If we walk away, you know whos going to fill in that gap . Its china. So this really hurts American Leadership<\/a> and the american people. I am just puzzled about why the administration is doing this. In the middle of the pandemic. Dr. Jha, always great to have you on the program. Thank you. Of course the decision on whether to send your kids back to school is enormous. What takes priority, physical health, Mental Health<\/a> . Is it possible to find a way to accomplish both . Well, theres a fascinating new article in the atlantic that highlights this very real struggle and its reopening and its opening line is reopening is a mess. Joining us now is the author of piece, tess wilkerson ryan, a professor of law and psychology at the university of pennsylvania. This was absolutely a key article for me at this particular time. I have so much to talk to you about. Lets start with the consequences of this decision for a parent being so enormous. You call these decisions were all making some of the most frustrating and confounding cost benefit analyses of our lives. Are most people equipped to make this kind of decision . I think for most people, we are capable of making really tough decisions in our lives, but not at this volume, right . So not at this volume and not in this very sort of low information context in which we currently find ourselves. A choice like whether to send your kid back to school is a really complicated moral dilemma that involves a pretty deep understanding of things like statistics and epidemiology. Its the kind of choice a lot of us i think would really prefer to delegate to an expert because making that choice itself is both exhausting and is fraught with error. Yeah, and also were getting so much conflicting information. We mentioned that while the president has said get schools open, there are, for example, no National Guidelines<\/a> out there. And you write this, at the least Government Agencies<\/a> must promulgate clear, explicit norms and rules to facilitate cooperative choices. So i want to make sure i understand what youre saying here. Do we need government to make some of these decisions for us . What can leaders do . How do you best lead in a situation like this when people are inundated with decisions every day about how to stay safe and how to keep their families safe . I think that a lot of people want to make cooperative choices. They want to do the right thing in this context. But actually its very hard to know what those right choices are and even when the guidance is sort of be careful or use common sense, that actually is not particularly helpful. What people need is clarity and specificity. I myself find it very helpful when i go to the Grocery Store<\/a> and there are lines on the floor for where to stand, in part because i prefer not to have to estimate for myself what six feet is between me and the next person. I think that those kind of specific guidelines can be leveraged in any number of context, including things like how often is it appropriate to meet friends in indoor spaces. Maybe the answer is never, but it would be good to know. Or what are the where should you wear masks exactly, right . Should you wear them on the sidewalk . If so, thats a specific piece of information that can help guide behavior. Yeah, and to that point, you say we judge risk differently when we consider someone we know versus someone we dont know, whether someone looks like us. What does the Research Tell Us<\/a> that might help us to understand how were making decisions . What the Research Tells Us<\/a> is that when the decisions are extraordinarily complex, which these decisions f suor sure are they implicate competing personal values, they implicate statistical concepts, they implicate how we understand our sort of role in the world. When these choices are really hard, it is we tend to resort to sort of quick and easy mental shortcuts to figure out what the right thing to do is. And one thing that, for example, i might make me feel more comfortable in some setting is if i happen to know the people around me. Thats actually not a particularly useful piece of information if im trying to figure out if im standing six feet from them. The idea with these conpolice Department Risk<\/a> calculations and the point that i was trying to make there is that we are going to be swayed by salient pieces of information or salient cues that actually arent where we intend, arent the pieces of information we intend to rely on. Its such a great article. People can read it in the atlantic online. Tess wilkersonryan, thank you so much for taking the time to be with us, i appreciate it. After the break, a texas judge is at odds over the guidance of the governor. Both say they are following the advice of doctors but only one wants new closures. That judge will join us next. Xt by spreading any missed usaa insurance payments over the next twelve months so they can keep more cash in your pockets for when it matters most find out more at usaa. Com for when it matters most all strength we aint stoppin believe me go straight till the morning look like we wont wait were taking everything we wanted we can do it all strength, no sweat to kiddo curls. Ays. To playgrounds reimagined. Were all finding new ways to soak up a little sun. But sunscreen is still a must. So grab the brand derms trust most for their families. Love, neutrogena\u00ae. [ vo stinct radio chatter] audi etron. The next frontier of electric. Im Garrett Haake<\/a> at Texas Health Dallas<\/a> hospital continuing our coverage of the coronavirus pandemic here in Dallas County<\/a>. Yesterday for the sixth straight day reporting more than 1,000 new cases of coronavirus, very much in the midst of a surge here. I want to bring in the local official whos dealing with the pandemic most closely. Thats Dallas County<\/a> judge clay jenkins. Judge, i was in texas for the entire month of april. When i left, the story was still testing, getting enough of it, getting results back quick enough. Its july. It still seems like across north texas theres not enough testing, the results arent coming back fast enough to help you with contact tracing. Why not . Its just a breakdown of the state and federal government. Since may, garrett, weve been asking for reagents. Reagents are the chemicals that make the machines work on the test. And if we had those, we could run the tests here in dallas. We could do 6,600 tests on a twoday turnaround right here in our hospitals. They wont give us those. They keep making us send all the tests off to a federal lab somewhere out of state. Its taking eight to ten days to get the results back, okay, and thats just useless. I know youve been incredibly frustrated with the governor. You want more local control of the response here. If you could be in charge of one element of this, whether its from the local or federal response that youre not now, what would you change in how dallas is i dont waconfronting pandemic . I sent a letter to the governor that has what the doctors that are actually treating these folks, the chiefs of epidemiology and Infectious Disease<\/a> want and i would implement that because weve got to follow the science. That includes closing restaurant inperson dining. Indoors and outdoors . No, just indoors. Amusements, like spin cycle classes, bowling alleys, movie theaters. Restricting day care to only essential workers and closing things like cigar bars. Weve got to close places where you cannot wear your mask 100 of the time. Reporter i have a hard time imagining going to a cigar bar in the midst of a Global Health<\/a> pandemic, but unbelievable if thats where we are. I want to ask you very quickly about the school system. You will have to approve plans for schools in Dallas County<\/a> to open. Are you confident that this can be done safely in the time frame were looking at here, the next month and a half or so . As long as the state will do what our superintendents are asking, an i think were getting there. We made demands, they met most of them already, that well be able to do that. I dont know if it will be safe to go back to school because thats five weeks away, but we will have the flexibility to have inhome learning and atschool learning. Have our plexiglass, our mask requirements. So were getting what were asking for. Unfortunately, this is a very bad pandemic. I just dont know what august will look like. Reporter huge challenge for parents obviously, five weeks out and we still cant plan. The state fair announced theyre cancelling yesterday. Obviously one of a number of huge economic hits that the county is taking. How important is getting that state and local funding in the next relief package going to be to keep the county government healthy, all those essential services functioning . Its very important. We need the relief package, we need the reagents, and we need the governor to follow science and do what the doctors are asking. Reporter Dallas County<\/a> judge clay jenkins joining me here at Texas Health Dallas<\/a>. Chris, im going to throw it pack to you in new york. Person after person after person telling us in this hour, garrett, that they need tests and the president said four months ago anybody who wants a test can get a test. Well check back with you, garrett in, just a bit. Up next, President Trump<\/a> is changing his tone slightly about the Republican National<\/a> convention as more republican senators say they will not be going. Come on in, were open. All we do is hand you the bag. Simple. Done. We adapt and we change. You know, you just figure it out. Weve just been finding a way to keep on pushing. Weve just been finding a way to keep on pushing. Just between us, cleaning with a mop and bucket is such a hassle. Well i switched to swiffer wet jet and its awesome. Its an allinone that absorbs dirt and grime deep inside. And it helps prevent streaks and haze. Stop cleaning. Start swiffering this morning were learning that at least five republican senators will not attend the Republican National<\/a> Convention Next<\/a> month in jacksonville, florida. The Washington Post<\/a> among those reporting that senators susan collins, Lisa Murkowski<\/a> and mitt romney have joined Chuck Grassley<\/a> and Lamar Alexander<\/a> who said earlier this week they would skip the mass gathering. All of them in the highrisk age category for the coronavirus. As politico put it this morning, despite the push to rally the party in florida, as cases surge there, the president isnt going to get the convention he wants. When we signed a few weeks ago, it looked good and now all of a sudden its spiking up a little bit and thats going to go down so it really depends on the timing. Look, were very flexible, we can do a lot of things, but were very flexible. National political reporter for the waterishington post rt costa joins me now. What do you make of those comments from the president . Is he giving himself some wiggle room there . He might have to give himself some room because its not necessarily entirely in his hands. Governor ron desantis of florida, a republican, he is an ally of President Trump<\/a>, but hes also looking at the surge in florida and hes going to ultimately have to make a decision about Mass Gatherings<\/a> in his state for this Republican National<\/a> convention, which is just weeks away. My sources inside the Republican Party<\/a> tell me they expect more senior lawmakers and others to shy away from going to the convention, that in the end it may just be a glorified trump rally. That it will be a rally of sorts with many speeches. Most of the conventions work will be done in charlotte and thats because of the pandemic and the way this is unfolding. So when you say Senior Republicans<\/a> and others, do you mean there are delegates who are having second thoughts about whether or not they should go . Weve already seen this on the democratic side where theyre looking at a virtual convention. Now on the republican side delegates who have health issues, delegates who just do not want to take the risk for their family are thinking through their own travel plans for jacksonville. We see this across the entire footprint of the Republican National<\/a> convention in florida, whether its news organizations or delegates or members of the Republican Party<\/a>, theres a lot of hesitation about going to florida at this moment. Yeah, i mean theres also a question, i think, about whether they matter. I mean there had already been questions about the impact of conventions, but now you have a situation where people are worried about do i have to should i send my kid to school, do i have a job, am i going to continue to have a job. There are so many other things going on right now, do either the rnc or dnc really feel like this is what it used to be. Is the level of impact there. Well, the republicans and the democrats would like to have more than a zoom meeting for their conventions for the pure political reason of having a bounce in the summertime. A convention used to be about where delegates would hash out who would be on the ticket, what the platform would look like. They have often become political commercials in recent decades and so the import has certainly decreased over time. But they still provide political momentum for campaigns that sometimes desperately need momentum, whether for polling reasons or fundraising reasons. Its a chance to show off that Vice President<\/a> ial nominee, whomever is picked. And it may be especially at this time to help people focus a little more on politics if they havent been paying attention. Lets talk about this weekend, robert. The president is heading to portsmouth, New Hampshire<\/a>, for a rally. The republican governor there, chris sununu, says he will not attend due to Health Concerns<\/a> but he also says a mask mandate isnt necessary. So here we go again. New hampshire has a special place in the Trump Campaign<\/a> world. Its where his 2016 campaign really got a big boost when he was first running for president four years ago. And so the president likes to return there. One of his confidants, corey lewandowski, still is a behindthescenes player not only in National Politics<\/a> but New Hampshire<\/a> politics. But governor sununu, chris sununu, he will meet the president when the president comes to the state, but he will not go to the rally. This is no a test run for how the Trump Campaign<\/a> could proceed in the coming months, to have these airplane hangar, airport rallies as a way of having an outdoor space indoor space. All right, robert costa, thank you. Good to see you. Up next, one native american tribe in south dakota is taking extreme steps to stop the spread of the coronavirus. Locking down all traffic in and out. Well take you out to the Tribal Community<\/a> next. E Tribal Community<\/a> next the open road is open again. And wherever youre headed, Choice Hotels<\/a> is there. Book direct at choicehotels. Com. She always wanted her smile to shine. Now, she uses a capful of therabreath healthy smile oral rinse to give her the healthy, sparkly smile she always wanted. crowd cheering therabreath, its a better mouthwash. At walmart, target and other fine stores. Well the names have all changed since you hung around but those dreams have remained and theyve turned around whod have thought theyd lead ya back here where we need ya welcome back, america. It sure is good to see you. There are states all across this country looking for ways to try to slow the spread of the coronavirus. But then a lot of them are reluck tarelu reluctant to take the most aggressive measures. Here we talked a lot about texas this morning and the steps that they have been taking there. Reporter we have seen these battles, you heard it from judge jenkins, the battle over testing, we saw a similar thing play out in houston with the county judge there, butting heads with the governor over a mask order. The back and forth between state and local governments about who controls the response and how aggressive it should be is really playing out everywhere. I want to bring in cal perry with the story of this sort of thing. What are you seeing in south dakota . Reporter were at the Pine Ridge Reservation<\/a> about 20,000 people live on the reservation, ill get out of the way, mark is going to show you the checkpoint that they have put in place, we have our first customer of the morning here. This checkpoint is controlling access to the reservation to ensure if you go past that checkpoint you go out the reservation on the other side. We have seen exponential growth in this reservation from 48 cases now to 100. It has the reservation spooked. They have gone into a 72 hour lockdown. Part of it is how vulnerable this community is. We had a chance to speak to somebody who lived here all her life. Listen to what she said about how big the family units are. It is a harder time for families. Especially multiple generational families that live in one home being at risk, having to stay in one place. A lot of our people are entrepreneurs and artists and performing artists. There is no all of us performers, that was our income. Reporter the reality is this is a community that does not have the same access to healthcare as other parts of the country. There are not the doctors that have the specialized care that can provide that longterm care to people that need it. That is why people are concerned, if the virus gets into the community, theyll be unable to get it out. We have various battles going on between state and federal levels, the governor called this checkpoint illegal. There is a court battle now under way. The tribes in this area, one to the north, Cheyenne River<\/a> tribe have accused her of improper use of power in trying to get rid of checkpoints, they say under the existing treaties these are completely legal. Decisions yet again that have to be made. Cal perry, thank you for that report. Stay safe out there. Thats going to wrap up this hour along with Garrett Haake<\/a>, im chris jansing. Ayman mohyeldin will pick it up next as the Supreme Court<\/a> is set to announce decisions any minute. Have a great day. E decisions an minute have a great day dear fellow Business Leaders<\/a> and technologists, i see all the Amazing Things<\/a> you have been doing. You are transforming business models, and virtualizing workforces overnight. Because so much of that relies on financing, we have committed two billion dollars to relieve the pressure on your business. As you adapt and transform, were here with the people, financing, and technology, ready to help. And still going for my best. Even though i live with a higher risk of stroke due to afib. Not caused by a heart valve problem. So if theres a better treatment than warfarin, i want that too. Eliquis. Eliquis is proven to reduce stroke risk better than warfarin. Plus has significantly less major bleeding than warfarin. Eliquis is fdaapproved and has both. Whats next . Reeling in a nice one. Dont stop taking eliquis unless your doctor tells you to, as stopping increases your risk of having a stroke. Eliquis can cause serious and in rare cases fatal bleeding. Dont take eliquis if you have an artificial heart valve or abnormal bleeding. While taking eliquis, you may bruise more easily and it may take longer than usual for any bleeding to stop. Seek immediate medical care for sudden signs of bleeding, like unusual bruising. Eliquis may increase your bleeding risk if you take certain medicines. Tell your doctor about all planned medical or dental procedures. Ask your doctor about eliquis. And if your ability to afford. Your medication has changed, we want to help. Car vending machines and buying a car 100 online. Vented now weve created a brand new way for you to sell your car. Whether its a year old or a few years old, we want to buy your car. So go to carvana and enter your license plate, answer a few questions, and our technowizardry calculates your cars value and gives you a real offer in seconds. When youre ready, well come to you, pay you on the spot, and pick up your car. Thats it. So ditch the old way of selling your car, and say hello to the new way at carvana. Save without even leaving your house. Just keep your phone and switch to xfinity mobile. You can get it by ordering a free sim card online. Once you activate, you only have to pay for the data you need, starting at just 15 a month. There are no term contracts, no activation fees, and no credit check on the first two lines. Get a 50 prepaid card when you switch. 5g is now included with all new data options. Switch and save hundreds. Xfinity mobile. Good morning, everyone. Im Ayman Mohyeldin<\/a> in new york. A coast to coast resurgence in the coronavirus pushed the u. S. To a new milestone. There are now more than 3 million cases in the United States<\/a>. The virus on the rise in 37 states with new cases spiking by 100 or more in at least eight states. With people waiting for several hours to get tested in some of the hard hit states, federal Health Officials<\/a> have announced what they call surge testing, temporary testing sites are being set up in florida, louisiana, and texas. This all comes as the Trump Administration<\/a> begins the process of officially withdrawing from the world health organization. And another disagreement between the president and dr. Anthony fauci. Again, mortality rate, the lowest anywhere in the world. And we want to get","publisher":{"@type":"Organization","name":"archive.org","logo":{"@type":"ImageObject","width":"800","height":"600","url":"\/\/ia803200.us.archive.org\/22\/items\/MSNBCW_20200708_130000_MSNBC_Live_With_Stephanie_Ruhle\/MSNBCW_20200708_130000_MSNBC_Live_With_Stephanie_Ruhle.thumbs\/MSNBCW_20200708_130000_MSNBC_Live_With_Stephanie_Ruhle_000001.jpg"}},"autauthor":{"@type":"Organization"},"author":{"sameAs":"archive.org","name":"archive.org"}}],"coverageEndTime":"20240619T12:35:10+00:00"}