Good day, everybody, from msnbc World Headquarters here in new york. Welcome to weekends aalex witt. New alarm today. Going first to the coronavirus pnde pandemic. More than 14. 4 million cases here ntd u. S. The country adding an record 22,000 case yesterday alone and averaging more than 2,000 deaths a day according to information from john hopkins university. Ed cdc recommending you wear a mask anytime outside of your own homes and the first time the agency suggested universal indoor mask wearing as the country is entering what the cdc caused a phase of highlevel transmission. Pfizers Coronavirus Vaccine could be approved soon as next week. The fda meets december 10th to review trial data. Almost three weeks after pfizer applied for emergency aproorprp reporters are across the country. From newark, new jersey, from rhode island and san jose, california. First out west to california facing a quite a surge upon surge. Scott reporting from san jose, talk about it there. What are you seeing . I know you got firsthand info after speaking with the head icu nurse. Reporter yeah. Alex, you know, on the one hand, they have plenty of experience with this out here in california. Remember, this was one of the first places in the country to deal with the surge of the virus, dating back to late january. So they know what theyre dealing with, but then you take a look at the numbering, and this is what theyre starting to look at very closely across the state. Icu bed capacity now reaching critical levels. The state has has divided itself into regions. Governor gavin newsom has, and you can see were looking at critical levels here as little as 13 of capacity left in southern california, but thats a little deceiving which you look at places like where i am, santa clara county. The county itself is down to 17 of capacity, and this facility Regional Medical center hovering around 10 capacity. When you get to those kirnnds o patient loads and numbers, experience dealing with the disease only go so far. Every day is stressful. Disingenuous to say every day is not stressful, full of physical and mental and emotional fatigue. Filled with more feelings of more coronavirus comes in. Will it ever end . Unfortunately some patients do get very sick. Some die. S some go to the icu. Definitely an element of fatigue. Reporter her advice, same advice youve been hearing the last 10, 11 months which is, wear your mask. Wash your hands. Practice social distancing. This nurse says were really sort of first and goal to go end of Fourth Quarter and not is not the time, she said, to drop the ball. Nonetheless, with the levels being where they are in the state, these restrictions will go into effect in almost all of the state now beginning tomorrow, enhanced stayathome orders in california. Staidwide for sure at some point. Thank you, scott. Now to rhode island with highest cases in the region there. From cranston for us. Valerie, another welcome. You spoke with a patient in one of those Field Hospitals. What did you learn . Reporter well, good afternoon, alex. Right. I spoke to a gentleman earlier today who was now home but released after spending two days at one of the Field Hospitals. Before that spent two days at a typical area hospital and says what he saw there really left an impression on him. There are two Field Hospitals that opened up in rhode island since monday. Thats when residents in the area were sent an Emergency Alert letting them know the standard hospitals are now at capacity due to covid. Field hospitals set up in the spring but werent needed until now. There was one right behind me here in kroin cranston capacity patients. There are 10 patients there right now. The gentleman we spoke to was at the other Field Hospital in providence at the Convention Center and able to hold about 600 people. Were told there are about 20 pish patients there right now. The gentleman said before transported to the Field Hospital saw patients at their worst all around them saying doctors are exhausted, tired and knows right now there are new restrictions in the state to try to tamper the numbers, but he says anyone whos protesting those restrictions really should go to one of these hospitals and take a look. See for themselves how bad things are. Take a listen. Get them by the hand, take them to the hospital and say this is the reason we want you to wear a mask. This is the reason we want to do shut down places. You want to be like this . Is this your mother . Your grandanother . This is wrong. Reporter samuel is 75 years old and tells us hes not sure where he contracted the virus. He said he actually had surgery earlier this year and because of that he stayed home with his wife, not gone out to restaurants. Still not sure how he got sick, obviously very passionate about what he saw. Absolutely. Hart hard to listen to that but hes absolutely right. And working on plans to help the hardest hit communities there. Talk about the local pharmacies across country. The ones making plans to distribute this vaccine. What do pharmacies have planned in newark to assist the most vulnerable residents in that city . Reporter alex, good to be with you. You can imagine the logistics are mindnunning particularly for a mom and pop shop like this one. Hit hard again. Some the spring saw a peak. Now another one. Not expected early early 2021 in this state. Positivity race, 5,600 new cases. 3,300 new hospitalizations. Sadly 48 deaths. It appears theyre having Better Outcomes and here in newark, coming off a tenday lock doado the mayor says was successful keeping people home from and gathering indoors. Here at the pharmacy they are scrambling to come up way plan and expecting to receive the vaccine in the next couple of weeks. Pfizer and moderna asking for emergency use authorization from the fda. Both come with very different logist logistics. Both have to be cold. Pfizers ultra cold and need a special freezer this place cant afford. Workarounds with dry ice, for example, but only so many days those vials will be good for. Listen to what the pharmacist told me about the logistics here and kun customer whether they would feel comfortable taking the vaccine. We have a pulse on the neighborhood were in. We are here, were able and willing to help. So we can get the contact and the close personal service that people need. So were able to, i guess, get those people to come in, trust us, and to build a relationship with them so theyre able and willing to come. Reporter 2ertell me what yo think about the Covid Vaccine . I think its i think its a pretty good thing but nobody really knows the side effects and on top of that, people with preconditions, no one said how that would affect them. Reporter that first part why the local pharmacies are integral. Built trust within the community. They will be ready and convinced the vaccines will be safe. You just heard, quite a bit of ways to move when you think about public trust here with this vaccine. Okay. Thank you so much from newark. Joini ining me now, msnbc n medical correspondent dr. John torres. We heard reports rising cases, overwhelmed hospitals. You knows coronavirus ranked number one cause of death in this country. Whats your reaction to that, and how is it we are not slowing the spread yet . Alex, one of those things when you look at it, very disheartening because number of cases are going up, number of hospitalizations going up and unfortunately deaths reaching record ledvels as well. Dr. Robert redfield with the cdc said expect a total 450,000 deaths by beginning february. Around 280,000 right now. The thanksgiving weekend just came and start seeing peaks from those as well. Holiday season is coming up. December holidays. The message has been going out to not travel but a lot of people will travel and gathering. Those cases keep going up. Those hospitalizations and deaths keep going up, and i think people are getting the message about masks and social distancing but that message does break down during these time periods and thats when we see increase in cases, alex. Weve been in it tenplus months and want to be through this, pinning hopes on a vaccine we have a ways to go, need to double down on efforts and do our part to get this under control, alex. Reality, certainly disheartening to listen to dr. Robert redfield earlier on the broadcast. Thanksgiving travel. When will we see surge of cases from that . When it comes to coronavirus things typically happen in twoweek increments. After exposure, over thanksgiving, peak, two welcome week point. Probably middle of next week. Problem is, alex, that coincides with people traveling for the december holidays. That peak could be perpetuated, keep climbing. Why theyre saying by some estimates, 200,000 cases a day and some estimates, 350,000 cases by end of year, again, need to be extra careful during this time period. Still have one week before we understand what happened over the thanksgiving weekend. So much hope pinned on the vaccination. How long until we actually have an opportunity . You, me, anybody oes, to be inoculated . For most of us probably talking springtime. April time frame, maybe march if the vaccine comes earlier. Right now, they said earlier, december 10th the pfizer meeting with the fda. December 17th the moderna meeting and after that the approval should come within a couple days and shots in the arm could be started before christmas. But the one thing you have to realize, right now talking about 40 million doses by end of the year. Thats incremental. Not all of a sudden day one 40 million. By end of year, 24 million by some estimates in the group to get it need double dosing. Twoshot regime. 48 million doses. Were falling short of that already by end of year. Manufacturing is rampling up fast as they can. Hopefully more and more doses to come. To answer your question for you and i, probably april time frame. Okay. Heard about the professor there at Johns Hopkins university criticizing fdas delay in reviewing pfizers trial data pointing at a nearly threeweek period before when submitted and set to be reviewed. You mentioned that thursday. What do you make of the lag and do you think the fda, could have, should have looked at the information sooner . A big debate. Safety. How safe . Thats what the fda exactly. Were really, the fda is working hard to try to do that. I talked to dr. Stephen hahn, commissioner of the fda saying we wont approve anything until we get all data interpreted. One thing people dont understand is the difference between uk approval process and the u. S. Uk uses manufactured data and manufactured interpretation of data. Summaries. Here in the u. S. They want the raw data and spend a couple weeks poring through it. One of the doctors on the Committee Say paperwork higher than the empire state building. Takes more than a day to do that. I disagree with the professor saying should be able to do it in a day since safety is a huge concern. The couple week period to drill down on the data and have a good understanding through it transparency getting that word out to everybody else i think goes a long way towards making people understand that this is a safe vaccine, and they should take it and hopefully get that hesitancy under control. Get it right the first time this time. Dr. John torres, good to see you. Exactly. How much will the proposed covid relief bill help those on the brink of disaster . I ask former Obama White House adviser Austan Goolsbee that question, next. E that question, next. From getting damaged in the wash. Nah thats why i use new downy defy. It helps stop stretching, fading, and fuzzing. Thats whats up we have an assistant locker room manager . Help protect your clothes with new downy defy damage. One in every six representers is empty hind in rent. One in four Small Businesses cant keep their doors open. And theres a growing gap in black and latino unemployment and the gap remains much too large. That is president elect joe biden in a speech on the latest jobs report urging congress and President Trump to act immediately on a covid relief package. Biden predicts a grim Economic Future as numbers of coronavirus cases, hospitalizations and deaths rise across the u. S. Nbc news ali vitali is covering the transition and joins me from wilmington. No small undertaking. What is giving joe biden he can get the virus and economics under control when he takes office . Reporter look, its a mix of having a plan and having relationships. Always when it comes to governing, theres a series of competing things, agenda items, that need to be ticked off simultaneously. Never has it been more true for any administration in waiting than for joe biden right now. All of crises and things done on a clock. Americans are frustrated with the ongoing pandemic. We see cases rising by the day. That is a crisis inextricably linked with the hundreds of thousands of americans that have stopped looking for the, because there arent jobs to be had. Seeing in the latest jobs report a slowing number of jobs coming back. More jobs lost to the pandemic becoming permanent. Trend lines we saw even over the summer. Biden making the case now those things can be stopped, if theres action taken now. So hes functioning really on two plains right now. One plain, trying to get a plan together for the Coronavirus Vaccine to be disseminated in the next weeks and months. The other hand looking forward to stimulus packages moving through capitol hill to help americans and Small Businesses get through this ongoing pandemic. We know that there is upwards of 900 billion being considered right now on capitol hill in terms of relief money coming to Small Business and be other entities but also relief programs biden hopes to get in place after actually inaugurated. Talked about this next round of system li stimulus as a down payment but pursue more when he gets into office saying hes not going to lay out where his negotiations are right now. This is what he said when asked what amount of money he would like to see in the next round of stimulus spending. Listen. Were looking at hundreds of billions of dollars. And look, again ive learned after hanging around in this business for a while the last thing you do before a negotiation is loy down a dropdead marker. Not this im not going to talk to you. I think theres a lot we can get done. And i think people are going to see the overwhelming necessity and its going to start to happen, a lot of folks who represent republican districts are going to find their republicans neighbors are in real trouble as things get worse. Reporter biden talks about things getting worse. Look at your screen now. Deadlines expiring in the next few days really right after christmas. Emergency unploemt compensation, federal eviction moratoriums, mortgage forebasins and foreclosure all Things Congress put in place to help americans get through the crisis that could expire by end of the year if action isnt taking. I note student loan deferments have been pushed off to expire end of january now. That is one less thing to worry about, but really there is a clock thats ticking on these negotiations, and millions of americans can be impacted, if congress doesnt act, and then if joe biden isnt able to reach across the aisle and continue to negotiate in a bipartisan way Going Forward as he deals with both the pandemic and the economic realities, alex. 100 giving the reality. Thank you for that. Joining knee, Austan Goolsbee, former chairman for economics in the Obama Administration. Welcome, austan good to see you. Reaction to the jobs report and joe bidens plans for reviving the economy. What do you think . Thanks for having me back, alex. I thought the jobs report yesterday was seriously disappointing. And a little bit scary. But it wasnt unexpected in the sense that the virus is the boss. Were talking about how do we control the virus . Thats the same thing as how do you help the economy . Thats the number one rule of virus economics. I always say, you want to help the economy, got to stop the spread of the virus. So what weve seen is we had a catastrophic collapse in the spring. It was bouncing back at a pretty rapid rate and its apparently fully stalled out. And so if we continue at the rate of job creation we had last month well be more than three years before we even get back to where we were before this started, and if it keeps slowing at the rate we just saw last month, we will never get back. So i think the president elect is saying all the right things. Hes trying to do what we need to do. Which is, a. , control the virus. B. , get relief to people until the vaccine is ready, that were not going to get thrown out of our homes and not see our local restaurants and dry cleaners and all of those Small Businesses shut down. And i think this is grafted on to a familiar thing with an incumbent president leaving, this happened in 1932. This happened in 2008. The sitting president doesnt want to be there anymore, and hes just kind of writing it off, and phoning it in. I mean, the fact we dont have a detailed rollout plan for distribution of the vaccine and that we apparently have just given up on the task force coming up with a plan to fight the virus, thats bad economics as well as bad public health. Yeah. Is there something joe biden can do in terms of Economic Policy on day one . Yes. I mean, part of it depends on what happens in the Georgia Senate race, obviously. Yeah, and part of it, he might be able to do before day one. You know . In these in these kabuki negotiations theres a president elect working through democrats in the congress. I do think that the president elect is totally right. This is not this viruseses damage on the economy is absolutely not restricted to just blue places or just cities, just anything. Its hitting everyone, and there is going to be motivation to provide relief, as for can you restart the engine as opposed to just providing relief there, no, not really. You know, theyre on day one, there are a bunch of things you can do to start it in motion, but youve got to get control of the spread of the virus before the economy can come back. The good news is