1 00:00:02,000 --> 00:00:07,000 Downloaded from YTS.MX 2 00:00:08,000 --> 00:00:13,000 Official YIFY movies site: YTS.MX 3 00:00:48,915 --> 00:00:50,350 2020. 4 00:00:50,382 --> 00:00:52,551 Since the 1980s, 5 00:00:52,584 --> 00:00:56,588 it's been a magical year for science fiction writers, 6 00:00:56,622 --> 00:00:58,892 a year of predictions about the future 7 00:00:58,925 --> 00:01:02,095 and the ruthless power of technology. 8 00:01:03,062 --> 00:01:07,132 Humanity would be bound together by a world wide web, 9 00:01:07,165 --> 00:01:10,303 artificial intelligence would exponentially expand 10 00:01:10,336 --> 00:01:14,274 the powers of the human mind, 11 00:01:14,307 --> 00:01:17,043 and the world would be dominated and controlled 12 00:01:17,075 --> 00:01:19,077 by information-based megacorporations 13 00:01:19,111 --> 00:01:23,449 without need for government intervention. 14 00:01:23,482 --> 00:01:28,021 But all of that turned out to be a technocratic illusion 15 00:01:28,054 --> 00:01:30,156 when nature set loose a terrible disease 16 00:01:30,188 --> 00:01:31,556 that took advantage 17 00:01:31,590 --> 00:01:34,327 of the very connectivity we had manufactured. 18 00:01:37,462 --> 00:01:40,934 In Seattle, the day of reckoning was January 20th, 19 00:01:40,967 --> 00:01:44,370 when America's first patient tested positive for COVID-19. 20 00:01:47,539 --> 00:01:49,474 On that same day in Seoul, 21 00:01:49,507 --> 00:01:52,411 the first case in South Korea would also be confirmed. 22 00:01:56,081 --> 00:01:59,017 Korea moved quickly to contain the disease 23 00:01:59,051 --> 00:02:00,954 and save its economy using a variation 24 00:02:00,986 --> 00:02:03,188 on an American plan. 25 00:02:03,221 --> 00:02:04,991 But in the United States, 26 00:02:05,024 --> 00:02:07,427 politics got in the way of science, 27 00:02:07,459 --> 00:02:10,296 Allowing the virus to spread invisibly and fast. 28 00:02:13,199 --> 00:02:16,702 More than 200,000 people have died. 29 00:02:16,736 --> 00:02:18,537 In the first three months of the pandemic, 30 00:02:18,570 --> 00:02:20,706 30 million people lost their jobs. 31 00:02:20,739 --> 00:02:23,076 No more tyranny. No more tyranny. 32 00:02:23,108 --> 00:02:28,081 Now the Democrats are politicizing the coronavirus. 33 00:02:28,113 --> 00:02:29,982 You know that, right? 34 00:02:30,016 --> 00:02:32,018 This is their new hoax. 35 00:02:32,051 --> 00:02:33,753 Who's scared of coronavirus? 36 00:02:33,785 --> 00:02:36,388 - Let go of my fucking cart! - Are you recording me, dawg? 37 00:02:36,422 --> 00:02:40,426 I have the right to buy food without being forced 38 00:02:40,458 --> 00:02:42,361 to participate in a false flag pandemic. 39 00:02:43,661 --> 00:02:44,629 At a moment of crisis, 40 00:02:44,662 --> 00:02:46,298 the world's most powerful nation 41 00:02:46,332 --> 00:02:48,201 didn't rise to the occasion. 42 00:02:48,233 --> 00:02:51,170 It descended into division and chaos. 43 00:02:51,202 --> 00:02:52,304 Back up! 44 00:02:52,338 --> 00:02:53,406 What the fuck is your problem? 45 00:02:55,673 --> 00:02:57,642 Why did the United States 46 00:02:57,676 --> 00:03:00,245 fail to reckon with a danger 47 00:03:00,279 --> 00:03:03,683 for which it should have been so well prepared? 48 00:03:03,715 --> 00:03:06,319 It's one person coming in from China. 49 00:03:06,351 --> 00:03:08,787 It will go away. Just stay calm, it'll go away. 50 00:03:08,820 --> 00:03:11,723 In a couple of days it's gonna be down to close to zero. 51 00:03:11,756 --> 00:03:13,426 We have it totally under control. 52 00:03:13,458 --> 00:03:15,494 It's gonna be just fine. 53 00:03:15,528 --> 00:03:18,765 Breathe in and hold your breath. 54 00:03:25,804 --> 00:03:27,506 Filming during the time of COVID 55 00:03:27,540 --> 00:03:29,542 presented unique challenges. 56 00:03:29,575 --> 00:03:31,810 Okay, and I hold it... 57 00:03:31,844 --> 00:03:34,213 - There's, like, two handles. - Yup. 58 00:03:34,245 --> 00:03:37,350 Wow, you guys have really figured this out, okay. 59 00:03:37,382 --> 00:03:39,719 One work-around was a camera system we invented, 60 00:03:39,751 --> 00:03:42,721 built off-site, and sent to subjects. 61 00:03:42,755 --> 00:03:45,525 We dubbed it "the COVID-cam." 62 00:03:45,558 --> 00:03:47,693 So I was able... can I hear you? 63 00:03:47,725 --> 00:03:50,262 - Hello, yeah! - Hi, it's working! 64 00:03:52,832 --> 00:03:54,567 I'm Scott Becker. 65 00:03:54,600 --> 00:03:55,835 I'm the chief executive officer 66 00:03:55,868 --> 00:03:58,738 of the Association of Public Health Laboratories. 67 00:03:58,771 --> 00:04:01,474 How about this? Now, this is really something. 68 00:04:01,506 --> 00:04:04,843 It's an actual board game. 69 00:04:04,876 --> 00:04:06,144 My wife said, 70 00:04:06,178 --> 00:04:08,181 "You know, we should really get it out and play it." 71 00:04:08,213 --> 00:04:09,815 I'm like, "We're living through it! 72 00:04:09,849 --> 00:04:12,185 I don't need the game!" 73 00:04:12,218 --> 00:04:15,154 One of the functions public health labs have 74 00:04:15,187 --> 00:04:19,425 is looking for those early indications of an outbreak. 75 00:04:19,458 --> 00:04:23,095 And when did you first hear about the coronavirus? 76 00:04:23,129 --> 00:04:27,533 It was January 7th, I believe, 77 00:04:27,566 --> 00:04:31,203 that I first communicated with some of our staff. 78 00:04:31,237 --> 00:04:33,606 They had sent me an email saying, "We're watching this. 79 00:04:33,638 --> 00:04:36,576 "We just talked to CDC and they're gonna 80 00:04:36,609 --> 00:04:38,778 be standing up their emergency operations center." 81 00:04:38,811 --> 00:04:41,481 And I said, "Well, thanks for the update. 82 00:04:41,513 --> 00:04:43,682 "I've been watching this. I'm concerned about it. 83 00:04:43,715 --> 00:04:47,352 And happy new year." 84 00:04:49,454 --> 00:04:50,856 In early 2020, 85 00:04:50,889 --> 00:04:53,558 Trump was indifferent to the looming pandemic. 86 00:04:53,591 --> 00:04:56,128 He was reckoning with simmering conflicts 87 00:04:56,162 --> 00:04:58,231 and the upcoming presidential election. 88 00:05:00,633 --> 00:05:02,802 ♪ Time ♪ 89 00:05:02,835 --> 00:05:05,805 We begin tonight with the U.S. and Iran on the brink 90 00:05:05,838 --> 00:05:08,674 for the drone strike that killed Qasem Soulemani. 91 00:05:10,341 --> 00:05:13,578 Our economy is booming, wages are rising, 92 00:05:13,612 --> 00:05:16,148 poverty is plummeting, crime is falling, 93 00:05:16,182 --> 00:05:20,319 and America is the envy of the entire world. 94 00:05:20,352 --> 00:05:23,890 ♪ That you wanna be free ♪ 95 00:05:25,891 --> 00:05:27,893 ♪ I won't have to cry no more ♪ 96 00:05:27,927 --> 00:05:30,763 The whole impeachment thing is a hoax. 97 00:05:30,795 --> 00:05:32,864 It's a total sham. 98 00:05:32,898 --> 00:05:36,434 ♪ Yeah, yeah, time, time ♪ 99 00:05:36,468 --> 00:05:38,504 This morning, President Trump signed phase one 100 00:05:38,537 --> 00:05:40,540 of a trade deal between the U.S. and China. 101 00:05:40,573 --> 00:05:42,708 The pact comes after months of escalating tariffs 102 00:05:42,740 --> 00:05:45,510 between the world's two biggest economies. 103 00:05:45,544 --> 00:05:48,714 And we just broke the 29,000 mark on the DOW 104 00:05:48,747 --> 00:05:49,949 just now as we're walking in. 105 00:05:49,982 --> 00:05:53,819 Market's up substantially today. 106 00:05:53,852 --> 00:05:56,289 Up until coronavirus, the way that Donald Trump 107 00:05:56,321 --> 00:05:59,725 was gonna win reelection to a second term 108 00:05:59,758 --> 00:06:03,863 was largely going to be on the strength of the economy. 109 00:06:05,064 --> 00:06:08,634 I covered all of Barack Obama's two terms, 110 00:06:08,667 --> 00:06:12,804 so I was there during the Zika outbreak, 111 00:06:12,838 --> 00:06:16,242 the Ebola response. 112 00:06:16,275 --> 00:06:19,779 As a White House reporter, we sort of cover everything, 113 00:06:19,812 --> 00:06:22,547 so, you know, I've bounced around every topic 114 00:06:22,581 --> 00:06:25,350 that you can possibly imagine in the Trump term 115 00:06:25,384 --> 00:06:28,653 and had just finished covering the president's impeachment 116 00:06:28,687 --> 00:06:30,622 in the House, and the trial in the Senate, 117 00:06:30,655 --> 00:06:32,891 and was thinking that 118 00:06:32,925 --> 00:06:34,559 we might actually get a little bit of a break 119 00:06:34,593 --> 00:06:36,562 on the White House beat, such as it is. 120 00:06:36,595 --> 00:06:39,732 And then a few weeks later, COVID happened. 121 00:06:39,764 --> 00:06:41,333 One of the first indications 122 00:06:41,367 --> 00:06:43,001 that the United States government had that 123 00:06:43,035 --> 00:06:45,705 this was a potential problem was a conversation 124 00:06:45,737 --> 00:06:48,908 that the CDC director, a guy named Robert Redfield, 125 00:06:48,941 --> 00:06:51,711 had with his counterpart, a gentleman 126 00:06:51,744 --> 00:06:54,580 by the name of Dr. Gao, who was essentially the head 127 00:06:54,612 --> 00:06:59,618 of the Chinese CDC, and that occurred on January 3rd. 128 00:07:04,823 --> 00:07:07,593 Chinese health authorities are still working 129 00:07:07,626 --> 00:07:10,429 to identify the virus behind a pneumonia outbreak 130 00:07:10,461 --> 00:07:13,965 in the central city of Wuhan. 131 00:07:13,999 --> 00:07:16,836 Gao basically said, "Look, this is really serious. 132 00:07:16,869 --> 00:07:18,671 "You need to be aware of this. 133 00:07:18,703 --> 00:07:20,540 It's not something we've ever seen before." 134 00:07:49,667 --> 00:07:52,737 I heard about a novel respiratory virus 135 00:07:52,771 --> 00:07:56,675 circulating in China, and my ears perked up. 136 00:07:56,708 --> 00:07:59,045 There you are! 137 00:07:59,078 --> 00:08:01,780 I've been at BARDA for about ten years 138 00:08:01,814 --> 00:08:04,816 in the Department of Health and Human Services. 139 00:08:04,850 --> 00:08:07,653 BARDA's role is to lead the development 140 00:08:07,686 --> 00:08:09,422 between government and industry 141 00:08:09,454 --> 00:08:12,657 of vaccines, drugs, and diagnostic tests. 142 00:08:12,691 --> 00:08:16,429 So I'm very interested, and have been my entire career, 143 00:08:16,461 --> 00:08:20,699 of tracking early blips of novel viruses 144 00:08:20,732 --> 00:08:22,567 that are infecting people. 145 00:08:23,701 --> 00:08:27,872 It's not unusual for us to hear of a new virus emerging 146 00:08:27,905 --> 00:08:30,775 in these wet markets of China. 147 00:08:30,809 --> 00:08:33,379 They can spill over into the human population, 148 00:08:33,411 --> 00:08:36,881 especially the people working in those wet markets. 149 00:08:36,915 --> 00:08:39,418 But then we started seeing China take actions 150 00:08:39,450 --> 00:08:43,955 like build hospitals rapidly, urgently. 151 00:08:43,988 --> 00:08:46,725 All I could get at that point was anecdotal stories 152 00:08:46,758 --> 00:08:49,127 on Twitter, for example. 153 00:08:49,160 --> 00:08:51,463 But anyone who'd worked in preparing 154 00:08:51,497 --> 00:08:54,532 for pandemic outbreaks knew that we were dealing with 155 00:08:54,565 --> 00:08:58,737 something very unusual, very concerning, and very deadly. 156 00:09:02,641 --> 00:09:04,142 You'll get to it. Don't rush. 157 00:09:04,175 --> 00:09:07,445 Here we go. Now you got so exhausted. 158 00:09:07,478 --> 00:09:09,681 So interesting about birds... 159 00:09:09,714 --> 00:09:12,650 we had an earthquake, and they were able to alert us 160 00:09:12,684 --> 00:09:15,755 15 minutes before the earthquake. 161 00:09:15,788 --> 00:09:19,392 Because they are connected to the earth's compass, 162 00:09:19,425 --> 00:09:23,628 so they felt the earth vibrating before it happens. 163 00:09:23,661 --> 00:09:26,498 But you are also a predictor of things before they happen. 164 00:09:26,531 --> 00:09:31,102 Yes, I am obsessed with predicting things, 165 00:09:31,136 --> 00:09:34,607 but that's just part of my mathematical training. 166 00:09:34,640 --> 00:09:36,574 Dr. Lee's training allows her 167 00:09:36,607 --> 00:09:39,578 to act like a canary in a coal mine. 168 00:09:39,611 --> 00:09:42,615 She's world-famous for the way her mathematical modeling 169 00:09:42,647 --> 00:09:44,916 can predict the likely spread of disease 170 00:09:44,949 --> 00:09:46,951 and assess the risk of a pandemic. 171 00:09:46,984 --> 00:09:49,587 I have built so many models 172 00:09:49,621 --> 00:09:52,792 to describe many different type of diseases. 173 00:09:52,824 --> 00:09:54,193 When you see the first case, 174 00:09:54,226 --> 00:09:56,595 it does not mean you only have first case. 175 00:09:56,627 --> 00:09:59,098 It means you have one case plus many other cases 176 00:09:59,131 --> 00:10:00,866 that you don't see. 177 00:10:00,899 --> 00:10:02,934 It's by the time you have 41 cases, 178 00:10:02,968 --> 00:10:06,070 and it is, like, at the end of December, 179 00:10:06,103 --> 00:10:08,641 then that means you have hundreds of others. 180 00:10:08,674 --> 00:10:12,745 So I was really, really nervous at that time. 181 00:10:12,777 --> 00:10:13,978 I absolutely believe there's 182 00:10:14,011 --> 00:10:16,681 human-to-human transmission in China. 183 00:10:16,714 --> 00:10:20,953 If there are travelers coming back to the U.S. or Europe 184 00:10:20,986 --> 00:10:25,591 for celebration of new year, that would be truly a vector 185 00:10:25,623 --> 00:10:29,561 to really transmit the disease all over the world, 186 00:10:29,594 --> 00:10:33,231 so I do feel that we are marching to a pandemic 187 00:10:33,265 --> 00:10:36,001 in the early part of January. 188 00:10:40,271 --> 00:10:42,807 Starting tonight, we're going to begin 189 00:10:42,841 --> 00:10:45,644 screening passengers arriving from Wuhan 190 00:10:45,676 --> 00:10:47,078 at the three airports 191 00:10:47,112 --> 00:10:49,982 that see the majority of those passengers: 192 00:10:50,015 --> 00:10:53,686 JFK, San Francisco, and Los Angeles. 193 00:10:53,718 --> 00:10:55,920 Nancy Messonnier was in charge 194 00:10:55,953 --> 00:10:57,723 of public messaging for COVID 195 00:10:57,756 --> 00:11:01,160 at the Centers for Disease Control, or CDC. 196 00:11:01,193 --> 00:11:02,995 An experienced public health official 197 00:11:03,027 --> 00:11:04,896 and expert in vaccines, 198 00:11:04,929 --> 00:11:07,599 she had played a leading role in the CDC's response 199 00:11:07,632 --> 00:11:11,035 to the anthrax attacks in 2001. 200 00:11:11,069 --> 00:11:12,472 Just this week... 201 00:11:19,144 --> 00:11:21,914 Our laboratory is using genetic sequences 202 00:11:21,947 --> 00:11:23,649 provided by the Chinese. 203 00:11:23,681 --> 00:11:25,783 We're working on a specific diagnostic test 204 00:11:25,817 --> 00:11:27,653 to detect this virus. 205 00:11:27,685 --> 00:11:28,786 We'll be distributing this test 206 00:11:28,819 --> 00:11:31,623 to state health departments. 207 00:11:31,656 --> 00:11:33,725 This is a respiratory virus. 208 00:11:33,758 --> 00:11:37,997 It is spreading silently, invisibly, 209 00:11:38,030 --> 00:11:39,765 person to person, 210 00:11:39,798 --> 00:11:42,301 in the air, on the surfaces. 211 00:11:42,333 --> 00:11:45,670 Every moment counts to be able to recognize 212 00:11:45,703 --> 00:11:47,272 where the virus is 213 00:11:47,305 --> 00:11:50,809 and to learn as much as we can about it 214 00:11:50,842 --> 00:11:52,944 so we can make life-saving vaccines and drugs 215 00:11:52,977 --> 00:11:55,647 and diagnostic tests. 216 00:11:55,680 --> 00:11:58,050 So did the government have some kind of plan or playbook 217 00:11:58,083 --> 00:12:00,319 that they could look to in the event of something like this? 218 00:12:00,352 --> 00:12:02,655 There's absolutely a playbook. 219 00:12:02,688 --> 00:12:05,624 We've updated playbooks through the various years, 220 00:12:05,656 --> 00:12:07,926 and we actually used those playbooks 221 00:12:07,959 --> 00:12:10,762 to exercise what we would do 222 00:12:10,795 --> 00:12:13,732 in an emerging, viral pandemic 223 00:12:13,765 --> 00:12:17,937 the fall before this virus emerged. 224 00:12:17,969 --> 00:12:19,271 "Crimson Contagion" was 225 00:12:19,304 --> 00:12:23,074 a federal government exercise conducted in 12 states. 226 00:12:23,107 --> 00:12:25,877 It simulated a pandemic with eerie similarities 227 00:12:25,910 --> 00:12:28,680 to the coronavirus that was to come. 228 00:12:28,713 --> 00:12:31,583 It was a very thorough exercise, 229 00:12:31,617 --> 00:12:35,753 highly detailed, with a highly lethal influenza virus 230 00:12:35,786 --> 00:12:39,157 that emerged in Asia 231 00:12:39,190 --> 00:12:41,660 and spread quickly around the world. 232 00:12:41,693 --> 00:12:44,362 We were getting daily "pseudo-reports" 233 00:12:44,396 --> 00:12:47,299 on the outbreak, the death count. 234 00:12:47,332 --> 00:12:50,102 The mistakes made during "Crimson Contagion" 235 00:12:50,135 --> 00:12:51,770 played like a preview of coming attractions 236 00:12:51,803 --> 00:12:54,106 for the failures of the COVID response. 237 00:12:54,139 --> 00:12:56,775 So why did the government fail to learn the lessons needed 238 00:12:56,808 --> 00:12:59,745 to prepare for what was to come? 239 00:12:59,777 --> 00:13:02,247 The challenge has always been who's in charge. 240 00:13:02,280 --> 00:13:04,783 We would have disaster leadership group meetings, 241 00:13:04,815 --> 00:13:06,785 where we would bring together 242 00:13:06,818 --> 00:13:09,355 the Health and Human Services network of experts, 243 00:13:09,387 --> 00:13:13,024 and the ASPR would convene these meetings. 244 00:13:13,058 --> 00:13:15,126 Who was, in fact, the ASPR? 245 00:13:15,160 --> 00:13:17,929 The ASPR was Dr. Bob Kadlec. 246 00:13:17,963 --> 00:13:20,632 The threats our country faces in the 21st century 247 00:13:20,665 --> 00:13:23,868 are very real and very serious. 248 00:13:23,901 --> 00:13:26,137 A 26-year Air Force veteran, 249 00:13:26,170 --> 00:13:27,672 Kadlec was a specialist 250 00:13:27,705 --> 00:13:30,975 in biological and chemical weapons. 251 00:13:31,008 --> 00:13:33,811 As ASPR, he downplayed the danger of pandemics, 252 00:13:33,844 --> 00:13:36,314 cut spending on emerging infectious diseases, 253 00:13:36,348 --> 00:13:38,349 and his office eliminated a program 254 00:13:38,382 --> 00:13:41,219 to manufacture N95 masks. 255 00:13:45,290 --> 00:13:48,660 January 18th, I asked Dr. Kadlec 256 00:13:48,694 --> 00:13:51,731 if we could convene a disaster leadership group meeting. 257 00:13:53,865 --> 00:13:57,036 To my shock, his response was, 258 00:13:57,069 --> 00:14:01,073 "I don't see a sense of urgency." 259 00:14:01,106 --> 00:14:04,275 I just don't think he thought there was a real opportunity 260 00:14:04,309 --> 00:14:08,079 for this virus to come into the United States. 261 00:14:08,112 --> 00:14:11,215 The same day Rick Bright reached out to Kadlec, 262 00:14:11,248 --> 00:14:12,784 Kadlec's boss, Alex Azar, 263 00:14:12,818 --> 00:14:15,154 did try to get the president's attention. 264 00:14:15,186 --> 00:14:18,923 Azar was in charge of the CDC and the FDA 265 00:14:18,957 --> 00:14:22,961 as the secretary of HHS, Health and Human Services. 266 00:14:22,993 --> 00:14:26,098 After the previous secretary had resigned in scandal, 267 00:14:26,131 --> 00:14:27,299 Azar was appointed 268 00:14:27,332 --> 00:14:30,001 to bring a businessman's approach to government. 269 00:14:30,035 --> 00:14:33,072 As a former Big Pharma executive at Eli Lily, 270 00:14:33,104 --> 00:14:37,742 Azar was infamous for having tripled the price of insulin. 271 00:14:37,775 --> 00:14:39,877 I actually knew him in grad school. 272 00:14:39,910 --> 00:14:43,114 Very conservative, very ambitious. 273 00:14:43,147 --> 00:14:47,218 Went on to clerk for Scalia on the Supreme Court. 274 00:14:47,251 --> 00:14:49,387 Within the administration, 275 00:14:49,420 --> 00:14:52,056 Azar was known for his belief that the free market 276 00:14:52,089 --> 00:14:54,792 would meet America's healthcare needs. 277 00:14:54,825 --> 00:14:56,360 We, the government, do not have the solutions 278 00:14:56,394 --> 00:14:57,763 to healthcare. 279 00:14:57,795 --> 00:14:59,098 We're usually the cause of the problems. 280 00:14:59,131 --> 00:15:01,800 With COVID, Azar sensed that the government 281 00:15:01,833 --> 00:15:04,770 might have to play some limited role. 282 00:15:04,803 --> 00:15:08,073 On January 18th, he knew that the president 283 00:15:08,106 --> 00:15:12,945 was leaving town in a couple of days to go to Davos, 284 00:15:12,977 --> 00:15:15,146 and Azar decided, "You know what? 285 00:15:15,179 --> 00:15:16,781 "I think I'd better make sure 286 00:15:16,814 --> 00:15:20,385 the president is aware of this virus." 287 00:15:20,418 --> 00:15:23,889 Trump was actually on the golf course down at Mar-a-Lago 288 00:15:23,921 --> 00:15:27,091 when Azar called. 289 00:15:27,125 --> 00:15:29,361 Azar's pitch to the president 290 00:15:29,394 --> 00:15:31,997 was one, this could be serious, 291 00:15:32,030 --> 00:15:34,766 but also he wanted to convey a sense of kind of, 292 00:15:34,800 --> 00:15:37,301 "We got this." 293 00:15:37,334 --> 00:15:39,470 Of those two messages, the one 294 00:15:39,503 --> 00:15:41,506 that President Trump appears to have really internalized 295 00:15:41,540 --> 00:15:43,509 was the "we got it" message. 296 00:15:49,814 --> 00:15:53,285 The CDC has identified a case of coronavirus 297 00:15:53,318 --> 00:15:55,319 in Washington State. 298 00:15:55,352 --> 00:15:56,988 Have you been briefed by the CDC... 299 00:15:57,021 --> 00:15:58,523 I have. 300 00:15:58,556 --> 00:16:00,358 Are there worries about a pandemic at this point? 301 00:16:00,391 --> 00:16:01,859 No, not at all, and we're... 302 00:16:01,892 --> 00:16:03,427 we have it totally under control. 303 00:16:03,460 --> 00:16:06,397 It's one person coming in from China. 304 00:16:06,430 --> 00:16:10,368 And we have it under control. It's gonna be just fine. 305 00:16:15,940 --> 00:16:17,441 I actually think we were very fortunate 306 00:16:17,474 --> 00:16:20,845 that the first case occurred in the Seattle region. 307 00:16:20,878 --> 00:16:23,881 I sometimes call Seattle sort of the CDC of the West 308 00:16:23,915 --> 00:16:26,517 because there are so many public health researchers 309 00:16:26,550 --> 00:16:29,320 and public health people that end up in Seattle, 310 00:16:29,353 --> 00:16:33,592 so in some ways I felt like, "Okay, they're on top of it, 311 00:16:33,625 --> 00:16:36,295 and we're in good hands." 312 00:16:36,328 --> 00:16:37,730 My name's Alex Greninger, 313 00:16:37,762 --> 00:16:41,199 and I'm the assistant director of the Clinical Virology Lab 314 00:16:41,232 --> 00:16:43,035 here at the University of Washington Medical Center. 315 00:16:43,068 --> 00:16:44,602 Hello. 316 00:16:44,636 --> 00:16:46,505 Everything about that first case from Washington 317 00:16:46,538 --> 00:16:47,906 was just so positive. 318 00:16:47,939 --> 00:16:50,275 I mean, like... let's go through all the positivity there. 319 00:16:50,308 --> 00:16:52,110 You know, someone self-identifies, 320 00:16:52,142 --> 00:16:56,348 says, "Hey, I just flew in from Wuhan and I have a fever." 321 00:16:56,381 --> 00:16:59,184 The sample was sent overnight to the CDC, 322 00:16:59,217 --> 00:17:01,920 where they turned around a test, which is crazy. 323 00:17:01,953 --> 00:17:03,856 They actually had a test for the virus, 324 00:17:03,888 --> 00:17:08,459 where the genome had just gone online 10 days prior. 325 00:17:08,492 --> 00:17:11,495 CDC also sent a team out immediately 326 00:17:11,529 --> 00:17:14,098 upon that confirmation. 327 00:17:14,132 --> 00:17:16,034 They, you know, looked at all of his contacts 328 00:17:16,067 --> 00:17:18,636 and there was no onward transmission. 329 00:17:18,669 --> 00:17:21,372 We never identified another case in 330 00:17:21,405 --> 00:17:24,576 the state of Washington until the last week of February. 331 00:17:24,608 --> 00:17:27,478 But if you recall, he was not tested 332 00:17:27,511 --> 00:17:32,117 until four days after when he became ill. 333 00:17:32,149 --> 00:17:35,052 And he took a share ride back home from the airport, 334 00:17:35,086 --> 00:17:37,222 he had lunch with his colleagues, 335 00:17:37,254 --> 00:17:40,591 and he did a lot of things within four days. 336 00:17:40,625 --> 00:17:42,961 And so I estimate that that is at least in the order 337 00:17:42,993 --> 00:17:45,496 of 2,000 people that has to be tested, 338 00:17:45,530 --> 00:17:50,167 and so we end up missing a lot of the cases. 339 00:17:50,201 --> 00:17:51,603 We're not doctors, but we know a doctor, 340 00:17:51,636 --> 00:17:53,905 and he's actually an expert in viruses. 341 00:17:53,938 --> 00:17:56,240 Dr. Alex Greninger at UDub, you're one of the leading... 342 00:17:56,273 --> 00:17:58,910 I just became an assistant professor, 343 00:17:58,944 --> 00:18:00,945 and so for this new virus, you know, they sort of invited me 344 00:18:00,979 --> 00:18:03,181 to go on the news to talk about it. 345 00:18:03,213 --> 00:18:06,083 I remember later that day, I was in a second interview, 346 00:18:06,117 --> 00:18:08,252 and like, in the middle of the interview, 347 00:18:08,286 --> 00:18:09,922 the interviewer stopped it and said, "Oh, 348 00:18:09,954 --> 00:18:13,125 "they just shut down, like, the city of Wuhan 349 00:18:13,157 --> 00:18:16,127 and there's no more transport in and out of it." 350 00:18:16,161 --> 00:18:18,697 11 million people are under quarantine, 351 00:18:18,730 --> 00:18:22,300 and you're just kind of like, "Wow, that just 352 00:18:22,334 --> 00:18:24,269 doesn't even seem like it's what's gonna happen." 353 00:18:24,301 --> 00:18:26,103 Like, you've just never seen, like, a parallel world 354 00:18:26,136 --> 00:18:28,572 like that, what was gonna happen here too. 355 00:18:31,041 --> 00:18:33,578 How do you look at that more than one month 356 00:18:33,610 --> 00:18:37,014 of not having any other cases in the state of Washington? 357 00:18:37,048 --> 00:18:39,718 Oh, yeah, it was a total lie. 358 00:18:39,751 --> 00:18:42,154 In terms of, like, you know, whether there was actual, like, 359 00:18:42,186 --> 00:18:43,588 you know, whether there were no cases there, right? 360 00:18:43,620 --> 00:18:45,256 I mean "lie" is not the right word, 361 00:18:45,290 --> 00:18:49,328 but just a sort of a... you know, it was a delusion. 362 00:18:50,729 --> 00:18:51,930 The delusion was 363 00:18:51,963 --> 00:18:55,701 that the first COVID patient was the only one. 364 00:18:55,733 --> 00:18:57,703 In fact, the disease was already spreading 365 00:18:57,735 --> 00:19:00,104 inside the United States. 366 00:19:00,137 --> 00:19:03,341 The challenge for scientists was to convince politicians 367 00:19:03,375 --> 00:19:05,010 to mobilize the country 368 00:19:05,042 --> 00:19:09,180 to fight a virus no one could see. 369 00:19:09,213 --> 00:19:11,349 In a meeting on January 23rd, 370 00:19:11,383 --> 00:19:15,153 Rick Bright made his pitch to Alex Azar. 371 00:19:15,185 --> 00:19:17,489 My assignment, remember in BARDA, 372 00:19:17,521 --> 00:19:19,624 is to make sure that we start making 373 00:19:19,656 --> 00:19:24,096 drugs, vaccines, and those tests as quickly as possible. 374 00:19:24,128 --> 00:19:28,733 We were told the CDC was working diligently on a test, 375 00:19:28,767 --> 00:19:32,537 and we were relying solely on the CDC. 376 00:19:32,569 --> 00:19:36,107 I raised the need to get started immediately 377 00:19:36,140 --> 00:19:39,143 on commercial test development drugs and vaccines, 378 00:19:39,176 --> 00:19:42,079 and the need for money to do it. 379 00:19:42,113 --> 00:19:44,616 The secretary looked at me 380 00:19:44,648 --> 00:19:47,084 and said, "You need money?" 381 00:19:47,117 --> 00:19:49,687 And I said, "Yes, we've exercised 382 00:19:49,721 --> 00:19:53,525 that it would take about $10 billion." 383 00:19:53,558 --> 00:19:57,261 Without that experience and knowledge, 384 00:19:57,294 --> 00:19:58,629 I might not have walked into that room 385 00:19:58,663 --> 00:20:00,565 and asked for those things, 386 00:20:00,598 --> 00:20:02,832 but I knew exactly what was needed. 387 00:20:02,834 --> 00:20:06,238 I learned after that meeting, actually, 388 00:20:06,271 --> 00:20:09,074 that a lot of the people were pretty offended 389 00:20:09,107 --> 00:20:11,143 that I would come into a meeting with the Secretary 390 00:20:11,175 --> 00:20:14,245 on day one and ask for money. 391 00:20:14,279 --> 00:20:16,248 And it caused quite a shit storm, 392 00:20:16,280 --> 00:20:18,316 is how it was described to me, 393 00:20:18,348 --> 00:20:21,052 that I ruffled a lot of feathers. 394 00:20:21,086 --> 00:20:23,387 In fact, I wasn't invited back to those meetings 395 00:20:23,421 --> 00:20:24,790 for some time. 396 00:20:26,857 --> 00:20:30,095 In the U.S., political appointees tightened 397 00:20:30,127 --> 00:20:33,464 their purse strings and hoped the virus would just go away. 398 00:20:33,498 --> 00:20:37,803 South Korea reacted very differently. 399 00:20:37,836 --> 00:20:40,439 When it came to this disease response 400 00:20:40,472 --> 00:20:42,206 here in South Korea, 401 00:20:42,240 --> 00:20:45,544 the politicians largely stayed out of the response 402 00:20:45,577 --> 00:20:48,047 and it was left in the hands of professionals. 403 00:20:51,448 --> 00:20:54,085 After confirming its first case of the new coronavirus, 404 00:20:54,118 --> 00:20:57,588 South Korea is stepping up precautionary measures. 405 00:20:59,823 --> 00:21:02,193 - Hello. - Hello. 406 00:21:02,226 --> 00:21:05,530 The first case was a 35-year-old woman 407 00:21:05,562 --> 00:21:09,501 who had entered the country from Wuhan, China. 408 00:22:03,288 --> 00:22:05,156 - Okay? - No. 409 00:22:05,190 --> 00:22:06,391 No? 410 00:22:35,319 --> 00:22:36,887 MERS was a coronavirus 411 00:22:36,921 --> 00:22:38,790 that terrified South Korea, 412 00:22:38,822 --> 00:22:42,293 killing 38 people and sickening hundreds more. 413 00:22:42,327 --> 00:22:45,262 The government was vilified for its response. 414 00:22:45,296 --> 00:22:47,532 Soon after, legislators pursued 415 00:22:47,565 --> 00:22:49,835 a series of critical reforms. 416 00:23:05,883 --> 00:23:08,453 As a result of that, they passed a law 417 00:23:08,485 --> 00:23:11,723 in order to speed up the approval process 418 00:23:11,755 --> 00:23:15,226 of these kits in a time of emergency. 419 00:23:15,260 --> 00:23:17,261 On January 27th, 420 00:23:17,294 --> 00:23:19,496 South Korean health officials summoned representatives 421 00:23:19,530 --> 00:23:21,566 from more than 20 medical companies 422 00:23:21,598 --> 00:23:25,369 to put in place a national testing program. 423 00:23:25,403 --> 00:23:28,339 It was such an urgent request that they just met 424 00:23:28,373 --> 00:23:32,611 in a conference room at one of the train stations in Seoul. 425 00:23:32,644 --> 00:23:36,848 The head of the equivalent of the CDC, he basically said, 426 00:23:36,880 --> 00:23:40,651 "Manufacture me these tests now 427 00:23:40,684 --> 00:23:42,753 and forget about the approval process." 428 00:23:42,787 --> 00:23:44,556 You know, "Start using them, start testing. 429 00:23:44,588 --> 00:23:47,759 "We will come back to make sure it's accurate, 430 00:23:47,791 --> 00:23:50,995 but we'll do that while you're already in the field." 431 00:23:51,029 --> 00:23:52,196 Within a matter of days after that, 432 00:23:52,230 --> 00:23:55,333 the first diagnostic test kit was approved, 433 00:23:55,366 --> 00:23:56,768 and it's a process that typically can take 434 00:23:57,799 --> 00:23:58,736 upwards of a year. 435 00:23:58,770 --> 00:24:00,004 There were four cases at the time, 436 00:24:00,038 --> 00:24:02,674 and it would be another few weeks before there was a death, 437 00:24:02,706 --> 00:24:06,777 but they really felt the need for diagnostic testing 438 00:24:06,810 --> 00:24:08,579 to be able to see where the problem was 439 00:24:08,613 --> 00:24:11,316 and to deal with the threat. 440 00:24:11,348 --> 00:24:13,018 By January 27th, 441 00:24:13,050 --> 00:24:15,787 South Korea was on its way to containing the virus 442 00:24:15,819 --> 00:24:17,856 and preventing an economic shutdown. 443 00:24:21,925 --> 00:24:23,528 Good morning, everyone. 444 00:24:23,560 --> 00:24:27,064 And thank you for joining us here today at HHS. 445 00:24:27,098 --> 00:24:29,401 In the United States, 446 00:24:29,434 --> 00:24:31,802 Azar continued to emphasize the response 447 00:24:31,836 --> 00:24:34,405 that had so pleased President Trump: 448 00:24:34,438 --> 00:24:36,640 "We've got this." 449 00:24:36,674 --> 00:24:38,876 The playbook for responding to an infectious disease 450 00:24:38,909 --> 00:24:42,946 outbreak is relatively simple and multi-tiered. 451 00:24:42,980 --> 00:24:45,849 You identify cases, isolate people, 452 00:24:45,883 --> 00:24:48,319 diagnose them, and treat them. 453 00:24:48,353 --> 00:24:49,888 Then you track down all the contacts 454 00:24:49,921 --> 00:24:53,325 of the infected person, and you do the same with those people, 455 00:24:53,357 --> 00:24:56,528 and the same with contacts of contacts if necessary. 456 00:24:56,560 --> 00:24:58,429 It sounded like a perfect plan, 457 00:24:58,463 --> 00:25:00,632 but it was missing a key detail. 458 00:25:00,665 --> 00:25:02,966 There was no comprehensive national testing 459 00:25:03,000 --> 00:25:04,669 and tracing program. 460 00:25:04,702 --> 00:25:07,739 Even so, the CDC stuck to a version of the script 461 00:25:07,771 --> 00:25:09,006 drafted by Azar. 462 00:25:09,040 --> 00:25:10,642 The CDC will continue 463 00:25:10,675 --> 00:25:13,110 its aggressive public health response strategy, 464 00:25:13,144 --> 00:25:15,380 working to protect the health and safety 465 00:25:15,413 --> 00:25:16,748 of the American public. 466 00:25:16,780 --> 00:25:20,351 Right now, there is no spread of this virus 467 00:25:20,385 --> 00:25:22,520 in our communities here at home. 468 00:25:22,552 --> 00:25:23,620 Appointed by Trump 469 00:25:23,654 --> 00:25:26,090 after his predecessor left in disgrace, 470 00:25:26,124 --> 00:25:28,626 Redfield was a controversial virologist 471 00:25:28,658 --> 00:25:31,595 with no experience leading a public health agency. 472 00:25:31,628 --> 00:25:35,065 During the AIDS crisis, he preached a religious approach, 473 00:25:35,098 --> 00:25:38,102 calling for abstinence as a solution. 474 00:25:38,136 --> 00:25:41,004 With his former assistant, Deborah Birx, 475 00:25:41,038 --> 00:25:44,541 Redfield's attempts to push an unproven HIV vaccine 476 00:25:44,575 --> 00:25:48,446 were twice investigated for scientific misconduct. 477 00:25:48,479 --> 00:25:52,484 Redfield is a little bit of an oddity for the CDC. 478 00:25:52,517 --> 00:25:55,653 The CDC is an institution filled with scientists 479 00:25:55,685 --> 00:25:58,990 and researchers who don't like to be told that science has 480 00:25:59,022 --> 00:26:02,059 to compromise for economics or for politics. 481 00:26:02,092 --> 00:26:04,495 You know, they want to be purists. 482 00:26:04,529 --> 00:26:08,066 Donald Trump is a president who has expressed 483 00:26:08,098 --> 00:26:10,534 an incredible disdain for science 484 00:26:10,568 --> 00:26:13,771 since before he took office. 485 00:26:13,805 --> 00:26:15,507 Inside the West Wing, 486 00:26:15,540 --> 00:26:19,077 they refer to the CDC as the Deep State. 487 00:26:19,109 --> 00:26:23,548 Certainly many of the people at the CDC saw Redfield 488 00:26:23,580 --> 00:26:26,950 as not having the kind of backbone that they would like 489 00:26:26,983 --> 00:26:29,853 to have seen in a CDC director 490 00:26:29,886 --> 00:26:31,655 to stand up to the president 491 00:26:31,688 --> 00:26:35,426 both privately, but also publicly. 492 00:26:38,495 --> 00:26:41,432 Some scientists were willing to push back. 493 00:26:41,465 --> 00:26:43,600 Public health officials from around the country 494 00:26:43,634 --> 00:26:47,439 shared doubts that the CDC was responding to the virus 495 00:26:47,472 --> 00:26:48,973 with enough speed and concern. 496 00:26:49,005 --> 00:26:50,974 They circulated an email chain, 497 00:26:51,008 --> 00:26:54,813 which included Trump officials, called "Red Dawn." 498 00:26:56,580 --> 00:26:58,550 What's going on here, my friend? 499 00:26:58,582 --> 00:27:00,551 It was a tongue-and-cheek nod 500 00:27:00,585 --> 00:27:04,222 to a 1984 movie about a small band of American citizens 501 00:27:04,254 --> 00:27:06,056 who fight back against a Russian invasion. 502 00:27:06,089 --> 00:27:08,025 This is the Emergency Broadcast System. 503 00:27:08,059 --> 00:27:09,194 We are under attack by... 504 00:27:09,226 --> 00:27:11,228 We were a little bit like the Wolverines 505 00:27:11,261 --> 00:27:12,797 from that movie. 506 00:27:12,829 --> 00:27:13,798 They know who all of you are. 507 00:27:13,830 --> 00:27:15,666 They're looking for you. 508 00:27:15,700 --> 00:27:18,569 A group of teenagers that are fighting back, 509 00:27:18,603 --> 00:27:20,605 and one of us thought it would be funny 510 00:27:20,637 --> 00:27:24,576 to use "Red Dawn" as the subject title. 511 00:27:24,608 --> 00:27:27,678 That email chain, it's a group 512 00:27:27,712 --> 00:27:31,015 of former and current state and local officials 513 00:27:31,048 --> 00:27:33,984 within the federal government. 514 00:27:34,018 --> 00:27:36,521 These are all very dear colleagues that have been 515 00:27:36,553 --> 00:27:40,123 in public health and emergency response for a long time. 516 00:27:40,156 --> 00:27:44,761 In late January, we were consciously monitoring, 517 00:27:44,794 --> 00:27:47,664 trying to assess when it hit us, 518 00:27:47,697 --> 00:27:50,968 how big the scope of the calamity 519 00:27:51,001 --> 00:27:55,205 that we are looking into. and how to mitigate it. 520 00:27:55,239 --> 00:27:57,075 I think in January, 521 00:27:57,107 --> 00:27:58,275 the cat was already out of the bag 522 00:27:58,309 --> 00:28:01,045 in terms of we had cases in the U.S., 523 00:28:01,078 --> 00:28:02,881 we had human-to-human transmission going on 524 00:28:02,914 --> 00:28:04,516 in the U.S., 525 00:28:04,549 --> 00:28:09,220 and we were going to be dealing with COVID-19. 526 00:28:09,252 --> 00:28:11,088 I mean, I wasn't able to sleep. 527 00:28:11,121 --> 00:28:13,590 I couldn't stop thinking about 528 00:28:13,624 --> 00:28:17,161 what could go wrong for us. 529 00:28:17,194 --> 00:28:19,129 The "Red Dawn" emails would be full 530 00:28:19,163 --> 00:28:20,665 of warnings and recommendations 531 00:28:20,697 --> 00:28:23,200 from experts in pandemic response. 532 00:28:23,233 --> 00:28:25,602 But politicians failed to recognize 533 00:28:25,636 --> 00:28:28,071 that there were lessons to be learned. 534 00:28:28,105 --> 00:28:30,808 There's never been anything like this in history. 535 00:28:30,840 --> 00:28:32,876 There's never been and nobody has ever seen anything 536 00:28:32,909 --> 00:28:35,078 like this. 537 00:28:35,111 --> 00:28:37,648 Nothing could be further from the truth. 538 00:28:37,682 --> 00:28:39,918 To be ready for the perils of the future, 539 00:28:39,951 --> 00:28:43,254 all one had to do is look clearly at the past. 540 00:28:43,287 --> 00:28:46,558 In 1918, in the midst of war, 541 00:28:46,590 --> 00:28:49,960 influenza marched across the earth from country to country. 542 00:28:49,993 --> 00:28:52,930 Epidemic lurked everywhere. 543 00:28:52,963 --> 00:28:56,200 To ward off contagion, special precautions were taken. 544 00:29:01,238 --> 00:29:03,741 With no vaccine and few treatment options, 545 00:29:03,773 --> 00:29:06,010 simple but effective precautionary measures 546 00:29:06,042 --> 00:29:09,013 like masks were all people had. 547 00:29:12,116 --> 00:29:16,354 The H1N1 flu infected 500 million people, 548 00:29:16,386 --> 00:29:20,825 1/3 of the world's population at the time. 549 00:29:20,857 --> 00:29:24,028 The death toll can only be estimated 550 00:29:24,060 --> 00:29:27,331 somewhere between 20 and 50 million people. 551 00:29:30,267 --> 00:29:32,971 Since 1918, scientific advancements 552 00:29:33,003 --> 00:29:35,305 like the invention of the electron microscope 553 00:29:35,338 --> 00:29:39,977 have allowed us to see the "invisible enemy." 554 00:29:40,011 --> 00:29:42,946 But even with vaccines and advances in pathology, 555 00:29:42,980 --> 00:29:44,949 the growth of global transportation 556 00:29:44,982 --> 00:29:47,285 made other pandemics ever more likely. 557 00:29:52,088 --> 00:29:56,394 In 2003, a deadly SARS coronavirus 558 00:29:56,426 --> 00:30:00,397 spread from bats to humans was quickly contained. 559 00:30:00,431 --> 00:30:02,967 In 2009, the Obama Administration 560 00:30:03,000 --> 00:30:06,337 faced a challenge when a new strain of H1N1 emerged. 561 00:30:06,369 --> 00:30:08,739 Good afternoon, everybody. 562 00:30:08,772 --> 00:30:12,909 There's no doubt that every president should learn 563 00:30:12,943 --> 00:30:15,279 from what has happened before. 564 00:30:15,311 --> 00:30:19,250 President Obama felt it very important from the beginning 565 00:30:19,282 --> 00:30:22,786 and all the way through our dealing with H1N1 566 00:30:22,819 --> 00:30:24,922 that the scientists make the calls. 567 00:30:24,954 --> 00:30:27,357 H1N1 influenza is here. 568 00:30:27,390 --> 00:30:28,959 I'm Dr. Tom Frieden. 569 00:30:28,992 --> 00:30:33,731 I directed the CDC from 2009 to 2017. 570 00:30:33,763 --> 00:30:36,199 I just sprayed down the chair with Lysol. 571 00:30:36,232 --> 00:30:37,234 All right. 572 00:30:37,268 --> 00:30:38,836 We dealt with epidemics 573 00:30:38,868 --> 00:30:43,974 of Zika, Ebola, MERS, and H1N1 influenza. 574 00:30:44,008 --> 00:30:46,376 Our Emergency Operations Center was activated 575 00:30:46,409 --> 00:30:48,912 more than 90% of the time that I was there. 576 00:30:48,945 --> 00:30:50,814 That's the way of reducing exposures, 577 00:30:50,848 --> 00:30:53,216 if there is a lot of H1N1. 578 00:30:53,250 --> 00:30:55,752 We do think there may be some challenges, though, 579 00:30:55,786 --> 00:30:57,188 practical challenges. 580 00:30:57,221 --> 00:31:01,192 President Obama made it very clear that HHS was in the lead 581 00:31:01,224 --> 00:31:05,029 and that I would be the spokesperson for the flu, 582 00:31:05,061 --> 00:31:08,699 as he would call me, the face of the flu. 583 00:31:08,732 --> 00:31:10,934 H1N1 was very scary 584 00:31:10,967 --> 00:31:14,304 because children were particularly vulnerable. 585 00:31:14,338 --> 00:31:16,040 Hi, it's Elmo. 586 00:31:16,072 --> 00:31:18,275 And I'm Secretary Kathleen Sebelius. 587 00:31:18,309 --> 00:31:19,743 Elmo and Secretary Sebelius... 588 00:31:19,777 --> 00:31:23,848 Teaching kids to sneeze into their elbows was a big thing. 589 00:31:23,880 --> 00:31:26,983 First, you learn to sneeze into the bend of your arm like this. 590 00:31:27,017 --> 00:31:29,120 - Achoo. - Oh, very good. 591 00:31:30,521 --> 00:31:33,324 13,000 Americans died from H1N1 592 00:31:33,357 --> 00:31:34,892 and the Obama Administration 593 00:31:34,925 --> 00:31:36,993 mishandled vaccine distribution, 594 00:31:37,027 --> 00:31:39,197 but scientists gave the administration high marks 595 00:31:39,230 --> 00:31:40,832 for moving quickly 596 00:31:40,865 --> 00:31:43,901 and being open with the press and the public. 597 00:31:43,934 --> 00:31:45,502 Just four years later, 598 00:31:45,536 --> 00:31:49,040 the Obama Administration's response to the Ebola crisis 599 00:31:49,072 --> 00:31:52,442 would be criticized for being too slow. 600 00:31:52,475 --> 00:31:54,511 In the case of Ebola I remember being in the room, 601 00:31:54,544 --> 00:31:57,214 in the White House briefing room. 602 00:31:57,248 --> 00:31:58,915 You guys are up here talking about, 603 00:31:58,948 --> 00:32:01,118 "We have this great and perfect system that's going 604 00:32:01,152 --> 00:32:04,122 "to be able to, you know, contain this virus 605 00:32:04,155 --> 00:32:05,822 because we've done all this preparation," 606 00:32:05,856 --> 00:32:08,259 and yet it doesn't look like it's working. 607 00:32:08,291 --> 00:32:10,794 Hindsight is always 20/20. 608 00:32:10,828 --> 00:32:13,865 I can look back at any outbreak I worked on 609 00:32:13,897 --> 00:32:15,933 and say, "I made a series of mistakes there." 610 00:32:15,965 --> 00:32:18,136 We all do, but the key is, 611 00:32:18,168 --> 00:32:20,137 are they unforced errors? 612 00:32:20,171 --> 00:32:21,539 I think it is important to reflect 613 00:32:21,571 --> 00:32:25,041 on whatever lessons we learn, we build and incorporate. 614 00:32:25,075 --> 00:32:28,078 After the Ebola crisis passed, 615 00:32:28,111 --> 00:32:30,981 the Obama National Security Council had essentially 616 00:32:31,014 --> 00:32:35,252 created a unit within the National Security Council 617 00:32:35,286 --> 00:32:37,922 dedicated to sort of pandemic response. 618 00:32:40,925 --> 00:32:42,393 No, I cannot see Ben. 619 00:32:42,425 --> 00:32:44,194 I can see his hand when he moves it out here, 620 00:32:44,228 --> 00:32:46,097 but he's got a face shield on. 621 00:32:46,129 --> 00:32:49,166 It's pretty good. Hardcore. 622 00:32:49,200 --> 00:32:51,469 Beth Cameron was in charge of countering 623 00:32:51,501 --> 00:32:55,005 biological threats for the Obama Administration. 624 00:32:55,039 --> 00:32:56,973 We set up a new directorate 625 00:32:57,007 --> 00:32:58,910 on global health security and biodefense, 626 00:32:58,943 --> 00:33:02,879 and I was honored to be able to lead that directorate, 627 00:33:02,913 --> 00:33:05,016 and also to be able to take on a lot of the lessons 628 00:33:05,049 --> 00:33:08,985 that we really had learned after the Ebola epidemic. 629 00:33:09,019 --> 00:33:10,488 In 2016, 630 00:33:10,521 --> 00:33:12,889 Beth Cameron and her team at the NSC 631 00:33:12,923 --> 00:33:17,494 drafted a 69-page playbook on how to deal with a pandemic. 632 00:33:17,528 --> 00:33:19,329 The playbook was intended 633 00:33:19,363 --> 00:33:23,167 to allow people in the White House to ask questions. 634 00:33:23,200 --> 00:33:24,434 What should we do? 635 00:33:24,467 --> 00:33:26,436 And also, what do we need to do 636 00:33:26,470 --> 00:33:30,007 to get ahead so that we're not constantly reacting? 637 00:33:30,040 --> 00:33:32,210 So what happened to this playbook? 638 00:33:32,242 --> 00:33:36,880 So the playbook is reported to not have been used. 639 00:33:36,914 --> 00:33:38,516 The Obama Administration did not leave 640 00:33:38,549 --> 00:33:42,019 to this administration any kind of game plan 641 00:33:42,051 --> 00:33:43,620 for something like this. 642 00:33:43,654 --> 00:33:47,959 I have no idea why Mitch McConnell said 643 00:33:47,992 --> 00:33:49,492 that he didn't know about the playbook. 644 00:33:49,526 --> 00:33:51,596 There were a large number of copies 645 00:33:51,628 --> 00:33:53,463 that were spiral bound of this playbook. 646 00:33:53,496 --> 00:33:55,532 It was briefed to the incoming administration. 647 00:33:55,566 --> 00:33:58,269 It did become politicized. 648 00:33:58,301 --> 00:34:00,271 Some have erroneously suggested 649 00:34:00,303 --> 00:34:01,571 that the Trump Administration 650 00:34:01,605 --> 00:34:03,941 threw out the pandemic response playbook 651 00:34:03,973 --> 00:34:06,944 left by the Obama-Biden Administration. 652 00:34:06,976 --> 00:34:08,879 What the critics failed to note, however, 653 00:34:08,912 --> 00:34:11,948 is that this thin packet of paper was replaced 654 00:34:11,981 --> 00:34:15,986 by two detailed, robust, pandemic response reports 655 00:34:16,019 --> 00:34:18,121 commissioned by the Trump Administration. 656 00:34:18,155 --> 00:34:20,390 The last thing that they wanted was to pay attention 657 00:34:20,423 --> 00:34:21,992 to what the Obama people wanted them 658 00:34:22,026 --> 00:34:23,294 to pay attention to. 659 00:34:23,327 --> 00:34:25,062 They were trying to make a clean break 660 00:34:25,095 --> 00:34:27,899 from what they saw as a disastrous presidency, 661 00:34:27,932 --> 00:34:29,634 and this was the Trump presidency. 662 00:34:29,667 --> 00:34:33,004 ♪ And I'm proud to be An American ♪ 663 00:34:33,037 --> 00:34:36,040 ♪ Where at least I know I'm free ♪ 664 00:34:36,073 --> 00:34:38,376 I think it's important to understand 665 00:34:38,408 --> 00:34:40,644 that biological threats are not the thing 666 00:34:40,678 --> 00:34:42,680 that is always top of mind for a senior leader. 667 00:34:42,713 --> 00:34:45,383 ♪ And I'd gladly stand up ♪ 668 00:34:45,415 --> 00:34:48,251 But there really was a lot of pressure 669 00:34:48,285 --> 00:34:49,987 on all of the civil servants 670 00:34:50,019 --> 00:34:52,022 in between Barack Obama and Donald Trump 671 00:34:52,055 --> 00:34:55,358 to explain why we need high-level officials 672 00:34:55,392 --> 00:34:59,096 who are looking at that issue all the time. 673 00:34:59,129 --> 00:35:02,300 After I left, I continued to work with the Trump team 674 00:35:02,332 --> 00:35:04,568 in my new position outside of government 675 00:35:04,600 --> 00:35:08,571 until the directorate was dissolved in May of 2018. 676 00:35:08,604 --> 00:35:11,309 The Global National Security Team was disbanded 677 00:35:11,341 --> 00:35:13,044 under a reorganization 678 00:35:13,077 --> 00:35:16,414 by Trump's National Security Advisor, John Bolton. 679 00:35:16,446 --> 00:35:19,082 It was really shocking that any administration 680 00:35:19,115 --> 00:35:23,219 would get rid of so much experience and expertise 681 00:35:23,252 --> 00:35:25,655 and the collaboration and coordination 682 00:35:25,689 --> 00:35:29,093 that comes with that... those years. 683 00:35:29,126 --> 00:35:31,294 From the moment of Trump's inauguration, 684 00:35:31,327 --> 00:35:34,197 the guiding slogan of staffing was not "you're hired," 685 00:35:34,231 --> 00:35:36,232 but "you're fired." 686 00:35:36,265 --> 00:35:38,202 Key positions went unfilled. 687 00:35:38,234 --> 00:35:40,303 Many more were eliminated. 688 00:35:40,336 --> 00:35:42,072 And when people were hired, 689 00:35:42,106 --> 00:35:45,977 experience was not nearly as important as loyalty. 690 00:35:46,010 --> 00:35:48,713 On January 29th, the White House announced the formation 691 00:35:48,745 --> 00:35:50,314 of an official task force 692 00:35:50,347 --> 00:35:52,749 to confront the threat of the coronavirus. 693 00:35:52,783 --> 00:35:54,118 Well, good afternoon, everyone. 694 00:35:54,151 --> 00:35:55,653 I'm Alex Azar. 695 00:35:55,685 --> 00:35:56,886 Led by Azar, 696 00:35:56,921 --> 00:36:00,024 the task force had little scientific expertise. 697 00:36:00,057 --> 00:36:02,660 Most were businessmen and lawyers, seemingly chosen 698 00:36:02,693 --> 00:36:05,562 for their political or religious beliefs. 699 00:36:05,595 --> 00:36:08,631 One had been Sarah Palin's foreign policy advisor. 700 00:36:08,664 --> 00:36:11,134 Another was a climate change denier 701 00:36:11,167 --> 00:36:15,305 who opposed homosexuality as an act against nature. 702 00:36:15,339 --> 00:36:17,308 The only two public health officials 703 00:36:17,341 --> 00:36:20,377 were Redfield and Dr. Anthony Fauci. 704 00:36:20,410 --> 00:36:22,379 At the National Institute of Health, 705 00:36:22,412 --> 00:36:24,481 Fauci had advised six presidents 706 00:36:24,515 --> 00:36:27,084 and had been at the forefront of every epidemic response 707 00:36:27,117 --> 00:36:29,319 for the last 40 years. 708 00:36:29,352 --> 00:36:32,455 The issue now with this is that there's a lot of unknowns. 709 00:36:32,488 --> 00:36:34,557 As you can see just from the media, 710 00:36:34,591 --> 00:36:38,162 the number of cases have steeply inclined 711 00:36:38,194 --> 00:36:40,164 each and every day. 712 00:36:40,196 --> 00:36:41,499 At the first briefing, 713 00:36:41,531 --> 00:36:43,167 they announced no concrete programs 714 00:36:43,200 --> 00:36:44,535 to contain the virus 715 00:36:44,568 --> 00:36:46,703 inside the borders of the United States. 716 00:36:46,736 --> 00:36:48,805 Instead, they offered a variation 717 00:36:48,839 --> 00:36:52,410 of a familiar Trump refrain... "build a wall." 718 00:36:52,443 --> 00:36:55,178 Foreign nationals, other than immediate family 719 00:36:55,211 --> 00:36:57,714 of U.S. citizens and permanent residents 720 00:36:57,747 --> 00:37:02,252 who have traveled in China within the last 14 days 721 00:37:02,285 --> 00:37:06,523 will be denied entry into the United States for this time. 722 00:37:08,392 --> 00:37:11,395 In the months after that, tens of thousands of people 723 00:37:11,428 --> 00:37:13,564 from China still make their way into the United States, 724 00:37:13,597 --> 00:37:16,267 mostly Americans who are returning home 725 00:37:16,300 --> 00:37:19,069 and are not blocked by that ruling. 726 00:37:24,374 --> 00:37:26,577 "Diamond Princess," this is your captain speaking 727 00:37:26,609 --> 00:37:29,713 from the bridge. 728 00:37:29,745 --> 00:37:33,383 We have been notified that 729 00:37:33,417 --> 00:37:35,586 10 additional people 730 00:37:35,618 --> 00:37:39,656 have tested positive for coronavirus. 731 00:37:39,689 --> 00:37:41,524 The captain of the "Diamond Princess" 732 00:37:41,557 --> 00:37:43,526 had docked his vessel in Yokohama 733 00:37:43,560 --> 00:37:47,665 after learning a passenger had tested positive for COVID-19. 734 00:37:47,698 --> 00:37:51,602 The Japanese government ordered a 14-day quarantine. 735 00:37:51,635 --> 00:37:54,171 Eventually, over 700 passengers 736 00:37:54,203 --> 00:37:55,472 would test positive. 737 00:37:55,506 --> 00:37:56,874 That made the "Diamond Princess" 738 00:37:56,908 --> 00:38:01,112 the largest known outbreak of the virus outside of China. 739 00:38:01,144 --> 00:38:03,813 Donald Trump, save us. 740 00:38:03,847 --> 00:38:06,484 Get us a government-based airplane. 741 00:38:06,517 --> 00:38:08,752 - Not even that, just like... - Get us off the ship. 742 00:38:08,785 --> 00:38:11,321 I received a phone call 743 00:38:11,354 --> 00:38:14,891 that a disaster medical assistance team 744 00:38:14,925 --> 00:38:18,896 was being assembled to do a rescue operation 745 00:38:18,928 --> 00:38:22,599 to go pull American citizens off of the "Diamond Princess" 746 00:38:22,633 --> 00:38:24,502 and bring them back to the U.S. 747 00:38:24,535 --> 00:38:27,238 And I was asked if I would be willing to go 748 00:38:27,271 --> 00:38:29,140 as an expert to go help the team. 749 00:38:29,173 --> 00:38:32,176 Okay, they've got a bunch of people in white coats. 750 00:38:32,209 --> 00:38:34,178 They're not white coats. They're white hazmat suits. 751 00:38:34,211 --> 00:38:35,513 They're white hazmat suits. 752 00:38:35,546 --> 00:38:37,381 They've got these little tunnels down here. 753 00:38:37,414 --> 00:38:41,252 The E.T. Tunnels, I call them. 754 00:38:41,285 --> 00:38:43,654 At the time, we still didn't know a lot 755 00:38:43,687 --> 00:38:46,390 about the transmission dynamics 756 00:38:46,423 --> 00:38:51,294 or even the severity and lethality of the disease. 757 00:38:51,327 --> 00:38:53,796 The "Diamond Princess" confirmed 758 00:38:53,830 --> 00:38:57,568 many, many of what I was nervous about. 759 00:38:57,600 --> 00:38:59,303 First of all, it shows 760 00:38:59,336 --> 00:39:02,339 how it spread in a confined environment 761 00:39:02,372 --> 00:39:04,942 with lots of people, right? 762 00:39:04,975 --> 00:39:08,245 Even though all of them has their own cubicle, 763 00:39:08,278 --> 00:39:10,647 but that's exactly like apartment complexes 764 00:39:10,680 --> 00:39:14,584 in New York City, and you go out, right? 765 00:39:14,618 --> 00:39:18,522 You go to places confined in a mall, and in classrooms, 766 00:39:18,555 --> 00:39:22,193 in dormitories, in many, many settings. 767 00:39:22,225 --> 00:39:24,327 It basically gave us a very parallel world 768 00:39:24,361 --> 00:39:28,265 of what could be happening to us. 769 00:39:28,298 --> 00:39:31,202 Even after the ship went into quarantine 770 00:39:31,234 --> 00:39:34,771 and passengers were really restricted to their rooms, 771 00:39:34,805 --> 00:39:37,875 the fact that the outbreak continued to grow demonstrated 772 00:39:37,908 --> 00:39:41,679 that there may be more to transmission phenomenon 773 00:39:41,711 --> 00:39:44,347 than we initially thought. 774 00:39:46,850 --> 00:39:50,453 So when we saw that, that really hit home to us 775 00:39:50,486 --> 00:39:53,957 that this is a pretty explosive situation. 776 00:39:53,990 --> 00:39:58,261 Okay, they quarantine, but yet the spread is like fire. 777 00:39:58,294 --> 00:40:02,700 It shows... it really highlights strategic tests is a must. 778 00:40:02,732 --> 00:40:04,801 Eva Lee began to sound the alarm 779 00:40:04,834 --> 00:40:07,303 in the "Red Dawn" emails about asymptomatic spread 780 00:40:07,336 --> 00:40:09,572 and the need to test widely. 781 00:40:09,606 --> 00:40:11,475 She knew in early February 782 00:40:11,508 --> 00:40:15,312 what federal officials refused to recognize. 783 00:40:15,345 --> 00:40:16,946 Only a vast infrastructure for mass testing 784 00:40:16,979 --> 00:40:18,881 could spot and contain a virus 785 00:40:18,914 --> 00:40:22,352 that was already moving invisibly across the country. 786 00:40:22,385 --> 00:40:24,954 Then I thought to myself, "That is it." 787 00:40:24,988 --> 00:40:27,890 We will have no chance to contain. 788 00:40:27,923 --> 00:40:30,593 If we are not going to take actions now, 789 00:40:30,627 --> 00:40:33,698 we would regret and we would be late, late, late. 790 00:40:36,033 --> 00:40:39,636 The trifecta is test, trace, and isolate. 791 00:40:39,669 --> 00:40:43,906 You need to have all three of those working in tandem 792 00:40:43,939 --> 00:40:47,345 to be able to take down any infectious disease. 793 00:40:48,944 --> 00:40:50,613 I'm from Hong Kong, 794 00:40:50,647 --> 00:40:54,685 and I grew up during SARS, 795 00:40:54,718 --> 00:40:56,787 so I guess that was my first experience with an outbreak, 796 00:40:56,819 --> 00:41:01,392 which has turned out to be an interesting reference point 797 00:41:01,425 --> 00:41:02,725 during this outbreak. 798 00:41:04,861 --> 00:41:07,531 My boss was like, "You should cover the coronavirus." 799 00:41:07,564 --> 00:41:09,399 So my question's gonna be, 800 00:41:09,432 --> 00:41:11,635 where are we deviating from the playbook? 801 00:41:11,667 --> 00:41:15,405 That's where I hold the government accountable. 802 00:41:15,439 --> 00:41:19,510 So the CDC made a test that worked in their lab 803 00:41:19,542 --> 00:41:21,878 before the first case of COVID 804 00:41:21,912 --> 00:41:25,716 landed in the state of Washington on January 20. 805 00:41:25,749 --> 00:41:28,551 What they saw as their next step was sending test kits 806 00:41:28,584 --> 00:41:29,986 based on their design 807 00:41:30,019 --> 00:41:33,423 to public labs around the country. 808 00:41:33,457 --> 00:41:36,093 So CDC can't just make a test and send it out. 809 00:41:36,126 --> 00:41:40,763 They have to apply for Emergency Use Authorization. 810 00:41:40,796 --> 00:41:44,501 This week, the FDA issued an Emergency Use Authorization 811 00:41:44,533 --> 00:41:46,703 for the CDC's diagnostic test. 812 00:41:46,736 --> 00:41:49,005 Having a declaration of an emergency 813 00:41:49,039 --> 00:41:51,709 allows you to, like, cut through a lot of red tape 814 00:41:51,742 --> 00:41:52,975 where, like, you don't have to 815 00:41:53,008 --> 00:41:54,911 approve things the traditional pathway, 816 00:41:54,944 --> 00:41:56,979 which takes many, many years. 817 00:41:57,013 --> 00:42:00,384 So it's like going through the precheck line at the airport. 818 00:42:00,417 --> 00:42:05,122 FDA issued the EUA to CDC really on February 4th, 819 00:42:05,155 --> 00:42:08,425 and test kits were available on the 5th. 820 00:42:08,457 --> 00:42:10,394 The test kits will start shipping 821 00:42:10,426 --> 00:42:13,463 to the over 100 U.S. public health labs. 822 00:42:13,497 --> 00:42:16,700 Each test kit can perform up to 800 patient samples. 823 00:42:16,732 --> 00:42:19,569 It works in about four to five hours' time. 824 00:42:19,602 --> 00:42:21,003 And that's pretty heroic, in two weeks, 825 00:42:21,037 --> 00:42:23,906 to develop test kits for the country. 826 00:42:23,939 --> 00:42:26,676 So, so far, speaking of the playbook, 827 00:42:26,709 --> 00:42:30,481 everything was going right. 828 00:42:30,513 --> 00:42:32,615 The first thing public health labs have to do 829 00:42:32,649 --> 00:42:34,818 after they get the test is they have to verify 830 00:42:34,850 --> 00:42:37,053 that the test works in their hands, 831 00:42:37,086 --> 00:42:39,989 in their laboratory, with their scientists. 832 00:42:42,426 --> 00:42:44,962 So on Saturday, February 8th, 833 00:42:44,995 --> 00:42:47,931 labs opened up their boxes 834 00:42:47,964 --> 00:42:50,968 and they started to get the test up and running. 835 00:42:53,669 --> 00:42:56,406 And then, the next morning, 836 00:42:56,439 --> 00:42:58,508 I see a number of emails 837 00:42:58,542 --> 00:43:02,446 from public health laboratory directors saying, 838 00:43:02,479 --> 00:43:06,550 "We're seeing this problem with one of the components 839 00:43:06,582 --> 00:43:09,787 "of the test, the N3, 840 00:43:09,819 --> 00:43:12,423 and is anyone else seeing that?" 841 00:43:12,455 --> 00:43:15,526 Then my phone started to blow up. 842 00:43:15,559 --> 00:43:19,028 It became apparent that we actually had a real problem. 843 00:43:19,062 --> 00:43:21,031 And I thought to myself, 844 00:43:21,064 --> 00:43:23,133 "Oh, my God. 845 00:43:23,165 --> 00:43:26,604 This is a nightmare." 846 00:43:28,772 --> 00:43:31,909 There were many labs that were having the same problem. 847 00:43:31,941 --> 00:43:34,077 So that was an indication 848 00:43:34,109 --> 00:43:37,647 that this was coming from the CDC labs. 849 00:43:37,680 --> 00:43:41,918 There are three components to the CDC-designed tests. 850 00:43:41,952 --> 00:43:44,921 They are called the N1, N2, and N3 assay, 851 00:43:44,955 --> 00:43:48,792 and the N1 and N2 assay, together, 852 00:43:48,825 --> 00:43:53,931 look specifically for the COVID-19 coronavirus. 853 00:43:53,964 --> 00:43:57,701 And then they had a 3rd component, the N3 assay, 854 00:43:57,734 --> 00:44:02,573 which was designed to look for any coronavirus. 855 00:44:02,606 --> 00:44:05,475 And I don't know why they decided 856 00:44:05,508 --> 00:44:08,678 to throw that third part in. 857 00:44:08,711 --> 00:44:12,482 They didn't need it, but that third part 858 00:44:12,515 --> 00:44:14,885 is the part that caused all the problems. 859 00:44:14,917 --> 00:44:17,687 It was a contamination problem. 860 00:44:17,720 --> 00:44:21,624 This was just a huge lightbulb moment 861 00:44:21,658 --> 00:44:25,127 where... wow, we could really be on pause. 862 00:44:25,160 --> 00:44:28,030 The CDC says they're working with states now 863 00:44:28,064 --> 00:44:29,299 to fix the tests. 864 00:44:29,332 --> 00:44:33,237 They did not say how many of the kits have flaws. 865 00:44:33,269 --> 00:44:35,037 Now, this was really frustrating 866 00:44:35,071 --> 00:44:36,906 to a lot of lab directors because they were like, 867 00:44:36,939 --> 00:44:40,276 "Look, the N1 and N2 part of this test are working 868 00:44:40,310 --> 00:44:41,311 "totally fine, 869 00:44:41,345 --> 00:44:45,015 "so why don't we just ignore the part 870 00:44:45,048 --> 00:44:47,050 that isn't working?" 871 00:44:47,082 --> 00:44:48,651 Under an Emergency Use Authorization, 872 00:44:48,685 --> 00:44:50,220 you're not supposed to do that. 873 00:44:50,252 --> 00:44:54,223 You have to run that test exactly as it's assigned. 874 00:44:54,256 --> 00:44:55,925 As it turned out, 875 00:44:55,959 --> 00:44:58,694 over 90% of public health labs 876 00:44:58,727 --> 00:45:02,198 had tests that were not working. 877 00:45:02,231 --> 00:45:05,167 So it was really as if we were flying blind, 878 00:45:05,200 --> 00:45:07,637 and we knew it, and frankly, 879 00:45:07,671 --> 00:45:11,008 there was nothing we could do except wait. 880 00:45:15,745 --> 00:45:18,015 There was a working effective test 881 00:45:18,048 --> 00:45:20,917 that was created in a German laboratory 882 00:45:20,950 --> 00:45:23,119 that was being distributed by the World Health Organization 883 00:45:23,153 --> 00:45:25,088 to countries all around the world. 884 00:45:25,120 --> 00:45:27,189 It is available now 885 00:45:27,222 --> 00:45:30,026 and we are shipping an essential component to labs 886 00:45:30,060 --> 00:45:33,864 to really start working immediately. 887 00:45:33,897 --> 00:45:37,100 The WHO test quite frankly is used 888 00:45:37,133 --> 00:45:40,636 for low and moderately income countries. 889 00:45:40,669 --> 00:45:43,339 I think it would've been very unusual 890 00:45:43,372 --> 00:45:47,577 to use another country's test, and not for political reasons. 891 00:45:47,611 --> 00:45:51,281 Just, I guess, because of maybe scientific hubris. 892 00:45:51,314 --> 00:45:54,118 We've never had a failure like this. 893 00:45:56,986 --> 00:45:59,755 Despite the technical problems at the CDC, 894 00:45:59,789 --> 00:46:01,624 the Trump Administration could have insisted 895 00:46:01,658 --> 00:46:04,595 on an alternate plan. 896 00:46:04,627 --> 00:46:07,698 Public labs could have pivoted to the WHO test 897 00:46:07,731 --> 00:46:10,133 or removed the N3 element. 898 00:46:10,165 --> 00:46:12,602 Test manufacturers and clinical labs 899 00:46:12,635 --> 00:46:15,204 were eager to start making their own tests, 900 00:46:15,238 --> 00:46:18,274 but for reasons that remain unexplained, 901 00:46:18,307 --> 00:46:23,713 the FDA put the brakes on the approval process. 902 00:46:23,747 --> 00:46:24,948 Yeah. 903 00:46:24,981 --> 00:46:28,251 Looks like the setup is pretty good. 904 00:46:28,283 --> 00:46:30,620 Oh, good, doctor approved? 905 00:46:30,653 --> 00:46:33,289 Yup, exactly. 906 00:46:33,323 --> 00:46:35,392 My name is Taison Bell. 907 00:46:35,425 --> 00:46:37,361 I'm an infectious disease and critical care physician 908 00:46:37,394 --> 00:46:38,794 at the University of Virginia. 909 00:46:38,827 --> 00:46:42,798 I'm the director of the COVID ICU. 910 00:46:42,832 --> 00:46:44,301 It's really important to know 911 00:46:44,334 --> 00:46:45,736 who's positive in the community 912 00:46:45,769 --> 00:46:48,972 and to be able to test in a widespread, aggressive fashion 913 00:46:49,004 --> 00:46:51,642 so we can really stop the chain of transmission 914 00:46:51,675 --> 00:46:53,243 of the virus. 915 00:46:53,276 --> 00:46:55,946 Traditionally, there's a lot of leeway 916 00:46:55,979 --> 00:46:58,381 when it comes to federal regulations 917 00:46:58,414 --> 00:46:59,849 and hospital laboratories' ability 918 00:46:59,883 --> 00:47:01,651 to set up their in-house testing, 919 00:47:01,685 --> 00:47:03,820 but the thing about the emergency declaration 920 00:47:03,852 --> 00:47:06,656 was that it made the diagnostic innovation 921 00:47:06,689 --> 00:47:09,825 more difficult because now it had to go through the FDA. 922 00:47:09,859 --> 00:47:11,094 So now, all of a sudden, 923 00:47:11,127 --> 00:47:14,131 any university laboratory that has the experience 924 00:47:14,164 --> 00:47:16,165 and the know-how to set up their own in-house testing 925 00:47:16,198 --> 00:47:18,968 now has to clear it in order to make this work. 926 00:47:21,203 --> 00:47:23,039 We're not a public health lab. 927 00:47:23,073 --> 00:47:25,308 As a clinical lab, we're not part of this system. 928 00:47:25,341 --> 00:47:26,443 You know, the CDC and the state public health labs 929 00:47:26,475 --> 00:47:27,443 are fantastic, 930 00:47:27,477 --> 00:47:29,279 but clinical labs, 931 00:47:29,312 --> 00:47:31,147 like hospital clinical labs, commercial labs, 932 00:47:31,180 --> 00:47:34,784 perform 90% to 95% of testing. 933 00:47:34,818 --> 00:47:38,055 We really are the front lines of the public health system, 934 00:47:38,088 --> 00:47:39,756 and so it's really important 935 00:47:39,789 --> 00:47:42,825 that we're a part of that conversation as well. 936 00:47:42,859 --> 00:47:45,062 So we're trying to figure out, is it better 937 00:47:45,095 --> 00:47:47,930 to just deal with the FDA and the backlog there 938 00:47:47,964 --> 00:47:49,966 and set up our own in-house testing, 939 00:47:49,999 --> 00:47:52,002 or do we just wait for the CDC 940 00:47:52,035 --> 00:47:54,004 to fix the issues with the test? 941 00:47:54,037 --> 00:47:57,073 We decided initially to wait, 942 00:47:57,106 --> 00:47:59,942 and that was the wrong decision. 943 00:47:59,975 --> 00:48:01,711 Many labs gave up 944 00:48:01,745 --> 00:48:04,915 rather than face the thicket of bureaucratic rules. 945 00:48:04,948 --> 00:48:07,017 But Alex Greninger did not give up, 946 00:48:07,050 --> 00:48:08,185 and instead began 947 00:48:08,218 --> 00:48:11,754 to slog through the FDA regulatory process. 948 00:48:11,787 --> 00:48:14,256 So at that point, you had to really go fully in. 949 00:48:14,289 --> 00:48:16,058 You gotta make your own test. 950 00:48:16,091 --> 00:48:18,360 So we got the template and the paperwork. 951 00:48:18,394 --> 00:48:19,830 You couldn't get the comments back 952 00:48:19,863 --> 00:48:22,265 until you mail in the document. 953 00:48:22,298 --> 00:48:23,767 Even though you'd email a document, 954 00:48:23,800 --> 00:48:26,068 you had to burn it to a CD or a USB 955 00:48:26,102 --> 00:48:27,870 and physically send the document as well. 956 00:48:27,903 --> 00:48:30,840 The original process suggested 957 00:48:30,874 --> 00:48:34,310 testing 50 positive samples, 958 00:48:34,343 --> 00:48:36,278 but in that case in the U.S., there were 14 known cases. 959 00:48:36,312 --> 00:48:38,848 But even getting that one sample, 960 00:48:38,881 --> 00:48:42,952 that one positive sample, was the hardest part. 961 00:48:42,986 --> 00:48:45,856 And obtaining clinical material from the CDC 962 00:48:45,888 --> 00:48:48,959 is very difficult. 963 00:48:48,992 --> 00:48:51,827 And I think that was when you realize 964 00:48:51,861 --> 00:48:55,432 that the FDA and the CDC maybe hadn't talked a ton. 965 00:48:55,464 --> 00:48:59,269 Swing your partner around and 'round. 966 00:48:59,301 --> 00:49:00,836 And around. And around. 967 00:49:00,870 --> 00:49:02,238 While federal agencies failed 968 00:49:02,272 --> 00:49:05,442 to talk to each other, the virus swirled in mid-February 969 00:49:05,475 --> 00:49:09,346 through a series of square dances in suburban Seattle. 970 00:49:09,379 --> 00:49:12,449 With every do-si-do, the virus changed partners. 971 00:49:12,481 --> 00:49:13,983 But without testing, 972 00:49:14,017 --> 00:49:17,521 scientists couldn't follow the spread. 973 00:49:17,553 --> 00:49:20,557 The emergency steps meant for speed and innovation 974 00:49:20,589 --> 00:49:23,926 slowed the process down to a crawl. 975 00:49:23,959 --> 00:49:26,929 The White House could have cut through the red tape. 976 00:49:26,963 --> 00:49:28,865 The mystery is why those in power 977 00:49:28,897 --> 00:49:32,935 didn't force the bureaucracy to find a quick solution. 978 00:49:32,968 --> 00:49:35,137 While we were on pause, 979 00:49:35,171 --> 00:49:38,073 the anxiety level of our members just increased 980 00:49:38,106 --> 00:49:41,243 exponentially, day after day. 981 00:49:41,276 --> 00:49:45,414 There was just more frustration, concern, 982 00:49:45,448 --> 00:49:50,386 frankly sadness, because we weren't 983 00:49:50,419 --> 00:49:55,024 able to do our job. 984 00:49:55,057 --> 00:49:58,160 That was really tough. 985 00:50:00,028 --> 00:50:02,231 While testing in the U.S. was stalled, 986 00:50:02,265 --> 00:50:04,568 in South Korea, the government was already moving 987 00:50:04,600 --> 00:50:07,102 to contain the virus by utilizing 988 00:50:07,135 --> 00:50:10,540 a comprehensive national testing and tracing program. 989 00:50:13,343 --> 00:50:14,944 I think they did a much better job. 990 00:50:14,977 --> 00:50:17,613 I think starting from the testing roll-out, 991 00:50:17,647 --> 00:50:19,115 a lot of our jealousy early on 992 00:50:19,147 --> 00:50:20,916 was just how rapidly they were able 993 00:50:20,950 --> 00:50:23,919 to test a large proportion of their population. 994 00:50:23,952 --> 00:50:25,054 And they were testing 995 00:50:25,088 --> 00:50:27,256 relatively younger asymptomatic people 996 00:50:27,289 --> 00:50:30,559 as well as older people who had more severe diseases, 997 00:50:30,593 --> 00:50:34,064 and they were able to do contact tracing. 998 00:50:34,097 --> 00:50:37,399 Because of the laws that were passed in 2016, 999 00:50:37,432 --> 00:50:40,870 enabling contact tracers to obtain vast amounts 1000 00:50:40,903 --> 00:50:43,472 of information in the name of disease control, 1001 00:50:43,506 --> 00:50:46,475 there was a large amount of data 1002 00:50:46,508 --> 00:50:48,978 that authorities here can access. 1003 00:50:49,011 --> 00:50:51,080 Cell tower information, 1004 00:50:51,113 --> 00:50:54,283 CCTV footage, credit card data. 1005 00:50:54,316 --> 00:50:56,385 And this information was pushed out 1006 00:50:56,419 --> 00:50:58,955 to the general public using cell phone alerts. 1007 00:51:33,089 --> 00:51:34,324 ♪ To glance behind ♪ 1008 00:51:37,426 --> 00:51:42,097 ♪ The Phantom of the Opera ♪ 1009 00:51:42,131 --> 00:51:43,433 ♪ Is here ♪ 1010 00:51:43,466 --> 00:51:44,567 If two people singing 1011 00:51:44,600 --> 00:51:46,336 could spread the disease, 1012 00:51:46,368 --> 00:51:48,338 imagine thousands singing in one room. 1013 00:51:54,109 --> 00:51:56,512 A major outbreak was traced to the Shincheonji Church, 1014 00:51:56,546 --> 00:51:58,948 a doomsday Christian cult. 1015 00:52:02,084 --> 00:52:05,421 Led by a self-proclaimed messiah, Chairman Lee. 1016 00:52:05,455 --> 00:52:07,557 - Hallelujah. - "Hallelujah." 1017 00:52:10,093 --> 00:52:11,493 The Korean government descended 1018 00:52:11,526 --> 00:52:12,794 on the city of Daegu, 1019 00:52:12,828 --> 00:52:17,033 where the church had its primary place of worship. 1020 00:52:17,066 --> 00:52:19,069 By testing, tracing, and isolating 1021 00:52:19,102 --> 00:52:20,703 the followers of Chairman Lee, 1022 00:52:20,736 --> 00:52:22,539 officials tried to prevent the virus 1023 00:52:22,571 --> 00:52:26,142 from spreading to the rest of the city. 1024 00:52:26,175 --> 00:52:29,011 Thousands of additional people had been exposed. 1025 00:52:29,044 --> 00:52:32,214 It led to South Korea's numbers soaring. 1026 00:52:32,247 --> 00:52:36,519 Because South Korea had already started ramping up 1027 00:52:36,551 --> 00:52:40,622 diagnostic test production, they were able to seek out 1028 00:52:40,656 --> 00:52:43,360 every member of this church in Daegu 1029 00:52:43,392 --> 00:52:45,227 and get them tested. 1030 00:52:45,260 --> 00:52:47,696 The President of South Korea has put the country 1031 00:52:47,729 --> 00:52:51,200 on the highest possible alert after the number of cases 1032 00:52:51,234 --> 00:52:55,672 jumped to more than 760 and the death toll rose to 7. 1033 00:52:55,705 --> 00:52:58,675 Because of the surge of cases in Daegu, 1034 00:52:58,707 --> 00:53:01,243 South Korea started opening up these centers. 1035 00:53:20,129 --> 00:53:22,531 Drive-through testing 1036 00:53:22,564 --> 00:53:25,801 and special testing booths protected healthcare workers 1037 00:53:25,834 --> 00:53:28,604 while dramatically increasing testing capacity. 1038 00:53:28,638 --> 00:53:32,675 And manufacturers were able to keep up with the volume. 1039 00:53:32,707 --> 00:53:36,512 South Korea also stepped up production of PPE 1040 00:53:36,546 --> 00:53:40,450 to protect health workers and the public alike. 1041 00:53:40,482 --> 00:53:45,388 Early adoption of testing would save South Korea. 1042 00:53:45,421 --> 00:53:47,424 At the same moment in the United States, 1043 00:53:47,457 --> 00:53:50,560 testing was still halted, and the nation was blind 1044 00:53:50,593 --> 00:53:54,263 to where and how the virus was spreading. 1045 00:53:54,296 --> 00:53:56,165 Because of all we've done, 1046 00:53:56,198 --> 00:53:59,735 the risk to the American people remains very low. 1047 00:53:59,769 --> 00:54:03,406 When you have 15 people, and the 15 within a couple of days 1048 00:54:03,439 --> 00:54:05,774 is going to be down to close to zero, we're doing great. 1049 00:54:05,807 --> 00:54:08,343 Other countries have not been doing great. 1050 00:54:08,377 --> 00:54:10,080 Our consumer is very, very strong, 1051 00:54:10,113 --> 00:54:13,216 very powerful economically. 1052 00:54:13,249 --> 00:54:15,484 Underneath the booming economic wave 1053 00:54:15,517 --> 00:54:18,854 was an invisible undertow of disease. 1054 00:54:18,888 --> 00:54:21,458 By mid-February, pandemic models indicate 1055 00:54:21,490 --> 00:54:24,159 that there were thousands of cases spreading 1056 00:54:24,193 --> 00:54:27,296 through Seattle, Chicago, San Francisco, and New York. 1057 00:54:30,332 --> 00:54:33,836 By mid to late February, the sort of top experts... 1058 00:54:33,870 --> 00:54:37,173 Robert Redfield, Nancy Messonnier, 1059 00:54:37,205 --> 00:54:39,843 Anthony Fauci, Azar... 1060 00:54:39,876 --> 00:54:42,479 they decide, "We gotta tell the president 1061 00:54:42,511 --> 00:54:45,881 "that we have to become more aggressive 1062 00:54:45,914 --> 00:54:48,117 "about warning the American public 1063 00:54:48,151 --> 00:54:50,220 that this is where we're headed." 1064 00:54:51,787 --> 00:54:55,225 The problem was the president just that next day 1065 00:54:55,258 --> 00:54:58,461 left for another foreign trip to India. 1066 00:54:58,493 --> 00:55:01,196 Well, I look forward to being with the people of India. 1067 00:55:01,229 --> 00:55:03,465 We're gonna have many millions and millions of people. 1068 00:55:03,499 --> 00:55:05,734 They wanted to brief the president obviously 1069 00:55:05,767 --> 00:55:08,137 before you sort of made this sort of... 1070 00:55:08,171 --> 00:55:09,705 right turn on messaging. 1071 00:55:12,508 --> 00:55:13,776 Yeah, we're very much involved. 1072 00:55:13,809 --> 00:55:15,444 We're very... 1073 00:55:15,477 --> 00:55:18,447 very cognizant of everything going on. 1074 00:55:18,481 --> 00:55:20,415 We have it very much under control. 1075 00:55:20,448 --> 00:55:21,850 Thank you very much, everybody. 1076 00:55:21,883 --> 00:55:24,620 And the doctors knew that this wasn't the kind of thing 1077 00:55:24,653 --> 00:55:26,321 that you brief over the telephone, 1078 00:55:26,354 --> 00:55:30,325 so they decided, "We'll set up a briefing 1079 00:55:30,359 --> 00:55:32,862 for the president the day he gets back." 1080 00:55:32,894 --> 00:55:36,265 Indian Prime Minister Narendra Modi 1081 00:55:36,298 --> 00:55:38,867 rolled out the red carpet for President Trump. 1082 00:55:43,539 --> 00:55:46,176 Namaste. Namaste. 1083 00:55:49,211 --> 00:55:52,281 President Trump often judges events based on their size. 1084 00:55:52,314 --> 00:55:54,684 The bigger the better, so it's fitting 1085 00:55:54,716 --> 00:55:56,586 that this stadium was absolutely packed 1086 00:55:56,618 --> 00:55:59,856 with more than 100,000 people. 1087 00:55:59,888 --> 00:56:01,223 The rally kicked off a whirlwind trip 1088 00:56:01,256 --> 00:56:04,461 packed with the pageantry that the president so loves. 1089 00:56:06,761 --> 00:56:11,401 As of this morning, we still have only 14 cases 1090 00:56:11,434 --> 00:56:13,303 of the China coronavirus 1091 00:56:13,336 --> 00:56:15,705 detected here in the United States. 1092 00:56:15,738 --> 00:56:18,308 We have three cases 1093 00:56:18,341 --> 00:56:20,843 among Americans repatriated from Wuhan, 1094 00:56:20,876 --> 00:56:24,781 and we have 40 cases among American passengers 1095 00:56:24,814 --> 00:56:28,818 repatriated from the "Diamond Princess" in Japan. 1096 00:56:28,850 --> 00:56:31,320 We're trying to engage in radical transparency 1097 00:56:31,354 --> 00:56:34,323 with the American public as we go through this. 1098 00:56:34,356 --> 00:56:36,325 This morning, Dr. Messonnier from the CDC 1099 00:56:36,359 --> 00:56:38,328 provided the usual tele-briefing. 1100 00:56:38,361 --> 00:56:39,796 There was a bit of confusion, 1101 00:56:39,828 --> 00:56:41,863 and it was Nancy Messonnier's understanding 1102 00:56:41,897 --> 00:56:45,001 that the green light had been given 1103 00:56:45,033 --> 00:56:46,903 for that new message 1104 00:56:46,935 --> 00:56:50,339 to be delivered before briefing the president. 1105 00:56:50,372 --> 00:56:53,376 So at her next conference call for reporters, 1106 00:56:53,408 --> 00:56:56,680 she went to town. 1107 00:57:12,662 --> 00:57:14,564 I remember being shocked, 1108 00:57:14,597 --> 00:57:18,267 thinking, "Does she realize what she just said?" 1109 00:57:29,812 --> 00:57:31,981 I can't say that I know 1110 00:57:32,013 --> 00:57:34,584 what was in Nancy Messonnier's mind, 1111 00:57:34,617 --> 00:57:37,754 but it wouldn't be hard to guess 1112 00:57:37,787 --> 00:57:39,922 that there must have been a level of frustration 1113 00:57:39,955 --> 00:57:42,292 built up inside the CDC 1114 00:57:42,325 --> 00:57:45,995 about a president who doesn't take this seriously. 1115 00:57:46,028 --> 00:57:48,598 I mean, you know, that was palpable. 1116 00:57:55,004 --> 00:57:58,775 Statements were made for the first time 1117 00:57:58,807 --> 00:58:02,744 to prepare the psyche of Americans 1118 00:58:02,778 --> 00:58:06,316 for what we, the scientists, knew was coming. 1119 00:58:13,555 --> 00:58:17,359 It was a turning point in this outbreak 1120 00:58:17,392 --> 00:58:21,897 because the truth was finally broken through that shell 1121 00:58:21,930 --> 00:58:24,499 of so many people standing there every day 1122 00:58:24,533 --> 00:58:27,370 telling Americans, "We have it under control. 1123 00:58:27,403 --> 00:58:30,039 "We have it contained. It's not a problem. 1124 00:58:30,071 --> 00:58:31,673 It's going away." 1125 00:58:31,707 --> 00:58:34,844 Those were the messages every day up until that point. 1126 00:58:41,649 --> 00:58:45,088 She gives that briefing at virtually the exact moment 1127 00:58:45,120 --> 00:58:47,022 that Trump is walking up the steps 1128 00:58:47,055 --> 00:58:48,957 on "Air Force One" in India. 1129 00:58:48,990 --> 00:58:51,626 On a larger scale, communities and cities 1130 00:58:51,660 --> 00:58:55,464 may need to modify, postpone, or cancel mass gatherings. 1131 00:58:55,497 --> 00:58:58,400 Nancy Messonnier's comments tank the market. 1132 00:58:58,434 --> 00:59:00,769 1,000 point drop in the DOW. 1133 00:59:00,803 --> 00:59:02,138 Stocks fall sharply as fears spread 1134 00:59:02,171 --> 00:59:05,808 that growing coronavirus will slow the global economy. 1135 00:59:05,841 --> 00:59:07,977 It was essentially a kind of freak out. 1136 00:59:08,010 --> 00:59:10,146 The stock market taking another beating 1137 00:59:10,178 --> 00:59:13,148 after a sharp new warning from the CDC. 1138 00:59:13,182 --> 00:59:14,183 Also, tonight... 1139 00:59:14,216 --> 00:59:16,519 Trump doesn't like to be surprised. 1140 00:59:16,551 --> 00:59:19,622 The one gleaming, wonderful thing 1141 00:59:19,655 --> 00:59:23,459 that was giving him and his advisors hope was the economy. 1142 00:59:23,492 --> 00:59:25,160 It was the silver bullet. 1143 00:59:25,193 --> 00:59:28,497 That was how he was going to win a second term. 1144 00:59:29,964 --> 00:59:33,403 That, combined with Messonnier's threat 1145 00:59:33,435 --> 00:59:37,039 of what she was suggesting... shut the country down... 1146 00:59:37,071 --> 00:59:38,840 "You're saying something 1147 00:59:38,874 --> 00:59:40,910 "that's gonna threaten the economy, 1148 00:59:40,943 --> 00:59:44,513 and by definition, threaten my reelection." 1149 00:59:44,546 --> 00:59:46,548 It's an 18-hour flight back. 1150 00:59:46,582 --> 00:59:48,651 By the time Trump lands, 1151 00:59:48,684 --> 00:59:53,089 the whole thing had spun out of control, and he was livid. 1152 00:59:53,122 --> 00:59:56,192 He calls up Alex Azar, wakes him up, 1153 00:59:56,225 --> 00:59:58,694 screaming at him... what had happened? 1154 00:59:58,727 --> 00:59:59,728 "Do you know Nancy Messonnier 1155 00:59:59,761 --> 01:00:02,564 had scared the shit out of people?" 1156 01:00:05,667 --> 01:00:08,771 The CDC said yesterday that they believe it's inevitable 1157 01:00:08,803 --> 01:00:10,872 that the virus will spread in the United States, 1158 01:00:10,906 --> 01:00:13,676 and it's not a question of if, but when. 1159 01:00:13,709 --> 01:00:15,477 Do you agree with that assessment? 1160 01:00:15,510 --> 01:00:17,146 Whatever happens, we're totally prepared. 1161 01:00:17,178 --> 01:00:18,914 We have the best people in the world. 1162 01:00:18,948 --> 01:00:19,982 Notably missing 1163 01:00:20,015 --> 01:00:21,850 from "the best people in the world" 1164 01:00:21,883 --> 01:00:24,453 was Dr. Nancy Messonnier. 1165 01:00:24,486 --> 01:00:27,557 It didn't surprise me that the moment she said that, 1166 01:00:27,589 --> 01:00:29,858 that she would be removed from that platform. 1167 01:00:29,892 --> 01:00:33,995 I'm going to be announcing exactly right now 1168 01:00:34,028 --> 01:00:36,465 that I'm gonna be putting our Vice President, Mike Pence, 1169 01:00:36,499 --> 01:00:37,800 in charge. 1170 01:00:37,832 --> 01:00:39,769 I'm gonna ask Mike Pence to say a few words, please. 1171 01:00:39,801 --> 01:00:42,004 Thank you. Mike? 1172 01:00:42,037 --> 01:00:43,805 After the episode with Nancy Messonnier, 1173 01:00:43,839 --> 01:00:47,243 when Pence's team takes over from Azar, 1174 01:00:47,276 --> 01:00:50,780 essentially the message gets contained. 1175 01:00:51,814 --> 01:00:53,582 Not in the least. 1176 01:00:53,615 --> 01:00:55,684 I was delighted that I get to have the Vice President helping 1177 01:00:55,718 --> 01:00:56,752 in this way. 1178 01:00:56,785 --> 01:00:58,754 Delighted. Absolutely. 1179 01:00:58,787 --> 01:01:00,823 Now at the helm of the task force, 1180 01:01:00,856 --> 01:01:02,258 Pence promptly promoted Deborah Birx, 1181 01:01:02,290 --> 01:01:06,495 a doctor and a diplomat, to be a spokesperson. 1182 01:01:06,528 --> 01:01:09,998 Dr. Birx, who is our right arm at the White House on this, 1183 01:01:10,031 --> 01:01:11,934 and frankly, one of the leading experts in the world 1184 01:01:11,966 --> 01:01:13,235 on infectious disease, I think is... 1185 01:01:13,269 --> 01:01:14,671 Pence trusted Birx 1186 01:01:14,703 --> 01:01:17,906 on account of her Christian faith and political instincts. 1187 01:01:17,939 --> 01:01:21,142 She'd become a go-to-explainer for a White House interested 1188 01:01:21,176 --> 01:01:24,280 in packaging science to serve partisan goals. 1189 01:01:24,312 --> 01:01:26,581 We really want to understand 1190 01:01:26,615 --> 01:01:29,584 where the virus is spreading, who we have to protect, 1191 01:01:29,618 --> 01:01:31,187 who's the most vulnerable. 1192 01:01:31,220 --> 01:01:33,622 That would have been easy to understand 1193 01:01:33,656 --> 01:01:36,158 if there had been a national testing program, 1194 01:01:36,191 --> 01:01:38,294 but that was still stalled. 1195 01:01:38,327 --> 01:01:40,296 While countries all over the world 1196 01:01:40,328 --> 01:01:42,664 were testing thousands of cases, 1197 01:01:42,698 --> 01:01:46,002 the United States was testing fewer than 100 a day. 1198 01:01:46,035 --> 01:01:49,605 At that stage, the only labs across the country 1199 01:01:49,638 --> 01:01:52,208 that could legally test for COVID 1200 01:01:52,240 --> 01:01:54,643 were a few public health laboratories 1201 01:01:54,676 --> 01:01:56,178 and the CDC itself. 1202 01:01:56,211 --> 01:01:59,582 The frustration was just boiling over, 1203 01:01:59,615 --> 01:02:01,250 and I remember going to these meetings 1204 01:02:01,283 --> 01:02:03,118 with our clinical lab director, 1205 01:02:03,151 --> 01:02:06,088 and she'sliterally on the phone with the FDA and the CDC 1206 01:02:06,120 --> 01:02:08,890 like, "You need to help us! You need to help us." 1207 01:02:08,923 --> 01:02:11,126 After almost a month 1208 01:02:11,160 --> 01:02:14,062 of labs across the country being unable to test, 1209 01:02:14,095 --> 01:02:16,598 the Trump Administration finally made a decision 1210 01:02:16,631 --> 01:02:19,068 it could have made weeks earlier. 1211 01:02:19,100 --> 01:02:21,836 On February 26th, 1212 01:02:21,870 --> 01:02:25,775 the FDA and the CDC laid out the strategy, 1213 01:02:25,807 --> 01:02:28,243 and that was that we would be able to get up and running 1214 01:02:28,276 --> 01:02:30,879 by using the original test kit, 1215 01:02:30,912 --> 01:02:35,150 but by throwing out the N3 component. 1216 01:02:35,184 --> 01:02:36,819 Overnight with, you know, 1217 01:02:36,852 --> 01:02:38,888 with some crossing out of lines on some paper, 1218 01:02:38,921 --> 01:02:41,691 the same test kits that had been shipped out 1219 01:02:41,723 --> 01:02:45,995 to the state public health labs were functional. 1220 01:02:46,028 --> 01:02:49,231 That amended EUA was Wednesday, February 26th, 1221 01:02:49,263 --> 01:02:51,867 and you can watch the testing curve in the United States. 1222 01:02:51,899 --> 01:02:54,102 I mean it really didn't start going up 1223 01:02:54,135 --> 01:02:57,105 until that week. 1224 01:02:57,138 --> 01:03:00,142 Here in Washington State at the state lab, 1225 01:03:00,175 --> 01:03:02,979 they had positive results the very first time 1226 01:03:03,011 --> 01:03:06,948 they performed authorized tests. 1227 01:03:06,981 --> 01:03:08,117 After desperate pleas 1228 01:03:08,149 --> 01:03:09,751 from health care providers, 1229 01:03:09,785 --> 01:03:12,754 the FDA also relaxed regulations and 1230 01:03:12,787 --> 01:03:16,992 let manufacturers and hospital labs use their own tests. 1231 01:03:17,026 --> 01:03:20,062 But it was too little, too late. 1232 01:03:20,095 --> 01:03:24,700 The disease had spread to half the states in the country. 1233 01:03:24,732 --> 01:03:27,636 And test kits were in such short supply 1234 01:03:27,669 --> 01:03:29,838 that they were limited to patients 1235 01:03:29,872 --> 01:03:33,743 who met rigid guidelines set by the CDC. 1236 01:03:33,776 --> 01:03:36,678 Early on, our testing was limited to people 1237 01:03:36,711 --> 01:03:40,115 who had traveled from China, or they had had contact 1238 01:03:40,149 --> 01:03:43,685 with someone who was known tested positive for COVID-19. 1239 01:03:43,718 --> 01:03:45,854 So written in our guidelines, 1240 01:03:45,888 --> 01:03:49,158 by necessity because we had a strained testing supply, 1241 01:03:49,191 --> 01:03:51,827 it was designed to miss community transmission, 1242 01:03:51,859 --> 01:03:53,896 meaning transmission that happens 1243 01:03:53,928 --> 01:03:56,898 throughout the community that's not connected to travel, 1244 01:03:56,932 --> 01:03:59,267 that we know at some point's gonna happen. 1245 01:03:59,301 --> 01:04:02,271 And it's like we're looking in this area, 1246 01:04:02,303 --> 01:04:04,039 and we know that transmission's gonna happen 1247 01:04:04,073 --> 01:04:06,042 over here, and we're gonna miss it 1248 01:04:06,075 --> 01:04:07,376 because we can't test for it. 1249 01:04:13,881 --> 01:04:15,984 On February 27th, 1250 01:04:16,017 --> 01:04:19,220 the new testing recommendations came out. 1251 01:04:19,254 --> 01:04:20,456 Do you mind removing the mask? 1252 01:04:20,488 --> 01:04:22,323 - Is that okay? - Oh, no, not at all. 1253 01:04:22,356 --> 01:04:25,994 Didn't know what your rules of engagement were there, so... 1254 01:04:26,028 --> 01:04:28,997 The new addition was this line that said, 1255 01:04:29,031 --> 01:04:32,768 "If you have severe lower respiratory pneumonia, 1256 01:04:32,801 --> 01:04:35,037 "severe pneumonia or ARDS... 1257 01:04:35,069 --> 01:04:37,439 "Acute Respiratory Distress Syndrome... 1258 01:04:37,472 --> 01:04:39,340 you should consider testing." 1259 01:04:39,374 --> 01:04:41,477 With the updated guidelines, 1260 01:04:41,510 --> 01:04:44,479 we initiated testing in two individuals, 1261 01:04:44,513 --> 01:04:47,783 and both of those individuals tested positive. 1262 01:04:47,816 --> 01:04:50,386 So that evening after we got the first two back, 1263 01:04:50,419 --> 01:04:54,890 we looked around the intensive care unit and said, 1264 01:04:54,923 --> 01:04:57,827 "Okay, who else is sick with pneumonia 1265 01:04:57,859 --> 01:04:59,729 "that has not been diagnosed with influenza 1266 01:04:59,761 --> 01:05:01,830 or another respiratory virus?" 1267 01:05:01,863 --> 01:05:04,999 And we selected nine more individuals. 1268 01:05:05,033 --> 01:05:07,937 Eight of those turned out to be positive for COVID. 1269 01:05:07,970 --> 01:05:12,006 It was an astounding revelation. 1270 01:05:12,039 --> 01:05:14,843 The revelation was that while testing protocols 1271 01:05:14,877 --> 01:05:18,881 were on hold, the disease had spread uncontrollably, 1272 01:05:18,914 --> 01:05:20,915 which would lead to economic disaster 1273 01:05:20,948 --> 01:05:25,386 and loss of tens of thousands of lives. 1274 01:05:25,419 --> 01:05:28,857 The real question is, did more people die? 1275 01:05:28,890 --> 01:05:31,860 Did more dislocation and economic problems 1276 01:05:31,894 --> 01:05:35,330 and societal change have to happen than did? 1277 01:05:35,363 --> 01:05:38,233 The period that in our reporting 1278 01:05:38,267 --> 01:05:40,770 that we have called "The Lost Month," 1279 01:05:40,803 --> 01:05:44,006 that really was the time 1280 01:05:44,039 --> 01:05:47,243 when things happened in the United States 1281 01:05:47,276 --> 01:05:50,111 much more slowly than they happened in, 1282 01:05:50,144 --> 01:05:51,546 for example, South Korea, 1283 01:05:51,580 --> 01:05:54,250 and it became impossible to do containment. 1284 01:05:56,385 --> 01:05:58,854 Because the U.S. failed to contain the virus, 1285 01:05:58,886 --> 01:06:00,388 state governments moved to lockdowns 1286 01:06:00,421 --> 01:06:02,992 to avoid runaway contagion 1287 01:06:03,024 --> 01:06:05,093 and to prevent hospitals from being overwhelmed. 1288 01:06:05,127 --> 01:06:08,898 Over 100,000 small businesses would close and never reopen. 1289 01:06:08,930 --> 01:06:13,068 7 million Americans would be infected by the disease. 1290 01:06:13,100 --> 01:06:16,037 But back in late February, the government refused 1291 01:06:16,071 --> 01:06:18,540 to confront the reckoning that was about to come. 1292 01:06:18,573 --> 01:06:20,809 We have done an incredible job. 1293 01:06:20,843 --> 01:06:22,511 We're going to continue. 1294 01:06:22,544 --> 01:06:24,413 It's going to disappear one day. 1295 01:06:24,446 --> 01:06:26,482 It's like a miracle. It will disappear. 1296 01:06:26,515 --> 01:06:28,417 The president is also quoted by saying, 1297 01:06:28,450 --> 01:06:31,120 "The virus we're talking about having to do, 1298 01:06:31,153 --> 01:06:33,923 "you know, a lot of people think it goes away in April 1299 01:06:33,955 --> 01:06:35,089 with the heat." 1300 01:06:35,122 --> 01:06:37,126 Dr. Fauci, does this go away in April? 1301 01:06:37,158 --> 01:06:39,127 If it acts like influenza, 1302 01:06:39,160 --> 01:06:42,497 the heat will actually make it diminish in its impact, 1303 01:06:42,531 --> 01:06:45,334 but we have no way of knowing how it's gonna act. 1304 01:06:45,367 --> 01:06:48,403 Does the CDC agree that this is a problem 1305 01:06:48,437 --> 01:06:51,040 that is going to go away without intervention? 1306 01:06:51,073 --> 01:06:53,107 I think it's prudent to assume 1307 01:06:53,140 --> 01:06:57,146 that this pathogen will be with us for some time to come. 1308 01:06:57,178 --> 01:06:59,514 The President's expressing confidence this team, 1309 01:06:59,548 --> 01:07:01,350 the public health infrastructure in this country, 1310 01:07:01,383 --> 01:07:03,419 state and local, that we can deal with this. 1311 01:07:03,452 --> 01:07:06,287 We will prepare for this. We will work together on this. 1312 01:07:06,321 --> 01:07:08,223 He's trying to calm a public that... 1313 01:07:08,256 --> 01:07:11,392 we see in China, panic can be as big of an enemy as virus 1314 01:07:11,426 --> 01:07:12,595 in these situations, 1315 01:07:12,627 --> 01:07:14,530 and so there is always that balance to... 1316 01:07:14,562 --> 01:07:16,999 Mr. Secretary, I don't want to panic over this either. 1317 01:07:17,031 --> 01:07:18,267 The stock market's crashing. 1318 01:07:18,300 --> 01:07:19,635 He's outright contradicting 1319 01:07:19,667 --> 01:07:22,037 everything that you all have just said. 1320 01:07:22,069 --> 01:07:23,305 Outright contradiction! 1321 01:07:23,338 --> 01:07:25,140 I think he's expressing confidence in... 1322 01:07:25,173 --> 01:07:27,042 With no medical basis for it! 1323 01:07:27,075 --> 01:07:28,377 That's what you've just explained to us. 1324 01:07:28,410 --> 01:07:29,545 Come on, sir. 1325 01:07:29,577 --> 01:07:31,579 The gentleman's time has expired. 1326 01:07:31,613 --> 01:07:34,250 You're doing a great job for the president, Mr. Secretary. 1327 01:07:34,283 --> 01:07:36,618 Now the Democrats are 1328 01:07:36,651 --> 01:07:40,955 politicizing the coronavirus. 1329 01:07:40,988 --> 01:07:43,124 You know that right? Coronavirus. 1330 01:07:45,961 --> 01:07:48,330 One of my people came up to me and said, 1331 01:07:48,363 --> 01:07:51,332 "Mr. President, they tried to beat you 1332 01:07:51,365 --> 01:07:53,001 "on Russia, Russia, Russia. 1333 01:07:53,035 --> 01:07:56,405 They tried the impeachment hoax." 1334 01:07:56,437 --> 01:07:59,073 And this is their new hoax. 1335 01:07:59,106 --> 01:08:01,109 And so far, 1336 01:08:01,142 --> 01:08:04,312 we have lost nobody to coronavirus 1337 01:08:04,345 --> 01:08:08,449 in the United States. 1338 01:08:08,482 --> 01:08:10,986 Nobody. 1339 01:08:11,019 --> 01:08:13,222 The next day, that would change. 1340 01:08:15,222 --> 01:08:18,026 Today, Public Health... Seattle and King County... is announcing 1341 01:08:18,060 --> 01:08:21,363 three new presumptive positive cases of novel coronavirus, 1342 01:08:21,395 --> 01:08:24,632 COVID-19, including one person who died. 1343 01:08:24,665 --> 01:08:27,535 We have expressed our condolences to the families 1344 01:08:27,569 --> 01:08:29,939 of the individual who has passed away. 1345 01:08:29,971 --> 01:08:32,106 It was one of the first two patients diagnosed, 1346 01:08:32,140 --> 01:08:35,477 it was my patient, and all we saw was a future 1347 01:08:35,510 --> 01:08:39,448 of extremely ill individuals like this. 1348 01:08:39,480 --> 01:08:41,115 So it was a challenging moment, 1349 01:08:41,149 --> 01:08:44,686 a daunting moment, to come to that realization. 1350 01:08:44,720 --> 01:08:47,289 Today, health officials in Washington State 1351 01:08:47,321 --> 01:08:50,659 announced four new deaths, bringing the total to six, 1352 01:08:50,691 --> 01:08:53,227 all in the Seattle area. 1353 01:08:53,261 --> 01:08:55,464 By early March, King County, Washington 1354 01:08:55,497 --> 01:08:58,499 had become the epicenter of the coronavirus in the U.S. 1355 01:08:58,533 --> 01:09:01,736 due to the Lifecare Nursing Home. 1356 01:09:01,770 --> 01:09:04,406 They're not answering the phones, the lines are busy. 1357 01:09:04,439 --> 01:09:07,476 All the families are really worried, 1358 01:09:07,508 --> 01:09:10,479 not knowing if our loved ones are even alive. 1359 01:09:10,512 --> 01:09:13,349 It was a blur of activity. 1360 01:09:15,150 --> 01:09:17,720 We realized that our hospital 1361 01:09:17,753 --> 01:09:21,090 was now the tip of the iceberg. 1362 01:09:21,123 --> 01:09:24,660 We soon found out how deep that iceberg went. 1363 01:09:24,693 --> 01:09:26,995 Because test kits were in short supply, 1364 01:09:27,029 --> 01:09:28,629 access was limited to patients 1365 01:09:28,663 --> 01:09:32,668 who were dangerously close to respiratory failure. 1366 01:09:32,700 --> 01:09:34,168 The death count began to rise. 1367 01:09:34,202 --> 01:09:35,604 COVID began spreading 1368 01:09:35,637 --> 01:09:39,174 to health care workers and first responders. 1369 01:09:39,207 --> 01:09:43,145 The job situation put them at increased risk. 1370 01:09:43,177 --> 01:09:47,148 Nurses' aides in nursing homes 1371 01:09:47,181 --> 01:09:49,050 without the protective equipment or training 1372 01:09:49,083 --> 01:09:51,252 they needed to be safe and secure. 1373 01:09:51,285 --> 01:09:53,788 Individuals who have jobs 1374 01:09:53,821 --> 01:09:56,025 that were considered essential jobs, 1375 01:09:56,057 --> 01:09:58,359 they're stocking grocery shelves 1376 01:09:58,392 --> 01:10:01,396 and helping to pick up trash in communities 1377 01:10:01,430 --> 01:10:04,700 and sweep the streets. 1378 01:10:04,732 --> 01:10:06,368 While many affluent Americans 1379 01:10:06,400 --> 01:10:07,735 worked on computers at home, 1380 01:10:07,769 --> 01:10:10,105 low-paid essential workers, 1381 01:10:10,137 --> 01:10:12,807 many without masks and the ability to distance, 1382 01:10:12,841 --> 01:10:15,044 were jammed into sites of contagion 1383 01:10:15,077 --> 01:10:18,079 like delivery depots, industrial farms, factories, 1384 01:10:18,113 --> 01:10:21,383 funeral homes, and meatpacking plants. 1385 01:10:21,415 --> 01:10:24,686 If the impact of the disease was divided by occupation, 1386 01:10:24,718 --> 01:10:28,589 it was also sundered by age and race. 1387 01:10:28,623 --> 01:10:30,125 My grandmother used to say, 1388 01:10:30,158 --> 01:10:31,593 "You know, when the country gets the flu, 1389 01:10:31,626 --> 01:10:33,294 black people get pneumonia." 1390 01:10:33,328 --> 01:10:37,132 It's well-known in our circles that we have worse outcomes 1391 01:10:37,164 --> 01:10:39,834 when it comes to a lot of these different diseases, 1392 01:10:39,868 --> 01:10:42,638 you know, and part of that is systemic racism. 1393 01:10:42,671 --> 01:10:45,574 A lot of it is access to healthcare. 1394 01:10:45,606 --> 01:10:48,077 If you have the money, you can get the best healthcare 1395 01:10:48,110 --> 01:10:50,279 in the world, but without those resources, 1396 01:10:50,311 --> 01:10:54,315 you have inadequate care and sporadic care. 1397 01:10:54,348 --> 01:10:59,087 So any kind of disease spread then falls hardest 1398 01:10:59,120 --> 01:11:03,624 on communities that are already at a health risk. 1399 01:11:03,658 --> 01:11:05,394 What are we dealing with? 1400 01:11:05,427 --> 01:11:08,597 With this coronavirus, COVID-19? 1401 01:11:08,629 --> 01:11:12,200 We're dealing with clearly an emerging infectious disease 1402 01:11:12,234 --> 01:11:15,270 that has now reached outbreak proportions 1403 01:11:15,302 --> 01:11:17,172 and likely pandemic proportions. 1404 01:11:22,244 --> 01:11:24,480 The "Grand Princess" Cruise Ship has been moored 1405 01:11:24,512 --> 01:11:26,214 off the coast of California. 1406 01:11:26,248 --> 01:11:29,451 I want to commend the efforts of our Coast Guard 1407 01:11:29,484 --> 01:11:32,588 that heroically flew coronavirus tests 1408 01:11:32,620 --> 01:11:34,455 to the ship. 1409 01:11:34,489 --> 01:11:38,160 21 tested positive for the coronavirus. 1410 01:11:39,660 --> 01:11:41,329 On his way to a weekend trip 1411 01:11:41,363 --> 01:11:45,267 to Mar-a-Lago, Trump made a stop at the CDC. 1412 01:11:45,300 --> 01:11:47,235 Watching the president go 1413 01:11:47,269 --> 01:11:50,305 to the Centers for Disease Control, 1414 01:11:50,337 --> 01:11:53,341 he discussed with a reporter 1415 01:11:53,374 --> 01:11:56,544 the fact that one of the cruise ships was still offshore. 1416 01:11:56,578 --> 01:11:59,381 I'd rather have them stay on 1417 01:11:59,413 --> 01:12:01,516 because I like the numbers being where they are. 1418 01:12:01,550 --> 01:12:04,418 I don't need to have the numbers double 1419 01:12:04,452 --> 01:12:06,254 because of one ship. 1420 01:12:06,288 --> 01:12:09,758 For the first time, it occurred to me 1421 01:12:09,790 --> 01:12:11,325 that the government of the United States 1422 01:12:11,359 --> 01:12:14,829 was intentionally slow walking testing. 1423 01:12:14,863 --> 01:12:17,466 In this big vast land of ours, 1424 01:12:17,498 --> 01:12:21,336 this great country of ours, we have 240 cases. 1425 01:12:21,369 --> 01:12:23,672 Most of those people are gonna be fine. 1426 01:12:23,704 --> 01:12:25,439 The vast majority are going to be fine. 1427 01:12:25,472 --> 01:12:27,208 We've had 11 deaths. 1428 01:12:27,242 --> 01:12:28,177 All of our state labs 1429 01:12:28,209 --> 01:12:31,312 now have the ability to test for this virus... 1430 01:12:31,346 --> 01:12:32,513 And they have had. 1431 01:12:32,547 --> 01:12:34,216 The testing has been amazing, actually, 1432 01:12:34,248 --> 01:12:35,383 what they've been able to produce 1433 01:12:35,417 --> 01:12:37,352 in such a short period of time. 1434 01:12:37,385 --> 01:12:40,289 Anybody that wants a test can get a test. 1435 01:12:40,321 --> 01:12:43,357 Anybody who wanted a test knew that was a lie. 1436 01:12:43,391 --> 01:12:45,494 Just finding a facility was hard. 1437 01:12:45,526 --> 01:12:47,462 People with the disease were denied tests 1438 01:12:47,494 --> 01:12:49,297 on account of supply backlogs, 1439 01:12:49,330 --> 01:12:52,767 which also caused delays in results. 1440 01:12:52,801 --> 01:12:55,303 The next day, while Trump golfed, 1441 01:12:55,337 --> 01:12:57,873 Pence and Redfield went to Cruise Lines of America. 1442 01:12:57,905 --> 01:13:00,309 We all recognize the recent challenges 1443 01:13:00,342 --> 01:13:01,977 on the "Diamond Princess," 1444 01:13:02,010 --> 01:13:04,780 and the ongoing challenge with the "Grand Princess," 1445 01:13:04,812 --> 01:13:06,614 and we want to ensure that the American people 1446 01:13:06,647 --> 01:13:10,351 can continue as we deal with the coronavirus 1447 01:13:10,385 --> 01:13:13,321 to enjoy the opportunities in the cruise line industry 1448 01:13:13,355 --> 01:13:14,723 and be confident. 1449 01:13:14,756 --> 01:13:16,557 I would not encourage anyone 1450 01:13:16,591 --> 01:13:18,459 to change their plans at this point 1451 01:13:18,493 --> 01:13:21,830 based on what the epidemiology is here in Florida. 1452 01:13:21,863 --> 01:13:23,332 They should enjoy Disneyland. 1453 01:13:23,364 --> 01:13:25,666 They should enjoy the rest of Florida. 1454 01:13:25,699 --> 01:13:27,868 There is this back and forth, 1455 01:13:27,901 --> 01:13:29,837 the medical folks saying we need to take this seriously, 1456 01:13:29,870 --> 01:13:31,573 we need to be aggressive, 1457 01:13:31,605 --> 01:13:33,774 the economic folks pushing back and saying, "Yeah, but..." 1458 01:13:33,807 --> 01:13:35,877 Fauci would march up and answer questions. 1459 01:13:35,909 --> 01:13:37,912 Do you believe that people, 1460 01:13:37,945 --> 01:13:41,315 even if they're healthy, should get onboard a cruise ship? 1461 01:13:41,348 --> 01:13:42,618 I would recommend strongly 1462 01:13:42,650 --> 01:13:44,885 that they do not go on a cruise ship. 1463 01:13:44,918 --> 01:13:47,756 And then Trump or Pence would come back 1464 01:13:47,788 --> 01:13:49,357 and sort of contradict him. 1465 01:13:49,391 --> 01:13:51,026 We're gonna work with the cruise line industry 1466 01:13:51,059 --> 01:13:53,361 to improve the safety, 1467 01:13:53,395 --> 01:13:56,265 improve the health environment on cruise lines. 1468 01:13:56,297 --> 01:13:58,899 Frankly, the testing has been going very smooth. 1469 01:13:58,932 --> 01:14:00,901 If you go to the right agency, 1470 01:14:00,935 --> 01:14:03,004 if you go to the right area, you get the test. 1471 01:14:03,038 --> 01:14:04,772 Will you admit that there is a serious problem 1472 01:14:04,806 --> 01:14:06,040 in this country 1473 01:14:06,074 --> 01:14:10,012 obtaining access to testing for coronavirus? 1474 01:14:10,044 --> 01:14:12,681 My colleague is looking at me to answer that. 1475 01:14:12,713 --> 01:14:14,783 - Here we go. - Okay. 1476 01:14:14,815 --> 01:14:16,818 The system is not really geared 1477 01:14:16,851 --> 01:14:19,321 to what we need right now. 1478 01:14:19,354 --> 01:14:21,722 - That is a failing. - A failing, yes. 1479 01:14:21,756 --> 01:14:23,691 It is a failing. Let's admit it. 1480 01:14:23,725 --> 01:14:26,061 Dr. Fauci said earlier this week 1481 01:14:26,093 --> 01:14:28,997 that the lag in testing was, in fact, a failing. 1482 01:14:29,029 --> 01:14:31,032 Do you take responsibility for that? 1483 01:14:31,065 --> 01:14:33,068 Yeah, no, I don't take responsibility at all. 1484 01:14:33,101 --> 01:14:34,636 We're doing a great job. 1485 01:14:34,668 --> 01:14:36,771 Yeah, we have 40 people right now... 40. 1486 01:14:36,805 --> 01:14:38,339 Compare that with other countries 1487 01:14:38,373 --> 01:14:40,409 that have many, many times that amount. 1488 01:14:42,110 --> 01:14:44,946 To keep new cases from entering our shores, 1489 01:14:44,979 --> 01:14:48,717 we will be suspending all travel from Europe 1490 01:14:48,749 --> 01:14:51,419 to the United States for the next 30 days. 1491 01:14:52,854 --> 01:14:53,821 There was a problem 1492 01:14:53,855 --> 01:14:55,557 with Trump's sudden travel ban... 1493 01:14:55,589 --> 01:14:57,993 it had no plan attached. 1494 01:14:58,025 --> 01:15:00,494 If we do get back to the U.S., then what happens? 1495 01:15:00,528 --> 01:15:04,665 Do we go into quarantine? Do we go home? 1496 01:15:04,699 --> 01:15:06,935 Returning Americans flooded U.S. airports, 1497 01:15:06,967 --> 01:15:10,671 where they were jammed in makeshift COVID checkpoints. 1498 01:15:10,704 --> 01:15:13,607 They were perfect conditions for more contagion, 1499 01:15:13,641 --> 01:15:17,479 as travelers from Europe spread the virus into the U.S. 1500 01:15:26,620 --> 01:15:29,458 The message to New Yorkers from the beginning has been, 1501 01:15:29,490 --> 01:15:31,560 "This is something we all can handle together. 1502 01:15:31,592 --> 01:15:33,595 Go about your lives. Go about your business." 1503 01:15:36,998 --> 01:15:38,700 The Governor confirming 1504 01:15:38,732 --> 01:15:42,070 that coronavirus has arrived here in Manhattan. 1505 01:15:42,102 --> 01:15:45,473 The coronavirus spreads tonight as Governor Cuomo 1506 01:15:45,507 --> 01:15:48,944 announces five more positive cases in New York. 1507 01:15:53,614 --> 01:15:56,484 The number of confirmed cases has reached 121. 1508 01:15:56,517 --> 01:15:58,986 Today, Governor Cuomo announcing a ban 1509 01:15:59,020 --> 01:16:01,990 on any gatherings of 500 people or more. 1510 01:16:02,022 --> 01:16:05,560 And 613 confirmed cases of coronavirus in New York. 1511 01:16:05,592 --> 01:16:08,896 That is more than any other state. 1512 01:16:08,930 --> 01:16:11,566 I'm glad to see that you're practicing social distancing. 1513 01:16:11,598 --> 01:16:13,435 That looks very nice. 1514 01:16:13,467 --> 01:16:16,604 We're announcing new guidelines for every American to follow. 1515 01:16:16,637 --> 01:16:19,640 Avoid gathering in groups of more than 10 people, 1516 01:16:19,673 --> 01:16:23,544 and avoid eating and drinking in bars, restaurants. 1517 01:16:23,578 --> 01:16:25,914 And if everybody in America does what we ask for, 1518 01:16:25,946 --> 01:16:27,815 we will see a dramatic difference, 1519 01:16:27,848 --> 01:16:29,717 and we won't have to worry about the ventilators, 1520 01:16:29,751 --> 01:16:31,753 and we won't have to worry about the ICU beds. 1521 01:16:31,785 --> 01:16:34,955 Our volume is just exploding. 1522 01:16:34,989 --> 01:16:37,459 We have so many people in the hallways. 1523 01:16:37,492 --> 01:16:41,430 A day or so ago, we put 14 people on ventilators. 1524 01:16:41,462 --> 01:16:45,065 Mayor de Blasio says that there have been 100 new cases 1525 01:16:45,098 --> 01:16:46,868 in the city today alone. 1526 01:16:46,900 --> 01:16:49,437 So we're going to put out an executive order today. 1527 01:16:49,471 --> 01:16:52,207 New York State on pause. 1528 01:16:52,239 --> 01:16:54,074 19 million New Yorkers are being asked to stay at home 1529 01:16:54,107 --> 01:16:55,577 as much as possible. 1530 01:16:55,610 --> 01:16:58,079 Now topping 85,000 confirmed cases 1531 01:16:58,111 --> 01:17:00,214 and more than 1,400 deaths. 1532 01:17:00,248 --> 01:17:02,784 I hate to say this, but it's true... 1533 01:17:02,816 --> 01:17:05,553 we are now the epicenter of this crisis 1534 01:17:05,587 --> 01:17:08,223 right here in the nation's largest city. 1535 01:17:08,256 --> 01:17:12,494 And if this goes on for a month, or two, or three, 1536 01:17:12,526 --> 01:17:16,564 or five like it did in China, we don't have what we need. 1537 01:17:18,199 --> 01:17:21,236 This is not a country that was built to be shut down. 1538 01:17:21,269 --> 01:17:24,573 We're not gonna let the cure be worse than the problem. 1539 01:17:24,605 --> 01:17:26,774 Worried about the economy, 1540 01:17:26,807 --> 01:17:28,877 Trump tried to limit shutdowns, 1541 01:17:28,909 --> 01:17:31,245 but the virus was out of control. 1542 01:17:31,279 --> 01:17:34,216 By April, over 3,000 New Yorkers had died, 1543 01:17:34,248 --> 01:17:37,218 surpassing the death toll of 9/11. 1544 01:17:37,252 --> 01:17:41,189 ICUs were over capacity with patients who couldn't breathe. 1545 01:17:41,221 --> 01:17:43,724 Ventilators were in short supply, 1546 01:17:43,757 --> 01:17:47,128 and many of those who got them did not survive. 1547 01:17:50,064 --> 01:17:51,600 We had seen the pandemic 1548 01:17:51,632 --> 01:17:54,101 was really taking off in New York City. 1549 01:17:54,135 --> 01:17:56,238 We were in a central area of Virginia 1550 01:17:56,270 --> 01:17:58,706 where there's not a huge population, 1551 01:17:58,739 --> 01:18:01,075 and it was like being on a coastal city 1552 01:18:01,109 --> 01:18:02,744 and you hear about an earthquake 1553 01:18:02,776 --> 01:18:04,512 that happens offshore. 1554 01:18:04,546 --> 01:18:06,780 You know that a tsunami is coming. 1555 01:18:06,814 --> 01:18:08,682 You just don't know when it's gonna happen 1556 01:18:08,716 --> 01:18:11,887 and how severe it's gonna be. 1557 01:18:11,919 --> 01:18:13,721 A U.S. Marine in Virginia 1558 01:18:13,754 --> 01:18:16,223 has tested positive for the coronavirus. 1559 01:18:16,257 --> 01:18:18,960 This is the first positive case in Virginia, 1560 01:18:18,993 --> 01:18:20,328 and here's what we know. 1561 01:18:20,360 --> 01:18:24,031 I remember one day, I was rounding in our COVID ICU, 1562 01:18:24,065 --> 01:18:27,168 and our unit is structured kind of like a V, 1563 01:18:27,200 --> 01:18:31,006 so there's one wing here, another wing over there. 1564 01:18:31,038 --> 01:18:32,640 And you know, these are some of the sickest patients 1565 01:18:32,673 --> 01:18:33,908 I've ever taken care of in my life. 1566 01:18:33,941 --> 01:18:36,243 They're on breathing machines, dialysis machines. 1567 01:18:36,276 --> 01:18:37,678 They are needing lots of medicines 1568 01:18:37,712 --> 01:18:40,915 to keep them sedated and calm. 1569 01:18:40,949 --> 01:18:43,084 And I'm trying to get through morning rounds, 1570 01:18:43,117 --> 01:18:44,753 and I see that on one wing, 1571 01:18:44,785 --> 01:18:48,323 it's almost all Hispanic last names. 1572 01:18:48,355 --> 01:18:50,024 And then, on the other wing, 1573 01:18:50,057 --> 01:18:53,662 it's almost all Black names. 1574 01:18:53,695 --> 01:18:57,198 I grew up an hour away from where I'm working. 1575 01:18:57,230 --> 01:18:59,600 These are the family names that I grew up with, 1576 01:18:59,633 --> 01:19:02,069 and I know these families. 1577 01:19:02,102 --> 01:19:04,806 And I just was trying to focus on the medical part 1578 01:19:04,838 --> 01:19:06,040 and just getting through it, 1579 01:19:06,074 --> 01:19:09,077 but I just felt this weight on my chest. 1580 01:19:09,110 --> 01:19:11,713 I'm a Black male in the United States 1581 01:19:11,745 --> 01:19:13,847 and my family members have chronic diseases 1582 01:19:13,881 --> 01:19:15,650 at high rates, 1583 01:19:15,682 --> 01:19:17,953 and I've been dealing with this my whole life. 1584 01:19:17,985 --> 01:19:21,288 And now I have family members who are contracting COVID. 1585 01:19:21,321 --> 01:19:25,226 Those are smiles and hugs and tears and barbeques. 1586 01:19:25,258 --> 01:19:28,329 They're not numbers on a paper. 1587 01:19:28,363 --> 01:19:30,198 Through the spring, 1588 01:19:30,230 --> 01:19:33,068 the death toll would rise to 100,000. 1589 01:19:33,101 --> 01:19:34,769 It was a terrifying marker 1590 01:19:34,802 --> 01:19:37,672 for the failure of the American response. 1591 01:19:37,704 --> 01:19:40,742 The U.S. was 4% of the world's population 1592 01:19:40,775 --> 01:19:44,379 and 20% of the deaths from the virus. 1593 01:19:44,412 --> 01:19:47,248 Despite the fatal consequences of inaction, 1594 01:19:47,280 --> 01:19:49,818 the government could not solve basic problems 1595 01:19:49,851 --> 01:19:52,020 like supplies for test kits. 1596 01:19:55,189 --> 01:19:58,827 In March, we started to see the global supply chain 1597 01:19:58,860 --> 01:20:00,929 really get jammed up. 1598 01:20:00,962 --> 01:20:05,834 So it was extraction kits, swabs. 1599 01:20:05,867 --> 01:20:08,970 The major producer of swabs 1600 01:20:09,003 --> 01:20:10,939 is in the Lombardy region of Italy. 1601 01:20:10,971 --> 01:20:14,008 And Italy had just gone on lockdown, 1602 01:20:14,042 --> 01:20:17,678 and the swabs company was in a no-fly zone, 1603 01:20:17,712 --> 01:20:19,414 so the U.S. supply is basically going... 1604 01:20:19,446 --> 01:20:21,149 grinding to a halt. 1605 01:20:21,181 --> 01:20:25,753 Every single step of the way, we've encountered an issue 1606 01:20:25,787 --> 01:20:28,390 or a problem with the supply chain. 1607 01:20:28,422 --> 01:20:30,992 Potential supply chain problems 1608 01:20:31,025 --> 01:20:34,796 had been identified in "Crimson Contagion." 1609 01:20:34,829 --> 01:20:38,033 The focus was on testing supplies and lifesaving PPE. 1610 01:20:38,065 --> 01:20:41,269 The most critical items needed were N95 masks, 1611 01:20:41,302 --> 01:20:44,005 whose firm fit and tight mesh offered healthcare workers 1612 01:20:44,038 --> 01:20:48,043 real protection from the disease. 1613 01:20:48,075 --> 01:20:51,311 We had estimated the number of N95 respirators 1614 01:20:51,345 --> 01:20:53,847 that would be needed. 1615 01:20:53,881 --> 01:20:57,718 That number was 3 1/2 billion. 1616 01:20:57,752 --> 01:21:00,321 And we had a fraction 1617 01:21:00,354 --> 01:21:02,790 of what we would need in the stockpile. 1618 01:21:02,824 --> 01:21:05,427 And all of those had a five-year shelf life, 1619 01:21:05,459 --> 01:21:07,761 and a lot of those, 1620 01:21:07,794 --> 01:21:11,899 they were purchased almost ten years ago. 1621 01:21:11,932 --> 01:21:15,903 Despite Ebola, despite Zika, despite H1N1, 1622 01:21:15,936 --> 01:21:18,939 filling up the national stockpile for some virus 1623 01:21:18,972 --> 01:21:21,075 that we don't even know is ever gonna come 1624 01:21:21,109 --> 01:21:24,245 has never been the top priority. 1625 01:21:24,278 --> 01:21:26,815 You can say the Obama Administration didn't do enough 1626 01:21:26,847 --> 01:21:29,450 to leave the next administration prepared. 1627 01:21:29,484 --> 01:21:31,419 You can also say, "Well, that's true, 1628 01:21:31,452 --> 01:21:36,024 but the Trump Administration had three and a half years." 1629 01:21:36,056 --> 01:21:38,358 The Strategic National Stockpile was not intended 1630 01:21:38,391 --> 01:21:42,730 to be everything that we would need for an entire crisis. 1631 01:21:42,763 --> 01:21:45,333 I think in mid-January, the U.S. government 1632 01:21:45,365 --> 01:21:47,401 should have been looking at the stockpile 1633 01:21:47,435 --> 01:21:48,669 to see what was in it 1634 01:21:48,703 --> 01:21:52,906 and how we were gonna pivot to manufacture more. 1635 01:21:52,940 --> 01:21:54,509 We should have been having the conversation 1636 01:21:54,542 --> 01:21:57,979 about the Defense Production Act in January. 1637 01:21:58,012 --> 01:22:00,381 There's talk of invoking war powers 1638 01:22:00,413 --> 01:22:04,852 to require U.S. companies to manufacture some goods. 1639 01:22:04,886 --> 01:22:06,087 That's right, 1640 01:22:06,119 --> 01:22:07,788 so that's called the Defense Production Act. 1641 01:22:07,821 --> 01:22:08,922 I believe it came into existence 1642 01:22:08,955 --> 01:22:10,024 during the Korean War. 1643 01:22:10,056 --> 01:22:12,793 Effectively, we can determine 1644 01:22:12,827 --> 01:22:15,129 that our production should get to the front of the line. 1645 01:22:15,163 --> 01:22:17,464 We'll use it if we need to, but we obviously... 1646 01:22:17,498 --> 01:22:19,534 if we can work cooperatively with any vendor, 1647 01:22:19,566 --> 01:22:21,435 we'd rather do that. 1648 01:22:21,468 --> 01:22:24,004 "Let the market work its magic." 1649 01:22:24,038 --> 01:22:27,107 That was the guiding philosophy for Azar and Trump, 1650 01:22:27,141 --> 01:22:29,310 but their anti-government strategy 1651 01:22:29,342 --> 01:22:33,180 ignored basic rules of supply and demand. 1652 01:22:33,213 --> 01:22:37,118 Without a large order from the United States government, 1653 01:22:37,150 --> 01:22:39,119 there really wasn't an incentive for these companies 1654 01:22:39,153 --> 01:22:42,190 to start maximizing their throughput. 1655 01:22:42,222 --> 01:22:46,293 I was getting reports from Mike Bowen, one of the few 1656 01:22:46,327 --> 01:22:49,364 remaining producers of face masks and respirators 1657 01:22:49,396 --> 01:22:51,031 in the United States 1658 01:22:51,065 --> 01:22:54,903 who had his finger on the pulse of the supply chain. 1659 01:22:54,936 --> 01:22:59,274 I'm a salesman telling a story that nobody believes. 1660 01:22:59,306 --> 01:23:02,075 The story is that the U.S. mask supply is gonna collapse 1661 01:23:02,109 --> 01:23:03,244 and people are gonna die. 1662 01:23:03,276 --> 01:23:05,279 It doesn't cost much to fix. 1663 01:23:05,312 --> 01:23:08,216 That's the story. 1664 01:23:08,248 --> 01:23:12,986 Around 2005, all of the major mask makers left the country. 1665 01:23:13,020 --> 01:23:15,824 It put the U.S. mask supply 1666 01:23:15,856 --> 01:23:17,457 in the hands of foreign control 1667 01:23:17,490 --> 01:23:20,961 and could be subject to diversion during a pandemic. 1668 01:23:20,994 --> 01:23:23,430 And that's what I've been warning about for years. 1669 01:23:23,463 --> 01:23:25,867 I wrote Barack Obama 20 letters. 1670 01:23:25,900 --> 01:23:28,937 "Tell America's hospitals that they are going to be 1671 01:23:28,970 --> 01:23:30,571 "in a position to not be able to protect their staff 1672 01:23:30,605 --> 01:23:31,573 and their patients." 1673 01:23:31,605 --> 01:23:34,309 I voted for Donald Trump. 1674 01:23:34,342 --> 01:23:37,345 I thought, "You know, if I contact enough people 1675 01:23:37,378 --> 01:23:39,914 "in the administration, somebody, one of these people 1676 01:23:39,946 --> 01:23:41,882 "are gonna look at this and go, 'Hey, this is a problem. 1677 01:23:41,915 --> 01:23:43,217 Maybe we ought to call this guy.'" 1678 01:23:43,251 --> 01:23:45,285 And no, I couldn't get any... 1679 01:23:45,319 --> 01:23:47,622 I didn't get any response there. 1680 01:23:47,654 --> 01:23:51,124 In January, Bowen's predictions came true. 1681 01:23:51,158 --> 01:23:53,494 As China struggled to contain the outbreak of COVID, 1682 01:23:53,526 --> 01:23:58,165 it limited the export of N95 masks to the United States. 1683 01:23:58,199 --> 01:23:59,968 At the end of January, 1684 01:24:00,001 --> 01:24:01,369 I'm hearing from all over the world. 1685 01:24:01,403 --> 01:24:05,240 People are freaking out about masks, and needing masks. 1686 01:24:05,272 --> 01:24:06,908 And that's when I got ahold of Rick and said, 1687 01:24:06,940 --> 01:24:08,376 "Hey, here's what I'm seeing out here. 1688 01:24:08,409 --> 01:24:10,411 This is gonna be bad." 1689 01:24:10,444 --> 01:24:14,382 He was sounding the alarm bells almost every day. 1690 01:24:14,414 --> 01:24:16,917 We can't protect America's population. 1691 01:24:16,950 --> 01:24:19,253 That's too late, but I said I can at least make 1692 01:24:19,287 --> 01:24:22,222 enough masks to protect America's healthcare workers. 1693 01:24:22,256 --> 01:24:26,261 I reminded him that we had these four respirator lines. 1694 01:24:26,293 --> 01:24:30,163 To activate them we would need more people, raw materials, 1695 01:24:30,196 --> 01:24:34,334 emergency NIOSH approval, and large non-cancellable orders. 1696 01:24:34,368 --> 01:24:36,370 I see that our country's gonna have a problem, 1697 01:24:36,404 --> 01:24:37,605 I get ahold of Rick. 1698 01:24:37,637 --> 01:24:40,073 I pushed every one of those emails 1699 01:24:40,106 --> 01:24:42,109 up to the Strategic National Stockpile 1700 01:24:42,142 --> 01:24:44,645 and Critical Infrastructure Team. 1701 01:24:44,678 --> 01:24:49,316 I reminded them of the H5N1 scare, 1702 01:24:49,350 --> 01:24:54,088 when people rushed to buy masks and hoard masks. 1703 01:24:54,120 --> 01:24:56,524 The response I got was, 1704 01:24:56,556 --> 01:25:00,127 "We will just change the CDC guideline. 1705 01:25:00,160 --> 01:25:04,631 And we'll just tell people, don't do that." 1706 01:25:04,664 --> 01:25:06,600 Basically in March, they realized 1707 01:25:06,633 --> 01:25:08,235 that the healthcare workers 1708 01:25:08,269 --> 01:25:10,305 are not going to have enough PPE, 1709 01:25:10,337 --> 01:25:13,440 so they basically issued a warning to the public, 1710 01:25:13,473 --> 01:25:17,011 "Do not use face masks." 1711 01:25:17,043 --> 01:25:20,514 Do you have any sense of how many more N95 masks 1712 01:25:20,547 --> 01:25:23,617 would be on the market had the federal government taken you up 1713 01:25:23,650 --> 01:25:27,187 on your offer to reactivate N95 manufacturing lines 1714 01:25:27,221 --> 01:25:28,589 in January? 1715 01:25:28,622 --> 01:25:32,592 About 7 million N95 respirators per month. 1716 01:25:32,626 --> 01:25:34,995 I sounded the alarm every day 1717 01:25:35,029 --> 01:25:38,732 about the shortage of N95 respirators, 1718 01:25:38,766 --> 01:25:41,336 and we were doing nothing. 1719 01:25:41,369 --> 01:25:43,705 The numbers continue to surge in hotspots 1720 01:25:43,738 --> 01:25:47,275 like California, Michigan, Louisiana, Florida, 1721 01:25:47,307 --> 01:25:49,243 and especially, of course, New York. 1722 01:25:49,275 --> 01:25:51,979 Medical resources are stretched to capacity 1723 01:25:52,012 --> 01:25:53,381 and beyond. 1724 01:25:57,217 --> 01:26:01,122 We had saved some outdated N95 masks 1725 01:26:01,154 --> 01:26:03,323 that were part of the Ebola response, 1726 01:26:03,356 --> 01:26:05,659 but quickly we ran out of those supplies, 1727 01:26:05,693 --> 01:26:09,629 so we had to make do. 1728 01:26:09,663 --> 01:26:12,200 Some of the N95 masks that we received 1729 01:26:12,232 --> 01:26:14,502 had been in storage for years and years, 1730 01:26:14,534 --> 01:26:17,104 and while the actual mask itself worked fine, 1731 01:26:17,137 --> 01:26:18,772 the rubber band was brittle. 1732 01:26:18,806 --> 01:26:21,109 So there were people in the room 1733 01:26:21,141 --> 01:26:25,178 taking care of a patient, and the mask just snaps off. 1734 01:26:25,212 --> 01:26:27,714 The CDC is now advising healthcare workers 1735 01:26:27,748 --> 01:26:30,585 to ration masks, to use expired masks, 1736 01:26:30,618 --> 01:26:33,588 even use bandanas or scarves as a last resort. 1737 01:26:36,390 --> 01:26:40,395 Our usage increased by several hundredfold. 1738 01:26:40,427 --> 01:26:44,664 We could see our equipment supply going down dramatically. 1739 01:26:44,698 --> 01:26:47,635 So you kind of clamp down a little bit and say, you know, 1740 01:26:47,668 --> 01:26:51,339 "We're gonna save it for these very specific encounters." 1741 01:26:51,372 --> 01:26:53,708 So now, from the perspective of a healthcare worker, 1742 01:26:53,740 --> 01:26:56,077 you're taking away my safety. 1743 01:26:56,110 --> 01:26:59,313 And what people really wanted was a big enough supply 1744 01:26:59,346 --> 01:27:02,183 so that anyone who felt that they were at a higher risk 1745 01:27:02,216 --> 01:27:03,685 could be safe. 1746 01:27:10,356 --> 01:27:15,162 One mask to be worn for 12 hours. 1747 01:27:15,195 --> 01:27:16,730 It's just ridiculous. 1748 01:27:16,763 --> 01:27:19,600 No protective equipment, the gowns. 1749 01:27:19,632 --> 01:27:22,336 We have to improvise with what we have. 1750 01:27:24,805 --> 01:27:27,175 We have people coming in sewing masks, sewing shields, 1751 01:27:27,208 --> 01:27:29,544 making things out of plastics. 1752 01:27:29,577 --> 01:27:31,712 This is what we're doing now? 1753 01:27:31,744 --> 01:27:33,413 I mean that would be like a soldier going to war 1754 01:27:33,446 --> 01:27:35,283 and making a plastic gun to bring with him. 1755 01:27:35,315 --> 01:27:37,151 This is what's happening. 1756 01:27:47,194 --> 01:27:49,297 - PPEs! - Every day! 1757 01:27:49,329 --> 01:27:50,464 PPEs! 1758 01:27:50,498 --> 01:27:52,200 Every day! 1759 01:27:52,232 --> 01:27:55,436 We're here in the community fighting every day, 1760 01:27:55,468 --> 01:27:59,573 and we need some help. 1761 01:27:59,606 --> 01:28:02,577 In February, the Trump Administration actually 1762 01:28:02,610 --> 01:28:05,446 created the China-COVID Procurement Service 1763 01:28:05,479 --> 01:28:08,415 to encourage American producers like 3M 1764 01:28:08,449 --> 01:28:11,486 to sell their entire inventories of N95 masks 1765 01:28:11,519 --> 01:28:14,122 to China. 1766 01:28:14,154 --> 01:28:17,157 When American hospitals desperately needed N95s, 1767 01:28:17,190 --> 01:28:18,758 they were forced to import them 1768 01:28:18,792 --> 01:28:20,561 and pay up to 10 times more 1769 01:28:20,593 --> 01:28:23,631 than the price charged by American producers. 1770 01:28:23,663 --> 01:28:27,734 PPE has been sporadic, but we do what we have to do. 1771 01:28:27,767 --> 01:28:30,203 We're nurses, and we learn to adapt 1772 01:28:30,236 --> 01:28:32,739 and to get the job done and get the care provided, 1773 01:28:32,772 --> 01:28:34,441 and that's what we're gonna continue to do. 1774 01:28:34,475 --> 01:28:35,642 Sporadic for you, 1775 01:28:35,676 --> 01:28:37,712 but not sporadic for a lot of other people. 1776 01:28:37,744 --> 01:28:38,912 Oh, no, I agree, Mr. President. 1777 01:28:38,945 --> 01:28:40,547 Because I've heard the opposite. 1778 01:28:40,580 --> 01:28:44,252 I've heard that they are loaded up with gowns now. 1779 01:28:44,284 --> 01:28:46,319 And you know, initially, we had nothing. 1780 01:28:46,352 --> 01:28:49,257 We had empty cupboards. We had empty shelves. 1781 01:28:49,289 --> 01:28:51,525 We had nothing because it wasn't put there 1782 01:28:51,559 --> 01:28:53,427 by the last administration. 1783 01:28:53,459 --> 01:28:55,562 In the midst of the crisis, 1784 01:28:55,596 --> 01:28:57,899 President Trump goes on TV and says, "Don't worry. 1785 01:28:57,931 --> 01:29:00,367 We've got plenty of PPE for healthcare workers." 1786 01:29:00,400 --> 01:29:03,303 What was your reaction when you saw that? 1787 01:29:03,337 --> 01:29:05,506 I know what my reaction was. 1788 01:29:05,538 --> 01:29:08,275 I turned to my wife and said, "That's complete bullshit. 1789 01:29:08,309 --> 01:29:11,244 He has no idea what he's talking about." 1790 01:29:11,278 --> 01:29:14,515 I'm getting 500 to 1,000 emails a day. 1791 01:29:14,547 --> 01:29:18,351 I'm getting emails from people, not businesses. 1792 01:29:18,385 --> 01:29:20,387 I'm getting emails from moms. 1793 01:29:20,421 --> 01:29:23,624 I'm getting emails from old people, "Please send me masks." 1794 01:29:26,694 --> 01:29:30,531 And I can't. 1795 01:29:30,564 --> 01:29:32,499 You make a product that can protect people. 1796 01:29:32,533 --> 01:29:35,203 I can't help all these people. 1797 01:29:38,806 --> 01:29:41,876 The PPE shortage continued on for months, 1798 01:29:41,909 --> 01:29:44,312 even after Trump put one of his most trusted 1799 01:29:44,345 --> 01:29:45,913 family members in charge 1800 01:29:45,945 --> 01:29:48,248 of procuring protective equipment. 1801 01:29:51,318 --> 01:29:53,486 Jared Kushner formed his own task force 1802 01:29:53,520 --> 01:29:54,821 to get supplies. 1803 01:29:54,855 --> 01:29:56,857 Was that confusing? Like did you... 1804 01:29:56,890 --> 01:29:58,726 It was extremely confusing. 1805 01:29:58,758 --> 01:30:00,328 The president wanted to make sure 1806 01:30:00,360 --> 01:30:02,562 that we had the best people doing the best jobs 1807 01:30:02,596 --> 01:30:05,299 and making sure that we had the right people focused 1808 01:30:05,332 --> 01:30:06,901 on all the things that needed to happen 1809 01:30:06,934 --> 01:30:09,669 to make sure that we can deliver in these unusual times 1810 01:30:09,703 --> 01:30:12,839 for the American people. 1811 01:30:12,873 --> 01:30:15,576 My old boss called me and said he heard that 1812 01:30:15,609 --> 01:30:19,347 Jared Kushner's task force needed younger volunteers 1813 01:30:19,379 --> 01:30:21,281 who had general skills and were willing 1814 01:30:21,315 --> 01:30:24,352 to work seven days a week for no money, 1815 01:30:24,385 --> 01:30:27,454 and if you fit those criteria, that you should head to D.C. 1816 01:30:27,488 --> 01:30:31,458 and help with the pandemic response. 1817 01:30:31,492 --> 01:30:33,261 I definitely had some apprehension 1818 01:30:33,293 --> 01:30:34,595 about working for the administration, 1819 01:30:34,628 --> 01:30:36,364 but it felt like the country 1820 01:30:36,396 --> 01:30:38,431 and the world were under attack. 1821 01:30:38,464 --> 01:30:40,935 It seemed like if there was something to do to help, 1822 01:30:40,967 --> 01:30:43,703 that was the right thing to do. 1823 01:30:43,736 --> 01:30:45,373 They basically gave us a day 1824 01:30:45,405 --> 01:30:50,010 to show up in D.C. at the FEMA Headquarters. 1825 01:30:50,043 --> 01:30:52,379 We walked into Conference Room A, 1826 01:30:52,413 --> 01:30:55,283 which was this windowless, subterranean conference room. 1827 01:30:55,315 --> 01:30:57,318 There were televisions all around the walls 1828 01:30:57,351 --> 01:30:59,754 all playing FOX News. 1829 01:30:59,787 --> 01:31:02,390 One representative from FEMA 1830 01:31:02,422 --> 01:31:04,324 and one representative from the military 1831 01:31:04,357 --> 01:31:06,627 gave a quick pep talk. 1832 01:31:06,659 --> 01:31:09,396 They kept saying "the stuff," and by that they meant PPE. 1833 01:31:09,430 --> 01:31:11,499 And they kept saying, "There's stuff all around the world. 1834 01:31:11,531 --> 01:31:12,699 "There's stuff in the U.S., and we need 1835 01:31:12,732 --> 01:31:15,636 to get it to hospitals as fast as possible." 1836 01:31:15,668 --> 01:31:18,372 Everyone stood up and started filing into different offices, 1837 01:31:18,404 --> 01:31:20,807 and I remember the only people left were the volunteers. 1838 01:31:20,841 --> 01:31:23,343 We thought we would be auxiliary support 1839 01:31:23,377 --> 01:31:25,513 for an existing procurement team that just needed 1840 01:31:25,546 --> 01:31:27,815 to be expanded as quickly as possible 1841 01:31:27,847 --> 01:31:29,984 and we would, you know, do data entry for contracts. 1842 01:31:30,016 --> 01:31:32,586 And instead, we were the team. 1843 01:31:32,619 --> 01:31:35,456 I think when people imagined the federal government response 1844 01:31:35,489 --> 01:31:38,426 in the war room, they thought it would be this big, 1845 01:31:38,458 --> 01:31:41,561 you know, energized group of experts, 1846 01:31:41,595 --> 01:31:45,533 not ten 20-year-old volunteers all just with private laptops. 1847 01:31:45,565 --> 01:31:47,033 No industry relationships, 1848 01:31:47,066 --> 01:31:50,337 no experience working in supply chain. 1849 01:31:50,370 --> 01:31:53,341 So we started cold-emailing people we knew 1850 01:31:53,373 --> 01:31:54,941 who had business relationships in China, 1851 01:31:54,975 --> 01:31:56,877 looking for factories online, 1852 01:31:56,909 --> 01:32:00,947 and emailing them from our personal Gmail accounts. 1853 01:32:00,980 --> 01:32:03,016 Because we had never done this before, 1854 01:32:03,050 --> 01:32:04,918 you know, there were all these really basic questions 1855 01:32:04,952 --> 01:32:07,754 about how a federal procurement operation should work. 1856 01:32:07,788 --> 01:32:09,457 We would call factories and say, 1857 01:32:09,489 --> 01:32:11,624 "We think the federal government can send you a check 1858 01:32:11,658 --> 01:32:13,593 in 60 days," and they would say, 1859 01:32:13,627 --> 01:32:16,097 "There's someone with a briefcase of cash, 1860 01:32:16,129 --> 01:32:18,732 and they are offering to pay me right now." 1861 01:32:18,766 --> 01:32:20,935 And we would run around the FEMA building 1862 01:32:20,967 --> 01:32:23,671 looking for someone who could tell us what payment terms 1863 01:32:23,704 --> 01:32:25,840 the federal government was allowed to offer, 1864 01:32:25,873 --> 01:32:29,143 and no one ever told us. 1865 01:32:29,176 --> 01:32:32,546 One week into our work, several government employees 1866 01:32:32,579 --> 01:32:34,849 walked into the room and handed out NDAs 1867 01:32:34,882 --> 01:32:36,550 and told us we had to sign the NDAs 1868 01:32:36,583 --> 01:32:38,486 or leave the room immediately, 1869 01:32:38,519 --> 01:32:40,687 and we all had built our own relationships 1870 01:32:40,721 --> 01:32:44,725 with manufacturers, and it felt like if we walked away, 1871 01:32:44,757 --> 01:32:46,559 it would negatively affect our ability 1872 01:32:46,592 --> 01:32:49,596 to buy this critical, lifesaving equipment. 1873 01:32:49,629 --> 01:32:54,534 And so we all begrudgingly signed the NDA. 1874 01:32:54,568 --> 01:32:56,070 In the room, there were those TVs 1875 01:32:56,102 --> 01:32:57,837 all around the walls playing the news. 1876 01:32:57,870 --> 01:32:59,774 They always had a death counter. 1877 01:32:59,806 --> 01:33:01,742 And so every hour we were sitting there, 1878 01:33:01,775 --> 01:33:04,779 trying to buy PPE that we all knew could save lives, 1879 01:33:04,811 --> 01:33:06,780 and we were watching the number of deaths in the U.S. 1880 01:33:06,814 --> 01:33:09,083 tick higher and higher and higher. 1881 01:33:09,115 --> 01:33:11,819 And that weighed on all of us. 1882 01:33:11,851 --> 01:33:13,586 The president also instructed me to make sure 1883 01:33:13,619 --> 01:33:15,722 that I break down every barrier needed 1884 01:33:15,756 --> 01:33:18,691 to make sure that the teams can succeed. 1885 01:33:18,725 --> 01:33:20,761 The first time Jared Kushner came into the room, 1886 01:33:20,793 --> 01:33:23,196 he had this big entourage, and he said, 1887 01:33:23,230 --> 01:33:25,199 "I want to make this as effective as possible. 1888 01:33:25,231 --> 01:33:27,435 "Tell me the problems that you have, 1889 01:33:27,467 --> 01:33:29,202 and I will solve them today." 1890 01:33:29,235 --> 01:33:31,571 And we said, "We need to be able to pay upfront." 1891 01:33:31,605 --> 01:33:34,442 And he said, "Done," 1892 01:33:34,475 --> 01:33:37,044 but there was no action taken that we saw whatsoever. 1893 01:33:37,077 --> 01:33:39,747 In the entire time that I was a volunteer, 1894 01:33:39,779 --> 01:33:43,983 our team did not directly purchase a single mask. 1895 01:33:44,016 --> 01:33:46,519 Kushner failed to protect doctors and nurses, 1896 01:33:46,552 --> 01:33:48,122 but he was willing to trade government help 1897 01:33:48,154 --> 01:33:50,824 for political benefits. 1898 01:33:50,857 --> 01:33:54,028 When the Democratic Governor of California, Gavin Newsom, 1899 01:33:54,061 --> 01:33:56,564 desperately needed testing swabs, 1900 01:33:56,596 --> 01:33:58,598 Kushner said Trump would grant the request 1901 01:33:58,632 --> 01:34:00,568 on two conditions: 1902 01:34:00,601 --> 01:34:01,769 Newsom would have to get on the phone 1903 01:34:01,802 --> 01:34:03,938 and ask Trump personally 1904 01:34:03,971 --> 01:34:07,775 and then thank him publicly. 1905 01:34:07,807 --> 01:34:09,243 I want to thank the president, 1906 01:34:09,275 --> 01:34:13,213 not only for being available for a phone call 1907 01:34:13,247 --> 01:34:15,883 at a moment's notice, but being willing 1908 01:34:15,915 --> 01:34:19,587 to directly commit to all of us in the state of California. 1909 01:34:19,619 --> 01:34:21,689 Built around personal relationships, 1910 01:34:21,721 --> 01:34:24,257 Kushner's task force was run by his college roommate 1911 01:34:24,290 --> 01:34:26,760 and Ivanka Trump's former assistant. 1912 01:34:26,793 --> 01:34:29,597 Rather than rely on experienced public officials, 1913 01:34:29,629 --> 01:34:32,867 the task force prioritized private tips in a spreadsheet 1914 01:34:32,900 --> 01:34:34,602 called "VIP Update," 1915 01:34:34,635 --> 01:34:36,570 which included two Republican dentists 1916 01:34:36,602 --> 01:34:39,172 and a FOX News personality. 1917 01:34:39,205 --> 01:34:41,574 The whole philosophy of the task force 1918 01:34:41,607 --> 01:34:43,977 was that the government can't get things done 1919 01:34:44,011 --> 01:34:45,546 and they thought the private market 1920 01:34:45,579 --> 01:34:47,848 could largely settle this issue, 1921 01:34:47,881 --> 01:34:50,117 but it was only once they had tried and failed 1922 01:34:50,150 --> 01:34:52,086 that they'd started to blame other people and say, 1923 01:34:52,119 --> 01:34:54,788 "Actually, this was your job the whole time." 1924 01:34:54,820 --> 01:34:56,957 You have instances where in cities, they're running out, 1925 01:34:56,989 --> 01:34:58,525 but the state still has a stockpile. 1926 01:34:58,559 --> 01:35:00,226 And the notion of the federal stockpile 1927 01:35:00,260 --> 01:35:01,794 was it's supposed to be our stockpile. 1928 01:35:01,828 --> 01:35:03,631 It's not supposed to be states' stockpiles 1929 01:35:03,663 --> 01:35:05,298 that they then use. 1930 01:35:05,332 --> 01:35:08,669 My understanding is the only reason 1931 01:35:08,702 --> 01:35:12,272 the federal stockpile exists is to distribute it to states. 1932 01:35:12,306 --> 01:35:15,075 The people in charge on the task force said, 1933 01:35:15,107 --> 01:35:16,776 you know, talking about the president... 1934 01:35:16,810 --> 01:35:18,646 love him or hate him, he's a marketing genius. 1935 01:35:18,678 --> 01:35:20,647 He came up with the strategy to blame the states, 1936 01:35:20,681 --> 01:35:22,049 because the federal government 1937 01:35:22,082 --> 01:35:23,684 hasn't been able to do this effectively. 1938 01:35:25,351 --> 01:35:30,123 Federal government has assets and abilities 1939 01:35:30,156 --> 01:35:32,760 that no state can possibly mobilize. 1940 01:35:32,793 --> 01:35:35,329 They have a global supply chain. 1941 01:35:35,361 --> 01:35:36,997 They have a logistic capability 1942 01:35:37,029 --> 01:35:38,731 through the Department of Defense 1943 01:35:38,765 --> 01:35:40,601 and Department of Homeland Security 1944 01:35:40,633 --> 01:35:43,570 to get stuff in and distribute it 1945 01:35:43,604 --> 01:35:45,905 to places all over the country. 1946 01:35:45,939 --> 01:35:49,276 President Trump flipped that on its head. 1947 01:35:49,309 --> 01:35:54,181 Then there became this mad rush for each and every state 1948 01:35:54,213 --> 01:35:58,217 to try and find equipment on their own. 1949 01:36:01,288 --> 01:36:04,992 Breaker one nine, this here's Rubber Duck. 1950 01:36:05,025 --> 01:36:06,927 Mercy sakes alive, 1951 01:36:06,959 --> 01:36:10,064 looks like we've got us a convoy. 1952 01:36:10,096 --> 01:36:14,701 We continued to source and ship as much PPE as we can 1953 01:36:14,735 --> 01:36:17,304 by whatever means necessary. 1954 01:36:17,337 --> 01:36:19,607 ♪ Arizona, noon, on the seventh of June ♪ 1955 01:36:19,640 --> 01:36:21,709 ♪ When they highballed over the pass ♪ 1956 01:36:21,742 --> 01:36:26,245 We had the governor of Massachusetts using a plane 1957 01:36:26,279 --> 01:36:30,217 from the New England Patriots to bring equipment from China. 1958 01:36:30,249 --> 01:36:32,285 ♪ 'Cause we got a little ol' convoy ♪ 1959 01:36:32,319 --> 01:36:35,189 The equipment is now in the hands of the National Guard, 1960 01:36:35,221 --> 01:36:38,758 who will deliver it to an undisclosed location. 1961 01:36:38,792 --> 01:36:40,394 ♪ Convoy ♪ 1962 01:36:40,427 --> 01:36:43,030 Whoo-hoo! 1963 01:36:43,062 --> 01:36:45,132 We had the governor of Maryland 1964 01:36:45,164 --> 01:36:47,700 using contacts of his wife's 1965 01:36:47,734 --> 01:36:52,839 to bring equipment in from South Korea. 1966 01:36:52,873 --> 01:36:55,709 He felt it important enough to guard that equipment 1967 01:36:55,742 --> 01:36:58,345 when it landed in Maryland, because he didn't want it 1968 01:36:58,378 --> 01:37:01,949 confiscated by the federal government. 1969 01:37:01,981 --> 01:37:03,751 We're competing against every other state, 1970 01:37:03,784 --> 01:37:05,219 every other country. 1971 01:37:05,252 --> 01:37:08,656 Now we're even competing against the federal government. 1972 01:37:08,689 --> 01:37:13,327 It's like being on eBay with 50 other states, 1973 01:37:13,360 --> 01:37:16,296 bidding on a ventilator. 1974 01:37:16,329 --> 01:37:19,733 You see the bid go up 'cause California bid. 1975 01:37:19,766 --> 01:37:23,937 Illinois bid, Florida bid, New York bids, 1976 01:37:23,970 --> 01:37:26,073 California rebids. 1977 01:37:26,105 --> 01:37:29,376 And then FEMA starts bidding. 1978 01:37:29,409 --> 01:37:33,313 So FEMA is driving up the price. 1979 01:37:33,346 --> 01:37:35,049 What? 1980 01:37:35,815 --> 01:37:39,052 I stand here as someone who has had confirmed orders 1981 01:37:39,086 --> 01:37:44,091 for millions of pieces of gear evaporate in front of us, 1982 01:37:44,123 --> 01:37:47,160 and I can't tell you how frustrating it is. 1983 01:37:47,194 --> 01:37:49,096 I get a feeling if there's somebody had the chance to 1984 01:37:49,128 --> 01:37:50,797 sell to you or had the chance to sell to me, 1985 01:37:50,830 --> 01:37:53,300 I'm gonna lose every one of those. 1986 01:37:53,333 --> 01:37:55,035 All right, Charlie. Thank you very much. 1987 01:37:55,068 --> 01:37:57,204 Well, we do like you going out seeing what you can get, 1988 01:37:57,236 --> 01:37:59,205 if you can get it faster, 1989 01:37:59,239 --> 01:38:02,843 and the price is always a component to that also, 1990 01:38:02,876 --> 01:38:05,779 and maybe that's why you lost to the feds. 1991 01:38:05,811 --> 01:38:08,247 I'll tell you, that's probably why, but... 1992 01:38:08,280 --> 01:38:10,484 If the goal was to get PPE to the states, 1993 01:38:10,516 --> 01:38:12,418 why would the federal government 1994 01:38:12,452 --> 01:38:15,222 be driving up the price to outbid them? 1995 01:38:15,254 --> 01:38:19,092 Or was driving up the price the whole point? 1996 01:38:19,126 --> 01:38:20,894 This morning, our first project 1997 01:38:20,927 --> 01:38:21,929 that we called Airbridge... 1998 01:38:21,962 --> 01:38:24,198 that's Airbridge, that's the name. 1999 01:38:24,230 --> 01:38:26,300 And it was a flight that landed in JFK 2000 01:38:26,333 --> 01:38:29,036 and contained nearly 2 million masks. 2001 01:38:29,069 --> 01:38:31,038 This is the first of 50 flights, 2002 01:38:31,070 --> 01:38:33,973 and that will probably increase substantially. 2003 01:38:34,007 --> 01:38:36,376 Project Airbridge was a plan to subsidize 2004 01:38:36,409 --> 01:38:40,848 the efforts of private companies to buy and sell PPE. 2005 01:38:40,881 --> 01:38:43,117 Max Kennedy's team would find the PPE 2006 01:38:43,150 --> 01:38:45,486 and negotiate the lowest possible price. 2007 01:38:45,519 --> 01:38:48,055 Private companies would then pay the bill. 2008 01:38:48,087 --> 01:38:49,856 Then the federal government would pay 2009 01:38:49,890 --> 01:38:53,761 to fly the PPE stateside from overseas. 2010 01:38:53,793 --> 01:38:54,961 And we had partnered 2011 01:38:54,994 --> 01:38:58,498 with the five largest medical distributors. 2012 01:38:58,531 --> 01:39:00,400 Once we shipped it to the United States, 2013 01:39:00,432 --> 01:39:02,903 they would take over and sell directly 2014 01:39:02,936 --> 01:39:05,939 to whoever they would like, at whatever price they wanted. 2015 01:39:05,971 --> 01:39:08,941 Just to clarify, that explains why states say 2016 01:39:08,975 --> 01:39:11,111 they're bidding like they're on eBay, 2017 01:39:11,144 --> 01:39:13,780 because the supplies are going to the private sector, 2018 01:39:13,814 --> 01:39:15,949 and then they have to go there to get the supplies. 2019 01:39:15,981 --> 01:39:17,818 That's normally how things work, right? 2020 01:39:17,851 --> 01:39:20,320 So I'm not here to disrupt, 2021 01:39:20,352 --> 01:39:24,557 uh, a supply chain. 2022 01:39:24,591 --> 01:39:26,493 The U.S. government was handing a huge amount 2023 01:39:26,525 --> 01:39:28,261 of business to these five companies 2024 01:39:28,294 --> 01:39:30,096 that were chosen fairly arbitrarily. 2025 01:39:32,332 --> 01:39:34,901 There were increasing concerns, I think, from competitors, 2026 01:39:34,935 --> 01:39:36,236 that these five companies were getting 2027 01:39:36,269 --> 01:39:38,571 a hugely unfair advantage, 2028 01:39:38,605 --> 01:39:42,075 and so I was asked on several different occasions explicitly 2029 01:39:42,107 --> 01:39:46,312 to find a justification to have selected these companies way... 2030 01:39:46,346 --> 01:39:49,216 you know, months after they had been selected. 2031 01:39:49,248 --> 01:39:51,284 At least one of these companies, Cardinal, 2032 01:39:51,318 --> 01:39:56,522 saw its PPE orders surge to 12 times the normal volume. 2033 01:39:56,556 --> 01:39:58,458 Profit-making was also part of 2034 01:39:58,490 --> 01:40:00,993 the pandemic pricing plan at Gilead, 2035 01:40:01,026 --> 01:40:03,462 which manufactured the one drug, Remdesivir, 2036 01:40:03,495 --> 01:40:06,400 that was effective at treating COVID. 2037 01:40:06,432 --> 01:40:08,935 The federal government owned patents on the drug, 2038 01:40:08,968 --> 01:40:11,171 and it paid for essential research. 2039 01:40:11,204 --> 01:40:13,540 But the Trump administration permitted Gilead 2040 01:40:13,573 --> 01:40:16,443 to charge more than $3,000 a patient 2041 01:40:16,476 --> 01:40:20,114 for a treatment that cost less than $10 to manufacture. 2042 01:40:21,948 --> 01:40:25,252 I left in mid-April, and my takeaway 2043 01:40:25,284 --> 01:40:27,220 was really that I still feel like 2044 01:40:27,253 --> 01:40:28,622 I haven't worked for the government. 2045 01:40:28,654 --> 01:40:31,591 We were so far outside of it. I mean, we were... 2046 01:40:31,624 --> 01:40:33,961 every single person we reported to 2047 01:40:33,994 --> 01:40:36,463 up the chain of command was a political appointee. 2048 01:40:36,495 --> 01:40:39,565 The number of FEMA employees I met, you know, 2049 01:40:39,598 --> 01:40:40,633 I could count on one hand, 2050 01:40:40,667 --> 01:40:42,336 and they were fleeting interactions. 2051 01:40:42,369 --> 01:40:45,539 It taught me about how this administration works, 2052 01:40:45,571 --> 01:40:48,040 and I think it largely works, or it seemed to work, 2053 01:40:48,074 --> 01:40:49,643 in this case, outside of the government. 2054 01:40:52,145 --> 01:40:54,580 In the course of three years, 2055 01:40:54,614 --> 01:40:57,384 there was a systematic dismantling 2056 01:40:57,417 --> 01:41:01,088 of what expertise had been built 2057 01:41:01,120 --> 01:41:03,089 and what framework had been built 2058 01:41:03,123 --> 01:41:06,627 to respond to the very kind of global pandemic 2059 01:41:06,659 --> 01:41:09,395 that we're dealing with. 2060 01:41:09,428 --> 01:41:12,632 It's preventing the people who were there 2061 01:41:12,665 --> 01:41:17,337 from doing the jobs that they'd been hired to do. 2062 01:41:17,369 --> 01:41:20,073 Tell me a little bit about how chloroquine 2063 01:41:20,105 --> 01:41:24,110 and hydroxychloroquine first came into your point of view. 2064 01:41:24,144 --> 01:41:25,412 You know... 2065 01:41:25,445 --> 01:41:27,648 How did this come up? 2066 01:41:27,681 --> 01:41:29,616 I wish I'd never heard of chloroquine 2067 01:41:29,649 --> 01:41:33,553 or hydroxychloroquine, honestly. 2068 01:41:33,586 --> 01:41:37,024 Elon Musk started the ball rolling with a tweet. 2069 01:41:37,056 --> 01:41:38,992 Momentum for the drugs picked up steam 2070 01:41:39,025 --> 01:41:40,661 over the next few days on FOX News, 2071 01:41:40,694 --> 01:41:44,364 where their names were dropped 176 times. 2072 01:41:44,396 --> 01:41:47,234 Early evidence suggests that chloroquine... 2073 01:41:47,266 --> 01:41:49,502 - Chloroquine. - Hydroxychloroquine. 2074 01:41:49,535 --> 01:41:51,437 Those look very promising. 2075 01:41:51,471 --> 01:41:55,042 Then Trump started reading from the FOX script. 2076 01:41:55,074 --> 01:41:56,642 It is known as a malaria drug, 2077 01:41:56,676 --> 01:41:59,178 and it's been around for a long time. 2078 01:41:59,212 --> 01:42:02,049 And it's shown very encouraging... 2079 01:42:02,082 --> 01:42:04,551 very, very encouraging... early results. 2080 01:42:06,086 --> 01:42:08,622 I believe it was March 23rd. 2081 01:42:08,654 --> 01:42:14,060 I got a call from Secretary Azar's chief counsel. 2082 01:42:14,093 --> 01:42:18,030 The White House wanted us to move quickly 2083 01:42:18,064 --> 01:42:20,066 on making this drug available. 2084 01:42:20,100 --> 01:42:23,136 At my direction, the federal government is working to help 2085 01:42:23,168 --> 01:42:27,273 obtain large quantities of chloroquine. 2086 01:42:27,306 --> 01:42:29,675 I called my scientific team in BARDA, 2087 01:42:29,708 --> 01:42:32,111 and they said, "No way." 2088 01:42:33,279 --> 01:42:36,550 There was no data to support that they had any benefit 2089 01:42:36,583 --> 01:42:39,086 against the coronavirus. 2090 01:42:39,119 --> 01:42:43,023 They pushed back, but Dr. Kadlec reiterated 2091 01:42:43,056 --> 01:42:46,694 that directive to us and said, "Get on it, get it done." 2092 01:42:48,128 --> 01:42:51,999 We came up with option of an emergency use authorization. 2093 01:42:52,031 --> 01:42:54,767 We could put boundaries in it, 2094 01:42:54,801 --> 01:42:57,104 restrict the drug to only be used 2095 01:42:57,137 --> 01:43:00,440 in people who are hospitalized. 2096 01:43:00,472 --> 01:43:02,341 And I was proud of our team 2097 01:43:02,374 --> 01:43:04,543 for coming up with that compromise 2098 01:43:04,577 --> 01:43:08,347 that we thought would protect the Americans. 2099 01:43:08,381 --> 01:43:10,484 Have you ever heard of a Dr. Zelenko? 2100 01:43:10,516 --> 01:43:12,151 Yes. 2101 01:43:13,153 --> 01:43:17,356 He is a very mysterious presence that seemed to be 2102 01:43:17,390 --> 01:43:21,128 involved in the context of this chloroquine story. 2103 01:43:21,160 --> 01:43:23,029 - Hi. - Hi. 2104 01:43:24,763 --> 01:43:28,068 Dr. Vladimir Zelenko became a right-wing folk hero 2105 01:43:28,101 --> 01:43:30,670 and the Trump team promoted him as an essential expert 2106 01:43:30,703 --> 01:43:32,571 on the use of hydroxychloroquine 2107 01:43:32,605 --> 01:43:36,276 as a magical remedy for COVID. 2108 01:43:36,309 --> 01:43:38,712 For the last almost 16 years, 2109 01:43:38,744 --> 01:43:41,047 I've been a primary care doctor for a community 2110 01:43:41,080 --> 01:43:43,516 of around 35,000 people. 2111 01:43:43,550 --> 01:43:46,686 It's a village in the town of Monroe. 2112 01:43:46,718 --> 01:43:49,722 It's similar to an urban environment 2113 01:43:49,756 --> 01:43:53,459 in terms of how close people live with each other. 2114 01:43:53,493 --> 01:43:55,361 So it's not surprising that 2115 01:43:55,395 --> 01:43:58,065 the virus came and started spreading. 2116 01:43:58,097 --> 01:44:02,068 And I realized that, my God, I have an inferno. 2117 01:44:02,101 --> 01:44:04,770 I have a real outbreak. 2118 01:44:04,803 --> 01:44:07,074 I know all these people, they're like family to me. 2119 01:44:07,106 --> 01:44:10,176 So it was personal. 2120 01:44:10,209 --> 01:44:11,811 The whole world was focusing on 2121 01:44:11,845 --> 01:44:14,080 building more respirators, more hospitals, 2122 01:44:14,114 --> 01:44:15,315 and there was nothing being offered 2123 01:44:15,347 --> 01:44:17,216 to primary care doctors. 2124 01:44:17,249 --> 01:44:18,517 You know, we're front-line soldiers 2125 01:44:18,551 --> 01:44:20,687 with no bullets, no weapons. 2126 01:44:20,720 --> 01:44:23,089 So then you have to improvise. 2127 01:44:24,757 --> 01:44:26,426 Dr. Zelenko improvised 2128 01:44:26,458 --> 01:44:28,360 what he thought was a magic bullet 2129 01:44:28,394 --> 01:44:30,564 that contained his own unproven mash-up 2130 01:44:30,596 --> 01:44:33,833 of zinc, azithromycin, and hydroxychloroquine. 2131 01:44:35,901 --> 01:44:38,204 But there was no reputable clinical trial 2132 01:44:38,238 --> 01:44:40,207 that confirmed Zelenko's claims 2133 01:44:40,239 --> 01:44:44,376 that early use of his cocktail could cure COVID. 2134 01:44:44,409 --> 01:44:48,114 I wasn't doing research. I was just treating patients. 2135 01:44:48,147 --> 01:44:49,348 But I'm not stupid. 2136 01:44:49,382 --> 01:44:51,485 I saw exactly what was happening. 2137 01:44:51,517 --> 01:44:53,252 Patients stopped dying. 2138 01:44:54,587 --> 01:44:56,388 I just found potentially 2139 01:44:56,422 --> 01:44:58,391 one of the most important pieces of information 2140 01:44:58,423 --> 01:45:00,627 in the history of information. 2141 01:45:00,659 --> 01:45:03,162 I'm not a politician. I don't have any connections. 2142 01:45:03,195 --> 01:45:07,367 So how else does a person who's unconnected 2143 01:45:07,400 --> 01:45:09,669 reach the highest levels of government? 2144 01:45:09,702 --> 01:45:11,570 It's called social media. 2145 01:45:11,604 --> 01:45:16,176 Um, hello, President Trump. 2146 01:45:16,208 --> 01:45:19,912 My name is Dr. Vladimir Zelenko. 2147 01:45:19,945 --> 01:45:21,614 So I made a YouTube video 2148 01:45:21,647 --> 01:45:23,550 addressed to the president of the United States, 2149 01:45:23,583 --> 01:45:26,486 and the next day, his chief of staff, Mark Meadows, calls me. 2150 01:45:28,520 --> 01:45:31,190 We had a conversation, and that started a process 2151 01:45:31,223 --> 01:45:32,691 that eventually led me to 2152 01:45:32,725 --> 01:45:35,829 the FDA commissioner, Stephen Hahn. 2153 01:45:35,861 --> 01:45:37,564 It's not every day you get 2154 01:45:37,596 --> 01:45:38,931 the commissioner of the FDA calling you on your cell phone. 2155 01:45:38,964 --> 01:45:40,534 According to the FDA... 2156 01:45:44,904 --> 01:45:46,806 There was not a scientific reason 2157 01:45:46,838 --> 01:45:48,841 to push either one of those drugs. 2158 01:45:48,874 --> 01:45:52,244 The reason they were pushing them so hard was because 2159 01:45:52,278 --> 01:45:55,882 the president was claiming that they were a miracle drug. 2160 01:45:55,914 --> 01:45:58,784 Someone had given him this advice. 2161 01:45:58,818 --> 01:46:03,556 I happen to be taking it. I happen to be taking it. 2162 01:46:03,589 --> 01:46:06,392 I'm taking it. Hydroxychloroquine. 2163 01:46:06,426 --> 01:46:08,294 Right now, yeah. 2164 01:46:08,328 --> 01:46:09,663 Did you hear what he said afterwards? 2165 01:46:09,695 --> 01:46:12,498 "Yeah, I received a letter..." 2166 01:46:12,531 --> 01:46:14,568 From a doctor the other day, 2167 01:46:14,601 --> 01:46:17,204 from Westchester, New York, around the area. 2168 01:46:17,236 --> 01:46:18,904 He didn't want anything. He just said, 2169 01:46:18,937 --> 01:46:21,274 "Sir, I have hundreds of patients, 2170 01:46:21,306 --> 01:46:24,644 and I give them hydroxychloroquine." 2171 01:46:24,677 --> 01:46:26,413 So that was a letter 2172 01:46:26,445 --> 01:46:27,846 I sent to the president. 2173 01:46:27,879 --> 01:46:30,482 But I thought it was a very well-crafted letter 2174 01:46:30,516 --> 01:46:33,320 by a man who's a respected doctor. 2175 01:46:33,352 --> 01:46:34,687 He said it was a well-crafted letter. 2176 01:46:34,721 --> 01:46:35,821 I was proud of that. 2177 01:46:46,565 --> 01:46:48,867 It was really frustrating, 2178 01:46:48,900 --> 01:46:51,637 because here we are on the front lines, 2179 01:46:51,671 --> 01:46:53,807 we're trying to do everything we can, 2180 01:46:53,839 --> 01:46:55,874 and if, you know, there's a chance that this could work, 2181 01:46:55,908 --> 01:46:57,677 let's go ahead and try it. 2182 01:46:57,709 --> 01:46:59,445 But then, consistently, 2183 01:46:59,479 --> 01:47:01,548 the trials that had been high quality looking at this 2184 01:47:01,580 --> 01:47:03,949 have shown that there's no benefit to it. 2185 01:47:03,982 --> 01:47:05,952 And we have moved on to other therapies. 2186 01:47:05,985 --> 01:47:08,955 But unfortunately, you know, it can come back and be revived 2187 01:47:08,988 --> 01:47:12,659 by a tweet from a leader who still believes in it. 2188 01:47:12,691 --> 01:47:14,461 The next day, if you admit 2189 01:47:14,494 --> 01:47:17,264 a patient with COVID-19, some of them are gonna ask, 2190 01:47:17,297 --> 01:47:18,865 "Are you gonna give me the Trump drug?" 2191 01:47:18,897 --> 01:47:21,635 And if you go through a long explanation of, you know, 2192 01:47:21,668 --> 01:47:23,670 "Actually, there's no benefit," 2193 01:47:23,703 --> 01:47:26,306 it's really hard to explain this. 2194 01:47:26,338 --> 01:47:28,774 And it would be so much more helpful 2195 01:47:28,807 --> 01:47:32,611 if the leader of the country, who sets the example, said, 2196 01:47:32,645 --> 01:47:34,446 "We should follow the science on this." 2197 01:47:34,480 --> 01:47:36,383 I've seen things that I sort of like, 2198 01:47:36,415 --> 01:47:38,885 so what do I know? I'm not a doctor. 2199 01:47:38,918 --> 01:47:41,521 It was about six days after that EUA. 2200 01:47:41,553 --> 01:47:45,057 I woke up to an email string 2201 01:47:45,091 --> 01:47:50,062 that had our Assistant Secretary for Health, 2202 01:47:50,096 --> 01:47:55,302 our Director of FEMA, our ASPR, Dr. Kadlec, 2203 01:47:55,334 --> 01:48:00,573 and the FDA all saying we need to flood the streets 2204 01:48:00,605 --> 01:48:02,675 of New York and New Jersey 2205 01:48:02,708 --> 01:48:06,078 with that drug as quickly as possible. 2206 01:48:06,111 --> 01:48:10,582 And in that email discussion, someone was brave enough... 2207 01:48:10,615 --> 01:48:11,783 they said, "But wait a minute. 2208 01:48:11,816 --> 01:48:16,021 The EUA says 'for hospitalized patients only.'" 2209 01:48:16,055 --> 01:48:19,459 They said, "No, it needs to go into the pharmacies. 2210 01:48:19,492 --> 01:48:21,328 "It needs to go out everywhere. 2211 01:48:21,360 --> 01:48:23,696 "The EUA doesn't matter. 2212 01:48:23,730 --> 01:48:25,632 Push the drug out now." 2213 01:48:27,467 --> 01:48:29,502 The same FDA that dragged its feet for weeks 2214 01:48:29,534 --> 01:48:31,604 at approving vital COVID tests 2215 01:48:31,637 --> 01:48:34,541 suddenly worked at lightning speed to greenlight use 2216 01:48:34,574 --> 01:48:36,810 of a drug with no proven effect on the disease, 2217 01:48:36,842 --> 01:48:39,645 just because the White House wanted it done. 2218 01:48:39,678 --> 01:48:41,580 If this drug works, 2219 01:48:41,614 --> 01:48:45,051 it will be wonderful, it'll be so beautiful. 2220 01:48:45,083 --> 01:48:47,419 It'll be a gift from heaven. 2221 01:48:47,453 --> 01:48:49,455 I lost it. 2222 01:48:49,489 --> 01:48:52,859 I lost all respect for that chain of command, 2223 01:48:52,891 --> 01:48:55,961 for that security 2224 01:48:55,994 --> 01:49:00,434 that we as Americans have put in those people. 2225 01:49:01,501 --> 01:49:07,673 And that is the moment that I decided to break protocol 2226 01:49:07,707 --> 01:49:12,111 and alert Americans in a different way. 2227 01:49:12,145 --> 01:49:14,080 In the doctrine of politics, 2228 01:49:14,113 --> 01:49:16,615 Rick Bright committed a mortal sin. 2229 01:49:16,649 --> 01:49:18,952 He went to the press. 2230 01:49:18,985 --> 01:49:22,489 It was two weeks exactly after that 2231 01:49:22,521 --> 01:49:26,959 that I learned that I had been removed from my position. 2232 01:49:29,662 --> 01:49:32,865 It's not easy to come forward in this administration, okay? 2233 01:49:32,899 --> 01:49:37,771 I'm not trying to be soft in here, but it is not easy. 2234 01:49:38,937 --> 01:49:43,909 It was a very hard process 2235 01:49:43,943 --> 01:49:48,949 to lay our careers on the line to push back. 2236 01:49:50,449 --> 01:49:52,117 Time is running out because 2237 01:49:52,150 --> 01:49:55,020 the virus is still spreading everywhere. 2238 01:49:55,053 --> 01:49:58,958 The window is closing to address this pandemic. 2239 01:49:58,990 --> 01:50:01,895 So, you know, Dr. Bright is up there testifying today. 2240 01:50:01,927 --> 01:50:06,765 And on hydroxychloroquine, Dr. Bright literally signed 2241 01:50:06,798 --> 01:50:10,069 in the application for FDA authorization of it. 2242 01:50:10,101 --> 01:50:13,172 We will either be remembered for what we did 2243 01:50:13,205 --> 01:50:16,208 or for what we failed to do to address this crisis. 2244 01:50:16,242 --> 01:50:18,645 I watched this guy for a little while this morning, 2245 01:50:18,677 --> 01:50:21,747 and he looks like an angry, disgruntled employee 2246 01:50:21,780 --> 01:50:23,582 who, frankly, according to some people, 2247 01:50:23,615 --> 01:50:25,217 didn't do a very good job. 2248 01:50:25,251 --> 01:50:28,154 Would you describe the government's response 2249 01:50:28,186 --> 01:50:31,524 as a success or a failure? 2250 01:50:31,556 --> 01:50:33,659 I believe we could have done better. 2251 01:50:35,727 --> 01:50:37,864 Watching the administration's response 2252 01:50:37,896 --> 01:50:41,600 to Bright was frightening. 2253 01:50:41,633 --> 01:50:43,669 We all wanted to help, but we didn't wanna be 2254 01:50:43,703 --> 01:50:46,673 on the front page of a newspaper. 2255 01:50:46,705 --> 01:50:49,074 I spoke to a couple of attorneys 2256 01:50:49,107 --> 01:50:51,010 who said it's so unusual for the government 2257 01:50:51,043 --> 01:50:55,214 to require an NDA at all, let alone for volunteers 2258 01:50:55,248 --> 01:50:57,217 who don't have any access to government systems. 2259 01:50:57,249 --> 01:50:59,752 We had no access to any confidential information. 2260 01:50:59,784 --> 01:51:01,820 The only thing we were basically being prevented 2261 01:51:01,854 --> 01:51:04,923 from talking about was the fact that the response was... 2262 01:51:04,957 --> 01:51:06,793 seemed to be largely bungled. 2263 01:51:06,825 --> 01:51:09,561 To date, we've facilitated the supply 2264 01:51:09,595 --> 01:51:13,132 of more than 38 million N95 masks nationwide. 2265 01:51:13,164 --> 01:51:15,033 And I would watch the news, and I'd hear 2266 01:51:15,066 --> 01:51:16,836 the Trump administration talk about the work 2267 01:51:16,869 --> 01:51:18,972 that was happening, and what was happening did not 2268 01:51:19,004 --> 01:51:20,640 match what the administration was speaking about. 2269 01:51:22,542 --> 01:51:23,776 So I did send in 2270 01:51:23,809 --> 01:51:25,845 a whistleblower report to Congress, 2271 01:51:25,878 --> 01:51:28,648 as well as calling several journalists 2272 01:51:28,681 --> 01:51:31,918 who I basically just found online. 2273 01:51:31,950 --> 01:51:33,619 It was nerve-racking. 2274 01:51:33,653 --> 01:51:35,288 I was worried about the NDA, 2275 01:51:35,320 --> 01:51:39,191 I was worried about potential retribution. 2276 01:51:39,225 --> 01:51:41,294 But I just wanted people to know what was happening, 2277 01:51:41,327 --> 01:51:43,195 and know not enough was being done. 2278 01:51:45,297 --> 01:51:46,865 Beyond attacking whistleblowers, 2279 01:51:46,899 --> 01:51:49,068 Trump dismissed five inspectors general 2280 01:51:49,101 --> 01:51:51,304 in the space of six weeks. 2281 01:51:51,337 --> 01:51:55,642 One had raised concerns about PPE shortages. 2282 01:51:55,675 --> 01:51:57,610 Another was supposed to investigate 2283 01:51:57,642 --> 01:51:59,212 how the Trump administration would spend 2284 01:51:59,244 --> 01:52:02,748 $2.3 trillion in coronavirus relief. 2285 01:52:04,316 --> 01:52:06,785 While money did flow to unemployed Americans, 2286 01:52:06,819 --> 01:52:08,922 a small group of hedge fund investors 2287 01:52:08,954 --> 01:52:10,789 and real estate tycoons, 2288 01:52:10,823 --> 01:52:12,892 like Jared Kushner and Donald Trump, 2289 01:52:12,925 --> 01:52:15,195 got millions of dollars in tax breaks. 2290 01:52:16,829 --> 01:52:19,799 Trump protected the richest Americans, 2291 01:52:19,832 --> 01:52:22,802 even as he continued to ignore the most basic recommendations 2292 01:52:22,834 --> 01:52:26,071 of scientists trying to protect everyday people. 2293 01:52:26,105 --> 01:52:28,775 The CDC is recommending that 2294 01:52:28,807 --> 01:52:32,044 Americans wear a basic cloth or fabric mask. 2295 01:52:32,078 --> 01:52:35,080 They can be either purchased online or simply made at home, 2296 01:52:35,114 --> 01:52:37,016 probably material that you'd have at home. 2297 01:52:37,048 --> 01:52:39,319 Really a voluntary thing. You can do it. 2298 01:52:39,351 --> 01:52:41,587 You don't have to do it. I'm choosing not to do it. 2299 01:52:41,620 --> 01:52:44,591 But some people may wanna do it, and that's okay. 2300 01:52:44,623 --> 01:52:46,224 I made a lot of predictions that came true 2301 01:52:46,257 --> 01:52:49,695 about this pandemic, but masks being politicized... 2302 01:52:49,729 --> 01:52:51,731 it's just amazing to me. 2303 01:52:51,763 --> 01:52:54,033 ♪ Live and let die ♪ 2304 01:52:54,065 --> 01:52:56,202 ♪ ♪ 2305 01:52:56,235 --> 01:52:57,303 The deadly implications 2306 01:52:57,336 --> 01:52:59,705 of the president's disdain for science 2307 01:52:59,739 --> 01:53:02,275 weren't lost on whoever picked the soundtrack 2308 01:53:02,307 --> 01:53:05,110 for Trump's tour of a mask factory in Arizona. 2309 01:53:05,144 --> 01:53:08,847 ♪ Live and let die ♪ 2310 01:53:08,881 --> 01:53:11,284 ♪ ♪ 2311 01:53:11,316 --> 01:53:14,287 It was confusing campaign photo op: 2312 01:53:14,320 --> 01:53:17,290 federal officials refusing to wear safety masks 2313 01:53:17,323 --> 01:53:20,760 in a sanitized factory that manufactured them. 2314 01:53:22,061 --> 01:53:23,863 The mask seems to represent 2315 01:53:23,895 --> 01:53:26,732 which side of the political aisle that you're on, 2316 01:53:26,766 --> 01:53:29,402 and somehow, showing up without a mask on 2317 01:53:29,435 --> 01:53:31,104 in close proximity with others 2318 01:53:31,137 --> 01:53:33,706 says that I support the president. 2319 01:53:33,739 --> 01:53:36,075 You're fucking democratic pigs! 2320 01:53:36,107 --> 01:53:38,211 I'll take that fucking mask off your face! 2321 01:53:38,244 --> 01:53:40,113 No more masks! 2322 01:53:40,145 --> 01:53:42,080 No more masks! 2323 01:53:42,114 --> 01:53:43,750 That is dangerous. 2324 01:53:43,783 --> 01:53:45,385 People have died because of the misinformation. 2325 01:53:45,418 --> 01:53:48,688 I have absolutely no doubt about that. 2326 01:53:48,721 --> 01:53:51,257 In April, after weeks of economic shutdown 2327 01:53:51,289 --> 01:53:52,824 and with contagion and death 2328 01:53:52,857 --> 01:53:55,028 still running high in much of America, 2329 01:53:55,061 --> 01:53:58,398 Trump announced the plan for reopening the country. 2330 01:53:58,431 --> 01:54:00,667 Our team of experts now agrees 2331 01:54:00,699 --> 01:54:04,202 that we can begin the next front in our war, 2332 01:54:04,235 --> 01:54:08,974 which we're calling Opening Up America Again, 2333 01:54:09,007 --> 01:54:10,242 and that's what we're doing. 2334 01:54:10,275 --> 01:54:13,680 We're opening up our country. 2335 01:54:13,712 --> 01:54:15,313 The next day, he began to tweet 2336 01:54:15,346 --> 01:54:17,816 in encouragement of protests against lockdowns 2337 01:54:17,850 --> 01:54:19,986 meant to contain spread of the virus. 2338 01:54:23,922 --> 01:54:25,925 Frustration's understandable. 2339 01:54:25,958 --> 01:54:27,827 People wanted to get out of their homes 2340 01:54:27,860 --> 01:54:28,795 to get back to work. 2341 01:54:28,828 --> 01:54:30,229 USA! 2342 01:54:30,262 --> 01:54:31,864 But without a national program 2343 01:54:31,896 --> 01:54:33,466 to safeguard public health, 2344 01:54:33,498 --> 01:54:36,735 how is the economy going to get back on its feet? 2345 01:54:36,769 --> 01:54:37,904 So I said to my people, 2346 01:54:37,936 --> 01:54:40,806 "Slow the testing down, please." 2347 01:54:40,839 --> 01:54:43,176 Texas, hitting a record number of hospitalizations. 2348 01:54:43,208 --> 01:54:47,179 Florida recording an astonishing 11,400 cases, 2349 01:54:47,212 --> 01:54:50,348 smashing its single day high. 2350 01:54:50,382 --> 01:54:51,650 Opening up the country without 2351 01:54:51,684 --> 01:54:54,887 a national program for masks, testing, and tracing 2352 01:54:54,919 --> 01:54:57,390 did have consequences. 2353 01:54:57,422 --> 01:54:59,191 Throughout the summer, 2354 01:54:59,225 --> 01:55:00,959 the death toll hovered around 1,000 a day, 2355 01:55:00,993 --> 01:55:03,229 or two 9/11s every week. 2356 01:55:05,230 --> 01:55:08,200 In South Korea, a nation of 51 million, 2357 01:55:08,234 --> 01:55:10,203 there was no national shutdown, 2358 01:55:10,235 --> 01:55:13,238 and less than 500 people died from the disease. 2359 01:55:15,306 --> 01:55:18,510 For a lot of people around me in South Korea, 2360 01:55:18,543 --> 01:55:22,448 perceptions of the U.S. have really been shaken. 2361 01:55:22,480 --> 01:55:25,184 South Koreans, like a lot of other people around the world, 2362 01:55:25,217 --> 01:55:27,954 had a certain perception of the U.S. 2363 01:55:27,986 --> 01:55:32,492 as a barometer and a benchmark for how a country works, 2364 01:55:32,525 --> 01:55:34,460 how a country should run. 2365 01:55:34,493 --> 01:55:37,897 There is a real sense of disbelief. 2366 01:55:39,431 --> 01:55:41,100 Thousands descended on beaches 2367 01:55:41,132 --> 01:55:43,001 in Greece over the weekend, while in Italy, 2368 01:55:43,034 --> 01:55:47,139 more shops and restaurants are again welcoming customers. 2369 01:55:47,172 --> 01:55:48,473 The crowds are returning 2370 01:55:48,507 --> 01:55:50,843 to the stadiums here in New Zealand. 2371 01:55:50,876 --> 01:55:52,477 As many countries opened up, 2372 01:55:52,511 --> 01:55:54,946 others faced new outbreaks. 2373 01:55:54,980 --> 01:55:59,886 Some, like Brazil and India, saw cases continue to soar. 2374 01:55:59,918 --> 01:56:01,486 But even in countries like South Korea, 2375 01:56:01,520 --> 01:56:03,890 where the virus was initially contained, 2376 01:56:03,922 --> 01:56:07,492 cases spiked when people ignored scientific guidance. 2377 01:56:09,328 --> 01:56:11,364 Nowhere was that problem more severe 2378 01:56:11,396 --> 01:56:13,498 than in the United States. 2379 01:56:13,531 --> 01:56:19,105 ♪ America, America ♪ 2380 01:56:19,137 --> 01:56:21,306 Ignoring expert advice became an act 2381 01:56:21,339 --> 01:56:23,976 of patriotism in the Trump administration, 2382 01:56:24,008 --> 01:56:26,378 Where even the push for a safe vaccine 2383 01:56:26,412 --> 01:56:29,448 was pursued with reckless disregard for science. 2384 01:56:29,480 --> 01:56:31,249 We're moving aggressively 2385 01:56:31,283 --> 01:56:34,387 to accelerate developing a vaccine. 2386 01:56:34,419 --> 01:56:37,323 To actually get a vaccine that you know works 2387 01:56:37,355 --> 01:56:39,224 is gonna be a year to a year and a half. 2388 01:56:39,257 --> 01:56:40,827 Do me a favor. Speed it up. 2389 01:56:40,860 --> 01:56:43,529 Speed it up. 2390 01:56:43,561 --> 01:56:47,432 Stakes are so high around vaccines. 2391 01:56:47,466 --> 01:56:49,901 Because we need a vaccine 2392 01:56:49,935 --> 01:56:54,307 if we want to begin to end this pandemic. 2393 01:56:54,339 --> 01:56:56,342 But the question is, who distributes it? 2394 01:56:56,374 --> 01:56:59,212 Who prioritizes it? 2395 01:56:59,244 --> 01:57:01,881 A lot of people say this should be the CDC. 2396 01:57:01,913 --> 01:57:05,083 "They should be front and center in this." 2397 01:57:05,117 --> 01:57:08,253 But the CDC has been largely silenced. 2398 01:57:08,287 --> 01:57:10,155 After a few CDC scientists 2399 01:57:10,189 --> 01:57:12,959 voiced concerns about the federal response, 2400 01:57:12,992 --> 01:57:15,927 Trump installed an official to censor or rewrite 2401 01:57:15,961 --> 01:57:17,963 any CDC findings that contradicted 2402 01:57:17,997 --> 01:57:19,565 the rosy predictions of the White House. 2403 01:57:21,432 --> 01:57:25,203 Can we trust scientists who allow data to be compromised 2404 01:57:25,236 --> 01:57:28,207 by demands for political loyalty? 2405 01:57:35,446 --> 01:57:37,216 My last question to you is, 2406 01:57:37,248 --> 01:57:39,852 what is your personal takeaway from this pandemic? 2407 01:57:42,587 --> 01:57:46,625 Um... 2408 01:57:46,659 --> 01:57:49,929 53,000 deaths from coronavirus. 2409 01:57:49,962 --> 01:57:52,531 Sometimes late at night when I'm driving home 2410 01:57:52,564 --> 01:57:56,235 and I'm tired of listening to talk radio on NPR, 2411 01:57:56,267 --> 01:58:00,640 I'll turn on the other NPR station and listen to jazz. 2412 01:58:08,146 --> 01:58:10,048 I've never listened to jazz in my life. 2413 01:58:22,226 --> 01:58:25,131 I've always been very thankful for the people around me, 2414 01:58:25,163 --> 01:58:29,334 and I think that's come with age, partly. 2415 01:58:29,368 --> 01:58:32,171 And now that we're all wearing masks all the time, 2416 01:58:32,204 --> 01:58:35,374 there is an astounding amount of information 2417 01:58:35,406 --> 01:58:37,976 that you can get out of looking at people's eyes. 2418 01:58:38,010 --> 01:58:41,681 Which, when the rest of your face is completely obscured, 2419 01:58:41,713 --> 01:58:47,986 become extremely telling of what's going on, 2420 01:58:48,020 --> 01:58:51,290 whether your eyes are happy or sad or smiling. 2421 01:58:53,559 --> 01:58:58,596 This is going to be the 1918 influenza epidemic story, 2422 01:58:58,629 --> 01:59:01,600 and it will be written about for the next 100 years. 2423 01:59:01,632 --> 01:59:06,604 And I think that realization should really drive 2424 01:59:06,637 --> 01:59:09,475 a lot of our behavior and our choices. 2425 01:59:12,578 --> 01:59:16,182 There's so much that the virus has exposed, 2426 01:59:16,214 --> 01:59:20,386 the lessons are just gonna be ongoing over time. 2427 01:59:20,418 --> 01:59:26,224 And the degree of suffering is just so immense 2428 01:59:26,257 --> 01:59:28,727 that it's hard to really conceptualize it. 2429 01:59:28,761 --> 01:59:31,129 And it's gonna take a long time for us 2430 01:59:31,163 --> 01:59:33,199 to really figure out the consequences of this, 2431 01:59:33,231 --> 01:59:34,699 because there are consequences 2432 01:59:34,732 --> 01:59:36,267 for the people who survive this. 2433 01:59:38,404 --> 01:59:41,173 We spend billions of dollars every year 2434 01:59:41,205 --> 01:59:45,176 on missiles that, hopefully, will never fly, 2435 01:59:45,209 --> 01:59:49,448 on weapons that, hopefully, we will never use. 2436 01:59:49,480 --> 01:59:52,450 We have to take health security 2437 01:59:52,484 --> 01:59:57,088 as seriously as we do defense security. 2438 01:59:57,122 --> 01:59:59,592 I think the career staff and scientists were in place. 2439 01:59:59,624 --> 02:00:01,493 They were battle-tested. 2440 02:00:01,526 --> 02:00:03,729 They knew their role, they knew the plan, 2441 02:00:03,762 --> 02:00:06,499 and they were prepared to act. 2442 02:00:06,531 --> 02:00:11,369 They put on their uniform to respond to this pandemic, 2443 02:00:11,403 --> 02:00:14,140 and then there was nowhere to go. 2444 02:00:16,175 --> 02:00:19,811 There is a misconception that public health failed. 2445 02:00:19,845 --> 02:00:22,615 The truth is that political leaders 2446 02:00:22,647 --> 02:00:25,818 failed to follow public health guidance, 2447 02:00:25,851 --> 02:00:30,256 and that's what caused avoidable disease, death, 2448 02:00:30,288 --> 02:00:32,190 and economic destruction. 2449 02:00:33,559 --> 02:00:36,162 Politicians are the problem. 2450 02:00:36,195 --> 02:00:38,664 We've gotta believe in the scientists. 2451 02:00:38,696 --> 02:00:42,301 And we've got politicians who don't believe in science. 2452 02:00:42,333 --> 02:00:44,369 America is lagging behind 2453 02:00:44,403 --> 02:00:47,539 every other country, almost, in their response, and I... 2454 02:00:47,573 --> 02:00:51,610 hey, you gotta blame the manager. 2455 02:00:51,642 --> 02:00:53,178 If we're to blame the manager, 2456 02:00:53,212 --> 02:00:54,446 we must be able to answer 2457 02:00:54,480 --> 02:00:56,848 an essential political question: 2458 02:00:56,882 --> 02:01:00,252 What did the president know, and when did he know it? 2459 02:01:00,284 --> 02:01:02,421 Eight months after the pandemic began, 2460 02:01:02,454 --> 02:01:03,823 we got the answer. 2461 02:01:08,360 --> 02:01:10,496 On February 7th, two weeks before 2462 02:01:10,529 --> 02:01:12,865 anyone in America had died from the disease, 2463 02:01:12,897 --> 02:01:15,234 journalist Bob Woodward asked Donald Trump 2464 02:01:15,266 --> 02:01:19,637 if he knew how contagious and dangerous COVID might be. 2465 02:01:19,671 --> 02:01:21,339 It goes through air, Bob. 2466 02:01:21,373 --> 02:01:23,342 That's always tougher than the touch, you know? 2467 02:01:23,374 --> 02:01:24,709 The touch, you don't have to touch things, right? 2468 02:01:24,743 --> 02:01:26,879 But the air, you just breathe the air, 2469 02:01:26,912 --> 02:01:29,214 and that's how it's passed. 2470 02:01:29,248 --> 02:01:31,684 It's also more deadly than your... 2471 02:01:31,717 --> 02:01:34,353 even your strenuous flus, you know? 2472 02:01:34,386 --> 02:01:37,256 So this is deadly stuff. 2473 02:01:43,794 --> 02:01:47,399 Our manager failed us. 2474 02:01:47,431 --> 02:01:49,467 But the disease also revealed 2475 02:01:49,501 --> 02:01:53,538 more fundamental problems with our government. 2476 02:01:53,571 --> 02:01:58,343 We will see more pandemics and other existential threats. 2477 02:01:58,377 --> 02:02:00,479 All on account of manmade problems, 2478 02:02:00,512 --> 02:02:03,749 we must prepare to solve together. 2479 02:02:03,781 --> 02:02:06,151 Our ability to reckon with the future 2480 02:02:06,185 --> 02:02:09,655 will depend on how much we learn from our recent past. 2481 02:02:09,687 --> 02:02:13,391 When the day comes when we can finally take off our masks, 2482 02:02:13,425 --> 02:02:16,729 will we be ready to fix what's really broken? 2483 02:02:16,762 --> 02:02:20,499 ♪ Time has come today ♪ 2484 02:02:20,531 --> 02:02:25,236 ♪ Young hearts can go their way ♪ 2485 02:02:25,270 --> 02:02:28,841 ♪ Can't put it off another day ♪ 2486 02:02:28,873 --> 02:02:32,810 ♪ I don't care what others say ♪ 2487 02:02:32,843 --> 02:02:35,914 ♪ They think we don't listen anyway ♪ 2488 02:02:35,948 --> 02:02:39,552 ♪ Time has come today ♪ 2489 02:02:39,584 --> 02:02:42,387 Hey! 2490 02:02:46,324 --> 02:02:48,260 Oh! 2491 02:02:48,293 --> 02:02:51,664 ♪ The rules have changed today ♪ 2492 02:02:51,696 --> 02:02:55,568 ♪ I have no place to stay ♪ 2493 02:02:55,601 --> 02:02:59,505 ♪ I'm thinking about the subway ♪ 2494 02:02:59,538 --> 02:03:03,575 ♪ My love has flown away ♪ 2495 02:03:03,609 --> 02:03:07,413 ♪ My tears have come and gone ♪ 2496 02:03:07,445 --> 02:03:11,249 ♪ Oh my Lord, I have to roam ♪ 2497 02:03:11,283 --> 02:03:14,887 ♪ I have no home ♪ 2498 02:03:14,919 --> 02:03:18,690 ♪ I have no home ♪ 2499 02:03:30,968 --> 02:03:34,707 ♪ Now the time has come ♪ 2500 02:03:34,739 --> 02:03:38,843 ♪ There's no place to run ♪ 2501 02:03:38,877 --> 02:03:42,448 ♪ I might get burned up by the sun ♪ 2502 02:03:42,480 --> 02:03:46,318 ♪ But I had my fun ♪ 2503 02:03:46,351 --> 02:03:50,022 ♪ I've been loved and put aside ♪ 2504 02:03:50,055 --> 02:03:53,758 ♪ I've been crushed by the tumbling tide ♪ 2505 02:03:53,792 --> 02:03:55,227 ♪ And my soul ♪