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Up. We are all in search of the apex. And the other side of the mountain. But we are still headed up the mountain. Number of people tested last night was a near record amount. We tested over 18,000 people. We are testing more people than any state in the country. Im very proud of that. More per capita than china and south korea. Total number of people tested, 200,000. Population of 19 million. Its not going to give you a random sample, but its been helping us track down the positive cases. Number of positive cases, 9,298. Total cases, 75,000 cases. You see the predominance in new york city. Westchester, nassau, and suffolk. Then rockland. You can see that area of density. It spreads out from that area of density. The march of coronavirus across the state of new york continues. We are down to just two counties that dont have a case. The overall numbers, 75,000 have tested positive. 10,000 people in our hospitals. 2,7 i. C. U. Patients. Good news, 4900, almost 5,000 people discharged. Thats up 771. So people come in, they get treated, they go home. New york is at 75,000 cases. Next state is 16,000. California is at 7,000. You can see new york is a magnitude of difference more han any other state. 1,550 deaths. Hats up from 1,218 yesterday. Again we are studying the charts. We are trying to study the data, follow the data. The data is uneven. It bounces. Numbers often bounce. In any model. There are variables in this model. The hospitals are reporting it. So what every hospital reported that day were they busy . Are they combining a couple days in one . Its an imperfect reporting mechanism. But you see the basic line is still up. What the statisticians will tell you is you basically drew the Straight Line that the columns indicate. You see we are still going up which is what we see on the overall trajectory. Number of intubation s was down, not much. But it was down. Thats a good sign. You also see the number of discharges going up. And thats consistent. The longer people are in, they either get treated and leave or they get put on a ventilator and the longer you are on a ventilator the less likelihood you will come off the ventilator. That is the blunt truth of this situation. We have two missions overall we are pursuing. One is the frontline of this battle is our Hospital System. Thats what this is going to come down to. The second is social responsibility. Stay at home. Dont get infected in the first place. Dont get infected in the first place because it goes back to youre creating a burden on our Health Care System that our Health Care System cannot handle. We are tacking about talking about exceeding the capacity of our Hospital System by some estimates two times. So what does this come down to besides all the other issues . It comes down to not overwhelming the Hospital System because those people who need acute care may not be able to get the acute care. Its all about the Hospital System. That is the frontline. What we are doing is we are following the mathematical projections of the experts. We are speaking to all the Health Care Professionals, all the health care providers, world health organization, National Institute of health, dr. Fauci, the whole alphabet soup of health care experts. And the mathematicians who then have different models. We talk to about five different models and we compare the models and try to find the median through the models. Thats how we plan everything. Follow the data, follow the science. People ask me what do you think . I dont think about this. What do i know snim not an expert. Im not opining. I talk to experts and follow people who know. For the hospitals, procure equipment. Identify the beds. Support the staff. Thats what its been all about. Of those priorities, number one is support the staff. They are the frontline and they need relief. They are physically exhausted, even more, they are emotionally exhausted. This is unlike other disasters, hurricanes, earthquakes, floods they happen, they are fast, they are over, you start rebuilding. This is different. This is ongoing and the duration self is debilitating and exhausting and depressing. Im speaking to Health Care Professionals who say, look, more than physically tired, aim just emotionally tired. Im just emotionally tired. Seeing the pain, seeing the death that they are dealing with every day. N general, i am tired of being behind this virus. We have been behind this virus from day one. The virus was in china. We knew it was in china. Unless we assume theres some immune system variation with asian people, it was coming here. And we have been behind it from day one since it got here. And we have been playing catchup. You dont win playing catchup. We have to get ahead of it. The second is never underestimate your opponent. We underestimated this virus. Its more powerful, more dangerous than we expected. The third point is plan forward. Get ahead of it. Get ahead of it. Fight the fight today, yes. But anticipate the next battle and plan for the next battle. And the main battle is at the apex. We are still going up the mountain. The main battle is on the top of the mountain. Thats where the main battle is going to be. The apex of the curve. And then we come down the other side of the mountain. We are planning now for the battle at the top of the mountain. Thats what we are doing. Get a staffing plan ready now for the battle at the top of the mountain. Equipment stockpiled now. We are gathering equipment that we dont need today because today is not the day of the battle. The battle is when we hit the apex, depending who you believe, 14 days to 30 days from today. And also we need a social acceptance of the time expectation. We are all anxious. We are all tired. We are all fatigued. Its been all bad news for a long time. Our whole lifestyle has been disrupted. Everybody wants to know one thing, when is it over . Nobody knows. Well, president said by easter. This one said by this. Nobody knows. You can have a hypothesis. You can have a projection. Can you have an opinion. But nobody knows. But you can have an pen. But nobody knows. I can say this, it is not going to be soon. If our apex is 14 to 21 days, thats our pecs. You then have to come down the other side of the mountain once you hit the apex. Ocal brownwaite yourself socally brownwaite yourself and e yourself. O calibrat yesterday we met with the entire state Hospital System. Dr. Zuker and our team. First time they were all in one place. We said to the Hospital System, look, what i just said to you we are dealing with a war, we are dealing with a war we have never dealt with before. We need a totally different mindset and organizational transformation. We cant do business the way we have always done business. We need an unprecedented sense of cooperation, flexibility, communication, and speed. And thats we talked through yesterday. And we have to do it now. The Health Care System is one of those bulkianized systems. Our state education system. Our criminal justice system. Its in place. Its fragmented. They have their own identities. Their own associations. Its regionally organized. That all has to change. We dont have the ability to meet the capacity of our Health Care System as an entirety. That assumes the Health Care System is working as an entirety. Thats not how the Health Care System is organized now. We have new york City Hospitals and long island hospitals and west chesters hospitals and upstate hospitals. That has to go. Even in new york city you have two basic Hospital Systems in new york city. You have the private hospitals, voluntary hospitals, about 160 of them. Which are some of the finest Health Care Institutions in the United States of america. This is mount sinai, columbia presbyterian, etc. Some of their members are also upstate. But they are the large private institutions. Greater New York Hospital association. Ken run that is association of 160. You then have in new york city the Public Hospitals. The new york city hept and hospitals corporation. They are 11 Public Hospitals. They are a universe and then you have the private hospitals as a separate universe. The 11 Public Hospitals are the hospitals that in many ways have always been under greater stress and greater need. We have to get those two systems , the private system and the public system in new york city working together in a way they never did before. The distinction of privatepublic that has to go out the window. We are one Health Care System. On top of that, it cant be the downstate hospitals and the upstate hospitals and long island hospitals. When we talk about capacity of beds, when i say we now have 75,000 beds, thats a statewide number. That means those beds have to be available to the people in new york city or nassau even if those beds are up in albany. Combining that whole system, you are no longer just the western New York Hospitals, or the central New York Hospitals. Its one coordinated system. Its much easier said than done. But we have to do it. On top of that, you have to overlay the new federal beds that came in. That are in an entirely new component. We have the center 2,500 beds. The comfort, 1,000 beds. We are planning other federal facilities. These all have to be coordinated on top of the existing hospital network. So you see the organizational situation that we are dealing with. And lets be honest and lets learn from the past, we know where we have to focus. We know where we are going to have problems. In the next hospitals. Because the hospitals that have the least capacity, that have already been stressed, are the hospitals that are not going to be able to handle the additional load. That is a fact. You know which hospitals were struggling. We do reports all the time about the Financial Capacity of hospitals and what hospitals are in stronger versus weaker position. The hospitals in a weaker position are the hospitals that are going to suffer when they then carry that added burden. That was elm hurst hospital. It happened to be a Public Hospital. It happened to be a Public Hospital in a place of density. T happened to get overwhelmed. Then you saw burden on the staff. You saw the emotion. He stress. That cant happen. Thats what we talked about yesterday. Elmhurst isnt my responsibility. Elmhurst is a Public Hospital. The city runs t i dont. Its new york city. Not a private hospital. I dont care which link breaks in the chain. The chain is still broken. It doesnt matter which hospital, which link. Any link breaks the chain breaks. The Health Care System is a chain. It breaks anywhere, it breaks everywhere. That has to be our mental it. Mentality. We laid out a full plan on how to do facility development, how to move people among hospitals so nobody gets overloaded. Shifting patients. Shifting staff. Shifting supplies. None of us have enough supplies. Ok. Then lets pool our supplies and lets put them out for the people who need them. And just because one hospital happened to have found a vendor from china who delivered five million masks, lets share those masks. We talked about that yesterday. We also talked again at length about ventilators, which as Everybody Knows is a key piece of equipment. Identifying all the ventilators in the state. Who has them. Who has them in a stockpile. Who ordered them. Who expects them to come n and well have one stockpile of ventilators that we can distribute for everyone who needs them. We also talked about splitting thats a tors because technology that does exist. Its been used before. Its not ideal. You take one ventilator and its used for two patients. The federal government is a partner in this, obviously. Spoke to the president again. Yesterday about this situation. I spoke to the vice president. Cureb near. The white house has been helpful. You have to get the federal agencies on the ground. To understand how this operates. Especially fema. Because we have to be coordinated and people have to know what they are doing. This is no time for anyone to be learning on the job. We are going to be working through that today. P. P. E. , same thing. We want to know what everybody has. One stockpile, well distribute it fairly. Testing, how do we get when does this end . This ends when we get a fast track test. An at home test, 15minute test. And people can then find out when they can go back to work because they are negative. We are working on additional testing, as i said the department of health has a new test. But thats when this ends. We are also working on the new medications. We are leading the country in many of those vetchts. We are saliva testing now. We are working on the Antibody Testing and plasma testing at the same time. We put together essential coordinating team. Its going to be led by the department of health. Westchester is on it, Greater New York, new york city son it, long island is on it. If the federal government is going to participate, they have to be part of this team. Because we have to know what we are doing. I dont want fema coming in and blowing the coordination of what everyone is trying to do. The coordinating team is going to organize upstate, downstate transfers. Set patient loads for hospitals, right. So if one hospital gets up near an overload capacity, lets call it, those hospitals start to send patients to other hospitals before they get up to their max. Within the new york city public Hospital System, within the Greater New York private system, and then among the different systems. Total different mentality. We have to do it. We said two missions, one was hospitals, second was individual responsibility. Individual responsibility is about discipline. Its about selflessness. And its about being informed. The basic point is stay home. The point is stay at home. I know its hard to stay at home. I know everyone thinks i can go out, i can be smart, i wont get infected because its me. Im a super hero. Its not going to be me. That is not true. And its not just about you. Its not just about your health and your life that you are playing with here, my friend. You can infect other people. So i have been trying to communicate this many different ways for many days. We still see people coming out who dont need to be out. Even for essential workers, people have to be careful. And again, i have been trying to communicate that. Everyone, everyone is subject to this virus. It is the great equalizer. I dont care how smart, how ridge, rich, how powerful you think you are. I dont care how young, how old. This virus is the great equalizer. My brother, chris, is positive for coronavirus. Ound out this morning. E is going to be fine. Hes young, in good shape, strong. Not as strong as he thinks. He will be fine. But theres a lesson in this. Hes an essential worker, member of the press. So hes been out there. If you go out there, the chance that you get infected is very high. I spoke to him this morning, and hes going to be quarantined in his basement at home. Hes just worried about his daughter and his kids that he hopes he didnt get them infected. You dont really know chris. You see chris as a show on night 9 00 on cnn. But you just see one dimension. You see a person in his job. And in his job hes combative and argumentive and pushing people. But thats his job. Thats really not who he is. Hes a really sweet, beautiful guy. Hes my best friend. My father was always working, so it was always just me and chris. Hes a lawyer also, chris. Hes a lawyer because growing up the Decision Point came to what do you want to do after college . My father was a very strong personality. And my father basically suggested forcefully to chris that he should be a lawyer. It was a different time and a different place. Ow my daughters, cara who is here, they all followed their individual stars. This is their destiny, which is right. He said to my father i want to follow my individual star, he would say, you can follow your individual star right out that door. So chris went to law school. He never really had a desire to practice law. He calls me when hes about 26, hes at a law firm. He said i dont want to be a lawyer. I said yeah, i know. But you are now a lawyer. You are. He said, yeah, but i dont want to be lawyer. What do you want to be . I want to be a journalist. You want to be a journalist. Too late. You are a lawyer. You have to pay law school bills. You didnt go to journalism school. Its too late. No, no. I think i can do it. God bless him, he quit the law firm. Went to work for fox tv, which is a whole separate conversation in the house. And then worked his way up. Hes at cnn. He does a beautiful job. But a sweet guy. Now hes quarantined in the basement but funny at heck. Even the dogs wont come downstairs, he sares. He says. But he is concerned about his wife and his kids. The reason i raise it is hes smart. Hes social distancing, yes. But you wind up exposing yourself. People wind up exposing you and then they find out they are positive a couple days later. And i had a situation with christopher two weeks ago that i even mentioned, my mother was at his house. And i said that is a mistake. Now, my mother is in a different situation. Shes older. And shes healthy, but i said you cant have mom at the house. And he said, no, no. Mom is lonely. She wants to be at the house. I feel bad. Shes couped up in the apartment. I feel bad shes couped up in the apartment, too. You bring her to your house, you expose her to a lot of things. You have the kids there. You have your wife there. You are coming and going. Your wife is coming and going. And you could expose mom to the virus. A little sometimes needs to be a little smarter than just reactive. And we had a whole discussion. In truth, hes informed. Im informed. Was that dangerous . Was that not dangerous . I went back to the doctor and said, look, we have to tell people what are the rules . How does this work . Thats when i came up with matildas law. I said it for my mother. It was very clear about people who are older and what they should be exposed to. My brother two weeks ago. If my brother still had my mother at his house again out of love and comfort and my mother is that insidious. In we have to keep that mind. Keep in mind matildas law. Here. Er who is vulnerable and protect them. Go out and act stupid for yourself, thats one thing, but your stupid actions dont just affect you. Can infectme, you someone else, and you can cause serious illness or even death for them. Actions. And people have to really get and internalize it because anyone. Appen to two weeks with my mother and christopher, today is a very different situation. Last point, theres nothing iough said different since started these briefings and theres nothing that we have learned that is different since these briefings. We know what to do. Do it. Have to its individual discipline to stay home. Social distancing. Were all bored. I know, im bored. Its discipline. Healthcare system work thats government skill, government performance. Worked care how it yesterday, i dont care whose turf this is, i dont care whose involved, im sorry. We have to find a way to work a better way. Time to say to that federal hhs,nment and to fema and you have to learn how to do your job and you have to learn how to it quickly, because time is not our friend. About stamina. Not one week, two weeks, weeks, five partly sunn four weeks, six weeks, this is not going to be an easter surprise. Understand that and have the deal with it. And its unity. Lets help one another. New york needs help now. I asked for healthcare workers from across country to come here because we need help. We will pay you and we will return the favor. A rollinging to be wave across the country. York, then it will be detroit, then it will be new beeans, then it will california. If we were smart as a nation, in new york. Get the equipment, get the the experience. And then lets all go help the next place. Place and thenxt the next place. Smart national way of doing this. And showing that unity. And unity meaning were not i know this is a Political Year and everything is a political backdrop, and democrats want to criticize republicans and to criticizeant democrats. Not now. Not now. Red states, there are no blue states. The virus doesnt attack and kill red americans or blue americans. All americans. Mind, becausein there is a unifying wisdom in that. Questions . Lets do on topic questions anyone has any questions on local issues, well that afterwards. How many extra healthcare workers are on the ground right now . [inaudible question] yeah, well, lets remember what we said. We now have a few days ago, we is are the question all healthcare workers working . The problem is healthcare are working too much. Theyre overstressed. Shifts. Working too many theyre afraid to go home, they may bring the virus home. Under immense physical and emotional stress. Out a request a couple of days ago to ask retirees to come forward. About 78,000 people who said that they would help. God bless the state of new york and god bless humanity. Are working with the hospitals and we did this in the meeting yesterday also, sorting region8,000 people by across thertise state and we have a portal because we have to link them up hospital, right . You dont we have the 78 pool of 78,000, you then have to coordinate that with the hospital in that region with those skills. What were doing now. Jim, do you want to mention portal will be launched and live. The 78,000 or so, we have to do some prechecking so we check for discipline and those people who didnt have a license or disciplinary action out. Taken as the governor has broke said, by region. Ken down what were trying to do is prioritize the availability of the portal to the hospitals that need it the most right now, that need some extra help in the field, but were working very closely with the entire system like the governor said to make up those newnking healthcare workers to those needed facilities so it will be live today. Is that connected with the out of state workers its everyone. Everyone. So what were trying to do is prioritize the instate workers, which we have by region so we know the potential healthcare in every region of the state, where they are, what their status is. Inwant to get those people first because theyre here in new york. We want to prioritize actually regional, downstate regional employees because we know that theyre closer to the facilities that are in need now to were going to need update employees potentially later, and then we have the out of state employees, were trying to keep those folks close, too. Looking at the folks from new andey, from connecticut other places where they dont have to travel long distances. Time line for getting those people on . Aboutre any concern individuals who are elderly who are helping . Were looking at age and 175 on backgrounds on every person who comes into the portal. And the hospitals were working with as well will also do their own checks to make sure the persons up to it so they may they may be one job up to another job. Have making sure we Coordination Center and they could be in needed areas by thursday. Do you have any more new projections as to when the apex might hit . Hit . En does the apex that is the 54,000 question. Models literally five that we look at. Its true to say almost two are the same. Apex ise on the between lets say days. To 21 if you look at all five, its seven to 21 days from now. Look i say, this does me no good. To 21, the range is too broad. Do i have seven or do i have weeks . Theres also variables that theyre looking at. The one hand you think they would be able to tell because you have the china model, you have the south korea data, etc. Put then you have variables here. How effective is the social stant . How many people are actually staying home . Relate . The density so there are variables. But it goes from the apex estimate, seven to 21. Thats not the only estimate that varies. On how many beds you would need. Right . Beds statewide if we operated as a state. Somandated 50 more beds now, were unto 75,000 beds. All of them say you need more than the 75,000 and the highest is 140,000. Estimate among those projections goes from 10 40,000. Are those right, jim . Do you mean, howard . To 40,000 on most average projections. Have. Ition to what we [inaudible question] one of the executive orders you signed will let you put in a receiver into some of these meettals if they dont that 50 threshold or go above that. Do you foresee having to do that allow youould that and dr. Zucker to do . The hospitals have been cooperative. The question is we have the receivero appoint the if the hospital is not being cooperative. The hospitals have been cooperative. That rule that you have to have 50 capacity. Added 50 capacity. Theyve all responded. Were sending out a rule today want to know your stock, what you have in stock, what your stockpile is, what inventory is because we really need to share, you know, likey has enough so everybody put everything into the middle in a potted, and then distribute it. Were doing that. Its not going to be so much listening, but their capacity level. Right . Lets take downstate new york. Hospitals. 0 if we sat here two months ago, have graded almost all haveospitals and you would had some stronger and some week. Rule, the Public Hospitals would have been on the weaker spectrum. Ofs financing, etc. , history being more troubled. 170. Ow put weight on all even if you put the equal amount all 170. On youre going to see a different reaction in the hospital depending on the underlying hospital. F that you put a differentiated weight, you happen to be in brooklyn and be more density in that hospital gets more weight. But what youre going to see is the hospitals that were stressed cant take the stress. Medical concept. We work with personalities, too. The personalities who are having dealing with stress are having more trouble dealing with stress. So the health and hospital corporations, what i said which are the Public Hospitals, i said to the private hospitals, help them. And we have to watch when they near capacity, transfer patients. Up to capacity. Had other Public Hospitals that had open beds. We have to get better and faster totransferring patients other facilities, right . A perfect system, everybodys at 51 . Everybodysat 60 . Everybodys at 80 . Not some people are at 40 and some people are at 110 . Not the way the system is organized right now. They all talk, but theyre different fiefdoms, theyre different systems and that you almost have to shock the saying okayactually were really going to operate as one. [inaudible question] if you dont see them making those shifts, gives you the weight to go and in basically demand it . Yes, but look, no hospital is to say i want to be over capacity. Just they didnt have the toperation or the system call someone up and say im drowning. Somebody else accept 150 patients and thats have to be managed into. He system weve never been there. Normally, you have hospitals patientsfighting for because patients are revenue. A situation had where they had im going to send you patients. They wanted the patients. Wanted the revenues. So this is a much of it situation. Im sorry have new york city area patients been transferred upstate yet . No. First, we have levels of triage. To try tore going bring upstate staff down to new york state hospitals. Its one of the requests were going to make today. You have upstate hospitals that nowhere near capacity, send citystaff down to New York Hospitals. Step, youre over capacity in all new york City Hospitals. Load. Redistributed the youre still over capacity. Then send people to the upstate hospitals. Howard . Right thats correct. [inaudible question] it would all be voluntary. [inaudible question] all paying the costs, right . The hospitals are paying the costs, the state is paying the cost. And i said to them look frankly the costure out because this is about saving lives. And im not going to get who bill should not determine whether or not people live or die. I said do whatever we have to do welle lives, and then figure out the bill afterwards. Has 3,000 icu beds. How much has that grown at this point . Have 2,700 people in the icu so far. I said i needed 30,000. Right so how many beds do you have now . Well, thats an interesting question. We have ordered 17,000 from china. Ventilators . That we would pay 25,000 each. By the way, anyone who says dont need that many ventilators, youre saying ventilators, you dont need that many, you know how you know . That number . Eve because we are paying 25,000 per ventilator and we are broke and the last thing i want to do buy a single ventilator that i dont need. The complexity with ventilators we ordered 17,000 from china. So did california, so did illinois, so did the federal government, so did italy. Whats happening is china, china, are very slow in coming out. Nottly how and why were sure. Its just that theyre they demand. H a tremendous a the 17,000, we only have firm expectation on 2,500. Right cara . Ony have a firm expectation 2,500. When are those supposed to come in . Over the next two weeks. So that means the icu by 2,500 . Ill increase the Ventilator Capacity increases 2,500. In this situation is oxygenally a bed with and a ventilator, but you cant have an icu bed in this ventilator. Thout a [inaudible question] its it depends if its six weeks or 21 days, right . With. What were dealing and you cant accelerate the china. Any more from when you go back when we go back and do a retrospective and it now, but to do look at the bizarre situation we wind up in. Owny state does its purchasing. So new york is purchasing, california is purchasing, purchasing, were all trying to buy the same commodity. Same exact item. So you have 50 states competing the same item. Bidding up each other and competing against each other where you now literally have a company call you up and say well california just outbid you. Ebay withbeing on 50 other states bidding on a ventilator. And you see the bid go up bid, illinoisrnia york,lorida, New California rebids. Thats literally what were doing. Inefficient and then fema gets involved and bidding ts and now, fema is bidding on top 50. He so fema is driving up the price. What sense does this make . Government, fema, should have been the purchasing agent, buy everything, and then allocate it by need to the states. Why would you create a situation where the 50 states are with each other and then the federal government and too. Comes in, [inaudible question] were learning lessons. Necessity is the mother of invention. Here. Learning things its not that were learning things here. Told you a lotve of these things. The situation i just explained with purchasing. Learn that 50e to states shouldnt compete against femaates and then shouldnt come in late and then states. With 50 its not like you had to go to the Harvard Kennedy school to this, right . Should you really have a Hospital System in new york have privateyou hospitals, you have these hospitals,public systems,wo separate the upstate is separate, long separate, shouldnt you have planned a comprehensive system . Yes. Commercial barriers to political barriers were so intense that if you a disaster or an emergency, you couldnt break through them. Had withrsation i these Hospital Leaders in that room, if it was not for a nevervirus i would have made it out of that room. What i was saying was so antithetical to the foundation inthe business of healthcare this state, which, by the way, multi, multibillion dollar business. Sense, buton thetimes, you need emergency to force change that difficultery otherwise. Are there specific efforts to up the capacity of the system. Re every day ive spoken to doctors and nurses who are working on the front lines and other patients whether theyre a person with a heart attack or the stroke, the movingis continued to forward. It is stress. The system is stressed, but the cared for. E getting let me give you an analogy. You look, i know normally, you write for your outlet, and then there are other outlets. A situation and youre going to write and you to all the other outlets. You write is new york just for your publication. You have to give it to all the because we dont have 10 people that can come. You have to write for everybody else. If i said that in the normal course of business, forget if. Emergency, and you were the the only reporter there, then you would do it. True in so many different situations. Violateth basic commercial rules here and business rules and practices and a local government and im in charge and to override all garbage, you really need extraordinary times. [inaudible question] good friend of mine, he does a beautiful job. Hes right. Youll have curves, right . A new york curve. Illinois curve. Curve. Have a new orleans how do you know the new york end before theto illinois curve peaks . You dont. Sure. Nt for you know basically theres going a spatial, sequential factor, but you dont know that effectivelyto be done before illinois ramps up. Literally new york has all the equipment, illinois has none, and then we illinois with the equipment. Cant be that literal, but work,ially, it would right . And the alternative is also true. Not everybody should have is to buy everything. Once we get through this and we with,hatever we wind up 15,000 ventilators and 15,000 splitters and 1,100 bipaps, if we can help someone else, lets help somebody else. Are you worried about inffing of Law Enforcement new york city and conversely, would you consider sending state that . To help with im worried about staffing, yes. Worried . Yes. Youre going to see it with healthcare workers, youre going it with all first responders. Look, back to my brother, chris. If you are out there, your chance of getting infected is high. Yes. And then well do whatever we need to backfill. Police, i would do that. You did talk about forming like a consortium with states. That still possible, is that still doable . Nick, is itppening, is almost impossible to buy a ventilator. To the extent anyone is successful in buying ventilators, fema basically came is now capturing the market because the ventilators coming out of china and fema basically big footed the states in china. So to the extent anyone is thatsit, its fema and is the federal distribution going to be so important, because they are the only ones. Ventilator. A i cant buy a ventilator. Whatever were willing to pay, i a ventilator. So it really comes down to how the federal government distributes it. And thats why its so important. Lets do someone who hasnt question. What happens when the state ventilators . When the state runs out of ventilator how will the states try to get ventilators [inaudible question] well, first, i dont even want to think about that consequence. I want to do everything i can to have as many ventilators as need. [inaudible question] theres no protocol. Were working to get as many have a numberd we of options. We are redeploying anaesthesia machines as ventilators by changing a vent. Were doing this ventilator effectivelyich turns one ventilator into two by literally running two tubes. Northwellg Development Idea to use a bipap machine. Weve ordered 7,000 of those. It. Ere still in were creative and were working it out and i still am hopeful at the end of the day we have what we need. Ando you plan on signing extension bill so the state employees will get paid on time . A budget. On signing can the state employees when the state udget, when we pass that budget on time, the state employees get paid, right . Yeah, the controller torently has Legal Authority make the payments now, the payments that are due tomorrow are for payroll from two weeks ago. So the controller presently has the authority, they have a issue with their Computer System that they need to deal with, but they have the to make those payments today, has nothing to do with when the budget is passed. The budget is always passed on the 31st or the first of each controllersis office issue. [inaudible question] thats right. Have sufficient appropriation authority to make those payments presently. [inaudible question] with, has nothing to do how the pay period fell. They presently have the it andty to do appropriation authority to make the payments. [inaudible question] never not paid the state employees. Even when the budget was late. Question] yes. [inaudible question] the update with the budget at this point . No update. [laughs] not either coming or its coming. We are where we are. The numbers are what the numbers are. The numbers dont lie. Numbers leave you few alternatives. Federal government says theyre going to provide funding. Provide funding, then the next few months we should have some additional money but to say to the people of the state i believe the federal government is going to deliver money to the State Government . It before. Didnt happen. Im not going to count on money center. Dont especially when the political process is the process thats supposed to deliver the money. It doesnt look like theres going to be a new relief bill, at least by tomorrow so what options are left now for the state when it comes what spending is ultimately going to budget . Rom the well, its all its interesting nick because its all basically contingent. We have the budget. We do a budget on the have. Tions we now if we get more funding, we allocations. If we dont get more funding, we allocations. Thats basically what the budget , right . Its essentially honest and transparent in a way, im year, im earning 15,000 a year. Can pay you what i because i dont know what ill earning as we go through the year. The boss tells me hes going to give me a raise. Believeknow if i should him or not. Some people say theres going to be a cut. Really know. So heres the budget. Im making 15,000. A raise, i will give the raise. Quarterly as i get it. If i get cut, i will give you get cut. Terly as i do. s all you can budget. Come and cut a do you really believe that they want to come back here and cut budget . I give them total authority to cut the budget. The unemployment system is working as smoothly as you would like to see it . It is not. Smoothly asrking as we would like to see it. Its compounding peoples unemployed, we have Companies Working on it, we have hundreds of people working on it. I apologize for the pain. It must be infuriating to deal with. We have every Technology Company working on it. Were spending a lot of money. Site is so deluged that it keeps trashing because you literally have hundreds of any time of people at trying to get on the site. It continues to crash. We got 1. 2 million calls yesterday and 7. 8 million calls last week so thats just the order of magnitude, but we have all the resources devoted to the system. Last week over 7 million. Thats the volume were dealing with, but were putting all the resources in to improve the responsible. [inaudible question] that. E never heard ill check. Excuse me, one second, anyone who hasnt asked a question and wants to ask a question . Freezes and rent relief for people overall . Know that was largely intended for people in residential areas, does that also extend to thatesses like restaurants may be renting . We extended it to commercial. Long . You cannot be evicted for residentialf rent, nor commercial, for three months. We pick these intervals and you can say theyre somewhat random, but, you know, when is end . Ing to nobody knows. Pick an interval. So we said three months. Evicted, be residential or commercial for for 90 days. Rent on that basis, my daughters have stopped paying me rent. Not even sure that their finances have dropped significantly, but i think theyre just taking advantage of noneviction order that i myself posted. Theressent it, but nothing i can do about it legally. [laughs] first minor who died of coronavirus. Do you know how old they were, condition underlying was . If its someone between the age of 0 and 17 . This person had an underlying medical condition. What kind . I usually dont like to give information, but i can see why the complication of ais virus would have caused problem for that individual. How old . They were a minor. Right, well new York City Department puts that information out. But its 0 to 17 years old. A teenager . Child, laws have Health Privacy that if the doctor wants to stay in his current occupation he has to be a little careful. [inaudible question] any chance youll be able to get a deal on that here . Not likely. With . T too much to deal time. Much, too little [overlapping questions] bail reform is something weve talked about until were blue in the face for two years. Bail reform, we have to get done. Last question, zach. But youre going to share this, we agree that youre going to share this reporting with all your colleagues before you post it . Of course. Governor i love when they lie to me. Rentersdo you think should do once your 90 day moratorium on eviction runs and they owe several months of rent. Well deal with that when we to it. To finish the budget to tell you the size of the budget. The condition needed to know the the budget, finish the budget. [inaudible question] god will determine who is to blame. You and i just deal with the reality. The senior senator will say he minority, which is true. The house is controlled by democrats. We took a pounding on both bills. Our fair share in whats called the medicaid money bill, and we got the lowest reimbursement, lowest percentage of any state in the for this last bill, which was supposed to be covid, butunding for we had the highest number of thed cases and we got lowest percentage of funding. Say politics. I say politics be damned in the this. Of thank you. Well, coming up, today, Massachusetts Governor charlie hisr will give an update on states efforts to respond to the coronavirus. That will be live at 2 00 p. M. Eastern. And later, today, louisiana Governor John Bel Edwards will ink about the increase coronavirus cases in his state. Live coverage of that begins at a reminder that you can watch all of our cspan. Org ore at listen with the free cspan radio app. If you miss any of our live governmentshe governments and response to the coronavirus outbreak, watch it at cspan. Org coronavirus. From daily briefings by the president and the White House Task force to updates from the hardesthit states, its all there. Use the charts and maps to track viruss global spread and confirm cases in the u. S. , county. Y our coronavirus web page is your watchnd easy way to cspans unfiltered coverage of pandemic. Up next. He spoke at the State Capitol in little rock. Good to have you, jonathan. Afternoon, to everyone, thanks for joining us today. Our daily update on the covid19 National Emergency and were allgency that joined today by secretary nate smith as normal, but

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