that's just not the reality of what was going on here. >> reporter: in the fallout of this case, seven staffers for pennsylvania's department of health and department of state have since left their jobs or been fired for their alleged mishandling of the gosnell case. officials say they've overhauled their investigative and communication procedures so this never can happen again. jeffrey toobin, and david, the writer and director of 3801 lancaster, a documentary about the clinic. and a court reporter for the philadelphia enquirer. so, first of all, jeff, what do you make of this? this doctor is charged with multiple counts now of murder. it's incredible to me that this went on and on with the state doing nothing. >> it's hard to describe. it's hard to select what is the worst part of this story. certainly the deaths of these babies, the deaths of these women is the worst part. but there's so much awful there. one part you didn't even mention was this whole weird racial dimension, where he would treat white patients better than the african-american patients. >> or bring white patients to the one clean office and the