Transcripts For CNNW State Of The Union With Candy Crowley 20141005

Anything missing in this public discussion of ebola coming to the u. S. Well, perhaps not missing, but perhaps we have havent emphasized enough that the Key Public Health response, finding the close contacts and keeping them under surveillance was all done by the book. It is not very tellgenic, but it is the essential response. A lot of attention has been directed to the fact that it took a couple of days to dek decontaminate the apartment, and that is important, but of lesser importance than getting the contacts. You know, this virus, bow la, once it is out of the body, it is a as we we with say a wimp. It starts to die right a wway. So there was not a major hazard or even a minor hazard to all of that contaminated material in the apartment if nobody touched it. So, even for, and what you are saying to me, we were talking about the people who had to be in the apartment where the ebola patient had been for four days and quite ill while there, that even they, if they werent touching things that he touched, they were not in that much danger . That is exactly right. What is really important is finding all of the contacts, and that is something that the cdc and the local Health Department did exact ly by the book excellently. And now i want to ask you, doctor, to standby as we go to the cdc and dr. Tom frieden. Within two the hours we announced that we had staff on the the ground, and helping the terrific staff in dallas and in texas to e respond to this case, and we have no doubt that we will stop it in its tracks in texas. It is worth stepping back and saying, how ebola spreads. Ebola only spreads by direct contact with someone who is sick or with their the body fluids. So the core of control is identifying everyone who might have had contact with them, and making sure they are monitored for 21 days, and if the they develop symptoms immediately isolating them to break the chain of transmission. There is no doubt that we can stop ebola in this country. Today, id like to spend a minute talking about what is happening in dallas, and then turn to my colleagues there. And then about what is happening in the u. S. More broad ly, and then finally where we are with the epidemic in west africa. In terms of dallas, the work there by the staff of the local and the state Health Departments with the cdc assistance has been terrific. They have been able to assess all 114 individuals who might have possibly had contact. Of those, they were able to rule out that 66 did not have contact. They identified ten who appear to have had contact with the individual when he might possibly have been infectious. Of those 10, seven are Health Care Workers and three are family or community contacts. In addition, there are about 38 other people in whom we could not rule out that they had contact, and so all of those 48 people will be tracked for 21 days to determine whether they have fever. And if any developed fever, they will be immediately isolated, tested and if they have ebola, given appropriate care and determine if there is any additional contacts to their case. That is how we have stopped e r every outbreak of ebola in the world until this one in west africa and that is how we stopped nit lagos, nigeria, and that is how we will stop it in texas. Going on to the u. S. Situation, we have seen a lot of understandable concern. Because of the deadly nature of ebola, and we are really hoping for the recovery of the patient in dallas, and we understand that his situation has taken a turn for the worse, and we know that ebola is a serious disease, aped we are hoping for his recovery, and because it is such a deadly disease, people are scared. It is normal to be scared, and in fact, for the health care wo workers who are caring for people with bow la, we want them to be scared and we want them to have a healthy respect of the risk of any lapse in Infection Control procedure. We want them to channel that fear into being incredibly meticulous about Infection Control. Many people have pointed out that initially the individual was not diagnosed, and we have done a lot at cdc and we will be doing a lot more in the coming days and weeks to inform, and empower not just doctors, but nurse nurses, Health Care Professionals of all kinds to think about ebola and anyone who has been in guinea, liberia or sierra leone in the past 21 days and has a fever or symptoms suggestive the of ebola and to make sure that the index of suspicion is such that we rapidly isolate them and monitor and test them for ebola. Cdc has reached hundreds of thousands of Health Care Professionals with alerts, information, materials, tools, webbinars at least once a week, and we will ramp that up working closely with the medical association, and groups of doctors and nurses and others, and this basic issue of making sure that at this time ebola remains top of mind in people who have had a travel history is something that we will continue to focus on. At cdc, we have seen a level of interest increase. In fact, we are getting 50 calls or emails per day before the initial patient was diagnosed here, and it is up to 800 emails or calls per day. We understand the level of concern. We also understand that people would like to do Everything Possible to keep ebola out of the u. S. , and we agree with that 100 . Our top priority at the cdc is to protect americans from threats. We work 24 7 to do that. In in ca this case, we are doiny many different ways. One of them is to stop the outbreak at the source in africa, because as long as cases continue there, there is a possibility that someone will travel, infect someone else, and come into this country or another country, and have another case of ebola as long as the outbreak is continuing in africa, there is a risk in other places, and we have long said it, a and it is worth repeating that an outbreak anywhere is potentially a threat everywhere. But one of the things that we can do is to make sure that everyone leaving the countries is intensively screened with the temperature being taken and the questions being asked and observed if they appear to be ill. That screening has in recent months removed 77 people who would have boarded planes to leave those countries and didnt because of the screening of the cdc staff helped those countries to implement. I can can assure you that the leadership of each of the three countries wants to ensure that the screening is as good as it is, because they want the airlines to keep flying, otherwise, they wont be able to keep their societies moving and stop the outbreak there. In addition we work with the Health Care Workers around the country, and so there is rapid identification of the cases, and of course, now we are looking at the issue of entry screening, and looking at all possibilities. There have been suggestions from people in congress, and public and media and we will look at those and see what works to the protect americans and to make sure that whatever we do does not intentionally increase our risk. If we make it harder to fight the outbreak in west africa, we actually increase our own risk. So those are the criteria that we are using, and working across the u. S. Government. There are many agencies focused on this, and will be committed to doing whatever we can to further increase the safety of americans. Getting finally to the issue of what is happening in west africa today. The situation is very fluid. It is striking when i speak with the cdc leaders who are there, and we have sent now 135 of our top disease detectives, and they are working not only at the national level, but down to the county and the district level in each of the three countries. One of the things that is quite striking is the diversity of the experien experience. This is not west africa, but this is three individual countries, and each of the individual countries has its own patterns of disease spread. In some of them, there are districts that have not had a case of ebola. In some, there are just a handful of cases in some of the districts, and so we are moving to looking at each of the 62 districts across these three countries to see what more can be done to hone down this the for estfire and prevent it from spreading to areas it has not spread, and put out the sparks where it has spread, and in places where it has a huge problem to isolate as many people as rapidly as possible. We have seen Real Progress in the response over the past one to two weeks. The department of defense being on the ground has made a big difference. They are moving out and helping with the operations. We have also seen usaid effectively increase the support for families who want to respectfully and safely bury people who have died. And that is very important, because it reduces the spread of ebola, and so while we are not ahead of it, we are certainly getting further along than we were before. Im looking forward to briefing president obama on the situation in west africa tomorrow, and further ensuring that the president s direction that we move rapidly to do as much as we can to stop this is not only what we are doing at the cdc and the u. S. Government, but globally, because there is a tremendous Global Coalition committed to doing this. So that is where we are in dallas and the u. S. And globally, and before i turn the it over to my colleagues in texas, just to highlight that one thing that happened, and didnt get much notice in the past week, because it happened to be on tuesday the day that we announced the diagnosis is that we publish eded a report of wha happened in nigeria when they had a single case and they didnt do any Infection Control, they ended up with 19 secondary cases, additional cases, but because of a rapid Public Health response, effectively tracking nearly 900 contacts, it appears that they is been able to stop the outbreak in nigeria. Though we cant give the allclear yet, it is looking like the outbreak is over there, because of good Public Health action. I am confident that anywhere we apply the fundamental principles of Infection Control and the Public Health followup, we can stop ebola. Thank you, dr. Frieden. The next speaker is dr. David lakey who is the commissioner of the Texas Department of state health services. Dr. Lakey can. Good afternoon, this is david lakey and the commissioner of health in the state of texas the. I want to thank dr. Frieden for the support of the cdc work gin on this effort right now. It is one effort and one team. As i start off, i want to say that my thoughts and prayers and our thoughts and prayers are with the patient right now. Obviously, he is critically ill, but also with the family as they are going through the event, and the contacts that have been identify identified that are obviously have concern about what is going on with them right now. And also with the hospital workers caring for the ill patient right now. Now, as i said earlier, we are doing our work in partnership with the cdc and our local Health Department here in the state of texas. A lot of very important hard work is taking place right here in texas, in dallas to ensure that the people of dallas are safe. Now, the good news is that we have had no more cases, and no one has reported any symptoms, and we are happy about that, and reassured that we are very still very cautious to the make sure that we continue to care for individuals, monitor the situation the wau that it needs to be done. Our focus here is to closely n monitor every contact, and the possible contacts, and to identify all of the and we have identified all of the contacts, and the priority in Public Health is to continue to track those individuals. We want to make shure that we ae closely monitoring them. And that is why we are focused on. And also, as we are monitoring individuals, as we identify needs that they may have, we are working through our Incident Command Center to mach sure those issues are addressed. Making sure that food issues are identified and if electricity was turned off in the storm, those issues are resolved and the neighbors, also, they have had obviously concern, and we have tried to provide health edge educators in the community to help address those issues. Our focus is to make sure that you are informed of what is going on and understand how the Public Health system works and what the risks may be. That the Public Health system works to prevent and contain these risks, and i know it has been noted several times, but obviously, a lot of people are listening right now, and i want to the reemphasize that ebola is not spread by the air. People are not contagious unless they have symptoms. This cant be stated enough. I think that it need s s to be reassuring to the individuals who are listening today. There are hospitals across the state of texas and across the nation that are on the lookout for any additional cases, and that sw what that is what we. We want the hospitals on high l alert to the identify the individuals with a travel history to the areas affected and come in with any symptoms con sis the tent with the ebola so that these individuals can be identified quickly, and the health care workres can be protected. They are going to call on us, and that is how we want the system to work so that the once they are identified as a concern that they can get the testing that need s s to be done. So we are all on high alert right now, and that is where we believe it should be. We continue to plan for contingencies, and a lot of work is taking place to ensure that whatever happens, we are as prepared as we need to be to address those issues. So again, dr. Frieden, i want to thank you for the partnership between the cdc and the state of texas the and dallas city and county as we Work Together to ensure the safety of the people in dallas. Thank you. Thank you, dr. Lakey, and our final speaker is county judge lewis jenkins. Good morning, and happy to sunday to everyone on the call. I want to start off by thanking all of the people who are currently being monitored and their families. I realize that when you are being monitored even with a low risk for ebola, it is a very unsettling and frankly t terrifying process to the worry about. And i am praying for all of you and many others are as well. This morning, i had the opportunity to participate in half of a mass. It was a mass by the bishop of the archdiocese of dallas for the cath rick church where 1. 2 million catholics have been we have been listening to part of the briefing for the centers of Disease Control now being taken over by folks in texas, and giving us the update, and i think that the bullet points out of here, dr. David lakey, who is head of the Texas Department of health said no new cases, and no one is showing signs of having contracted ebola from the one patient that is now obviously, and the only one in the u. S. With we also learned from dr. Tom frieden, the director of the centers for Disease Control that he is going to brief the president tomorrow, and they are also considering other measures, and some other way to ensure Public Safety in the u. S. , including something he called entry screening which i have to believe that while people are screened as they leave the three affected countries, that is kind of it for them. So the question is, when people come in from the affected countries should there be entry screening. We have also learned that there is a huge uptick in the number of calls to the centers for Disease Control which dr. Frieden called a good thing. I am joined by dr. William shaffner and president of the hospital at vanderbilt, and also, the president of the hospital scenters in baltimore. And so, picking up, he said among nurses and medical personnel, they have seen the increased concern, because by the time they get them, folks are sick, and that is when it is the most transmittable, and have you heard that in the emergency room . I have not heard that specifically, and that is in part, because we have wonderfully trained and wonderfully experienced professional nurses who have understood gone preparedness train training years and years being a Major Hospital here in the district. That is what education is going to aleve the fear. And we have had ongoing education for this disease since july and obviously, uptick in the last couple of weeks. But i harken back to the educati educational processes with sars and h1n1 and even mers earlier this year. And all of those controls are in place, and effective with this disease. So by and large, you are not seeing a huge increase to the public concerns in your emergency room . No, not yet. But remember, it is still even at the front doors in multiple different languages, the cautionary signs that advertise if a patient comes in, and has had International Travel to alert the Health Care Provider in the Emergency Department as soon as possible. Dr. Fr oshohna and dr. Shaff i want you to stick with e e m and i want to also talk about some of the news from dr. Frieden about what is happening overseas where ebola has exploded in west aftrica. Fact. Every time you take advil liqui gels youre taking the pain reliever that works faster on tough pain than extra strength tylenol. And not only faster. Stronger too. Relief doesnt get any better than this. Advil cheering yeah touchdown whos ready for half time . Ok im going to draw something up new. Who ate the quarterback . Share what you love with who you love. Kelloggs frosted flakes. Theyre grrreat an Unprecedented Program arting busithat partners businesses with universities across the state. 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Shipping and manufacturing. Across the United States, bp supports more than a quarter million jobs. When we set up operation in one part of the country, people in other parts go to work. Thats not a coincidence. Its one more part of our commitment to america. Welcome back. The News Conference in atlanta at the centers for Disease Control and prevention, and that is dr. Tom frieden, and he is now taking questions, and so we will listen in the for a little bit. None of the five patients were initially diagnosed and none were cared for with special precautions beyond what we generally do, and no secondary infections in any of those cases, and in fact for the woman who had marberg, she underwent surgery before anyone knew she had the marberg infection. So the standards of precautions work, but they have to be vigorously applied. If the the hospitals want additional safeguards, that is entirely up to them, but for many years, with we have cared for the patients in africa with these conditions and not had infections as long as the iniftection control procedures are strictly followed. It is not a question of being highly infectious, but it is a question of making sure that the precautions that are taken are strictly and meticulously adhered to. I had a second question with regard to the, you mentioned seven Health Care Workers among those being monitored, and when the Patient First appeared at the hospital, routine blood work was taken. Did your net include the people in the laboratory who were handling the blood specimens . Yes. We have looked at all potential exposures within the hospital context. We will go to the phone for the first question. Our first question is from Elizabeth Cohen from cnn. Go ahead. Hi, dr. Frieden, and everybody else. Thank you so much for having the press conference. Dr. Frieden, can you tell fus the dallas patient is receiving any other medicine besides the Supportive Care . I did not hear the specifics of the question. Is he receiving what did you ask . Pkm ebola or any other medicines besides Supportive Care . As long as we know, experimental medicine is not being used. As i mentioned earlier the medication that you mentioned can be quite difficult for the patients to take the, and may transiently worsen the condition, so it is really up to the treat iing physicians, himself, the family of what treatment to take. S Supportive Care, managing fluids, supporting the patients vital functions, and these are all Critical Issues to be addressed. Next question on the phone . Our next question is from donnie young with script news. Thank you. Thank you for taking my call. I had a question about why you have a difference of the physician expose d in sierra leone being monitored an treated at the nih as op poposed to the Duncan Family in france and why they were kept under guard in an apa apartment complex and now moved to the private home, and why are they not being monitored in a medical facility when you have another person being monitored at the National Institutes of Health Clinical scenter, and also, when will the cdc make public the status of the doctor at the nih and has he actually been tested for ebola . Thank you. For any questions of individuals, you have to consult the treating facility, and they would consult the family, and that is who would make available any information. The situation in nih, it is a clip cal research center, and where Clinical Research is done, and so you would have to refer questions to them. In terms of the contacts in texas, i will make a brief comment can and turn the it over to dr. Lakey or judge jenkins to the add. The concern for anyone who has had contact is not that they may infect other people. And judge jenkins said it exactly right, they are not a risk to others, but the only thing that we have to ensure is that the temperature is monitored, and if they the develop a fever, they are immediately assessed, isolated and if found to be positive, appropriately cared for. The okay. Again, this is dr. Tom frieden, and he is the director of the centers for disease and control and prevention out of atlanta and talking about ebola as much of the country has been. We will continue to monitor that, but we want to take a quick break, because when we come back we want to talk to a couple of doctors on the front lines of health care here in the u. S. Are from the emergency room and the preventative side how we we should be looking at ebola. We will be right back. 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See how startupny can help your business grow at startup. Ny. Gov big day . Ah, the usual. Moved some new cars. Hauled a bunch of steel. Kept the supermarket shelves stocked. Made sure everyone got their latest gadgets. Whats up for the next shift . Ah, nothing much. Just keeping the lights on. laugh nice. Doing the big things that move an economy. See you tomorrow, mac. See you tomorrow, sam. Just another day at norfolk southern. Frohna, chairman of the Emergency Department of medstar and from nashville, dr. William shaffner, the president of the the hospital at vanderr built. I want to talk to you dr. Shaffner, and you one of the countrys leading experts in infectious diseases, and walk me through when dr. Frieden at cdc says we are looking at other things that could be done to protect the u. S. Public like entry screening. Explain to me what that might involve or something that you are looking at down the pike that the u. S. Could do . Well, beyond the general education of the public which is very, very important, the entry screening would be trying to identify people who have recently been in west africa and they did not necessarily fly directly to the United States from west africa and so you would have to screen a lot of people by questionnaire, and you would ask them if they have been feeling ill, and you could very rapidly take their temperature using new kind of electronic devices. So im sure that is the sort of thing that they are thinking about, but if you have ever been on any plane that has come into the United States, they are huge planes, and diskorageing a number of passengers, you would see how difficult that is, and even if we could do it quickly and efficiently, it is imperfect also. And none of the devices are perfect, and the question is, is the juice worth the squeeze . And tell me why are rewe hearing so many physicians and the cdc saying that the stopping planes and passengers who have come from west africa will not he heldp, and it might hurt. Well, one of the ways that it might hurt is that here we have volunteers and people from the military and the United States Public Health Service Going abroad and are we going to get them there and bring them back efficiently . Will that create further barrier s to the volunteers for example. And also, you will impair the economies of these countries, and these are already very poor countries, and they have fragile economies and somewhat fragile governments, and the last thing that we need is more unrest in those countries. Got you. And those countries have been already seriously damaged. Thank you. And dr. Frohna, taking advantage of your perspective from the emergency room. When i walk into the emergency room, and your emergency room toda today, and i say, you know, i feel nauseous and i have a fever, am i immediately going to be getting attention in that emergency room, and are you on that kind of alert . We are on alert if you add the epilink of travel to it. And travel being from and to one of the three or four countries discussed, that is the trigger. And you are encouraged from the very time that you step foot into the Emergency Department in several languages to notify the nurse, and the service associate, et cetera, that you have been traveling and to bring that to the attention of the professionals immediately. So there are signs up on the wall s walls in the emergency room that say, hey, if you have been to this area, you need to put your hand up. Yes, it is right there, and redundancy, you cant do enough in the situation. And these are new since the ebola scare . Well, they are modified. If you go back to 2009 with the h 1 n 1, and the sars and you will have signs up to put on a mask to protect yourself from others. And if you go into the emergency room, and say, i feel like im having an heart attack, that is an immediate ticket to the room, and if you say i have these three three things, and i have traveled to sierra leone or liber liberia originny and im feeling nauseous yes, that is a free ticket into the room, and it may not be the room that you see yourself being in, but it is the room where you are the safest, and the staff have you in the right place, and they remain safe, and our job is to prepare to detect these cases, and prepare to protect the Health Care Workers, and prepare to treat the and respond. And finally, just in the how confident, and it sounds like you are ready. Yes. And how confident are you that is nationwide . I am confident. Im actually very confident and emergency medicine and Emergency Departments are relatively a small group, but you can count on the 4,000plus Emergency Departments in the country ready. We are ready 24 7 everyday, but in particular this situation, doubly ready. Dr. Will frohna, thank you so much out of the medstar hospital here in washington, and dr. William shaffner out of the department of Preventive Medicine at vanderbilt, thank you both so much. And up next, advice from the people who have been there, and i will ask former chiefs of staff from both the republican and the democratic administrations how the president gets out of this mess. Will that be all, sir . Thank you. Ordering chinese food is a very predictable experience. I order b14. I get b14. No surprises. Buying business internet, on the other hand, can be a roller coaster White Knuckle thrill ride. Youre promised one speed. But do you consistently get it . You do with comcast business. And often even more. Its reliable. Just like kung pao fish. Thank you, ping. Reliably fast internet starts at 89. 95 a month. Comcast business. Built for business. With me around the table, four former white house chiefs of staff. William daley worked in the obama white house, and mack mclarty was former president bill clintons right hand man, and william card served president bush, and Ken Duberstein served former president Ronald Reagan, and a lot of brain power around this table the. And so, let me say that this president is in trouble, and regardless of whether he should be or not, but he is considered to be at fault, and the ratings are low, and the people are leaving and writing books and not saying such things, and how does he shake loose from that and have a productive two years or can he . Well, i think that he can, candy, and the mark twain moments in the secondterm presidency seem to be a fact. Weve seen it also with clinton and weve seen those president s renew and certainly theres a hunger for that by the American People. Bill, you know this president and have worked with him. What do you say to him now as people are saying, oh, he looks disinterested, he looks weak, he looks sort of like turning the pages. I do know him and i know theres one guy whos not of that mindset and thats the president. He knows there are enormous challenges, things that he can control, things he cant, ebola, isil. Youve got to address them. Its not as though you can take off. He knows this better than anyone and we all know it the last two years. We have a big election in five weeks and that will really determine, will their leadership change in the senate. If it does, does that mean there is an attempt to get things done or whether or not we stay in this sort of as weve done the last two years with this political not only trans transingensense, or a dysfunction in congress and the executive branch, and its a terrible thing. I think theres great opportunity in the last two years no matter whos controlling the senate. The American People are really fed up with this game. They are that. This will be an interesting election. But how do you pick a subject, any subject, secret service, ebola, isis, what is going to happen with iran, pick any of those and is there something that the president ought to be doing that would help kind of erase this idea that hes kind of attached and not paying attention . I think hes got to be an aggressive and active leader in all of those categories and demonstrate some emotion and demonstrate some commitment that is real and i think hes also got to reach beyond the partisanship. Yes, hes involved in a Reelection Campaign for the United States senate and for congressional candidates but hes going to be almost above it and do what is right for the country all the time. Keep the oath and motivate america to understand his responsibilities to lead but also the world is crying out for leadership. And i think if he were to provide more leadership there, it would help him in his partisan political interests of creating more momentum at home. Candy, Ronald Reagan was faced with a very similar problem. He was at 37 in the polls, iran contra had just happened. We had just lost to the democrats for the first time in his presidency. Ronald reagan rather than being a lame duck, a virtual dead duck for the last two years decided to clean house, get fresh voices. Every twoterm president needs fresh ideas, fresh voices and strong people. He got howard baker, he got frank carlucci, he got me and he got colin powell. We helped him rebuild those last two years. So in some ways the last two years were the most important two years. Strategic arms talks and a treaty with the soviet union. Is there opportunity for the president , a, to clean house personnelwise and then weve seen him changing the subject, the economy and energy policy. Does that work . Well, obviously enormous scandals like iran contra causes an enormous shift in the personnel in the white house because that was a scandal that went to the heart of his administration. You dont have that right now, obviously. You have enormous problems that are being put on this administration, some that they can control and some that they are addressing quite well. Youre talking about the secret service. You know, i look at that as they are a tremendous organization. It is challenged right now. No doubt about it. Theres been mistakes made but they are out there and they have to be right 100 of the time 24 7 and they do that. So i will separate that from an ebola or isil or other things. That is being handled. Obviously there was a change in leadership and thats what you had to do and it was done and i think we move forward on that. I think we ought to get off of that trying to beat up these men and women who spend so much time defending the president and do a great job. And i think, candy, perhaps the president is already on a pathway. I dont think he has much room on domestic policy until after the elections. I think there is room after that. Hope springs eternal. We see how hard that is. But having said that, i think hes already built an International Coalition or is in the process of that concerning isil. Hes brought along europe in terms of russia. So i think hes already beginning to build the right pathway and demonstrate some of that leadership that the American People have such a strong desire for. Yeah, but, look, he can get more done with a Republican Senate whether its trade, whether its Corporate Tax im going to let you argue that in just a second, as a matter of fact. I want everyone to stay here because we are going to talk more politics coming up. Will president obama get anything done in his final two years if it all turns republican . Big day . Ah, the usual. Moved some new cars. Hauled a bunch of steel. Kept the supermarket shelves stocked. Made sure everyone got their latest gadgets. Whats up for the next shift . Ah, nothing much. Just keeping the lights on. laugh nice. Doing the big things that move an economy. See you tomorrow, mac. See you tomorrow, sam. Just another day at norfolk southern. cheering yeah touchdown whos ready for half time . Ok im going to draw something up new. Who ate the quarterback . Share what you love with who you love. Kelloggs frosted flakes. Theyre grrreat we are back with our former white house chiefs of staff. Well start out with an article today. Dan wrote two years after winning reelection, obama is a muted force on the campaign trail to the extent hes even on the campaign trail. Hes limited in where he can travel, constrained in how he speaks about what has been one of the biggest issues of his presidency, the economy, and struggling to ignite the passions of a Democratic Base in a year when turnout is so critical. So, you have a president and all of those things are true. His poll ratings are quite low. What do you do with him and or, and this is a dealers choice question, and what if he gets a allrepublican congress . Then what. You use him in the way that each of the president s we represented. And you use him with the base, a lot of fundraising. If he was on a campaign trail fulltime hed be justifiably criticized rather strongly because of all of the difficu difficulties that are going on in the world and in this country with the ebola scare. So i think right now youll see him at the end going to the base as all the president s weve represented or worked for have done, and i think that will be very, very helpful in those races where the base of the Democratic Party in a very low turnout election will make a difference. Excuse me, go ahead, andy. He kind of stepped on it this past week by basically saying this election is really a referendum on him. This is a referendum and not the economy kind of stating the obvious a little. But when youre at 5. 6 unemployment, thats a pretty good thing to talk about. Well, that message is not resonating with the American People. A lot of key races are in the red states. All the red states there is not one democratic candidate who wants president obama to be there, and every republican in a red state wants obama to come into that state. And you have been there with george w. You have been there certainly with bill clinton. Even though he was popular, we got disinvited. So the strength is raising money, being an international leader, a Strong International leader, and im going to say be where you are welcome and dont be where youre not. Which is good advice for almost anybody. Wrap this up for us and tell me what you think could possibly get done in this day and age with an allrepublican congress should that happen and a democratic white house. I think theres a real opportunity, as weve seen in each of these presidencies the last two years for a lame duck indeed to fly. And there is such a demand and a hunger by the American People for leadership to get something done. The country is anxious, concerned, frustrated. I think youve got trade is going to be front and center. The president is going to beijing in november to meet with president xi and others, and apec leaders. You have tax reform. Both of those are republican issues. I think you have a window. Will it be easy . No. Its the right policy, right politics and the right thing to do for the country. We have a minute left. Can we agree that republicans should they take over congress have a vested interest this doing something . We have to demonstrate an ability to govern the way president obama has to reach out and Start Building relationships, even at this late tame, not just with democrats but with republicans. There are two chapters to the next experience, one is the lame duck session and then the new congress and both of those are opportunities for president obama. We have 15 seconds. The new congress, if it does change, has got to show a willingness to compromise. Not just say were going to pass what we can pass because we have a majority but work with the white house. Work with the president before they put that bill on the floor. The republicans are not going to have 60 votes in the senate. No, they will not. I know that. Thats why you have to compromise. We should stay here. Thank you all so much for coming. Well be right back. The conference call. The ultimate arena for business. Hour after hour of diving deep, touching base, and putting ducks in rows. The only problem with Conference Calls eventually they have to end. Unless you have the comcast business voiceedge mobile app. It lets you switch seamlessly from your desk phone to your mobile with no interruptions. Ive never felt so alive. Get the future of phone and the phones are free. Comcast business. Built for business. Thank you for watching state of the union. Im Candy Crowley in washington. Be sure to watch us each week at this time. Fareed zakaria gps is next this is gps, the Global Public scare. Welcome to all of you in the United States and around the world. Im fareed zakaria. We have a terrific show for you this week. We will start with the israeli Prime Minister benjamin netanyahu. Thats how you make peace. On just how big the threat from isis is. And on the strange bedfellows that are forming in the middle east because of that threat. And mexico, to Many Americans its the land of Illegal Immigrants and drug wars. I will talk to the nations president who says those peo