Know, inch and a half tall head in a tiny zoom box that sometimes cuts out in the middle of the meeting, especially when hes talking. I mean its anarchy at this point. So thanks for being here tonight for this hour and a half. Lets do this thing. All right. We start tonight in beautiful Wright County, minnesota. Wrigright county. Its sort of on the way between minneapolis and sit. Cloud. They call minnesota the land of 10,000 lakes. Wright county is one of the places that makes that make sense. The towns in Wright County are like smith lake and howard lake and french lake and maple lake. And in between maple lake, minnesota, and the next town over, which is called annandale, there are two catholic churches between those two towns. Saint ignatius and saint timothys. These are two pretty small towns. Theyre less than ten miles apart. Theres 2,000 or 3,000 people in both maple lake and in annandale. And while that, you know, five or ten miles between Saint Ignatius and saint timothys is enough distance to justify having two separate catholic churches for those two towns, its apparently not enough to justify having two different sets of clergy serving those two churches. So between annandale and maple lake, minnesota, between Saint Ignatius and saint timothys, the same three priests oversee the services for both churches in both towns. They split themselves between the two churches. Theres father meyer, father andrew, and monday senior callahan. And between the three of them, they take care of services at both those churches in both of those towns. You might have seen some of the National Headlines this week generated by the catholic bishops in minnesota. They kind of pounded their chests this week and proclaimed that they would defy the state Public Health orders in minnesota. They declared that catholic churches in minnesota would break the state rules designed to limit the spread of coronavirus. The bishops declared that catholic churches in minnesota will open up and celebrate mass in person with their congregations this weekend regardless of what minnesota Public Health officials and the minnesota governor have said is necessary to deal with the epidemic there. So you might have seen these headlines whether or not you live in minnesota because the bishops got National Attention for their letter announcing that they would defy the law. Quote, how can reason require us any longer to keep our faithful from coming to mass, to receive communion, to receive the eucharist . Thats whats happening broadly in minnesota. But in maple lake minnesota, and annandale, minnesota, that battle cry from the bishops statewide is landing sort of awkwardly in those communities. Heres the letter from father meyer to his congregation at saint timothys this week. Quote, im sharing this in light of masses in the days ahead. While you may have read that the archbishop has allowed for churches to open and have public masses again, we will need to see how things transpire for the clergy here at saint timothys and saint igignatius. I know you are understandably aeg toeager to have the sacrame again as soon as possible. Obviously we do not want to spread the virus and want to make sure the clergy have either tested negative over overcome the symptoms of the virus for a number of days before celebrating mass with you. Quote, yesterday afternoon we learned that some parishioners of Saint Ignatius with whom father andrew and i have been in contact tested positive for the covid19 virus. Father andrew has tested positive as well. Monday senior callahan and i have recently developed symptoms and are awaiting our own test results. The parishioners of Saint Ignatius should be aware that one of the volunteers that helped with the distribution of flowers for mothers day has been feeling unwell and was exposed to others with the virus. I wanted to share this so that you are aware and could be especially attentive to any symptoms that might develop if you have recently interacted with any of the clergy. I want to share this now so youre aware why we may not come back to public masses as soon as other churches. With all three clergy potentially affected, it would be very difficult for us to do so in the near future. With all three clergy from those two churches down from the virus, yeah, were not going to be able to open up in defiance of the state Public Health orders like the bishops say we ought to across the state. Thats whats happening in Wright County, minnesota. This is texas. This is the Holy Ghost Catholic Church in bellaire, texas, which is part of the sprawling houston metropolitan area. At holy ghost, they reopened and started doing mass for their parishioners again at the beginning of this month because texas republican Governor Greg Abbott told churches across the state of texas that it was fine and they needed to reopen. Well, last week one of the priests from holy ghost died. Five of the other priests at the religious order where he lived have also now tested positive. The archdiocese in housto houst sent out a warning. If you have attended masses in person at Holy Ghost Church since the reopening on may 2nd, you are strongly encouraged to monit monitor your health for any symptoms and be tested for covid19. Thats according to the archdiocese. Its not your typical archdiocesen communication. Again, the governor of texas told all the churches in the state to reopen, and they did. But now with one priest dead, five others down from the virus, holy ghost has reclosed its doors despite governor abbotts order that they ought to reopen. And, you know, this is not a new phenomenon in this american epidemic. It has been this way from the very beginning. Contact tracing has told us so. A woman named viola horton attended a rural Church Service at a baptist congregation in rural marion county, West Virginia, back on march 15th. Her sisterinlaw was the reverend at the church and was celebrating her anniversary as the leader of that church. That gathering at that one church in West Virginia that one day is estimated to have infected 30 of the people who were in attendance. Five people who attended that Church Celebration that one day were hospitalized by the end of the first week after that service. Ms. Viola horton was dead within two weeks of that service, and she was the first person in West Virginia who is known to have died from coronavirus. Last month in kentucky Health Officials traced more than 30 coronavirus cases and three deaths and Community Spread of the disease across multiple counties including into a kentucky meatpacking plant they traced all of those cases back to a Single Church revival meeting in hopkins county, kentucky. In california right now, a single Church Service on mothers day is being blamed for new clusters of the virus in label county and mendocino county, california. In butte county, california, right now theyre trying to track down 180 people who attended a congregate Church Service in person in defiance of the Public Health order in that state that prohibited such gatherings. Public Health Officials are trying to find everybody who went to that Church Service because they learned that at least one person at that service tested positive the day after that service, and so theyre now trying to Contact Trace the whole congregation because at that event, it seems like they were all exposed. Last month one of the first cdc formal reports, the first mwr report tracing a large cluster of cases in chicago, identified one Church Service on one day as one of the places where documented new infections took place. The new mmwr that just came out from cdc this week traces another cluster to a church in rural arkansas where the pastor and his wife did not know that they were infected, but they were. And over the course of one week, they infected 38 of their congregation, and so far three people have died. I was also surprised to learn this today about what now counts as the worst outbreak in the country. The outbreak at the Navajo Nation, which spans parts of three different states, a little bit of utah, also new mexico and arizona. The Arizona Republic did great work today teasing out of the data geographically specific information about that outbreak on the Navajo Nation to try to figure out not just how bad it is there, but how bad it is compared with other parts of the country. And what the Arizona Republic was able to find is that in the northern particularly isolated part of the Navajo Nation, the number of cases per population in specific regions there is higher than even in the worsthit zip codes in new york city. Navajo Health Officials also say that that worsthit region within Navajo Nation is where they think the Navajo Nation outbreak began, and they have traced the beginning of the Navajo Nation outbreak, which again is the worst one in the country they have traced it back to a specific Church Revival meeting on a specific day in early march in the Navajo Nation. Thats where they believe it took hold. And now again that is the worst outbreak in america, worst per capita than the hardesthit zip codes in new york city. So when the president today pounded his chest a little bit and announced that he will insist as president that all Church Services be held in person this weekend all over the country, and i will somehow magically override any state rule that would seek to prohibit that kind of a gathering, i mean the president , you know, knows what hes playing with in doing that. This has been an out loud, documented, upfront part of our experience of this epidemic from the very beginning. And, no, the president does not have the power to overall state Public Health rules and demand that all churches hold inperson services but him trying to create the impression he has that power will have some of that effect anyway. We will see what the president has wrought for this weekend in america in the middle of the Worst Epidemic on earth. And then in, what, three weeks or so, in some places if were lucky, well be able to do the Contact Tracing for what happens this weekend. Once theyve done the Contact Tracing, presumably well be able to give him all the credit he deserves for what will happen this weekend because we know what is going to happen at Church Services held in the open in congregate this weekend. We know whats going to happen because were already living through it at a smaller scale from earlier on in this epidemic in america, when the total number of cases in the community was smaller than it is right now. We already know what Church Services have done in terms of creating what turn into large clusters. In one case, which turns into what is now the largest outbreak in the country, the worst outbreak in the country. I mentioned new york as a point of comparison for the Navajo Nation. I should tell you this, to me, is still the big picture tale of where we are at as a country. Its one very simple graph that weve been updating day by day, and it shows cases of coronavirus over time. New york is the blue line there. You can see how they have squashed their curve down and gone flat in terms of adding new cases in new york. The other line is the rest of the country minus new york. So really its new york that is coming down. The rest of the country just keeps going up, up, up, up. Aint no stopping us now. You keep hearing this news about how the United States is really is flattening out in terms of our new cases, in terms of the shape of our epidemic. The shape of the epidemic in this country is not flattening out. New york is doing better, and the rest of the country is. And that has consequences as we head into this fine memorial day weekend, and the states are opening up with abandon. The great state of arkansas just logged its largest daily increase in cases yet since the beginning of the epidemic, theyve never had a larger daily increase in cases than they have just had. In the same breath he announced that, the governor of arkansas, asa hutchinson, announced that in othaddition to having more n cases, were also announcing that Sports Events are back on. Play ball. In florida, nice beach weather coming this weekend. Yesterday florida announced its highest daily case numbers since midapril. So, you know, open everything up. Theres going to be a 70team youth baseball tournament held in Brevard County this weekend. 70 teams. Theyre expecting 1,500 people all together for that baseball tournament this weekend. Just had their largest case numbers in more than a month. In alabama, their numbers have been rising all month long in terms of new daily cases. Last night we had the mayor of montgomery, alabama, here on the show. Montgomery is alabamas capital city. The mayor was here because he is raising the alarm that his citys Hospital Capacity in alabama is, in his words, maxed out. As of today, icu beds in montgomery, alabama, are at 97 occupancy heading into the Holiday Weekend, and the case numbers in montgomery just continue to rise. The governor of alabama actually took questions on the situation in montgomery today, and then in the same breath announced a further loosening of the rules statewide. The rules designed to keep people from further spreading the virus in that state. Good luck, montgomery hospitals. Good luck, doctors and nurses. Good luck. See what you can do with what youve got. But its not just a phenomenon in the south. In omaha, nebraska, today the medical director at one local Medical Center Just Announced that theyre at 80 capacity now and seeing steady growth upwards. This was the lede in the omaha worldherald. Hospitalizations in the omaha metro area are on a worrisome upward climb. Nebraska governor pericketts sa he feels comfortable loosening restrictions in that state. Hes saying, i feel great. Everything seems good. Lets loosen up. Shes saying, i run this Medical Center in the largest city in the state and we are filling up steadily, and it is very worrying. She said last night, quote, ill tell you now is the time to be wearing a mask. Did you see this week, these didnt circulate very widely. I think they should have. Theyre amazing. Did you see the wear a mask psas that new york showed off this week . I think theyre not official yet. As best i understand it, new york asked people to submit their own Public Service announcements about why you should wear a mask. And what they circulated this week, i believe, are the finalists, like the best ones according to the state. And theyre really good. Theyre also really, really, really new york. Watch this. I love new york. We love new york. Weve been stuck inside our homes. While our everyday heroes have been working overtime. For new york to reopen and stay open we all need to do our part. And show that we care. Look, man. I wear a mask to protect you. You wear a mask to protect me. Lets all wear a mask. To stop the spread of coronavirus. And save lives. When we show up in a mask. Were showing up for each other. Show your love for new york. Because new york loves you. The textbook says politicians lead. No, sometimes the people lead, and the politicians follow. Follow the American People. They will do the right thing. There is still a right thing. Maybe right thing is a new york expression. New york tough. Theyre really good, right . Arent they good . But theyre also the most new york thing in the world. I mean sometimes in new york you feel like theres america and theres new york. Other times you feel like, oh, new york is kind of the capital of america, the nongovernment capital of america. Then you see stuff like this, and its like, thats very new yorkspecific. The reason youve got mask stuff like that thats so new yorkspecific is because new york is taking the mask thing really seriously. Even as new yorks curve is coming down and the rest of the country is going up, new york is taking additional mitigation measures very seriously. Meanwhile, in the rest of the country where things are were heading into the memorial day weekend. All these states are opening back up. All of these states on this list here have no recommendation or requirement for people to wear masks when they are out and about. We think at least three of these states have no recommendation or requirement for anybody to wear masks either as a resident or at any place of business. I mean the cdc actually does have an overt recommendation for the whole country that people wear masks, but theres no National Effort to promote it like new york city in new york are trying to develop their own new yorkspecific promotions of this idea. Theyre doing it because nobody else is. There isnt a National Effort. I mean theres a national recommendation, no National Effort to promote it. Lots of states are not requiring it or even recommending it. The president and the Vice President undermine the mask recommendation personally whenever they can. You know, at the start of this epidemic, the cdc used to give their own briefings about what the American People should know and should do to protect themselves, the kinds of briefings where you might expect them to underscore the need to wear a mask. The cdc doesnt do those briefings anymore. They havent done them since early march. Washington post editorial page making a good case this week that just that one change, having the cdc return to briefing the American People directly would be a big leap forward toward us starting to rationally deal with this crisis. We dont have that. Instead we still have these white house circuses. Today dr. Deborah birx stood up in front of a graph apparently designed to make it look like things were getting much better, a nice downwardsloping graph always soothes the eyes in the grips of an epidemic. What that was was just a graph showing the amount of testing being done in each state, and they stacked the graphs so the states doing the most testing would be on the left side of the graph, and the states doing the least would be on the right side of the graph, so it would giving you that soothing feeling seeing bars on the bar chart declining from left to right. It looks like its declining over time, but its not declining over time at all. Its just set up to look that way at a glance. Thats misleading. Thats just the states organized by which ones are doing best testing. Really . At a glance, it feels awesome, though. Look how small it is over there on the right by oregon. The president s, you know, boosting of that malaria drug, saying hes taking it, all the doctors are taking it. All the Frontline Health providers are taking it. Theyre not taking it. The president saying its a preventive to keep you from getting coronavirus. Its not a preventive to keep you from getting coronavirus. That moved on from absurd and sort of insane to a potentially deadly threat today when the lancet published the results of a new study of nearly 100,000 coronavirus patients on multiple continents. Those who were given the drug the president has been huckstering for suffered a significantly higher risk of death compared with patients who did not take that drug. I mean were still here. Were still at the bottom of the morass with the government getting worse and not better over time. And so for us civilians, for us citizens, knowing this is our time on earth and well have to answer for our behavior too and what we tried to do for our country, how do how can we get good Public Health understanding among american citizens . How can we get good Public Health understanding, good buyin to necessary Public Health behaviors to keep ourselves safe . How do we get people to both understand and embrace selfprotective behavior . How do we empower americans to make smart, real, sciencebased decisions that will protect themselves and their families . How can we do that when instead of credible Public Health authorities to tell us whats what, we just have this terrible government that lies to us constantly about this stuff. And in the person of the president , that gives us, you know, madeup, on the spot advice that might literally kill you . How do we get any better at this when this is the government that weve got . Well, we do what we can. We make our own psas about Wearing Masks and send them in to the State Government in new york and see if theyre going to use them as an official state psa. I came across another really cool thing this week in arizona. A group of arizona medical students designed look at how cool this is designed these excellent and effective and beautiful covid information posters in spanish. The state of arizona was doing some posters in spanish that proved to be way too ignorable to be much good, and so a group of medical students in arizona designed really cooler ones that are way more resonant. Look. Arent these awesome . You might remember a couple months ago we interviewed a young medical student who had made the decision to graduate early and upend all her plans for the start of her medical career so she could instead go work on the front lines at the height of the epidemic at bellevue Public Hospital in new york city. That young daughter just finished her tour there at bellevue. Were going to talk to her about how that went tonight on this show. I mean we have a terrible government right now, i am very sorry to say. It is a terrible time to have a terrible government, but that does not mean were not a great country. Our country is more than just our government, and you are seeing innovation and dedication among people to do the best and to try to innovate our way out of this even though we have to do so around a government that is mostly just making it worse. We are honestly having to make it up without help a lot of the way, and thats kind of a theme right now in the news as we head into this memorial day weekend with the president pledging that everything must be ripped open regardless of how poorly things are going in places that ought to be protecting themselves. So weve got a bunch ahead tonight, a bunch of good guests, a bunch of stories you havent heard anywhere else about where this thing is worst and where americans are doing the most themselves to make it better. Weve got a big night tonight. Stay with us. Eed [squawks] only pay for what you need. Liberty. Liberty. Liberty. Liberty. And look, it feels like im just im sewasting time. Nfo on options trading, thats why Td Ameritrade designed a firstofitskind, personalized education center. Their awardwinning content is tailored to fit your investing goals and interests. And it learns with you, so as you become smarter, so do its recommendations. So its like my streaming service. 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On april 11th, safety regulators inside the iowa State Government got a complaint saying that workers at a tyson meatpacking plant in perry, iowa, were being exposed to the risk of infection because of crowded working conditions inside that plant. The complaint said that employees were working elbow to elbow, that social distancing was not happening at all in the production areas inside that plant. And at the time that complaint was filed with the state, Meat Processing plants around the country were reporting outbreaks and a bunch of plants were getting closed down. Just days before the complaint, another tyson plant also in the state of iowa also had been forced to shut down after hundreds of workers there got infected. Despite all that going on at the time, despite the known risks and the known dangers, despite that detailed complaints about what was happening inside that one plant in perry, iowa, these safety regulators inthe iowa State Government, they did nothing. The Associated Press obtained records about the way they handled that complaint. What those records revealed is that it took the state nine days to even ask the plant for a response to those allegations in the complaint, to even ask the plant what was going on in terms of the situation in perry. The state regulators never visited the plant for an inspection at all. Instead after waiting nine days and asking tyson for a response, they said that tysons response, was, quote, satisfactory. More than two weeks after that, state regulators closed the case without taking any action. Again, they never even bothered to pop by and take a look. And that might have been the end of the story were it not for the fact that one week later, 730 of the workers at that plant in perry, iowa, tested positive for coronavirus. 58 of its workforce. State regulators had been notified weeks earlier about what was going on there. They said, were sure its fine. Were not even going to go by. Close the complaint. Des Moines Register reports this week that a similar complaint was filed against the jbs Meat Processing plant in marshall town, iowa, and its unclear whether regulators ever did anything about that complaint either. But at that jbs plant in marshalltown, iowa, at least dozens of employees there have also now reportedly tested positive for coronavirus as well, not that youd know from talking to the plant or talking to the state of iowa, which is trying to keep this information as closely held as possible. The state has been of no help even as hundreds, thousands of Meat Processing workers in the state have been infected on the job. And so weve been covering this for a while, right . Its clear that the problem in Meat Processing plants isnt going away. The president ordering them all to be open didnt turn out to be a panacea for keeping people from getting infected there. But beyond the situation in Meat Processing plants, we are now seeing more and more all over the country that other congregate work environments, other places where people Work Together for hours on end, particularly in manufacturing or some Processing Plants, those places are also now starting to see large outbreaks in workplaces of all different kinds. This seems to me like the next phase. You look at local news around the country, and you see these reports everywhere. You start to aggregate them, and you realize this is more than just a blip here and there. This appears to be sort of the next wave of the way people are getting the way americans are getting infected when they go to work. With more and more states opening up workplaces, this is what were starting to see more and more. Today the Denver Department of Public Health ordered the closure of a u. S. Postal service facility. Ask its not just any Postal Service facility. Its not like a local post office. This is a sorting facility that handles all of the mail for the entire state of colorado and the entire state of wyoming. The denver Public Health department ordered that facility shut down after workers at that facility tested positive for coronavirus and inspectors couldnt get in to see what works conditions were like. That usps shutdown in colorado, which could have very large consequences, that comes just one day after we learned of an outbreak at a ups facility in tucson, arizona. Union Officials Say at least 36 workers at that ups facility have tested positive and 3 of them are sick enough to have been admitted to intensive care units. There have been lots of cases at Amazon Warehouse facilities across the country. Already eight employees all working at different Amazon Warehouses across the country have died from coronavirus. In georgia, weve been keeping our eyes on a major outbreak at a Nuclear Power plant of all places. More than 230 workers have been infected at a Nuclear Power plant. Officials in north dakota have been grappling with a surge in cases at a wind turbine plant. Nothing about Wind Turbines specifically that puts you more at risk for getting the virus. But if you work in a manufacturing environment, thats elbow to elbow where youre closely confined with other works day after day, thats just as good as anywhere. More than 140 employees of that wind turbine plant have been infected. A Beauty Supply factory outside of chicago was forced to shut down after one of its workers died from coronavirus. There have been more than 100 cases reported at a rhode island facility that packages salads. Halfway across the country in colorado, there was a cheese Processing Plant that was first to shut down after a large outbreak there. Youre seeing this in state after state in all different kinds of processing and manufacturing facilities. Anyplace where people are working in congregate. A mushroom plant in tennessee. A crawfish farm in louisiana. Any of a dozen or so seasonal farms across southern new jersey. And it is reaching a boiling point for americans who work in these environments. For the past few weeks, hundreds of fruit packing workers in yakima valley, washington, have gone on strike demanding higher wages but also safer work conditions in terms of exposure to the virus. More than 350 Agricultural Workers in that area have already become infected with the virus. Yakima county, washington. And were seeing stories like this all across the country day after day after day. Weve started to realize as a country theres a problem in Meat Processing plants. But now with the country beginning to reopen, workplaces beginning to reopen, weve got to get our heads around the fact were seeing outbreaks in all sorts of facilities where workers work, travel, or live together in congregate. How do we begin to deal with this problem and learn to keep ourselves safe . Joining us now is jessica mar n martin martinez, the coexecutive director for Occupational Safety and health. Thanks for making time. Thank you so much, rachel, for having me. I appreciate this time. Let me ask you first in terms of the way i have explained this so far, if that comports with your understanding, if you and your organization are looking at this through a different lens or if ive gotten anything wrong . Yeah, so im here representi representi representing workers who are scared of going to work. Theyre scared for good reasons. Essential workers are dying all over the u. S. , and that doesnt limit itself to Meat Processing workers, but health care, transit, grocery workers. Weve documented hundreds of deaths on our website and that is representative of a fraction. This isnt just a problem for essential workers. Infectious disease doesnt stay contained in the workplace. We know as soon as that worker steps out potentially infected, it is impacting communities, neighborhoods, public spaces. So this is an issue for all of us to take into our hands and take action. As a result, our organization released a just return to work report after receiving tons of calls from workers. We know workers are feeling more empowered to make demands. Weve seen 200plus walkouts, sick leaves, Big Companies like amazon, instacart. Just last week we know that ford workers in michigan walked out as soon as they found out a worker tested positive for covid19. So with that said, we know that workers have the power to be able to make these demands both to the employer, government agencies. We know the federal agencies at this moment, osha in particular, the Occupational Safety and health administration, who has responsibility to ensure health and safety working conditions for all workers across the country, has minimized their enforcement. Covid19 has killed more workers in this short period of this pandemic, yet not one citation has been given to an employer because of covid19. That is a huge problem. Now is the time to have more enforcement for government agencies. Former chief of osha, mr. David michaels, had assured us that osha has the teeth to be able to have the authority to put emergency standards in place. Were seeing less of this. Cdc guidelines are too weak. Were more and more seeing voluntary programs as the states are starting to reopen. Voluntary programs are not the language we need to hear. Right now its mandatory programs as were seeing more and more workers are impacted. Let me just underscore and make sure i understood something you just said. In terms of the federal there is a part of the federal government that is responsible for making sure that people work in a safe environment, osha, the Occupational Safety and health administration. Out of all the people who have been infected on the job and all of the people who have been infected on the job who have died, osha has yet to issue a single citation to any workplace in the entire country for thats right. For covid19 safety issues . Thats right. Thats right. Thats absolutely astonishing. It is astonishing. Again, you know, its a problem with enforcement. We know that particularly this pandemic has longstanding inequities in our country. Were all focused on it now, but for far too long, we know that the low pay and dangerous conditions faced by millions of workers has particularly impacted black and brown communities. Black and brown communities have the highest mortality rates around covid19. We know that latino workers make up 18 of the working population, and 35 of slaughterhouse workers are latinos. Africanamericans make 12 , but 34 of those are correctional officers. These are essential workers. These are the folks that are having to go to work on a daily basis to protect their livelihood. We are putting a gun at these workers essentially. If they stay home, theyre not making enough of a living wage. They cant provide for their families, pay rent. If they go home, theyre not enough protections and were not ensuring the safety protocols to ensure that they do not get infected. Its really, really amplified a probably that weve had across this country in terms of inequities. Theres no law that says black and Brown Workers have to get the most dangerous job. Thats discrimination pure and simple, and it has to change. Jessica martinez, coexecutive director for the National Council of Occupational Safety and health, thanks for your time this evening. What youre talking about in terms of there been 200 walkouts and workers standing up for themselves to get safer standards, thats something were interested in covering in an ongoing way. Please stay it touch with us. Thank you, rachel. 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We surprised you. On occasion, weve probably even annoyed you. Weve done this all with one thing in mind. To help protect the things you love. And if we cant offer you the best price well help you find a better one. Its not always the lowest even if its not with us. Thats how weve done it for the past 80 years. Not just today, or this month, but always. [female vo] restaurants are facing a crisis. And theyre counting on your takeout and delivery orders to make it through. Grubhub. Together we can help save the restaurants we love. On this theme in the news right now how americans are trying to fix stuff ourselves despite a government that is more a part of the problem than it is even anywhere near the solution, look at this. This was yesterday. In a whole bunch of places across new york state where nurses and frontline nursing homeworkers stood outside their workplaces to protest the lack of protective gear to keep themselves safe and to protest short staffing at Nursing Homes. Signs like, you know, we are essential. We are essential too. Get me ppe. Nursing home workers basically saying, hey, we are just as much on the front lines here in terms of working with coronavirus patients as other Health Workers are, and we need some help. This Holiday Weekend, theres going to be candlelight vigils outside hardhit Nursing Homes to honor lives lost to coronavirus, to demand more support to help the staff and the residents at Nursing Homes who even now, even still it is no better. They are still the americans most at risk of getting this thing and most at risk of dying from it. There will be vigils around the country outside Nursing Homes to show support. Nearly onethird of all coronavirus deaths in the United States are from Nursing Homes. In more than a dozen states, a majority of deaths are in Nursing Homes. But this week we got an important new study that i think if it is widely read and widely understood, importantly it could help stop some of these security theater dumb stuff thats being done for Nursing Homes despite the fact that it actually isnt working to make these places any more safe. If we could stop doing some of that stuff, wasting time and resources on it, and start instead focusing on what would actually work, maybe wed get more efficient in terms of trying to minimize the harm in the worst part of the epidemic that is just persisting week after week and now month after month. The good news about this new data is that the idea of what you need to do is sort of refreshing and simpler than youd think. If we could start doing that and not the dumb stuff, maybe wed make some progress on this hardest part of our response. But weve got one of the authors of that study joining us next. Youre going to want to see this. 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Researchers at the university of washington published a new study this week in the journal of the American Medical Association which finally put in cold black and white that just screening people for symptoms isnt a real strategy for trying to keep a place free of coronavirus. Just looking for people who have a fever or who are otherwise feeling sick is not enough to stop an outbreak at, say, an assisted living facility. On the one hand, you know, yeah, duh, we all know already that people without symptoms can have it and can be infectious. So just screening for symptoms is going to allow through a lot of people who are going to pose a problem when they get on the other side of your ine infect youll symptom screening gate. But despite the fact i think we all know that now the number of places including risky workplaces like big Processing Plants and really risky environments like Nursing Homes and assisted living facilities, they have been doing symptom screening instead of testing, which in technical terms is called dumb. In this study, they found that broad testing, testing everyone combined with strict hygiene and social distancing measures, is successful at preventing an outbreak where coronavirus has already been found, even in these risky Health Environments like in longterm care facilities. This is a hopeful sign, and again its in plain black and white. Does it mean that we could be inside some kind of strategy that could be reproduced all over the country to finally start making practical progress toward protecting americans in these settings where more americans have been getting this thing and more americans have been dying than in any other single environment . Joining us now is dr. Alison roxby, assistant professor of medicine and Global Health in washington. Shes one of the authors of this study. I apologize for having put in such colloquial terms one of the bottom lines of the findings of you and your findings. I hope i did not misconstrue it. Thank you. No, those were our results. Okay. I know you didnt use the word dumb. Go ahead. This is a classic outbreak investigation. He went into a local facility after two residents were hospitalized at one of our hospitals to try and determine whether we would be seeing other cases. And frankly at the time we did this study, we were very concerned that we would be overrun with cases as has happened at so many other facilities. We were really pleased to only find four residents who were infected, but we were surprised that none of the residents exhibited any symptoms. This is very makes it very challenging for workers at the facilities to protect themselves and for the residents to also protect themselves. There is there continues to be in some, you know, guidelines from various agencies and certain in practice in a lot of different workplaces and even in some Health Care Environments where people are using symptom screening as if that is a gatekeeping procedure that will keep covid19 out of a facility thats using that kind of a screen. I feel like i dont totally understand the disconnect between us understanding the prospect of asymptomatic infection and the persistence of that as a Public Health tool, an infectual health tool. It seems to me it gives you a false sense of security while inviting the virus inside. It can act as a minimum floor of what people should be doing to protect against coronavirus, but it is definitely ineffective if you want to get ahead of this disease and get a handle on this disease. Testing is the bedrock principle of management of Communicable Disease for decades, and in this outbreak, testing is going to be our keystone strategy. Do you have faith that the kinds of hygiene and social isolation and testing strategies that are necessary to tackle this thing in these types of facilities is within the ability of the United States, that we as a country and as a culture can get these things done, or is this stuff too high a bar . No, i think this is definitely achievable, and that was why we were so interested in publishing the results of this study, because this facility recognized early on the need to keep residents apart in the beginning stages of the pandemic, especially here in seattle where we were hit so hard in this very environment. And they were able to do that. They were able to implement simple environmental cleaning strategies, more handwashing. And with the testing, we didnt see any further cases in this facility. So i think it can work, and we really want to get the message out there that its not hopeless in congregate settings for older adults. Dr. Alison roxby, assistant professor of medicine and Global Health at the university of washington. Just clear as a bell. Thank you for helping us understand this and thanks for making it so understandable. I really appreciate it. Thank you. Even though we are closing in on the end of the hour, im not leaving. Much more to come here tonight. Its a super sized Rachel Maddow show, and were going to be speaking with the chairman. Intelligence committee, congressman adam schiff, when we come back. Stay with us. Special delivery introducing tide power pods with cat nat. That is such a large load, dont the stains sneak through . New tide power pods can clean that. Whole situation. Its like two regular tide pods and then even more power. Even the largest of loads get clean. Its got to be tide. Sleep number 360 smart bed. Memorial day sale on the can it help keep me asleep . Absolutely, it senses your movements and automatically adjusts to keep you both comfortable. 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Perhaps its time to partner with someone who knows you and your business well enough to understand what your wealth is really for. Welcome back to the up late version of the Rachel Maddow show. Were going an extra half hour tonight because anarchy. Because we can. Because time has no meaning. I want to begin the multiball bonus time with a look what is going on in the increasingly strange saga of mike flynn. Trumps National Security adviser. Between the election of donald trump as president and the time that trump was sworn in as president , we know that incoming National Security advisor mike flynn spoke with the russian government repeat dlichlt and we know that flynn and the Russian Ambassador discussed sanctions being imposed by the Obama Administration with the kremlin attacking the 2016 election. Flynn during the transition talked to the russian government about how the russians shouldnt respond in a tit for tat way to sanctions in part because the Trump Administration might get rid of them. We know mike flynn later lied about those discussions he had with the russian government when the fbi questioned him about them. That led to him loosing his job as National Security advisor after just 24 days on the job. Thats a record. It also led to him pleading guilty to felony charges in december 2017. But despite the release of the mueller report, which dealt with this to a certain degree, despite the declassification of mike flynns fbi interview notes, despite thousands of pages of filings and the recent legal wrangling of his case, we do not know what specific words mike flynn exchanged with the Russian Ambassador on the calls when he was apparently telling them dont worry about the sanctions, well take care of it. Now it seems like we may be one step closer to finding out what exactly happened in that conversation. Mike flynns immediate legal fate remains tied up in the court after the Justice Department decided this month they were going to drop the prosecution of him, never mind that he pled guilty twice, the Justice Department in an unheard of move decided they would stop prosecuting him despite the fact that he had already pled guilty. The trump Justice Department moved to drop the case as the president and his allies have started escalating accusations that it was the Obama Administration illegally targeting mike flynn and the real criminals are president obama and Vice President biden and lots of people from the Obama Administration. In response, the Top Democrats on the intelligence committees in the house and senate have called on the acting director of National Intelligence Richard Grannel, to release the transcripts to clear up the matter. If the Obama Administration reacted with such alarm to what flynn said to the russians, and youre saying its bad they were so alarmed, let us see what they were so alarmed about. We can judge for ourselves. In a letter today, the house intelligence chairman adam schiff said that releasing the flynn transcripts would quote ensure a transparent and complete Public Record free of political manipulation. Congressman schiff sent that letter this morning to the acting intelligence director richard granell and in a move i dont think many people saw coming, Richard Grannel said in response, okay. He announced he was in the process of declassifying some of the transcripts of the calls with the ambassador maybe . Quote, i already started the declassification for the few we received. They should be released in full. The public deserves to see it. If the administration will publish those transcripts, that remains to be seen why they would want to remains to be seen and its worth noting that mike flynns lawyer has always called for the transcripts to be released. She said that doing so would exonerate her client. Okay. Its worth noting that today the director of the fbi Christopher Wray ordered an internal review how the fbi handled the Flynn Investigation even though the Justice Departments Inspector General already looked into that and found that the fbi had a properly predicated investigation when they trooped up to the white house to talk to flynn. Notably, director wrays move today came after the president started sending him nasty grams through recent media interviews. President said quote lets see what happens with him, look the jury is still out. Days later Christopher Wray announces a review how the fbi handled the mike flynn prosecution. Joining us now is congressman adam schiff california congressman, the chairman of the house intelligence committee, chairman schiff, thank you for making time to talk to us. I know youve got a on your plate. Appreciate you being here. Good to be with you. I have covered the flynn case i think as intensively as anybody else from the National Media from the beginning. I admit to being flummoxed and baffled are those synonyms . I admit to not totally understanding what is going on with the case right now. I am not even understanding the political points that general flynns supporters and the president are trying to make about him. Do you have a broad picture sense of what they are trying to do here with the dropping of this prosecution . I think i do, and in the broadest outline, i would say its this 90,000 americans have died from the virus, our economy has gone into a downward spiral to Great Depression era levels of unemployment. They dont know what to do and they dont want to focus on that so they need to focus on Something Else, so this is the Something Else but it also gets rachel to something bill barr said in a revealing way when he was asked, what do you think history is going to say about what youre doing at Justice Department. Dropping the flynn case, intervention in the roger stone prosecution and the initiation of multiple counter investigations of the investigators and his very arrogant smug answer was well, the winners get to write history. Theyre trying to write history, and its very difficult for them to write because its so untrue and convoluted. Just to look at the whole flynn case, they need to make a hero out of a guy that admitted and pled guilty to lying twice in conversations with the russians designed to undermine u. S. Policy at the time, very hard to make that person a hero. To do it, you have to concoct a massive conspiracy, something that theyre calling obama gate but they cant articulate what it is but they have, you know, willful players like rick grenell three years after the fact are selectively in a politicized way releasing some information but concealing the rest. This is why were calling on him, hey, if you start these partisan declassifications, you ought to be fully transparent and just release it all instead of being selective. I dont have much confidence hell do that but we will keep pressing for that kind of transparency and bear in mind one last point, rachel, while grenel is claiming to want transparency, just this week the trump Justice Department was continuing to argue before the Supreme Court that the grand jury materials in the investigation should not be provided to congress and should not under any circumstances be made public so theyre going all the way to the Supreme Court to fight transparency, i think that tells you how much confidence they have in under lying materials. What do you make of this Public Statement in response to your request from rick grenell which he seemed to indicate maybe the transcripts will be released or something will be released . I mean, i remember sally yates who was acting attorney general at the time, one of the people who went up to capitol hill to tell the white house by the way, your National Security advisor is in a position to be blackmailed by the russian government, hes lying about his contact with them and the russians know about it and thats a bad position for National Security adviser to be in, you should do something about it. What she said about that warning to the white house was that flynns underlying conduct was problematic. It was not just that he was lying about it but what he was lying about, what he was actually doing with the russians was of a concern seemingly in a Counter Intelligence sense. And so i that makes me want to know what mike flynn was doing in terms of his underlying conduct, it makes me want to know what he was saying to the russian government. Do you have the sense from rick grenell or administration the actual transcript of what flynn said might ultimately come out. It might come out if they feel compelled do so. I think youre absolutely right about the concern that sally yates articulated. Here you have the incoming National Security advisor for the United States lying to the Vice President about a conversation he had with the Russian Ambassador. The Vice President misleading the American People and the russians because theyre on the other side of the phone call, they know that hes lied and they can compromise him. That is classic Counter Intelligence nightmare material. So yes, there was a profound reason to interview flynn, which is why the Justice Department the brief arguing for the dismissal of that case is disingenuous but where rick grenell is coming from, here is the problem with what hes trying to do. Selectively, he declassifies these unmasking requests and there is an unpublished report flynns name may never have been masked to begin with. That really blows a big hole in what grenell is trying to do which is establish some theory they were trying to unmask flynn so they could, i dont know, persecute flynn and now there are public reports he wasnt even masked to begin with in that call with the russians. So this is the problem i think when youre trying to weave an alternate history. Facts keep getting in the way. At the end of the day what rick grenell is trying to do, and hes the most partisan figure ever to run any intelligence agency, at least in my lifetime, what hes trying to do is the steve bannon model of flooding the zone with excrement bannon used a stronger word. Thats essentially what rick grenell is trying to do and bill barr is trying to do and the counter narrative is trying to do and that is so muddy the waters that people cant ferret out the truth anymore and there is nothing more destructive to a democracy than the idea theyre pushing that theres no such thing as truth anymore. Congressman adam schiff of the great state of california, chairman of the house intelligence committee, sir, thanks very much for being with us tonight. I apologize for just sort of dumping on you my sense that this is just really weird and i dont get it. That the not usually the way i conduct an interview. In this case, i am bamboozled by their behavior but you have made sense of it. Youre so right. It has that alice in wonderland quality of going down the rabbit hole. Its hard to wrap your head around. Exactly. Exactly. Flooding the zone with excrement is the way to understand why we feel that way. Its on purpose. Thank you sir, great to have you here, mush appreciated. Thank you. As we proceed through extra time, multi ball Rachel Maddow show. Coming up next, ive got somebody coming back to the show im excited to talk to. This is a doctor we talked to as she was graduating early on purpose from medical school, setting out early into the start of her medical care specifically so she can work on the front lines of the fight against covid19 in a Public Hospital in new york city. Imagine that as a brand new minted doctor that just graduated early. Shell join us next to tell us how its been going. Stay with us. Its called ubrelvy the migraine medicine for anytime, anywhere a migraine attacks without worrying if its too late or where you happen to be. One dose of ubrelvy can quickly stop migraine pain and debilitating symptoms in their tracks within two hours. Unlike older medications, ubrelvy is the first pill of its kind to directly block cgrp protein believed to play a role in migraine attacks. Do not take with strong cyp3a4 inhibitors. Few people had side effects, most common were nausea and tiredness. A migraine can strike anytime, anywhere. Ask about ubrelvy, the anytime, anywhere migraine medicine. 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The hypocratic oath is the oath you swear to as newly minted doctor after you finish medical school. Its a very formal rite of passage for doctors in this country. You may have seen one done on tv or in real life but i would bet good money you have not seen one like this. Graduates only, please unmute your phones at this time. Solemnly swear i do hold the most sacred. Solemnly swear i will be loyal to the principles of medicine. And just generous. Progression of medicine. I will lead my life, practice my art. Upright and honor. It goes on like that for another minute or so but that, that beautiful clunky zoom call orchestra with the hitches and glitches and am i talking now and what do i say now . That was 50 or so students from the nyu school of medicine taking the hypocratic oath over video chat in early april as they were all graduating months ahead of schedule and in the middle of a global pandemic. Just a week before that at the end of march, new york city was really heading into the worst of it, the peak of their curve with thousands of new cases and over 1,000 new hospitalizations every day and it started to become apparent that the citys hospitals didnt have enough staff to handle the absolute flood of coronavirus patients they were getting and the state asked for help and the medical school at nyu become the first school in the country to make a huge ask of their fourth year students. Would they please consider graduating early and becoming doctors now . Swearing that oath now . So they could start working in the hospitals with the most Covid Patients right away. These are the students who said yes and we spoke with one of those students, gabrielle mayor in march when she had just volunteered. She had just made that decision. Today gabriel mayor is a doctor. She just finished a fiveweek deployment in a covid ward and joins us live now. Dr. Mayor, congratulations. Thank you for checking back in with us. You said at the time you would come check back in and you have been good to your word. Thank you so much for having me. It a pleasure to be back on the show. I looked into it. And on your first day in the hospital, april 13th, new york city reported 1200 covid19 hospitalizations that day. By your last day, which was past sunday, it wasnt 1200 anymore, it was a little bit under 70. So you were there for the precipitous fall. What was it like . Was it like at the start and what was it like to see that transition over time . It was remarkable. The first week that i was in the hospital, i noticed that there were frequent codes being called overhead, most if not all the patients in the hospital were there for covid related complications and at a certain point a lull hit and fewer and fewer were coming with covid chief complaints and slowly but surely people with noncovid related issues started coming to the hospital at a lower more manageable rate. When you started, when you jumped in there at the deep end, again, more than 1,000 new hospitalizations in new york at this point, youre working in a Public Hospital in new york right there on the front lines, how overwhelmed were you . How did you feel once you started working about your decision to graduate early, to jump in right away and to start doing this kind of work . The moment i showed up on the first day, i knew that it was going to be an experience unforgettable would be supported and not overwhelming because the number of residents, mentors and teachers looking out for new graduates and residents and Front Line Health Care workers. I felt incredibly supported throughout the whole experience. I understand that the surge team, you were part of the extra doctors added to bellevue to handle the influx. It wasnt just your med school class, but a pretty Diverse Group that came on board to surge support into that facility. Can you tell us about that at all, the other people part of this surge . It was a wonderful mix of people in the work rooms or call rooms where the doctors would congregate and write notes. We had Different Health care providers coming in from as far as north carolina. We had individuals who were training in other nonmedical or nongeneral internal medicine specialties like dermatologists and radiologists coming back and joining us in the medicine call rooms to support this increased capacity in the hospital and that was truly inspiring to see that kind of community rally for new york city at large. Treating all the patients you treated and being part of that process and cohort, did it change how you thought about the disease at all . We talked about it a little before you started doing this, weve all gone through in education living through this as a country. Did your understanding of it change fundamentally . Is there something we didnt understand about it that we ought to understand from you now . I think that what i had read before going in mimicked what i saw in the hospitals but i think the part that you cant under state is the importance of the human connection, which is hard to find in these moments of isolation and i want to give a particular nod to the entire community at bellevue who called patients families and made sure that the loved ones were aware of what was happening every day from medical students to fellow resident physicians to attending physicians. Everybody was making sure that those human connections were kept alive despite the fact that contact precautions made it a little more challenging. Dr. Grab dr. Gabrielle mayor, who volunteered to graduate early from med school and get on the front lines at Bellevue Hospital in new york city. Thank you for being with us. I know you are isolating now, having finished that deployment and you will be going back to work when you are through this quarantine period. I hope you can enjoy it as some down time. Thanks for what you do. Thanks so much. Take care. All right. Well be right back. Stay with us. Clooefrps clooefrp yes. The first word to any adventure. But when allergies and congestion strike, take allegrad. A nondrowsy antihistamine plus a powerful decongestant. So you can always say yes to putting your true colors on display. Say yes to allegrad. To putting your true colors on display. If you have a garden you know, weeds are low down little scoundrels. Draw the line with roundup. The sure shot wand extends with a protective shield to target weeds precisely and kill them right down to the root. Roundup brand. Trusted for over 40 years. There are so many toothpastes out there, which one should i use . Try crest pro active defense. 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When that report came out, the president denounced it as if it wasnt true and denounced her for having written it and she was soon enough pushed out of that supposedly independent job at hhs. Heres the thing, they cant just disappear these people. On tuesday, the first day back from the long weekend, Christi Grimm is going to testify live in Public Session at the House Oversight committee, that will be worth seeing and worth looking forward to. That will do it for us tonight and since were calling it normal for me to be on for an hour and a half, ill play it off as normal that after me, tonight, its time for the 11th hour with brian williams. Sure, why not . And good evening as rachel works late and we come on early, while we will still air a full live broadcast as the top of the hour just like every night, lets just state for the record this was day 1,219 of the Trump Administration. 165 days to go until our president ial election. As we head into this memorial day weekend, all 50 states are at least partially reopening as we approach as a nation a grim milestone of 100,000 coronavirus deaths and as we are heading into a Holiday Weekend that is supposed to include time for re