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Is that we are dangerously over dependent on a Global Supply chain. For our medicine is. Like penicillin our medical supplies like masks and our medical equipment like ventilators we have right now as we speak over 50 countries have already imposed some forms of export restrictions in their country against the rest of the world and what weve read were learning from that. Is that no matter how many treaties you have no matter how many alliances or matter how many phone calls. When push comes to shove you run the risk as a nation of not having what you need and if theres any vindication of the president s by american secure borders and a Strong Manufacturing base philosophy strategy and belief it is this crisis because it underscores everything that we see there so the buy american order which which is going through process would do do couple things it would simply say not during this crisis because we dont want to disrupt anything or be really clear about that but Going Forward after this is over the v. A. D. O. D. H. H. S. And this government buys american for essential medicines our medical countermeasures and the medical supplies and equipment we need at the same time it will deregulate so we can get the f. D. A. In e. P. A. To facilitate domestic manufacturing and then innovate because the key here the key here is having. If they had smith and your factory in on u. S. Soil that can leap frog other countries so we dont have to worry about competing against cheap sweatshop labor lax environmental regulations different tax regimes and the massive subsidies of foreign governments who are actually directly attacking our Industrial Base so be patient with that sir its the other priorities we have right now or d. P. A. And what what the task force is doing but if we learn anything from this crisis it should be never again never again should we have to depend on the rest of the world for are essential medicines and countermeasures and by the way weve cut them out also to be honest weve stopped orders going from certain places and in a couple of places like we had a big order going to italy on an important. Outfits and. Some ventilators and it was going to italy they made the order a long time ago and i said you gotta let it go they had his order and i could have cut it under the act they could have cut it i said nope cant do that you gotta let it go you know they have big problems we had an order going to spain and i said let it go i could have stopped it i said let it go were going to be fine i said let it go so it works that way also one other thing as to your question oftentimes and weve told this to the governors mike weve been very strong on this have if you think this bidding between federal government and state let us know and well drop out immediately for you drop out and we lower the price its happened you know if were bidding against each other i said find out who it is and usually they know everyone knows and when notified and we get notified and well either drop out where theyll drop out but we have another problem there 151 countries out there beyond the states there are 151 countries that have this problem and theyre ordering 2 its really a mess now in a little while the. Hardest thing to get of the ventilators because theyre you know it takes a while to build them and we have a lot we have thousands of them being built right now in a little while theyll be worth about 5. 00 but right now theyre very valuable and were going to have a lot of them being shipped and back thats why General Motors called up before mary thats why others called up 2 days ago they called up that theyre all in production and theyll start this starting to arrive in a week and a half but theyll be a time when were going to build stockpiles by the way the states should have been building their stockpile we have almost 10000. 00 in our stockpile and weve been building it and weve been supplying it but the states should be building were back up without an order in clark were back up and weve done an unbelievable job like for instance who ever heard of a governor calling up sir can you build us a hospital of 2500 rooms and we built it can you build us for medical centers we built can you deliver a ship hospital ship with a 1000 rooms and we did it and we did it in los angeles to weve been an unbeliever done an unbelievable job these people and so and thousands of people behind them but were back up ideally those hospitals would have had all this equipment ideally those states should have had all this equipment and i think they will the next time you know you heard the case where. Thousands of ventilators could have been had it a very inexpensive price 3 years ago and a certain state decided not to exercise that right because they wanted to build a road or they wanted to build Something Else because its big money youre talking about think it was a 1000000000. 00 but youre talking about a lot of money for something that may never happen because normally on a ventilator other than a pandemic or an epidemic you wouldnt you you would need anything like this hospitals have 3 ventilators big hospitals and they get by with it and now they want thousands i mean they want thousands of ventilators you call up a governor has a circuit you said just 40000 ventilates nobody has ever heard of a thing like this so theyve done some jobs let me just tell you when secretary minucci they want you to call it not dot com but s. B. A. Dot gov ok for the application and for information ok so its s. B. A. Small business as be a dot gov ok if you dont mind yeah lets go please sir thank you mr president i want to call up from a question yesterday regarding the grid ministrations denial the expansion of the flow of air special roman period in the wake of this endemic in your own words has given 5 minutes nonanswer but people facing this and temecula this and even worse most experts say that having health care is critical to our Nations Health and i mean actual bill being can you assure americans tonight that you will reopen obamacare marketplace is that if they can be covered in this time of combined well were doing better funded yeah you know i understand the question were doing better than that were going to try and get a cash payment to the people and were working out the mechanics of that with the legislature so were going to try and get them a cash payment because just opening it up doesnt help as much so were going to work it out so were going to try and get for that Certain Group of people its a Certain Group of people. A cash payment feel i really want to ask you about now and thats and ill often talk with friends there im just that question earlier and doubt that what happens now when states are going against each other on this no they have that and they have to work that out what they should do is they should have before this pandemic arrives they should have been on the open market just by there was no competition you could have made a great price the states have to stock up. Its like one of those things they waited they didnt want to spend the money because they thought this would never happen and their shelves in some cases were bare and by the way in some cases they werent they were beautifully serviced they did a good job but in some cases their shelves were bare so the best thing they can do is when times become normalized and they will hopefully soon and actually you can have a lot of excess material because so much is being done right now in terms of protective gear protective outfits allots being done its going to be within 6 months is going to be sold for the right price theyve got to stock up for the next time but we are doing that and the admiral has done a fantastic job senator schumer wrote a letter today and he says you should put a military manager just at one check if you knew a little bit more we have one of the most highly respected people in the military they had moved thats what he does to very professionally and hes in charge but just didnt know that ok ted thanks for the present you tweeted this morning about your call with saudi arabia and b. Passing people say that the figures that you cited. 10000000000 Barrels Per Day its not what theyre agreeing to you before specific about why dont know what theyre going to do i think they might agree to more than that look russia tell you that russia yeah we did say that actually russia talked about 10000000 barrels russia and saudi arabia are fighting over this as Everybody Knows its a really killing an industry hurting russia badly hurting saudi arabia badly i said this is an easy one it should be an easy one and it may be 10 and it may be more than that i was actually told it may be 10 as i told somebody before it may be 10 and it may be more than that maybe its 15 maybe it goes up to 15 could be. High as 15 and you know theres a tremendous oversupply right now that industry was it was over supplied before the virus and where the virus came along the last 3540 percent of the world and that is an unbelievable you cant get a ship down every ship is loaded to the gills sitting out someplace in the ocean this storage tanks and not even ships the storage tanks. So it would be great for russia it would be great for saudi arabia i hope they make that deal but thats what they told me they said they said its well i think i think itll be hopefully soon i think hopefully theyll announce something soon now can a deal be broken can something happen or doesnt happen i guess in which case it is another alternative but id rather not see that other alternative i hope they can make a deal they both want i think they both want to make a deal and theyre both smart. They love their countries they want to make a deal its good but its also good for the world if they do because you save it industry yeah go ahead go ahead in the back what you mean by half a minute. Im going to let mike because we went over this very specifically ill let you talk about it mike as you respond if im right thank you mr president. As i said yesterday the president s put a priority on ensuring that no american has to worry about the cost of corona Virus Testing and weve been working every day to make sure that americans dont have to worry about the cost of treatment. And at this point the White House Coronavirus task force is working on a proposal for the president to use some of the 100000000000 dollars that were making available to hospitals to compensate the hospitals directly for any coronavirus treatment that they provide to uninsured americans working out the details of that president make a final decision tomorrow we expect an announcement but the president s made it very clear we dont want any americans to worry about the cost of getting a test or the cost of getting treatment and weve expanded coverage through medicaid weve expanded coverage through Medicare Health Insurance Companies around the country including blue cross and just today announced that all of their members will be waiving all copayments on coronavirus treatment before those some 30 odd 1000000 uninsured americans the president has directed the coronavirus test source who find a way to make sure that they know we will find a way to pay for your coronavirus treatment and the president will be addressing that announcement tomorrow its not going to clarification and then a follow up arts yesterday he said these folks are already governor romney says before he is using his stay at home where did you really find an issue that were you know what it took him about it then. And he wants to do whats right for the people of florida hes been a great governor you could see that just by his popularity which is extraordinary were proud of him is did a fantastic job but he made the decision but we spoke before he made this decision yes i also say he is considering putting people who are suspected of having thrown a virus or who tested positive for it in Isolation Centers and it turned out it hasnt helped and so we have to consult i havent heard those words to take you mr president every found on you know i asked a few hours ago are mad last year the mayor of new york said that the office leaving more harm to a mosque on base also not where mosque planned every other people are you considering that kind of recommendation on a federal level and if you walk how would you prevent a possible and only fight when i think theyre going to be coming out with the regulations on the and if people want to abide by them frankly i dont think you can i dont think theyll be mandatory because some people dont want to do that but. If people wanted as an example in the minutes people wanted to wear them they can if people wanted to use scarves which they have many people have them they can in many cases the scarf is better sticker i mean you can if you have depending on the material its thicker but they could do that if they want no recommendations coming out will see what that recommendation is for but it isnt but i will say this they can pretty much decide for themselves right nationwide if they can use me nationwide not just 1st and i think its best for doctor for the person just bring up that its your w. H. O. Even the Surgeon General has talked about the area of studies that show that masks in addition to me not even being helpful to protecting people may actually increase the rates of illness because people touch the masks and they touch themselves heard you talk a little bit about the average maybe a little bit of converse and you might mention that of the 4 doses. There thank you. So i hope you got from the conference today. That were triangulating data that we know from the case numbers the testing numbers the supply chain numbers to create an integrated picture so that we can really support hospitals in their needs and i think that level of granularity is really critical secondly i just want to make the point that we really applaud the governors that are looking at a whole of state or a whole of metro approach and what do i mean by that the United States going into this had about 160000 ventilators across the United States and another 6270000 anaesthesia machines thats about 5 times what most of the European Countries have but its a matter of distribution to need and i really applaud the governors that are bringing together their Public Hospitals with their more private hospitals and their current visibility across their state because what we tried to talk about yesterday is every state every county is different thats why were looking at it at that level of granularity and as we move through this epidemic the needs need to be very tailored to those counties and frankly those hospitals i mean there is a reason why the president and mr kushner have been very much involved in finding out what the Public Hospitals need why is that because the Public Hospitals sometimes have the weakest supply chain because theyre often sometimes not as attractive to private sector distributors or they may be too busy caring for the needs of patients to be really on top of their order forms and their supply chains so really listening to the community thats at the front of that this fight and getting feedback from those specific communities no matter where they are and listening to the Frontline Health care workers because its their reality that is important to all of us whether youre the. Mayor or the governor or the federal government and if theyre saying they need something we have to Work Together to supply that and so thats what youre seeing with this triangulation every county will move through this differently and that allows us to move around these vital issues that protect the Frontline Health care workers and protect the patients through the ventilators to make sure that the supply chain is aligned with the need as it happens now you have to have very good data in order to be willing to work in that level of granularity and thats what weve been working on to really develop that level of granularity to ensure that. So i just wanted to say one other thing about testing im just to give you the bottom line data what were seeing we appreciate the groups who are reporting not everyone is reporting yet and this is part of us trying to understand at a very granular level we do have 2 states that do have 35 percent positives and thats new york and new jersey so that confirms very clearly that thats a very clear and important hot sun. Louisiana though has 26 percent of their tests are positive michigan connecticut indiana georgia ellen noise so that should tell you where the next hot spots are coming are at 15 percent positive and then colorado d. C. Rhode island massachusetts are at 13 percent theres a significant number of states still under 10 percent everyone that i didnt discuss california and washington remain steady at an 8 percent rate so what were seeing finally is testing improving more testing being done still a high level of negatives in states without hot spots allowing them to do more of the surveillance and containment and then prioritizing this new rapid test kit to those areas that may not have the same amount of access to the Indian Health services and to the Public Health institutions and the Public Health and state labs so that they can use that and start forward leaning into surveillance now we know that are people waiting for test and theyre waiting for tests because when these areas became very ill when they got on to the logarithmic curve we prioritized people whose decisions where the test decision would make it critical for their care and so we put prioritized hospitals and we prioritized nurses and doctors and front line workers so that means if you went through a drive through or you went through your doctor you could have that a lot that delay. So the mass so what i try to give you is how we are using data in a very granular way and so there are there is experiential data when you look at communities that have often time utilize mass in general for personnel protection for when they particularly are themselves sick and have use their mask in public and weve looked at the rate of this code 19 in those populations and then were looking at the scientific of evidence to bring those 2 pieces together let me just say one thing though the most important thing is the social distancing in washing your hands and we dont want people to get an artificial sense of protection because theyre behind a mask because if theyre touching things remember your eyes are not in the mass so if youre touching things and then touching your eyes youre exposing yourself in the same way so we dont want people to feel like oh im wearing a mask im protected and im protecting others you may be protecting others but dont get a false sense of security that that mask is protecting you exclusively from getting infected because there are other ways that you can get infected because the number of asymptomatic and mild cases that are out there and so this worries us and thats why the debate is continuing about the mask because we dont want it when were trying to send a signal that every Single Person in this country needs to stay 6 feet away from everybody. That needs to be washing their hands constantly and know where their hands are to send a signal that we think a mask is equivalent to those pieces so in the end when the advisory comes out it will be an additive piece if it comes out rather than saying this is a substitute for and we want to make sure everybody understands it is not a substitute for the president ial guidelines that have already gone out and to be vasselot lee clear about that quick. Well there was a test the 1st just didnt but theres a lot of evidence were seeing experts are saying that its a high number of these tests to be producing. False false negatives so the guy roche an amateur has put as many as one in 3 tests might be providing false negatives and i think maybe the exact would honestly and i cost of 0 with having 35 percent positives. Us if that was true you would have already advised you that i did it 1st 66 percent positive so what i can tell you is the number of positive tests is tracking very closely with the number of cases diagnosed so i dont i will look into that i look at the Roshan Abbott numbers every night and theyre trending exactly in the same way and thats important when youre validating data to really validate does this same site there was im looking between testing sites to see are there consistencies is there an anomaly. To make sure for what you just very specifically asked so i will go back and look at it more carefully i havent seen that kind of anomaly with this is the same platform is being used across the country and thats a range from what i reported 3 percent positivity up to 35 percent positivity and that range reflects aso what were seeing with the hot spots and the number of cases and frankly i mean we hate to talk about it but it also tracks with the hospitalizations independent of diagnosis and the mortality that were seeing so that all of those pieces validate to other people might be getting a false sense of security or the you might not be seeing all of the gate here. But im telling you im still missing 50 percent of the data from reporting i have 668. 00 tests reported and weve done 1300000. 00 so there is and it could be those sites so we do need to see the bill said you need to report were still not receiving 100 percent of the test as i personally think our president Sample Collection took one minute results reported back in 15 minutes i realize you have the United States but when well everyone get to take a test that works that quickly you get results that quickly. So these are new tests and we have prioritized the groups that we think have. Lease access to testing now and who do we mean by that we mean the Indian Health service there are often in remote areas rural areas the governors of northwestern states that may not have the advantage of these high throughput machines that are often across the east coast and high metro areas colorado and then across the west coast so weve prioritized the president ial 15 minute test to the indian House Services and Public Health lab so that they can support nursing home testing and other areas where we think surveillance is absolutely key so at this moment theyre prioritized in a way for. Us 1200 of them i going out that way those tests need to be made in order from the early ok so in a matter of a little earlier a group im glad you asked that because today theres 18000 of these machines already out there were trying to find out exactly where everyone is because you can see that gives you amazing flexibility because people would allow it to be loaned to a state thats in a hot spot or a state where you want to do additional surveillance 18000 tests 18000 machines is a huge amount and it really gets to your very question about how we can prioritize what we have at the same time were moving up and so really figuring out who should those ago to how can we ask communities because these will be in the community to share those machines into the community who need the testing now and i think thats really an incredible question that really needs to be answered over the next 24 hours when clearly about Face Covering guidance he said its still a point of debate is that to use the phrase the guidance if it comes out is the guidance coming out and what is in ones or you know these if it were just were we constitution by c. D. C. Or go to church. Or greek or were to. Go to the c. D. C. Just remember its not a substitute for. Everything they were asking people to do and just did that to everybody out there across the country when we say no gatherings that time were looking at we want to be clear if you have a family of 10 we dont want you to be split up but we dont expect people to be having dinner party this cocktail parties i mean i know youve seen the slope in the United States versus the slope and italy. And we have to change that slope we have to change the log rhythmic curve that were on we see country after country having done that. What it means in the United States is not everyone is doing it so were only as strong as every Community Every county every state every american following the guidelines to a tee and i can tell by the kurds and as it is today that not every american is following it and so this is really a call to action we see spain we see italy we see france we see germany only see others beginning to bend their curves we can bend ours but it means everybody has to take that same responsibility as america is a president even. If its president it would follow the world least. In your conversations with russia and saudi arabia did you have to make any concessions to get them to agree to cut their production they did you agree to cut us talking well were going discuss that. They want to do that thats good for their country and we did not discuss that its going to be this is not easy he says washington d. C. Said to fire the captain of the u. S. S. Theodore after he raised red flags about the holy day to you know raid on his ship it appears as if hes being punished for trying to save the lives of the sailors and his command going with your guys all look were going to wait a little while because it isnt as a News Conference by the secretary of defense about that but you know i dont i dont agree with that at all not at all not even a little bit yeah i think you know this morning he said once again that new york got off to a late start and they should have pushed harder for governors and other state leaders say they

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