Transcripts For MSNBC Andrea Mitchell Reports 20240709

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it always happens the same way. the bluster and who's there and there? at the end of the day we will be unified for the american people. >> in just a few moments i'll get reaction to the speaker's comments from the leader of the large progressive caucus. she met with the president on wednesday. meanwhile the fda green lighted a pfizer booster for tens of millions of americans over 65 or with high risk health issues or younger pfizer recipients with moderna or johnson & johnson wait for word on when to get their boosters. joining me now is leeann caldwell and peter alexander. first what were the big takeaways from the big conference last hour? >> reporter: there were a couple. some confusing and more clear. she remains confident that she's going to pull everything together, that the party in the end is going to remain united on not only this bipartisan traditional infrastructure bill, but this partisan human infrastructure bill that is far from complete. she also says that she's going to take everything one day at a time and would not commit to holding that vote by the bipartisan infrastructure bill. let me back up. she committed in the past but today she would not commit to holding that vote on monday. what remains a little bit more unclear is she says that they have made great progress by creating a framework of how to pay for this $3.5 trillion human infrastructure bill. now, there's a couple things here. this is something that they have been working on for a long teem. there were some major disagreements between members of the democratic party on how to pay for it. we don't know what a framework means. is that a broad outline? are there details in there? how specific did they get? there have been a lot of disagreements and she wouldn't say how much that framework would pay for of the bill, $2 trillion or $3.5 trillion wort of pay fors but she is trying to show they're moving forward regardless of the challenges in the fractions of her party because she needs to keep the moderates and the progressives moving forward at the same time so ultimately they can pass both pieces of legislation both of which are major priorities for president biden and the democrats' agenda. >> peter, the white house is putting their faith in speaker pelosi to make this happen because she always does and the best voter kouptder but this is hard and obviously his legacy, potentially his whole presidency in terms of the midterms and the control of the two houses is really up at stake. >> reporter: yeah. i think that's exactly right. go ahead. >> sorry. i was just thinking about what we have heard from the meetings, that he said to the moderates, what is your top line to manchin and he wouldn't give him a top line and then he said the politics is the art of the possible. but some say this arm twisting is late but maybe not too late given how people react on the hill to dead loon pressures. >> reporter: i think you're right. as you know well in washington not much happens without a deadline and there's frustration that president biden didn't insert him, assert himself in this process until now but the big takeaway from the last hour was what in many ways a photo-op. janet yellen, chuck schumer, nancy pelosi standing side by side really for a matter of moments to show the strong and the solidarity and unclear what they are united on. nancy pelosi said they're going to take it one day at a time, this is about values and not dollars. yesterday in the conversations with joe manchin president biden said to manchin show me what dollar it is. what dollar figure you can work with here but the bottom line is for this white house they recognize that these divisions among democrats threaten to derail the president's and ultimately the drt democrats' priorities. polling showing that 2022 may not be good for democrats and the majorities already very thin could be erased in that period of time so they're trying to get there and many ways felt like an allusion and not clear what they have agreed to. bernie sanders saying that he was not aware of a new frame work agreed upon today. >> i also want to mention the crisis at the boarder which is now becoming critical really. it's just another one of the problems to president to face that the pictures of these haitians and the horses, however you interpret after they being under that bridge in 100-degree weather but then all of those indigties and particularly the border patrol on horseback led to the vice president having an unusual meeting with mayorkas and the readout said after the meeting it reads in part the vice president raised the grave concerns about the mistreatment of haitian migrants by agents on horses and the need of all cbp agents to treat people with dignity and humanely and consistent with our laws and values. having a vice president chastising a cabinet secretary. either she went rogue to get over the criticism on her leadership or signaling that he will be the scapegoat and the west wing wants a change. >> reporter: i was speaking to officials about this in the last ten minutes and they pushed back on the idea that she was chastising the homeland security secretary and the white house suggests that the two share those grave concerns but they were discussing them and wanted to communicate that to the american people which is why they put out the statement publicly but also does demonstrate the real concerns, certainly among the democrats and the progressive base and the frustration at the border that more is not done to change the past policies under the trump administration and so the white house insists that this is them being on the same page and there are no divisions on this and won't be the scapegoat on jit the language did read to us as pretty tough and been real tough criticism of the way that dhs, cpb have handled that situation right now. >> peter alexander, leigh ann caldwell, thank you. short days and i know you work around the clock. we appreciate the insights you bring to us every day. now the debate among democrats on capitol hill with washington congresswoman jiyapal and joins us now. you have said in the last couple days at least your caucus stands firm with you. nancy pelosi cannot operate without you. and your caucus going along with whatever compromise. we heard compromises from you or from the other side so there's got to be in the middle. there's a number in there that someone is going to have to agree on or you will see your president go down with nothing to show for these months. >> good to see you as always. thank you for having me on. i want to make clear that actually we already compromised substantially. as you may know originally the proposal for $6 trillion coming down to $3.5 trillion. >> i know. >> the number agreed to by all the senators to be passed the budget reconciliation package. so what the president said yesterday to the meeting of people before us including joe manchin and christin sinema as well as to us in recounting what he said was i told them they have to tell me what they want to cut. this is the same message of the speaker. we have put out what it costs to do the president's bill build back agenda. this is not a crazy agenda. this is the agenda that the president laid out and asked us to deliver to his desk. that is out there. we putt together the legislation to support that agenda. if somebody wants the now say we need less money we want to do less money then tell us what they want to cut. that's the first thing. second thing is call this a zero dollar bill because don't forget we are going to pay for all of us this tax increases on the wealthiest individuals and the biggest corporations to make the investments in child care, paid leave, housing, immigration, bringing millions of immigrants on a path to citizenship to bolster our economy as we need to do so those are the major things, climate change, that we are doing in the reconciliation package. so we need a little bit more time to get to this agreement and i think the speaker is working very hard with us and the president is engaging with all of us because at the end of the day the president told us clearly he wants both bills to the desk because this is the president's build back better agenda. the democrats' build back better agenda. >> let me acknowledge you started at six and then three and a half and broad agreement on the other side that three and a half is too big. you all the say it's paid for but there's always an argument whether the tax receipts will be realized. but is part of the criticism that the white house in particular hasn't talked enough and some members of congress have not talked about the variations that are hugely popular -- child care and other issues -- and caught up in the numbers debates and then everybody sees that headline but you don't see child care, extending health care, all of the things that are fundamental to what he ran on. >> i think that's a very important point about what the president needs to do now and what each of us needs to do now and senator sanders made this you are jeptly in the meeting yesterday. we need to make sure that americans understand what is in the bill. if you look at the polling on the bill 70% of americans support the build back better reconciliation package. they support it even more adding in the richest finally pay the fair share so we have broad agreement but i do think that continuing to lift up what we talk about, not the numbers. the numbers are only important because they're invest. s in delivering a result. where you wake up in the morning saying my familiar has paid leave now like every other developed country in the world. my family has child care. the costs are going down. i'm going to actually be able to take on climate change so that my kids have a planet to live on in the future so these are the thing that is we want people to feel tangibly good about. >> let me ask you a couple quick questions. there's some talk on the senate side to cut the number, the top dollar in half with a five-year plan instead of a ten-year plan. is that at all in the mix? >> that has been put on the table and i think some of the programs in the bill are for shorter periods of time. i think that that is an important strategy. rather than not making a program universal and having weird qualifications to see if you qualify for child care for example, i would rather make sure that we shorten the time frame. let americans see that we get the benefits immediately and how their life changes and then we can evaluate at that point and i think americans will realize we don't want to give that up. >> i'm inferring from what you said working with the speaker there's nothing magical about the monday deadline. do you think she would give you more time if she sees there's give and working on legislative language and pay fors and narrowing the distance? >> the speaker is a champion of the build back better agenda and she understands why these things are -- i believe that she already knows that we have been waiting for some kind of engagement from people to say we are not just against this but for this and if they want to come up with a smaller number i don't know how you do this for less but they should propose what do you want to do? what do you want to cut? not give child care or housing? what is it? then we can evaluate from there but we need more time and i believe we'll get this done and deliver both bills to the president's desk. >> thank you so much. i know you are really busy and thank you for taking time for us today. >> thank you. who gets that boost? the fda waiting on the okay from the cdc to get a third dose in more arm just the specifics of who will make the list and if it is safe to mix and match. stay with us. voiceover: riders. wanderers on the road of life. the journey is why they ride. when the road is all you need, there is no destination. uh, i-i'm actually just going to get an 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♪♪ in business, it's never just another day. it's the big sale, or the big presentation. schwab! the day where everything goes right. or the one where nothing does. with comcast business you get the network that can deliver gig speeds to the most businesses and advanced cybersecurity to protect every device on it— all backed by a dedicated team, 24/7. every day in business is a big day. we'll keep you ready for what's next. comcast business powering possibilities. the cdc advisory committee just begun the meeting on who is going to get a covid vaccine booster shot meeting after that announcement from the fda approving third doses of the pfizer vaccine. among those who would be able to get a booster people 65 and over, high risk of severe illness and people in health care worker just the fda say that is third shot should come at least six months after a second shot. joining me now is a senior scholar at johns hohn can i bes for health security. doctor, thank you so much. this isn't a done deal yet but moving in that direction. they could be getting shots the next of days so how big an impact will this have? >> i think a big impact on those people that want to be more secure in their immunity and i think it's important that this was a data driven, scientific decision where the fda really pares down. now it's 65 and up and high risk individuals and it's important to remember the third doses are great but won't change the pandemic. it is first and second doses that prevent hospitalizations and deaths and we have to remember that there's still a large swath of the population not vaccinated and that are crushing hospitals in some parts of this country. >> we understand people can get it within a two or day and then the drugstores have it and we are talking about pfizer but there's a mix and match cown fusion to get a booster from a different vaccine than you originally got from the j&j or the moderna. what do we know about that? >> i do think it's going to be safe. some countries had to do mixing and matching. there's some data that shows mixing and matching vaccines of two different tech knowledges like johnson & johnson and the mrna vaccines or astrazeneca that is available in other countries and may boost the immunity more. i don't think that this strategy is ready for prime time yet. we need more data but something we might seed with second generation vaccines. right now it is probably going to be people that got pfizer should get the pfizer booster. people that got moderna, moderna. j&j, j&j. >> and wait longer for moderna and probably longer still for j&j. then our nbc news data team revealing that the latest spike in covid cases fueled by delta may have peaked last week. there's a decline in nearly three months. do you agree if the data hold up we might have some hope that we are past the worst of delta? >> i think in many states hit hard with delta peaked and coming down and florida, for example, comprised a huge component of cases seeing in the united states so as the south gets over the delta surge you will see that in national numbers falling. cases are going up in alaska and idaho, kentucky. but overall the national picture looks better. delta comes fast and then there's enough immunity between those people infected and vaccine induced immunity that it falls away. i think it's important to remember that we are coming into fall and may see acceleration of cases les sunny and humid and people are indoors. we aren't done with this pandemic. >> doctor, let's hope that people are listening to your advice because it is always such sound advice. thank you. complete collapse. police reform falling on the hill. the latest setback for the president and the millions that demonstrated after the death of george floyd are hugely disappointed. former white house chief of staff john podesta joining me ahead. ahead. it was devastating. one of my medications is three thousand dollars per month. prescription drugs do not work if you cannot afford them. aarp is fighting for americans like larry, and we won't stop. that's why we're calling on congress to let medicare negotiate lower prescription drug prices. a lot of snacks are packed with air but not planters nuts. our dry roasted peanuts have an incredible ratio of size to substance a delicious, salty, crunchy ratio. planters. a nut above. at the end of the day we -- senator scott and i had a gulf between us we cannot close i believe fundamentally. we have to have transparency in policing, accountability, when police should do awful things there should be accountability and might have higher professional standards. we weren't there. >> after a year of negotiations police reform talks collapsed overnight. democrats and republicans alike pledge ablgs in the wake of george floyd's murder and the anger against police brutality but talks fell apart when moneys failed to budge on proposals for police liability especially after a divide on the issue among police unions. joining me now is eugene scott for "the washington post." such momentum last summer. then 15 months of negotiations and the republican false narrative that this was all defunding the police which democrats' leaders fiercely oppose because that's not what is issue is and all came crashing down. >> absolutely did. i think an important thing to remember is both parties have very different bases with different values and priorities coming to policing. we know that a significant voting bloc for democrats is black voters that made it clear they wanted to see more strict and harsher guidelines for police officers in light of the murders we have seen and the gop who cater to a party that really believes defunding the police is going to put the public safety of americans at risk. could not find common ground with responding to this issue. >> the white house promising to have the justice department tack actions against individual police departments as they do executively and can't begin to have the force of a law to bind all 50 states and jurisdictions. >> absolutely not. that's why there's pressure to encourage the president to prush democrats to get rid of the filibuster so that changes can be made that would implement some policies and guidelines that would put pressure on local police departments in a consistent way to protect as many people as possible. >> thank you, eugene scott, on a huge disappointment to a lot of people. police reform is just the latest piece of the biden agenda to stall in this congress with voting rights, new gun laws, immigration law, raising the minimum wage and potentially infrastructure, running up against the slim majorities in congress. divisions within the democratic party and an unwillingness by progress is and republicans led by mitch mcconnell to reform the filibuster to get the agenda passed. to say nothing of the dead ceiling. joining us is john podesta, former white house chief of staff for bill clinton and someone that knows the turn as well as anyone. we've always seen the congressional deadlines and continuing resolutions but the debt ceiling, three times the debt ceiling under donald trump. democrats came together. for mitch mcconnell to say that they won't give a single vote for debt ceiling and not let them pass it with their 50, is just extraordinary. >> it is extraordinary and it's playing with fire quite frankly. to cause the country to go into debt will cost this country a massive amount of economic damage, loss of jobs, et cetera. to think that a party that was willing to accommodate donald trump's tax cuts for the wealthy by raising the debt limit three times won't put a single vote up to raise the debt limit in a time of continued crisis because of the covid epidemic and the need to support the economy is quite extraordinary. it shows frankly the neolism in this party they just want to prevent president biden from doing what he's pledged to do which is to take the country forward. >> john podesta, there's so much democrat infighting and no one has better progressive credentials than you did with the fighting for climate change proposals but you are saying in a letter that they should compromise now, accept a pared down version and telling mod rats to commit to passing both packages. do you see a way that they could come together? >> frankly, there's been some progress on that just in the last two days so i perhaps expressed my frustration in that note to democrats on the hill. this is an issue that is in their hands and can and deliver both bills. the bipartisan infrastructure bill and accompanied by the set of investments the president talked about. i'm focused on the major investments in changing our economy to deal with climate change, to meet the president's pledge to cut emissions by 50% by 2030 and so much more in the billion that the american people want from child care and support to keep kids out of child poverty, to health care to expanding medicare so they -- it is clear that i think $3.5 trillion bill will not pass the senate and it is time that all democrats -- i don't think the republicans will help on this just like they're not helping on all the other irses you americaed, that democrats come together. find a way forward. settle on an amount. decide on the adjustments to be made in the house and the senate. and move forward with this. we're code red on humanity on climate. if we blow this chance we'll go into the international negotiations in glascow with nothing to show. i think it will be a moment where we have let down future general races and up to democrats i think to be the adults in the room to come together to find a way to bridge the divisions between the moderates and the progressives. i of course support what the progressives are trying to do but that won't pass the senate so let's settle on a number and make sure these important priorities that the american people want, expect and that president biden promised are in included. if they have to be trimmed a little bit trim them but get going. >> john podesta, let's get down to that because manchin wouldn't give the top line in the meeting with the president but seems to be and something closer to 1.5 trillion or 2 trillion. if they compromise on the number manchin said he won't compromise on climate so something you dearly care about because you think it's urgent and code red. what about his insistence that if you need 50 votes in the senate and he said he won't do anything on climate, how do -- >> i don't believe that actually. i think that probably mischaracterizes his position. i think that he's definitely wants to go slower than i want to go. i don't think there's any question about that but he recognized not a climate denier. he recognizes that this is -- we are seeing it all over the country in the fires in the west, the floods in the gulf and the northeast. the heat we have as, did drought. we experience impacts of climate right now. we have to change how we power our economy. i think he knows that and wants to get some -- wants to ensure that the people of his state have an economic future but i think the bill promises that so there's plenty in there to reduce emissions, major support for electric transportation, for building out renewable power and i think in the end of the day he can be persuaded to support that. >> john, thank you so much. it is always good to hear from you. >> thank you. democrats divided as we have been discussing the party infighting about the size of the spending deal, the arm twists of the president break the impasse? coming up senator shaheen who was in the room will be next here on msnbc. d her kids moved in with us... our bargain detergent couldn't keep up. turns out it's mostly water. so, we switched back to tide. one wash, stains are gone. [daughter] slurping don't pay for water. pay for clean. it's got to be tide. ♪ ♪ ♪ what a lovely day ♪ ♪ woke up on a vibe y'all ♪ ♪ i'm a winner, i can feel it in the city, yeah ♪ ♪ happy when i breathe i ain't it ♪ ♪ roll the dice with the seven, hit eleven ♪ ♪ hit a seven, hit eleven again ♪ ♪ it's my lucky day ♪ ♪ my lucky day ♪ ♪ my lucky day ♪ ♪ my lucky day ♪ ♪ my lucky day ♪ visit kohler.com. people were afraid i was contagious. i felt gross. it was kind of a shock after i started cosentyx. four years clear. real people with psoriasis look and feel better with cosentyx. don't use if you're allergic to cosentyx. before starting, get checked for tuberculosis. an increased risk of infections —some serious— and the lowered ability to fight them may occur. tell your doctor about an infection or symptoms, or if you've had a vaccine or plan to. tell your doctor if your crohn's disease symptoms develop or worsen. serious allergic reactions may occur. learn more at cosentyx.com. at humana we believe your healthcare should evolve with you and part of that evolution means choosing the right medicare plan for you. humana can help. with original medicare your covered for hospital stays and doctor office visits but you'll have to pay a deductible for each. a medicare supplement plan can cover your deductibles and coinsurance but you may higher premiums and still not get prescription drug coverage. but with an all-in-one medicare advantage plan you could get all that coverage plus part d prescription drug benefits. you get all this coverage for as low as a zero-dollar monthly plan premium in many areas. humana has a large network of doctors and hospitals. and telehealth coverage with a zero-dollar copay. so call or go online today and get your free decision guide. discover how an all-in-one humana medicare advantage plan could save you money. humana a more human way to healthcare. ♪♪ (vo) the rule in business used to be, "location, location, location." now it's, "network, network, network." so you need a network that's built right. verizon business unlimited starts with america's most reliable network. then we add the speed of verizon 5g. we provide security that's made for business and offer plans as low as $30 per line. more businesses choose verizon than any other network. we are open and ready for you. ♪ when you hear 'cough cough sneeze sneeze' ♪ it's time for ♪ 'plop plop fizz fizz' ♪ alka seltzer plus cold relief, dissolves quickly... instantly ready to start working. so you can bounce back fast with alka-seltzer plus. the key to the budget stalemate in the house and debt kreeling is the 50-50 senate and the refusal on reconciliation. at least two moderate democrats to stand with house colleagues. with us now is senator jeanne shaheen. thank you for coming. i know it's noisy there. did you hear any give in those meetings from the two colleagues to try to come to a deal? >> i think it was a productive meeting, and i don't think anybody wants to kill the reconciliation bill and the infrastructure bill. people have worked too hard on that. we ought to be able to get to a compromise. i think that's what serve aiming for and what i count on happening so i expect we'll continue the discussions and come to some sort of an agreement. >> i want to talk to you about immigration and haiti. the special envoy quitting writing i will not be socialed with the united states inhumane decision to deport thousands of haitian refugees to haiti where american officials are confined to secure compounds because of the danger posed by armed gangs in control of daily life. jen psaki just pushed back. let's listen to her. >> i would note that special envoy foot had ample opportunity to raise concerns about migration and never once did so. his per view was being the special envoy on the ground. his positions were and his views put forward and heard. different policy decisions were made. >> do you have a takeaway? >> i think it's disappointing that the special envoy resigned but the reality is and i share the frustration and concern of the millions of americans who have looked at what's happening at the southern border and with those haitians. but the reality is we have a broken immigration system. and until we fix it we are going to continue to see those kinds of heart breaking scenes so what we need to do in congress is to start working together to effects the immigration system. >> but that's just another of the issues of course with the senate parliamentarian that can't be included in reconciliation. we saw police reform fail. i thought there's a way with the time left to have a standalone immigration bill, something protection even for the dreamers with the time left. >> i hope we might be able to take up the temporary protect i have status for some of those folks in the united states and also the dreamers but again the reality is we need to fix this immigration system. it's not just about the southern border but also about the contributions that immigrants make to this country. look at the dreamers. so many of those young people who are in college and medical school and the military who are giving back to this country. the only country they have ever known and yet we say to them you have to go back to a country that you never knew. that doesn't make sense. it is not what's in the best interest of america and what we need to do is encourage our colleagues on the other side of the isle to start doing not what's partisan and in the best interest of the republican party but the best interest of the united states of america. >> i want to ask you about the havana syndromes, misnamed but you sent a letter to the secretary of state about the care, frankly the lack of care that state department employees have been getting and you've seen the firing of coordinator after a few months on the job. >> i thought that was an action that was positive in terms of providing the care that people need and sadly what we still hear from employees at the department of state who have been injured by this syndrome, these directed energy attacks is unlike some colleagues that work for cia or department of defense they have not gotten the same care. that needs to change. we have got to continue to support those american dip plo mats and personnel who served overseas at great sacrifice to themselves and families who now many won't be able to work again. we need to ensure they get the benefits that allow them to continue to provide for their families and themselves. >> do you have confidence in the white house and the cia that they are beginning to change this if the state department is not? >> i do believe that and i think as you pointed out the firing of person put in charge of trying to address the concerns on the part of state department employees is a positive sign that the state department sees there's a problem and intend to do something about it. i think it's important for us in congress to continue to raise the concerns as long as we are hearing from people who are affected that they're not getting what they need. we need to continue to raise the concerns and i appreciate your raising them in this interview and others so that we can talk about what's happening to people. >> i know that many of the victims really appreciate your leadership on this from the very beginning. you and your incredible staff. thank you very much. shot in the arm. president biden pledging half a billion more covid shots to nations in need. what more needs to be done to stop the global spread? read r yo. whether you need a single line or lines for family members, you'll get great value on america's most reliable 5g network. like 2 lines of unlimited for just $27.50 a line. only at t-mobile. tide pods ultra oxi one ups the cleaning power of liquid. can it one up whatever they're doing? 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"the addams family 2" playing october 1st. it's your home. protection so good it's scary. and there's no place like wayfair to make the kitchen sink, the entertainment center. however you make it, make your next project like no other. did you know some deodorants may not last all day? secret works immediately! and is designed to last for up to 48 hours. with secret, keep it fresh. available in over 10 amazing scents and aluminum free. secret millions of vulnerable americans struggle to get reliable transportation to their medical appointments. that's why i started medhaul. citi launched the impact fund to invest in both women and entrepreneurs of color like me, so i can realize my vision and give everything i've got to my company, and my community. i got you. for the love of people. for the love of community. for the love of progress. citi. the president and dr. anthony fauci keep saying we will not get ahead of the pandemic here in the u.s. until the rest of the world is vaccinated. which is why president biden announced wednesday that the u.s. is donating another half billion doses to lower and middle-income countries, pfizer, that's critical because although more than 6 billion dose of vaccines have been administered worldwide those shots have gone to the wealthier nations and the vaccination rate here in the u.s. is also fallen behind some of our allies because of vaccine resistance in so many parts of our country. here with their special expertise on all of these issues dr. vanessa kerry the ceo of seed global health and kathleen hall jameson at the university of pennsylvania who has some great new data on vaccine resistance here in the u.s. dr. kerry, first to you. the president is promising $750 million for global vaccine distribution. where is that money most critically needed? >> it's a terrific question. i think the reality is that we have to get very real about what that means to donate vaccines is one thing, it's incredibly powerful, there is a vaccine scarcity, but for every dollar donated to vaccine it's going to cost $5 to deliver that vaccine and half that money -- excuse me. >> that's okay. >> half of that money is going to be -- perils from working from home in a pandemic. half of that money for vaccine delivery is going to be due to training a health care workforce. there is a lot of discussion yesterday about the infrastructure and the tools and the vaccines that were needed, but little -- not as much sort of discussion about what it means to deliver those and health care workforce that has been on the front lines of this covid pandemic. i think we need to be very thoughtful about what it means to get the shots from tarmacs into arms. >> let me follow up with you on that because you have such expertise on africa because of seed global health which is a volunteer program, a medical peace corps if you will, you send doctors in, volunteers to train doctors in some of these countries to then take over themselves on delivery but pfizer needs that refrigeration and these are countries with such poor infrastructure, the electricity, the generators for freezing. is pfizer the right dose to be going? >> look, to perpetuate the idea that we can't deliver vaccines in any place in the world i think is a false hood that sets us up for failure. we can deliver vaccines anywhere we choose to. we are looking not just at a funding app but looking at a solidarity and political will gap. we have the ability to do this if we choose to and the head of the african cdc has said it himself. give me the vaccines i will find a way to get it into the arms if we partner and figure out what the barriers are. it's surmountable. it is true, we need to worry about our energy grid and we need to worry about those pieces that are critical to making a functional health system. but those are fixable problems. those are investments that can be made, that can be, you know -- that makes it possible to deliver these vaccines. the reality is there's just a critical shortage of vaccines and there's a critical shortage of health care workers and others who are needed to deliver that vaccine. we need to get really real that we live in a world that is very connected, we are not safe until everyone is safe and that means really thinking what it means to strengthen health systems globally not just for today but for the next pandemic and to really, you know -- we're losing $20 trillion to covid a year at this point with the rate we're going. the investments we need to fix that generator and to train the health care workers is much smaller than what we're losing every day. so it's really a question of prioritization and sort of the audacity to realize that we can fix this and to take those steps to do it. >> those are such important points, kathleen. one of the problems that i have a hard time getting around is this vaccine resistance here in the u.s. here we have supplies, it's free and we still see these incredible numbers of people just resisting and then we see these death bed confessions, i wish i had known, and families -- then their immediate families discover it but it's too late. >> one of the things we know is direct experience with covid and with death from covid is a predictor of likely to vaccinate. the unfortunate fact is as more people have that direct experience, that's a very high cost to pay to increase the likelihood of [ inaudible ]. >> what is your data showing, dr. jameson, about why people still resist? >> we know that those people who have high confidence in science and the institutions that communicate science, fda, cdc, nih and a spokesperson such as dr. fauci are far more likely to vaccinate, far less likely to have misinformation but we know that those people who have lower trust are more susceptible to misinformation in part because the sources they're turning to are giving them the misinformation, but one of the things that's hopeful in our survey is that there still is very high trust in your primary care provider. so one question we should be asking is how can we increase the likelihood that everybody who is vaccination hesitant is in touch with a health care provider that they trust? if they don't trust the cdc, fda, dr. fauci, well, the person they're willing to trust is the health care provider at home that person should be talking to them and saying this is the bottom line, getting covid is far, far, far riskier than any very, very, very small risk associated with vaccination. >> and briefly, do you think that people are still persuadable? a significant proportion to get us back up over this bar? >> when we look at the data we see the number of people who are misinformed across the line, everyplace you turn for a piece of misinformation they are on the wrong side of the answer. that's actually a relatively small part of the population. so the request he is how do we take those who are unsure when we ask the question instead of getting the answer right or getting the answer wrong they say i'm not sure. those are the ones who are potentially susceptible and they're susceptible to interventions from people they trust. so those of us who have family members and friends who have not yet vaccinated, we are potentially trustworthy sources, the question is can we communicate to them that we've gotten the vaccine, we are just fine and remind them of the deaths and tragedies of those who have not. >> kathleen jameson, thank you so much, dr. kerry as always, seed global health, a great project the nonprofit you run. that does it for us for this edition of "andrea mitchell reports." follow us online on facebook and twitter @mitchellreports. twitter @mitchellreports when you really need to sleep you reach for the really good stuff. new zzzquil ultra helps you sleep better and longer when you need it most. it's non habit forming and powered by the makers of nyquil. new zzzquil ultra. when you really really need to sleep. at usaa, we've been called too exclusive. because we only serve those who honorably served. all ranks, all branches, and their families. are we still exclusive? 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