also talked about the pfizer anti-viral pill should be fast tracked. are any of those things under consideration? >> we're in touch with the city of new york as well as all officials across the country experiencing upticks. we've sent 30 ambulances to the state and accompanying personnel to help balance patient loads. we've used the defense production act and spend $3 billion to greatly expand the number of at-home tests. that's something that we've tapped into. the president will have more to say tomorrow in his remarks about our efforts to expand access. go ahead. >> senator manchin this morning said they put some things out that were inexcusable. they know what it is and that's it. do you know what he's referring to there and do you have a response to comments about the staff? >> i don't. i would point you to senator manchin to outline further. >> can you talk about the cost