Make a decision very quickly, very shortly a quarantine because its such a hot area of new york, new jersey and connecticut. Well be announcing that one way or the other fairly soon. Its not clear if the president has the authority to quarantine a state or a region. His incoming chief of staff tells nbc news theyre looking at all their legal options. Right now new york is the epicenter of the pandemic with about 50,000 cases, makes up nearly half of the positive tests in the u. S. But the number of cases nationwide continues to climb. There are now more than 119,000 u. S. Cases of coronavirus, the most of any country in the world. More than 1,900 people have died. Hospital workers in new york city tell us theyre fighting an uphill battle to try to save lives. It lis like a war zone. Were in a war with very limited resources. Every time i leave from the shift, i cry. After every shift i cry because of the pain i see. They still need ventilatorve. The fda has approved a faster test for the virus that could give doctors a better idea of how the virus is spreading. Id like to welcome a physician and and annie carney is the White House Correspondent for the knockout and alexis is Senior Editor for the at atlantic. I want to start with the president floating the possibility of a tristate quarantine. Is that under his Legal Authority to do . Thats not clear and andrew cuomo said he wasnt sure he had the Legal Authority to do so and didnt even understand how it would work. Both of governors of new jersey, new york and connecticut said theyve all spoken to trump in recent days and this is the first theyre hearing of it. It already raises questions about would this be challenged in court if he goes through with it. Does he mean limiting people only leaving the states or coming in . Its not clear it would even be effective at this stage. We talked to some scientists today and trying to report on what this would actually mean saying at this stage a news alert like that coming on to your phone if you live in new york would make you possibly leave quicker feeling that some kind of quarantine was coming toward you and i dont want to spend too much time on this given that were not clear on whether or not the president even has the authority to do this, but as someone who is tracking these numbers, would it even make any sense at this point in the game to be suggesting that this is a viable option . Well, i think you have to look at what other countries have done. Other country when is he says other nations, they did shut them off. They shut them off. Its not an ideal solution, it might not work, you cant announce it and send people scattering and then do it but youve got to expect this at some point in the United States. As long as were going to fight this on a statebystate basis and not nationally, youre going to have states that turn into hot spots and then what do we do . Theres constitutional issues, theres all these operational issues, but i think other countries have been a better guide for what to do with this outbreak than our own. If you look at what theyve done through time, this has happened in other places and i would expect it to happen in the u. S. , too. I want to talk about ventilators specifically because i know that is a big part of the concern on the part of medical professionals, this from pro publy ka. Patients will be on a support and all of a sudden they go on complete respiratory arrest and shut down. What we noknow medically is this virus will kind of smolder and people will have some symptoms and they dont even seem like theyre short of breath but when they get their blood oxygen measured, it pretty low that just giving oxygen through the nose and over the mouth is not enough. And then in a matter of even hours, the lungs can kind of essentially go into what were calling acute respiratory distress syndrome, ards, and its as if the flood gates have been released of informatiinfla your lungs and it highly unlikely getting of that is putting a tube in your mouth and not only are these ventilators cumbersome, but they take an entire team to operate them. It takes about three or four people to properly manage a ventilator. So were talking about something that just cant be ordered off a shelf and anybody can operate it. But it is critical to survival and people are not on ventilators for just hours. The average time is days. And were talking anywhere from 10 to 15 days on a ventilator. So to that point, doctor, there has been some discussion of patients needing to share a ventilator. What would that look like and to your knowledge has that been done before . Yeah. And actually, a colleague of mine kind of pioneered this. I dont want to say that she was responsible but a colleague of mine in las vegas, nevada kind of introduced the idea after the las vegas shootings where they needed to have kind of a quick traumaready solution to putting two patients on one ventilator and if you have two patients with confirmed coronavirus, its not optimal, its not at all optimal but its better than having one person get a ventilator and the other person doesnt. So its one machine and think of it as a ttube that actually shares the machine itself between two patients. But this is where were at. Were talking about fighting around quarantines when the truth is that weve got people in new orleans and detroit and philadelphia who desperately are going to have the same needs that we do and were being distracted by this insanity at the top. There seems to be a disconnect between President Trump and governors in terms of urgency around these ventilators. The president played down the need for event lateoventilators saying he doesnt think new york needs 30 to 40,000. How do you see the standoff playing out . Hes sort of switched on that and is invoking the defense act. Part of this is natural. Andrew cuomo has said 30 to 40,000. Hes envisions a worst Case Scenario when he asked for that number. The president has been a little all over the map saying doesnt think thats really necessary and justifying invoking the defense protection act by saying that other countries need ventilators. Today he said Boris Johnson asked for ventilators in the u. K. His latest stance is to command the private companies to start producing ventilators en masse. I want to talk a little bit about testing given that we had news today about the possibility of a test that would take 15 minutes. I want your sense of both how reliable those tests are and if they are reliable, how much of an influence that would have in these overall numbers. Absolutely. The test that was approved today is based on blood and it actually does in 15 minutes, it can actually measure kind of whats called the pcr or the levels of the rna that are in the persons blood. So we think its a more accurae way than just doing the national or oral swab. 15 minutes is still amazing where still today in some places when i order a test, it could take three to four days. This could be a game changer. Unfortunately were limited by all those may have chain parts. Abbott laboratory is one of the private manufacturers, but they can only have about 50,000 tests they think ready and the limitation, again, is all the supplies it takes to put together these test kilts ats a tab t obtain the samples. You have been singularly focused on tracking the number of these cases, tracking how many people have been tested. Why is that so critical as we look to get a handle on this virus . We just dont know where the virus is. I mean, thats the basics of it. We have numbers that are too small, which has made it difficult for people to make decisions. Basically the less testing you have, the more aggressive you have to be with other measures because you cant do targeted measures if you dont know where the virus is. I think the abbott test is great. The only problem according to people ive talked to is the throughput is not very high so youre not going to really see it in hospitals, youll see it in doctor offices and it will take a while for them to spin up. Were still looking at a week, two weeks and three weeks where we dont have enough tests. And in places that have begun to tests, we dont have enough results. California has twice as many pend beiing tests as completed. Thank you so much. Annie, i will see you a little bit later in the show. A week ago florida eavs beache were packed. Now theres growing concern the state could be the next hot spot for the coronavirus. Well see how the state is preparing. Plus, federal relief is on the way but will the 2 trillion package be enough to restart the economy. Well talk to a representative of congress about what more they can do after the break. I can save you. Lots of money with Liberty Mutual we customize your Car Insurance so you only pay for what you need only pay for what you need. Liberty. Liberty. Liberty. Liberty. From anyone else. So why accept it from your allergy pills . Flonase relieves your worst symptoms which most pills dont. Get allinone allergy relief for 24 hours, with flonase. And sometimes, you can find yourself heading in a new direction. But when youre with fidelity, a partner who makes sure every step is clear, theres nothing to stop you from moving forward. A partner who makes sure every step is clear, [ one morwoo me b[ laughing ]] woo play pop music no way dude, play rock music yeah woah no matter what music you like, stream it now on pandora with xfinity. And dont forget to catch trolls world tour. Lets party people one more time. When it comes to the Economic Impact of coronavirus, Small Businesses are among those hardest hit. Giving them a lifeline was a major aim of the 2 trillion stimulus bill the president signed on friday. Joining me is the representative of floridas 21st district. Congresswoman, thanks so much for being with us. I have to ask you right off the top, is this relief package big enough to do what it has to do to help Small Business owners . Hi, alicia. The House Democrats are working on a fourth supplemental. One of the things i was asking for, this direct payment adults are going to be receiving, theyre not receiving only a onetime payment. I was pushing for a sixmonth payment, 1,200 for adults making less than 75,000 is not going to far enough. I also discussed with the House Democrats that we need to make sure that we provide coverage for treatment of covid19. Many people that dont have insurance or dont have coverage have already told us that they are getting bills in the thousands of dollars for covid19 treatment. We want to focus on expanding coverage for treatment. Another thing that was not included in this package was support for our u. S. Postal service. We want to discuss that and l s election security. We are approaching an election in november. We want to make sure people can vote by mail if thats what they choose to do. We dont know how long this pandemic is going to last here in the United States. So thats another point of discussion. Were also seeing an increase of cases in florida. The state today issued a mobile alert asking people over the age of 65 to stay home. There are reports there arent nearly a enough testing kits in florida. How concerned are you about your home state being the next epicenter . For weeks i have been with the Governors Office because i knew just seeing what was happening in other areas of the country, we are such a spot for travelers, not only from cruise ships but also were called the capital of latin america here in miami. People are coming and going from all parts of the world, especially from latin america. We are over 1,100 cases in Miami Dade County. And this Public Health alert is when i saw that, i landed from d. C. A couple hours ago. We just lost a 40yearold healthy male in broward county. We lost a 63yearold nurse at jackson hospital. That doesnt go far enough. The window of opportunity is closing. I have been asking. I sent a letter to the governor over a week ago. I have been asking for strict stayathome order. If you drive around Miami Dade County, you see people are out and about. Again, we can get through this if we take decisive action. We need leadership at the National Level also, let me just mention that. But the governor seems to be following whatever the president is saying and it just dangerous. Ive had to clean up for a lot of those press conferences, believe it or not, locally. This is impacting just absolutely every industry. You signed a letter this week urging the usda to buy more produce from florida farmers a hearing produce is rotting away in the fields of south florida. What does this moment look like for floridas farmers . Well, theyve been telling us that they have lots of produce that are rotting and i have been urging along with my colleagues that local supermarkets purchase local produce. It just unconscionable to me we have local farming here in my district with produce that are rotting, tomatoes, green beans and other products as well and were seeing truckloads coming from other areas in the country. Im urging the usda theres a rule where they can enforce local markets to buy local produce, especially in cases of an emergency like were facing right now. Im also asking the Florida State supermarkets to focus on purchasing local produce. We have it, its rotting, our farmers need that help. We cant let our farmers behind through this pandemic. There of course have been the three packages that have already been passed, one more still under consideration, a fourth package focused specifically on health care. What would you want to see in that package, congresswoman . Well, lets start with enforcing the National Disaster act that the president has said he was going to utilize but he has yet to do that. Theres not a comprehensive National Strategy on how were going to be able to provide medical supplies for our health care workers, our front line workers. We need to ensure that they have the right equipment, they have the ventilators. I saw the press conference where the new york governor was showing his bottle theyre going to have to Train National guards to use in case they one run out of ventilators. Were the United States of america. We have been known to be leaders in getting us through these type of emergencies we should not be falling behind other countries i realize theres a demand not just here in the United States but globally but the last thing we hed to see is that governors and individual states are actually now competing against each other trying to get these supplies. So we need to ensure that the next package of funding to provide coverage for ventilators, ppe equipment, ive been seeing some reports locally from some of our nurses and doctors that they see their supplies are already running out. And let he say this one thing, alicia. We saw 1,100 cases right now in Miami Dade County that just popped up. A lot of these positive came from commercial labs. This was reported by jackson. It takes five to seven days for these tests to come back. So were a week hyped whbehind were going to be seeing here in Miami Dade County and in florida, the state overall. Congresswoman, thank you so much. Thank you, alicia. Part of the relief package we were just discussing aims to help those americans who have lost their jobs. Nearly 3. 3 million filed for unemployment for the first time last week according to the u. S. Labor department. Lets bring in william foster, the Vice President of moodys investor service. Hes also the former Senior Adviser for the u. S. Treasury office under president obama. Eddie glaude is an msnbc contributor. And annie carney is back with you i want to start with you, william, and get your take where the relief package succeeded and where it failed. It succeeded in terms of its size given the restrictions that congress has and it also is relatively well targeted given the need to focus on the most vulnerable segments of the income spectrum right now and those that are most at risk in terms of ability of losing their jobs and focus on Unemployment Insurance and medical coverage. Those are all very good things. The challenge is the sale of this hits the economy is just massive. Weve never experienced anything like this, a complete stop effectively of the economic engine. It its impacting everyone. So no package is going to be big enough to offset that. Its a good starting point at the moment but theres obviously going to be a very painful self months coming up with unemployment probably doubling from the current level. The hope is we can contain this, get through it and start the recovery. This is a shortterm stimulus that hopefully will get us through the next quarter but well need more if it persists beyond that. Eddie, weve heard from a lot of experts about how this is likely to be an uneven recovery with black and latino communities hit perhaps hardest by this. What does that mean for our society, for our politics, if the recovery is uneven and if it affects some communities more than others . Well, it will reveal, i think, alicia, what we already know and that is that we are a deeply stratified society when it comes to class. Weve known that wealth inequality has widened over the last generation. We know that those who are on the margins have fallen deeper into poverty and to some extent have experienced a kind of precarity. What were seeing is this virus, this disaster is actually exposing an ongoing disaster. There are 41 million poor people in the United States. 143 million americans are income insecure insecure. They are poor or low income. 52. 1 of American Children are in poverty. When you think about what that means because we know that poverty and inequality have a multiplier effect. It makes them more susceptible to the virus and makes everyone more susceptible to deadly effects of the virus. What were seeing are the fault lines of american capita