a new travel advisory in one state this morning. county officials in missouri now urging anyone who was at this pool party in the ozarks to self-quarantine for 14 days. we're about 30 minutes into the trading day on wall street with andrew cuomo ringing the opening bell to celebrate the stock exchange partially reopening the trading floor today for the first time in over two months. let's start with hans nichols at the white house and ron allen. what can you tell us about the administration's new testing strategy and the pushback that it seems to be getting? >> reporter: it's not necessarily a new testing strategy. in many ways, this is the old strategy that's long been state-driven. what's new here is that they had to report to congress under the c.a.r.e.s. act and they memorialized their strategy and that's a state-led strategy. if there's one bit of news in here, it's the idea that they're going to buy a hundred million cotton swabs bur, but it's the states that are going to be responsible for the testing. by the end of the summer, they think they can get to a position of 40 to 50 million tests. now, as you mentioned, democrats not pleased about this. joint statement from senator chuck schumer and house speaker nancy pelosi saying this report confirms that president trump's national testing strategy is to deny the truth. if there aren't enough tests and supplies, reject responsibility and dump the burden onto the states. what's interesting about that statement, talking to white house officials this morning, i'm not necessarily convinced that they would disagree with large parts of it, that is the white house thinks this should be a state-led strategy. they think the democrats are politicizing it. but their point on this has always been that states are the better point of contact for the testing and they'll help with supplies. ayman? >> let me ask you about another grim milestone that we're approaching, the 100,000 deaths. i want to play for you what the president said throughout the month of april. watch this. >> the minimum number was 100,000 lives and i think we'll be substantially under that number. >> minimum numbers of 100,000s and i think we're going to beat that. 100,000 deaths, can you believe that? it looks like we'll be at a 60,000 mark. minimal numbers, we're going to be 100,000 people and hopefully far below that. >> what is the white house saying now as we approach this devastating milestone? do you think they're going to stop particularly this president trying to give those types of projections that we see there? >> reporter: i hesitate to guess on whether or not the president will revise his predictions. he's been all over the place on this. in general, when you ask white house officials about why the president may be downplaying the threat or whatever sort of optimism the president may be promoting, the line you get, the president wants to be an optimist. the president himself has said this. this seems to be a growing level of distrust on the models. and initially the models that they were talking about had 1 million to 2.2 million. then they went back to this 100,000 to 220,000, saying only if they do everything perfectly. the minimum number, as you heard the president say, is 100,000. it looks like they're going to be in the middle range of that. nothing formal on the crossing of what is a significant number of 100,000 dead americans. >> maybe a dose of realism to go along with that optimism would be great for everyone. thanks for that. some good news where you are, d.c. now back on track after reopening with a little bit of a setback, i understand. where do things stand this morning? >> reporter: yeah, ayman, tomorrow is now the new day 14. local officials have been real sticklers for trying to hit that metric of 14 consecutive days of declining coronavirus cases. they thought they were close. the 14th day should have been yesterday. but over the weekend they saw a spike which set the clock to day 11. we're on the count again with tomorrow the expected day 14. all of this comes as the d.c. mayor says that friday is the beginning of the city's reopening. we're expecting to hear from her in about an hour to see if the spike over the weekend changes anything about those plans. but key to all of the reopenings here in d.c. but across the map are testing and expanded testing capabilities. i want to show you the line here because it is now around the block as testing d.c. is expanded to people, they have to make appointments, but they're able to come. if they're asymptomatic they don't need to have a doctor's note. it's a part of expanded testing in d.c. as the city tries to up the testing abilities. and i spoke to the first woman here in line who told me why she was here. it's not because she has symptoms. it's not because she thinks she's come in contact with anyone, it's because knowledge is power. listen. >> i have loved ones i want to make sure everybody is safe. you know, for me, you know, just in case. i want to make sure everybody is safe. >> knowledge is power. >> exactly. >> and we've been traveling to testing sites in maryland, for example, where i've been meeting a lot of people with the same thing. they might be asymptomatic, but they want to know what their risk level is before they get back out into their communities. i will say, i asked the woman in the car if she thought it was time for d.c. to open, she said she understood the economic toll that's been taken right now on americans across the country, but she's looking at the death toll and she's really urging people to stay careful, even as things start opening up, social distance, wear your masks. that's something that she's concerned about, even as she hopes to see reopening soon. ayman? >> let's go over to ron allen who is in new rochelle which was once a coronavirus hot spot. it's expected to reopen this morning. may have started reopening earlier today. what can we expect to play out there? what are folks telling you about this reopening? >> reporter: well, ayman, it's a big day here because as you pointed out, new rochelle was a hot spot in the middle of sit down. i remember being out here in march when we were just getting started with all of this and it started with a nearby private school that was closed down and then you'll recall there was a number of cases that were traced to a local attorney here to this day is unclear how he contracted the virus. but it's a big day here. construction manufacturing opening in phase one. but they're looking forward to phase two. with me is kathryn white, the executive director of the chamber of commerce here. it's a big day. >> it's a big day in new rochelle. there is more traffic on north avenue today, it's a big, big day because it shows that everything is moving forward. it shows that we've turned a corner and things are moving forward. >> reporter: how bad has the impact been here over the last two months? >> i won't deny that it's hurt, but every city in the state of new york has been hurting. our businesses have turned out but it's been an opportunity to see the public and private partnership between the city and different businesses and not for profits, to see the way new not for profits have sprung up to help the businesses. i want to help businesses get gift card programs going to help them out. >> reporter: when i spoke to city officials, they were saying how phase one is a setup for phase two, it's the beginning. phase two is more businesses, restaurants. >> restaurants will be in phase three. >> reporter: so the way this works is, you have to complete phase one in two weeks and you can move to phase two. >> the most important thing is to keep the numbers down. new rochelle has been excellent at that from the start. everybody has been willing to take the extra steps to do that. and we need to maintain that through phase one so we can get to phase two. >> reporter: all the best here. it's been a junior here and in so many places across the country. there was a containment zone, this was a hot spot and now they're reopening and starting the journey back. >> ron, thank you so much. thanks, guys. joining me now is an msnbc medical contributor. it's great to have you with us. let's start by getting your reaction, if i may, to this 81-page testing plan that has been put out by the white house, so to speak. what stood out to you the most? >> good morning, ayman. you know, the -- the medical and public health communities have been saying for a -- really right from the beginning, this is a nationwide problem. it's affecting every state. what we're still seeing is a patchwork of implementation in terms of really addressing this pandemic. and the federal government is still putting the responsibility down to the individual states. when we know that this is a national problem and we know that the virus is clearly active in the community. and we can tell this because of the number of cases and deaths sadly continue to rise every single day. so that's what's kind of concerning to me. but as long as we see widespread testing in a strategic manner as well as practicing key public health measures such as the physical distancing and the handwashing and face coverings, those are the really key messages that we need to practice consistently. >> some experts have taken issue with a part of the report that asserts continuing to test about 300,000 people a day by targeting only those likely to be positive would be enough to contain the outbreak. does that make sense to you? if not, what should the daily number of testing be to make us all feel comfortable that we have the situation under control? >> thanks for asking that. so 300,000 is not a sufficient number if you go by the data, go by what the public health experts like dr. fauci and dr. birx and others have said. we need much higher testing than that. i'm guessing at this point probably at least a million. and going back to who should be tested, yes, we do know there are certain categories of people that are at higher risk, people in constructional facilities, nursing homes, homeless shelters. that said, we need widespread testing because at the end of the day there's really no way of predicting who is going to develop an infection. and, remember, a lot of the transmission is occurring asymptomatically. so people like you and me who are not exhibiting any symptoms could very well be spreading it to others. so that's going to be the key as to -- and the rational as to why we need widespread testing. >> let me ask you quickly, if i can, we have the world health organization basically saying that they're halting their global trial of hydroxychloroquine in large part because there's been significant risk involved in that testing. obviously, that is a drug that's made a lot of headlines here, particularly because of the president of the united states. but does this essentially close the door on hydroxychloroquine being a treatment or a game changer on this pandemic or in this pandemic rather. >> i'm glad you asked about the hydroxychloroquine. i hope it puts an end to this discussion. that w.h.o. report was based on "the lancet" study. they looked at over 96,000 patients who had covid-19 infection around the world and the study concluded that hydroxychloroquine had no benefit into the treatment of covid-19. in fact, it was associated with an increase in hospital mortality as well as an increase in ventricular cardiac arrhythmias. it's not a medication that's safe to take unless it's prescribed by a doctor for patients with rheumatoid arthritis, lupus or malaria. >> thank you. now 160 days until the presidential election. the two candidates in public at the same time for the memorial day holiday and setting up a very stark contrast ahead of what's going to be a very unusual summer and campaign season. jackie spear on where things stand on a fourth round of coronavirus relief. lights, camera and action, hollywood awaiting new guidelines from california governor gavin newsom about when they get back to business. uh uh, no way come on, no no n-n-n-no-no only discover has no annual fee on any card. that liberty mutual customizes your insurance, i just love hitting the open road and telling people n-n-n-no-no so you only pay for what you need! [squawks] only pay for what you need. ♪ liberty. liberty. liberty. liberty. ♪ on the day to remember our fallen heroes, a glimpse of the next phase in the presidential race in this country. president trump and former vice president joe biden making public appearances to mark memorial day. for biden, it was his first public appearance in two months. two different portraits of leadership from biden's mask to trump's messaging on all of this. joining me now is mike murphy an msnbc political analyst. mike, always a pleasure to talk to you. i want to with what a lot of people are looking at as somewhat bizarre. the president taking aim at a number of opponents including joe biden where he retweeted one that zeros in on biden's decision to wear a mask in the middle of a pandemic. why does the president see a political advantage in this type of messaging, in this type of idea of resisting masks in public? >> yeah, look, the president, through this whole pandemic, has had a gift for doing himself harm. most politicians when faced with a crisis like this, show leadership. you can see the polling numbers go up. it's been the opposite for the president and often on a holiday which is such a coarse time to do things like this. he's bored and frustrated. it goes from dr. hyde and twitter worse hyde. and to ridicule biden for doing the sensible thing that every public health expert tells us to do is a cheap shot, but unfortunately it's what we come to expect from this president. >> we know this president relishes large crowds and being among his base. the president is threatening to pull the rnc from north carolina unless the governor allows full occupancy. can you see a scenario where that actually happens and we have a packed rnc while the democratic convention is partly or completely virtual? >> well, you know, with president trump, you can't rule out any outcome. but it would be different than ever before. i felt bad for the people at the committee on arrangements which is the part of the republican party in charge of planning the convention. they were blindsided by their own candidate. my guess is the governor of north carolina will call his bluff because logistically it's hard to move the convention and frankly i think it's a political vulnerability. the democrats are set up to go effectively on the attack saying, mr. president, you're trying to muscle the situation where people's health is at risk. you're going to put cops, 10,000 police and security personnel in a cramped arena to protect you and expose them all unless you have them in controlled ppe which makes it hard for them to do their jobs. i think this can be a political swamp for the president. >> let me ask you about the economy. this was a president who relished in the economic numbers over the past couple of years. he was going to base his re-election strategy on the economy. but the economy now as a result of this pandemic has struggled. we're seeing the unemployment numbers skyrocketing. but on one hand, the average america is being hit hard as a result of this. but you also have people like the fed chair and the president saying you know what, the fundamentals of your economy are good. we'll rebound, we'll recover from this. how do you think that's going to play out come november? >> well, that is a very, very big question. i'm afraid there will be a little democratic panic now after some of the political article mentions that because some economists say we could have a fast recovery, other economists are predicting the end of the known world. i'm reminded of the joke john mccain used to say, harry truman wanted a one-arm economist. i don't know what the future holds. we know there's going to be economic pain. people are feeling it right now. what the recovery takes, i don't know. but what i would caution people who overreact to this data, whether it's bad, better, awful and stays awful, is the president's polling numbers were bad long before the pandemic. the pandemic has made them worse because as a consecutive, yet a trump critic, he's failed in office. it's trump's performance and persona that has driven the election. and my republican party has gotten its clock cleaned in almost every election since the day president trump was sworn in. so the problems are bigger than the economy and the outcome of the election are not going to be driven by what kind of potential recovery we have at the end of the year. the public health people tell us we could have a second wave as well. it's a referendum on donald trump, that's what this election is about. and currently, anything can change, the president is failing that referendum, every poll shows that. >> let me ask you about a very important issue as well also affecting your home state because this could be a pivotal moment in our country's history and that has to do with mail-in voting. the rnc, other groups suing california to stop a move towards mail ballots for all voters as the president talks about the nonsense of rigged elections. the president himself voted by mail in 2018 and there aren't widespread allegations of voter fraud when it comes to mail-in ballots. where do you see this going? >> well, again, this is a fascinating one because -- and i have to quickly -- you wouldn't have known this. my home state is michigan. i'm from detroit. i live in los angeles, california. and republicans in california for a long time have been extremely happy with vote by mail. we often did better with mail-in ballots and we have programs to encourage people to register by voting by mail. this was a thing seen as good by the republicans. the president doesn't like it because he doesn't read the briefing books and he doesn't understand that it's not universal vote. he thinks that -- he has some warped view in his mine the democrats pull up and they give every hobo nine letters to mail. that's not the way it works. in a pandemic, you got to let people vote. the idea that the republican party has to be afraid of vote by mail is absolutely ridiculous. we got to be afraid of donald trump's potential fortunes which may drag the senate down. he's going to scream and howl and do a lot of things. but secretaries of state control this as he's going to learn in michigan where they're going ahead, mailing not ballots to people, but an application to get an ballot. and republicans know it's really not a problem. >> we'll shee how it all plays out. i appreciate it. one big city mayor warns strict social distancing could be the norm for at least the next six to eight months as shelter-at-home restrictions are being lifted around the country. we'll talk to him about why he's urging caution. tempur-pedic's mission is to give you truly transformative sleep. so, no more tossing and turning. because only tempur-pedic adapts and responds to your body... ...so you get deep, uninterrupted sleep. during the tempur-pedic summer of sleep, all tempur-pedic mattresses are on sale! and is the fastest growing place suto buy a car in the nation. carvana is six years old this year it's because we have thousands of people working hard to make our customers' experiences the best. it's because we have tens of thousands of cars ready to be delivered to your doorstep. and it's why hundreds of thousands of happy customers have ditched the dealership and bought their car online, earning us an average 4.7 stars in the process. so if you didn't know about us before, you do now. we're carvana, and we want to give you the car buying experience you deserve. [music] [music] especially in times like these, strong public schools make a better california for all of us. massachusetts is taking another step in getting back to business with the reopening of, yes, recreational marijuana shops. this was the scene in boston when the city's only pot shop reopened its door monday. the line of customers wrapped around the block. i'm joined now by the mayor of boston, marty walsh. it's great to have you with us as always. thanks for joining us. it's not just the pot shops that have just reopened, hair salons, barbershops back in business. give us an update on how that's been going so far. what are you hearing from the owners as well as the residents in your city? >> it's still early in the process, trying to figure out how the flow of customers is going to go. i know that certain businesses have different -- more difficulties. i saw some pictures from the news yesterday of some of our retail shops in our communities. i think they're happy that they're open and even though it's curbside, getting the opportunity to get customers in there. i know that some of our bashers and hair salons are happy to get their businesses up and running and it's going to be slow for a little bit until we can get through this new normal and integrate into society. it's going to be slow and steady. >> i'm sure you saw the reports of black and latino activists representing about 50 organizations or so in boston. they were demonstrating. they say their communities are disproportionally affected by the crisis. they say people of color will be put at risk as they return to their jobs while there's continue is to work from home. what's your message to them? >> one of things we did here early on in the city, we created a health inequities task force, first, to look at the numbers in the black and latino community that was testing in very high -- as far as positives for coronavirus. we put that committee together to look at the inequities of the situation. and we're moving forward with, as we think about reopening, how do we deal with the inequities when it comes to health disparities there. i know there's still a lot of work to do, a lot of inequities before covid-19 came to the united states and came to massachusetts and boston. so, i think we have a unique opportunity now as we think about reopening, how do we strengthen businesses of color and strengthening people when it comes to health inequities and business inequities and for just overall for the rank-and-file worker. we need to take care of the rank-and-file worker because those are the folks who support the industries that are opening right now. >> you told our boston station that bostonens will need to practice social distancing for at least six to eight months. where did you get that number from? what gives you the sense that that will be enough or not enough? >> i hope it's a lot sooner than that. but i don't think it's going to be. this is listening to all of the public health data that people are talking about. i think when the coronavirus was being discussed that people thought by the summertime, there could potentially run its course. it's not going to be the case right now. it's going to be longer than that. and the new numbers i'm seeing, six to eight months, potentially that the virus is going to be here, might be be longer than that. we reopened businesses and employment opportunities and offices and barbershops and restaurants and bars and things like that, the virus is going to be very much still here, very much alive. and the spread is still going to be going on. i don't think we can afford to have to shut our economy down again. so as we reopen our economy, i think we have to make sure we put all of the proper protocol in place and it's going to come up with testing and tracing as well that's going to be a big part of this. making sure people can get tests when they want it. >> the country is eager to get sports back up and running. you had the red sox are welcome to play without fans. have you gotten any response from the red sox if that's a possibility and give us a sense on the boston marathon which was rescheduled for september. do you think that will still happen if the six to eight months you anticipate being in place for social distancing. >> i think everything to do with sports is a wait-and-see approach. i know with major league baseball as well as the other leagues are having conversation with the players. that's a decision they're going to have to make themselves as leagues. i think when it comes to the marathon, we've had a lot of conversations and i think we have to have a few more to see if we can have it safely. that picture on your screen right now, we get tens of thousands of runners and hundreds of thousands of people that watch the marathon. if we're in the midst of coronavirus, we have to make a decision if it's the smartest thing to do to bring all of these people out into confined spaces. i know you're talking six, seven, eight people deep there with people celebrating watching the marathon. >> is that decision expected soon? do you have a timeline for when a decision will be made? >> don't have a timeline. but it will be made soon. it has to be made soon because of everything that goes into the planning of the marathon. >> thank you so much for joining us. i appreciate your time. turning to another type of reopening, we're talking about many of your favorite tv shows and movies. the fall television schedules remain very much up in the air with production still shut down. before its lights, camera, action in any of the studios, hollywood needs the green light from the state of california on new safety guidelines. jo ling kent is in los angeles. this is a question on a lot of people's minds. we're watching online streaming shows, people are wondering, are their favorite shows going to come back next season? where do things stand and talk to us about what, if any, discussions to resume production are taking place. >> reporter: ayman, all is quiet on sets all across l.a. right now. it's a very usual time as usually this is a very busy time for what's coming up in the fall or even in the coming months. and so what we do know there have been discussions and ideas that have been tossed around about how to resume production, even down to the details, no more craft services when they begin, or being able to maintain social distances, wearing masks, maybe post production where you put actors closer together after the actual acting is done. here is the deal. right now here in california, so many people have been waiting for governor newsom to issue the new reopening plans for tv and film. that was supposed to come out yesterday and so far nothing. we reached out to the governor's office last night and this morning and we still haven't heard back. but i want to show you a couple of ideas that have come out of tyler perry's studios. tyler perry studios is planning for a reopening in july in georgia. and what he has outlined there reportedly is a testing of cast members in their hometown. then, transferring them to tyler perry's studios, getting another rapid test administered. luggage would be sanitized, masks would be worn at all times and individuals working on these productions would be placed into a quarantine bubble for 14 days in addition to a possible -- another test after that. that's one playbook. and that is a very -- it's a playbook that tyler perry has said is a very big priority to maintain that safety. looking at the broader picture here in california, we know how important hollywood and tv and film production is. we know that it employs 740,000 workers. it's 5% of the workforce here in california. 53,000 businesses. so a lot of eager people hoping to get back to work safely and awaiting governor newsom's guidelines. >> and a lot of eager fans waiting to see some of their favorite stars back in action. thank you so much for that update. very important one. at the top of the hour, the deputy inspector general of the department of health and human services and expected to brief lawmakers. one of the lawmakers who will be part of that briefing, congresswoman jackie speier on what she wants to learn. - i've been pretty stable with. my schizophrenia for a while, and then my kids asked me why my body was rocking back and forth. my doctor said i have tardive dyskinesia, which may be related to important medications i take for my schizophrenia. i also felt my tongue darting and pushing against my cheeks. i was worried what others would think. td can affect different parts of the body, and it may also affect people who take medications for depression and bipolar disorder. i know i shouldn't change or stop medication, so i was relieved there are treatment options for td. - [announcer] managing td in today's uncertain environment may seem daunting. but we can help. visit talkabouttd.com for a doctor discussion guide to better prepare for your next appointment, whether in person, over the phone, or online. - i was glad to learn there are treatments for td. learn more at talkabouttd.com. no uh uh, no way come on, no no n-n-n-no-no only discover has no annual fee on any card. coming up next hour, the house oversight committee will hold a virtual briefing with the department of health and human services. president trump demoted kristy grim after she issued a report showing shortages at hospitals. joining us is jackie speier of california. she's a democrat who sits on the intelligence committee. it's great to have you with us. let's start with the virtual briefing you're about to get from christi grimm. what do you want to know and how will your committee act on it? >> well, i want to know is more specifically how are our hospitals doing? i think that we know that ppe has been a problem, certainly her review showed that in her survey in late march and i don't think it's gotten much better. certainly hasn't gotten much better in my area. i still have staff that are working to try and find ppe at nail salon supply operations and i'm sure that's true around the country. what we have here is a situation where the president continues to kill the messenger and that cannot continue. so i think part of what we want to find out from ms. grimm is what was her plan as she had her role as inspector general. now she's been removing of it. but, again, she's been a career civilian servant, has served honored george bush and barack obama and now president trump. the question now is should inspector generals how be independent of presidential appointments because their job is to look at whether or not government is working. and if you can't stand the criticism and then you actually terminate those people, then we never are going to get to the truth. >> let me switch gears for a moment and ask you about coronavirus relief. the senate went on memorial day recess without acting on the $3 trillion relief package that was passed by the house. a recent editorial had this to say, the package is a sprawling jumble of measures. it was not intended as a serious legislative blueprint so much as an opening bid in a high-stakes negotiation. there's plenty to like in the plan, but it is neither expansive nor creative enough to meet this moment. you supported that bill. give us your sense, if you thought that was fair criticism? >> the proposal was our set of values. whenever we pass to the congress, there's a process that's undertaken. and the senate would put together their version, they would conference and come up with a final product. in the c.a.r.e.s. act, we actually had negotiations and we had secretary of the treasury mnuchin working with speaker pelosi and majority leader mcconnell and that's how this process should move forward. but when mitch mcconnell drew his line in the stand and said no money for states and local governments, it was incumbent on us to put forth a document that represented our values. we should have hazard pay for all essential workers. they are on the front lines right now, they're suffering from ptsd now and we need to make sure that they are covered. the coronavirus is with us. it's not going away. it's going to be with us through the year and we need to make sure that our first responders are safe. and local jurisdictions are in dire need of assistance now and we cannot let them down. so those are the two elements most significant in the proposal along with more money for testing and money for hospitals in general. so it's a negotiating stable. >> let me ask you about the state of california. ti tom tom steyer says california is in economic free fall. >> we are the fifth largest economic power in the world. if california goes down, the nation goes down. the president has got to stop looking at us as a blue state and recognize that the president of the united states, he is the president for the entire united states and help us pull ourselves out of this. >> congresswoman jackie speier, thank you for joining us this morning. i appreciate your time. >> thank you. the cost of caring for so many in this pandemic is pushing u.s. hospitals and health systems further into the red now facing billions of dollars in losses. how that could impact the care you receive, next. ♪ thousands of women with metastatic breast cancer, which is breast cancer that has spread to other parts of the body, are living in the moment and taking ibrance. ibrance with an aromatase inhibitor is for postmenopausal women or for men with hr+/her2- metastatic breast cancer, as the first hormonal based therapy. ibrance plus letrozole significantly delayed disease progression versus letrozole, and shrank tumors in over half of patients. patients taking ibrance can develop low white blood cell counts, which may cause serious infections that can lead to death. ibrance may cause severe inflammation of the lungs that can lead to death. tell your doctor right away if you have new or worsening symptoms, including trouble breathing, shortness of breath, cough, or chest pain. before taking ibrance, tell your doctor if you have fever, chills, or other signs of infection, liver or kidney problems, are pregnant, breastfeeding, or plan to become pregnant. common side effects include low red blood cell and low platelet counts, infections, tiredness, nausea, sore mouth, abnormalities in liver blood tests, diarrhea, hair thinning or loss, vomiting, rash, and loss of appetite. be in your moment. ask your doctor about ibrance. be in your moment. and my side super soft? yes, with the sleep number 360 smart bed, on sale now, you can both adjust your comfort with your sleep number setting. can it help me fall asleep faster? yes, by gently warming your feet. but can it help keep me asleep? absolutely, it intelligently senses your movements and automatically adjusts to keep you both comfortable. so, you can really promise better sleep? not promise. prove. don't miss the final days of the memorial day sale, save $1,000 on the sleep number 360 special edition smart bed, now only $1,799. ends sunday. hospitals and health care facilities around the nation are suffering from the financial repercussions of covid-19. they are expected to face losses in the billions of dollars from march to june. nbc's anne thompson has a closer look. >> pandemics mark the history of st. joseph hospital. opened just a decade when the 1918 flu hit, this year it braced for covid. covid never overwhelmed st. joe's, but the costs are. $50 million and counting. >> that's just a recipe for disaster for any hospital, not just ours. >> nationwide, hospitals and health system losses could top a staggering $202 billion from march to june. >> not since the great depression institutions faced the kinds of disruption that they're experiencing right now. >> as the virus raced up the east coast, jant joe's tripled its beds, scrambled for ventilators and ppe and stopped elective surgeries, cutting off the major profit stream most hospitals depend on. >> it does represent 72% of your renew now is diminished, diminished. >> that's a body blow. >> that is a body blow. we have to be safe. >> so we're going to talk to your son today. >> across the country, telehealth visits are up, but other hospital services plummeting. dermatology down 67%, gynecology 75%, ophthalmology 81%. to cut costs, more than 250 hospitals furloughed thousands of workers, including kaitlyn sassville at st. joe's. >> i've been working crazy hours. at first, i was upset, i cried. >> reporter: now with elective surgeries to schedule, she's back after two weeks at home, one of six workers recalled out of 300. hospitals' other financial hit. >> we're having to spend ten to 20 times more for the same ppe. >> reporter: burning through 11,000 isolation gowns a day, st. joe's supply chain manager is ironing together home made gowns on her dining room table. >> i can't make rest praters, i can't make n 95 masks, but this gown is so simple, why can't we do that? >> it may not be enough to keep hospitals alive. >> they'll cut back their services. they may no longer provide hospital or maternity care. they may just become an emergency department or urgent care center and a smaller sector when the dust settles. >> reporter: making hospitals the next victims of the virus. and it's not over. hospitals are praibracing for t second wave. a z they do so, they're trying to rebuild patient confidence that it's safe to come in the hospitals so they can ramp up elective surgeries that are so important to their bottom lines. >> anne thompson, appreciate irt. joining me is dr. howard co. it's great to have you with us. i want to pick up on the point raised by anne thompson. and that is the financial issues hospitals are wrestling with. alan morgan, the chief executive of the national rural hospitalizations said even before coronavirus, roughly 400 hospitals in rural america were at risk of closing. we heard some of the difficult options they're weighing as they try to stay afloat, furloughs, cuts to certain services. what are the most likely long-term effects of this revenue drop on hospitals and health care in this country? >> well, what the pandemic has reminded us every day and how precious and fragile our health is. at times like this, we all want our hospitals to have the resources and the capacity and the supplies and staff to care in a timely and compassionate way. we are seeing tremendous stress from hospitals across the country. but what we're particularly concerned about as the pandemic moves into rural areas is that some hospitals don't have the reserve that others do. so right now we need a plan to move forward, coordinate hospital capacity and services through the summer and particularly into the fall when a second wave of covid and seasonal flu may arrive. we must point out -- >> go ahead. sorry. >> we have about 50 states going through 50 different strategies here. this is a time to really coordinate our efforts, look at the need, look at the shortages, develop a plan for the summer and the fall so we can have a one-government approach, a federal, state and local approach going forward. >> so that point which is very important, looking at the hospitals and their need, we're learning about the big divide about the aid flowing to wealthier hospitals versus those going to struggling hospitals, which was allocated by hhs. they told the times this simple formula used the data we had on hand at the time to get relief funds to the larger number of health care facilities and providers as quickly as possible and then added, while or approaches were considered, these would have taken much longer to implement. do you think there's more to this with the way aid is being drishted to hospitals in different capacities and different needs? >> at a time like this we want to support every hospital, particularly those taking care of patients with great need. we have hospitals that may not survive this going forward. you've heard and you mentioned the risk that rural hospitals in particular are enduring right now. this is a time when we need to coordinate nationally, address the shortages that have been identified through the inspector general's report through hhs and develop a national plan that will keep all of us safe and healthy. >> let me ask you about this op-ed you wrote about the need for a unified national response when it comes to the topic of testing, to try to standardize how we do contact tracing, the testing, the reopening and supplying the health care system. this obviously comes just before the president announced that he wants testing to be done at the state level which, as you probably know, would create all different kinds of levels of testing and capacities. >> this is a national emergency. so we need a national plan, and we need national coordination. the states have done a tremendous just, but in a time like this, particularly with testing and other issues, we need planning to test harder and test smarter, to get ppe and supplies ready for the summer and fall, to coordinate efforts the best we can. we need a one-government approach, a united approach for the united states. >> all right, dr. howard koh, thank you so much for joining us. appreciate your time this morning. thanks for watching this hour of "msnbc live." after a quick break, more news with my friend craig melvin who is interviewing nba point guard john wall on how he's helping washington, d.c. residents during the pandemic. you don't want to miss it. even the big stuff. you get a delivery experience you can always count on. you get your perfect find at a price to match on your schedule. you get free two day shipping on things that make your home feel like you! wayfair. way more than furniture. i geh. common bird.e. ooh look! over here! something much better. there it is. peacock, included with xfinity x1. remarkable. fascinating. -very. it streams tons of your favorite shows and movies, plus the latest in sports news and... huh - run! the newest streaming app has landed on xfinity x1. now that's... simple. easy. awesome. xfinity x1 just got even better with peacock premium included at no additional cost. no strings attached. just say "peacock" into your voice remote to start watching today. a good tuesday morning to you. craig melvin from msnbc world headquarters in new york city. let start this hour by getting you caught up on the latest facts. right now we're closing in on 1.7 million known coronavirus cases in the united states. so far more than 99,000 americans have died. we could hit a horrible milestone at some point today, 100,000 american deaths. roughly 30 minutes from now, we'll get the daily update from new york governor andrew cuomo. today he's in the city of