Coronavirus a pandemic. This was end of the administrations 15day stopthespread guidelines, but it turned out that was wishful thinking. Instead the coronavirus will not stop spreading within our country. The governor of the commonwealth of virginia wants his citizens indoors for the next 70 days. The president , who has backed off his goal of packing churches on easter sunday, has now gone along with his experts. He will continue the current behavioral guidelines for at least another month. Yesterday i announced that we would be extending our social distance guidelines through the end of april. This is based on modeling that shows the peak in fatalities will not arrive for another two weeks. The same modeling also shows that by very vigorously following these guidelines, we could save more than 1 million american lives. Challenging times are ahead for the next 30 days, and this is a very vital 30 days. Were sort of putting it all on the line. This 30 days so important because we have to get back. But the more we dedicate ourselves today, the more quickly we will emerge on the other side of the crisis. That was todays message from the white house. Again, a far cry from the push to reopen the nation by easter. It was followed by a parade of ceos stepping up to the mic to talk about what their companies were doing and in some cases the products they make. There was even talk of sending equipment we dont need to other nations. Those announcements coming in as new cases in this country soar past 161,000 now with nearly 3,000 lives lost. This morning we heard a startling comment from the coordinator of the Coronavirus Task force that put this battle to slow this outbreak into a kind of grim perspective. If we do things together well, almost perfectly, we could get in the range of 100,000 to 200,000 fatalities. We dont even want to see that. Just to repeat these numbers, they are talking in terms of 100,000 fatalities to 200,000 fatalities. Those numbers and the decision to set april 30th as the next goal for getting back to business as usual emerged late yesterday. And i think its entirely conceivable that if we do not mitigate to the extent that were trying to do, that you could reach that number. 100,000 . Yeah, yeah. Its possible. Dr. Birx and i spent a considerable amount of time going over all the data, why we felt this was a best choice of us, and the president accepted it. Were going to bring down the number of infections so we dont have 2. 2 Million Deaths or 1. 6 Million Deaths. So if we can hold that down as were saying to 100,000, thats a horrible number, maybe even less, but to 100,000, so we have between 100,000 and 200,000, we all together have done a very good job. Here is a reminder of what the president said back in february about what he expected to happen by april. Theres a theory that in april when it gets warm, historically that has been able to kill the virus. Thats around the corner, so that will be a great thing. I think when we get into april and the warmer weather, that has a very negative effect on that, and that type of a virus. U. S. Retailers among the hardest hit as americans brace for longterm coronavirus shutdowns. Just today, macys kohls, the gap announced they would be furloughing the majority of their workers, leaving tens of thousands without work. A growing number of states are imposing strict orders to stay home. Washington, d. C. , arizona, maryland, virginia all joined the list today. Virginias order is the most extreme. That extends out, again, 70 days, puts us in june. A reminder here that Governor Ralph Northam of virginia is a medical doctor by training. President trump said today he has no plans to issue a nationwide stayathome order. Some states stillose all noness businesses. Among them, florida, number six on the list of states with the most cases of the virus. They happen to have a huge Senior Citizen population. Governor ron desantis announced today hes shutting down some counties in the southeast part of the state and setting up roadblocks blaming outofstaters for the coronavirus cases there. And so given the new york city area is the number one hot spot in the world right now, when the new york governor instituted the stayinplace order, we started noticing a huge uptick in traffic out of the city, many of them coming to florida. So we view that as problematic. And just a reminder here. This was the scene during spring break in clearwater beach, not in south florida, just over a week ago. A jacksonville city official grapple with the highest number of cases in the United States. There is now a Field Hospital in central park. 68 beds available. Theres now a Navy Hospital ship docked in the hudson river, another 1,000 beds. As the hospital ship comfort passed by the statue of liberty, a memorable photo was born in that instant. Chicago also dealing with escalating cases will convert its enormous Mccormick PlaceConvention Center into the states first Field Hospital for some 3,000 patients by april 24. In los angeles, the National Guard converted the citys Convention Center into a Field Hospital there to relieve the burden on the citys overcrowded medical facilities. Medical staff across the country have been warning of dire shortages of protective equipment, mostly masks. Yesterday trump suggested that hospitals were to blame for the rate at which these masks were being used up, and he threw out that same inference again today. You expressed some concern in the past that medical supplies were going out the back door and that perhaps yeah. Some hospitals were doing things well, i already expressed what was told to me by a tremendous power in the business. He said that at a new york hospital, for a long period of time he was giving 10,000, maybe maximum 20,000 masks over a short time. And all of a sudden hes giving 300,000. And i said no matter how bad this is, could that be possible . He said, no. So theres only a couple of things that could happen. Is it going out the back door . And ive reported it to the city and let the city take a look at it. Theres something going on. And tonight the governor of new york was asked about the president s comments. The exponential increase in the ppe is real, right . Almost in the hospitals now, theres covid ppe, noncovid ppe. Everybodys wearing covid ppe because you dont know who has covid. You dont know who doesnt have covid. Every time they see a patient, they have to change their ppe. So, yes, the burn rate of the ppe is much, much higher. On that note and here for our leadoff discussion on a monday night as we start a new week, stephanie ruhle, Senior Business correspondent for nbc news, a veteran of the Investment Banking and business world, the host of the 9 00 a. M. Hour on this network. Nancy cook, White House Reporter for politico. And dr. Dahlia riss, the chief of division of hospital medicine at mt. Sinai Beth Israel Medical Center in new york. Good evening and welcome to all of you. Var nancy, id like to begin with you. Its a question about government and structure and the white house response. Is the white house is okay with 50 governors, some more than others, taking the lead on this . Well, i think that what the white house in the last week has really been trying to do is shift a lot of the authority and the responsibility for the response to governors. Ive talked with a number of Senior Administration officials in the last week, and theyre really trying to say that its up to governors to get the resources that they need, you know, if theyre resourceful and strong leaders, theyll be able to get that, and the white house is really just there to offer a backstop. So thats what im hearing from Senior Administration officials. I do think the view from the governors is much different. Theyre saying that we cant be in competition with one another for these key medical supplies. Some governors are begging for protective equipment. And were seeing really harrowing tales out of hospitals in places like new york where theres a shortage and where i think that people want more leadership from the federal government and more leadership from trump when, in fact, usual lip at these press conferences that he has every day, theres a lot of happy talk about things that are happening, these Public Private partnerships, the test capacity being ramped up, which hes exaggerating, and so i think that were seeing a real disconnect between what the governors are saying they need and what theyre telling people and what the white house is trumpeting. Dr. Nancy just mentioned the stresses on new york hospitals. Tell us about the stress on your institution. Well, at the hospital were seeing every day rising numbers very rapidly, i mean it feels like a tsunami is about to hit. It started in the boroughs. Queens and brooklyn are being hit the hardest right now, but all over the city were seeing rising volumes, increasing number of patients that are presenting to the emergency room that are sicker than they were before, more utilization of our acute units. The icus are expanding very rapidly. Our need for increasing the ventilator support for those patients is happening very quickly. And of course its natural to have to use more ppe because were seeing in the hospitals many more patients presenting. A larger percentage of the patients that are coming to the hospital now are infected. Many more patients, a larger percentage on the hospital wards, are infected. When you think about all the numbers of people that have to actually see those patients throughout the course of the day, the burn rate will be very high. And were trying very, very hard to conserve but not put our staff in danger. Stephanie ruhle, we learned of more unemployed just today. Every reason to believe that were going to see yet another spike in unemployment applications when they come out. What is the fastest date these newly unemployed workers will get help, and how far are we, stephanie, from the discussion you kind of often hear about, quote, shutting down the u. S. Economy, going into power save and somehow trying to ride it out . Well, lets just break this down because, remember, the c. A. R. E. Act, we keep hearing over and over from members of congress and from the president , you know, help is on the way. 2 trillion to help individuals, small business, and big business alike. Thats a Huge Positive and a hugely positive headline. But as far as cutting those checks, no checks have been cut yet, and bills are due on wednesday. You mentioned earlier Companies Like the gap, macys, and other major retailers furloughing employees. We know the unemployment number is going to spike, and just think about this. For people in new york alone, they are scrambling. They cannot get through the phone lines are constantly busy. Websites from state to state have crashed, and im not saying its the fault of the federal government. But weve now put in place a system where were saying theres 2 trillion to give out to the american people, but the pipes dont work yet. Youve got states like connecticut and california scrambling to hire people to work in the Unemployment Office to handle these claims, but that hasnt happened yet. So if youre one of the millions of people in the restaurant business, in the Retail Industry where you never thought youd be seeking unemployment, youre now trying to file it for the very first time in your life because you do have those bills to pay and you cant even get through on the phone. It is a panicked, stressed time, brian. Nancy cook, here are my, in no particular order, my notes from the live event in the rose garden we witnessed today. The president talked about sending 100 million worth of things to italy. He went on to detail only that they were medical surgical equipment. Told us he has an acquaintance in a coma. Talked about his hair. Talked about the panic he could cause if he chose to. He said he knows south korea better than anybody. And he said people are very impressed with the job theyre doing. And somehow amid all this, he came off his goal of having churches filled and america back to work by easter sunday. Whats your reporting on who around him told the truth and made him concentrate . Well, i think that two weeks ago we really saw the economic officials take the lead on this, and they had convinced him that it was very important to reopen the economy by easter. But what my reporting shows is that sunday, yesterday, before he went out for the briefing, he was really given a lot of data on what would happen to the country and the number of deaths that could escalate if he reopened the economy too quickly. And i do feel like numbers speak to the president. So does the idea that his polling could drop. You know, i think people were kelling him political advisers were saying, if we dont get this virus under control, this could be something that could hurt you closer to the election in november. And he did listen to them. I mean the thing about the president is that he usually does not have fixed ideology, and that is part of a hallmark of this white house, and often hell swing between positions or swing between the house advisers who are in favor. And this sunday it so happened that the Health Officials were in favor, and he listened to them. I think that he is very worried about his reelection prospects. The white house is very worried about being held responsible for the Testing Capacity and the idea that they did not ramp up that quickly enough. One way to damp that down is to keep people at home for longer and hope they can get their arms around the virus more and hope they can slow the spread of it and hope that they can also, you know, get equipment to the states and make that a positive story for them. Hey, doctor brian, think about what hang on, stephanie, just because of this delay. Forgive me. Let me go to the doctor and well circle back around to you. Sorry. Doctor, for your counterpart in florida, a state that as we sit here doesnt yet have a stayathome order, what would you warn your counterpart at a hospital in an urban area in florida is on the way, what to prepare for, especially given the population of seniors . Well, i have family that live in florida, and i have already told them not to go out, not to go shopping except for food, not to do their normal activities, no the to not to go to the beach. Even though that hasnt been formalized, im very concerned that the virus has infiltrated the communities. And unfortunately what were going to see is that hospitals are going to be become very overwhelmed very rapidly, and i have significant concerns for communities of elderly people with many comorbidities because even in new york were seeing the cat has been completely let out of the bag. Its very hard to keep up the pace. Even the surprising feature of having younger people present with advanced respiratory distress and illness needing intubation is of extreme concern to all of us. So absolutely i would warn people to really look at your communities, try to aggressively test as these tests become available. The point of c. A. R. E. Testing is encouraging, but only if we use it properly and encourage people to stay home. I would not tell people to go and actively seek out care at hospitals. They will become overwhelmed. I will say you must go and use telehealth resources and phone your physicians and stay home as much as possible and only seek care when youre in respiratory distress or very, very weak, which could be a sign of sepsis. I do have concerns, brian, absolutely. Stephanie ruhle. I want you to think about this for a moment, brian. A week ago when the president was listening to, quote, unquote, the ceo set and was quick to say, lets get this country up and running by easter, think about what happened yesterday. He listened to dr. Fauci. He listened to the health professionals. And what did the market do today . It went up, breathing a sigh of relief that the president , while he may be filled with bluster and showmanship and in some cases nonsense when hes at the podium speaking in the rose garden, but when it comes to policy that doesnt just Impact Health but impacts longterm economies, they take it well because if the president were to open up, lets say, too soon, that wouldnt just hurt us from a health perspective. It would hurt us economically. To stephanie ruhle, to nancy cook, to dr. Dahlia rizk, our thanks to joining us as we start another consequential week. Coming up for us, a look at how one of the states between the two coasts is faring. The governor of the state of colorado joins us next. And later, it feels like a lifetime ago, but its been just 12 days since we first spoke to one of the nurses on the front lines of this crisis. Tonight she tells us what she is seeing now on the inside at the hospital. The 11th hour just Getting Started on this monday night. 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