Subtitles section Play video Print subtitles ARE. AND WE'RE EXPERIENCING. AS YOU CAN SEE THE INCREASE ON THE TRAJECTORY CASES CONTINUES TO CLIMB, 7681. A COUPLE OF UPDATES I WOULD LIKE TO MAKE TO THE LOCAL HEALTH PROVIDERS. WE WANT TO ANTICIPATE THIS SITUATION. WE TALKED YESTERDAY ABOUT PLANNING FORWARD AND GETTING BEHIND THIS VIRUS FROM DAY ONE RATHER THAN BEING REACTIVE, BE PROACTIVE, GET AHEAD OF IT. LOCAL HEALTH PROVIDERS SHOULD BE WATCHING WHAT'S GOING ON IN DIFFERENT PARTS OF THE STATE AND ANTICIPATING WHAT'S GOING TO HAPPEN. THIS IS GOING TO BE A PHENOMENON OF A ROLLING APEX. WE KEEP TALKING ABOUT THE APEX, THE TOP OF THE CURVE. BUT THE TOP OF THE CURVE WILL OCCUR AT DIFFERENT TIMES IN DIFFERENT PLACES. RIGHT? THE CURVE IS A FUNCTION OF THE RATE OF SPREAD, THE RATE OF DENSITY AND WHEN IT STARTED. SO YOU'LL SEE DIFFERENT CURVES. YOU SEE IT ALL ACROSS THE COUNTRY. IT STARTED IN WASHINGTON, THE STATE OF WASHINGTON. NOW YOU SEE NEW YORK, YOU SEE CHICAGO, YOU SEE NEW ORLEANS. YOU SEE PARTS OF CALIFORNIA. SO, THAT ROLLING APEX IS HAPPENING ACROSS THE COUNTRY. THAT ROLLING APEX IS ALSO GOING TO BE HAPPENING ACROSS THE STATE OF NEW YORK. THE CURRENT PROJECTIONS ALL SAY NEW YORK CITY WILL FACE THE FIRST HIGH WATER MARK IF YOU WILL, HIGH TIDE MARK, THE HIGH TIDE OF THE CURVE. BUT THEN YOU'LL SEE WEST CHESTER, YOU'LL SEE LONG ISLAND ON A DELAY WITH THEIR CURVE HITTING A NEW HEIGHT. MOD PROJECT -- MODEL PROJECTORS ARE NOT SURE WHETHER IT'S LONG ISLAND FIRST, SOME SUGGEST WEST CHESTER YOU REMEMBER THAT CLUSTERING AT NEW ROCHELLE. THEN UPSTATE NEW YORK. WE EXPECT A CURVE IN UPSTATE NEW YORK ALSO. IT MAY NOT BE AS HIGH, OBVIOUSLY, AS NEW YORK CITY, WEST CHESTER AND LONG ISLAND, BUT THERE WILL BE A CURVE. SO IF YOU ARE NOT IN A HIGHLY AFFECTED HEALTH AREA NOW, THAT DOESN'T MEAN YOU ARE NOT GOING TO HAVE A REAL SITUATION TO DEAL WITH. BECAUSE THESE NUMBERS ARE JUST GOING TO CONTINUE TO GO UP ALL ACROSS THE STATE. SO FOR LOCAL HEALTH SYSTEM, THIS IS A NEW CHALLENGE. MOST HEALTH SYSTEM VERSUS PUBLIC HOSPITALS AND THEN THEY HAVE PRIVATE HOSPITALS OR VOLUNTEER, VOLUNTARY HOSPITALS. AND THEY BASICALLY EXIST ON A DAY-TO-DAY BASIS AS TWO DIFFERENT SYSTEMS. SO YOU WILL HAVE PUBLIC HOSPITALS AND THEN YOU HAVE THE PRIVATE HOSPITAL SYSTEM. AND FOR ALL INTENTS AND PURPOSES, IN NORMAL OPERATING PROCEDURES, THEY OPERATE AS TWO SYSTEMS, THERE'S VERY LITTLE INTERACTION. THERE IS ALSO VERY LITTLE INTERACTION AMONG INDIVIDUAL HOSPITALS SOMETIMES EVEN WITHIN THEIR OWN SYSTEM. SO YOU HAVE PUBLIC HOSPITALS THAT ARE A PART OF A PUBLIC HOSPITAL SYSTEM, BUT EACH HOSPITAL BASICALLY OPERATES ON ITS OWN. RIGHT. HAS ITS OWN IDENTITY. CERTAINLY TRUE ON THE PRIVATE SIDE, WHERE YOU HAVE INDIVIDUAL HOSPITALS AND THEY OPERATE ON THEIR OWN. WE HAVE TO CHANGE THAT MENTALITY. AND WE HAVE TO CHANGE THAT MENTALITY QUICKLY. NO HOSPITAL IS AN ISLAND. NO HOSPITAL IN THIS SITUATION CAN EXIST UNTO THEMSELVES. WE REALLY HAVE TO HAVE A NEW MENTALITY, A NEW CULTURE OF HOSPITALS WORKING WITH ONE ANOTHER BOTH WITHIN THE PUBLIC SYSTEM AS WELL AS THE PRIVATE SYSTEM AND WE NEED TO THINK ABOUT THE PUBLIC SYSTEM WORKING WITH THE PRIVATE SYSTEM IN A WAY THEY NEVER HAVE BEFORE. THERE IS AN ARTIFICIAL WALL ALMOST BETWEEN THOSE TWO SYSTEMS NOW. THAT WALL HAS TO COME DOWN. THAT THEORY HAS TO COME DOWN. THIS IS GOING TO BE ALL HANDS ON DECK. THIS IS EVERYBODY HELPING EVERYONE ELSE. ONE HOSPITAL GETS OVERWHELMED. THE OTHER HOSPITALS HAVE TO FLEX TO HELP THAT HOSPITAL AND VICE-VERSA. WE HAVE EMHURST -- ELMHURST HOSPITAL IN NEW YORK UNDER STRESS. IT'S HIGH. WHEN THE NUMBER OF CASES IS HIGH, THE STRESS ON THE STAFF IS HIGH. I WAS JUST TALKING TO THE DOCTOR ABOUT THIS, YOU DO THIS WITH TWO, THREE, FOUR WEEKS, THE LEVEL OF STRESS IS VERY INTENSE. ELMHURST HOSPITAL IS A PART OF A PUBLIC HEALTH SYSTEM OF ABOUT 11 HOSPITALS IN NEW YORK CITY. THAT SYSTEM HAS TO WORK TOGETHER. AND THOSE HOSPITALS HAVE TO WORK TOGETHER. THE LEVIN HEALTH AND HOSPITAL IN NEW YORK CITY, THE PUBLIC SYSTEM. I WILL ASK MAYOR De BLASIO AND CONTROLLER STINGER TO TAKE A -- STRINGER TO LOOK AT THE SYSTEM AND LOOK AT HOW WE CAN GET THAT SYSTEM TO WORK BETTER TOGETHER AS A UNIFIED SYSTEM. THIS IS NOT GOING TO GET BETTER SOON. RIGHT. SO ELMHURST IS UNDER STRESS NOW. THAT STRESS DOES NOT ABATE FOR THIS FORESEEABLE SHORT-TERM FUTURE. SO HOW DO WE MAKE THAT SYSTEM WORK BETTER TOGETHER? AND WHAT RECOMMENDATION DOS WE HAVE TO IMPROVE H&H? WE WILL ALSO BE MEETING WITH THE PRIVATE HOSPITALS IN NEW YORK CITY THAT ARE ORGED THROUGH THE GREATER NEW YORK HEALTH SYSTEM. WE WILL MEET TO TALK ABOUT HAVING THOSE HOSPITALS ALSO ORGANIZED ACT AS ONE, GET OUT OF THEIR SILOS. GET OUT OF THEIR IDENTITIES TO WORK TOGETHER. AND THEN, OVERALL, HAVE YOU THESE LOCAL HEALTH SYSTEMS. THE STATE'S ROLE, WHICH WE'VE NEVER REALLY DONE BEFORE, IS GETTING THOSE HEALTH SYSTEMS TO WORK WITH ONE ANOTHER SO WE TALKED ABOUT IF NEW YORK CITY GETS OVERWHELMED, WHEEL ASK THE UPSTATE SYSTEMS TO BE A RELIEF VALVE FOR THE DOWN-STATE HEALTH SYSTEMS, WHICH HAS NEVER HAPPENED BEFORE TO ANY SCALE. AND ALSO, VICE-VERSA. THERE WILL BE A TIME WHERE THE UPSTATE HOSPITALS WILL BE STRUGGLING. AND WHEN THE UPSTATE HOSPITALS WILL BE STRUGGLING, THEN WE WANT THE DOWN-STATE HOSPITALS TO BE ABLE TO TAKE OVER AND RELIEVE THOSE HOSPITALS. THAT'S ACTUALLY THE ADVANTAGE OF THE ROLLING CURVE THAT THEY'RE PROJECTING. IF IT DOES HAPPEN THAT WAY, THEORETICALLY, THE -- I ALMOST THINK OF IT AS A HIGH TIDE MARK. RIGHT. HIGH TIDE COMES FIRST IN NEW YORK CITY. THEN THE TIDE IS ON THE WAY DOWN. THEN IT'S HIGH TIDE IN UPSTATE, NEW YORK. OKAY, SO IF THE TIDE IS DROPPING DOWN STATE, HAVE YOU RELIEF FOR THE UPSTATE HOSPITALS. WE PUT IN PLACE THE NEW YORK PAUSE PROGRAM. TODAY I AM GOING TO EXTEND IT TO APRIL 15th. THE DIRECTIVE THAT NON-ESSENTIAL STATE WORK FORCE CONTINUE TO WORK FROM HOME. WE ARE DOING IT IN TWO-WEEK INTERVALS, BECAUSE EVERY DAY IS A NEW DAY AND WE'LL SEE WHAT HAPPENS DAY-TO-DAY, BUT I THINK IT'S NOT EVEN QUESTIONABLE TODAY. BUT THAT WE'RE GOING TO NEED TWO MORE WEEKS OF NON-ESSENTIAL WORKERS. THE GOOD NEWS, ROD'S WORK HAS DEVELOPED, THE NEW YORK STATE DEPARTMENT OF HEALTH HAS DEVELOPED A LESS INTRUSIVE SALIVA AND SHORT NASAL SWAB TEST. I'M NOT EXACTLY SURE WHAT A SHORT NASAL SWAB TEST CAN BE. IT WILL BE ADMINISTERED IN THE PRESENCE OF HEALTHCARE WORKERS, REQUIRES LESS PPE. HEALTHCARE WORKERS CAN ADMIN STERS. IT CAN START AS SOON AS NEXT WEEK. PEOPLE ASK, WHEN IS THIS OVER? I THINK THE TESTING. YOU TELL ME WHEN THEY COME UP WITH A -- AN INEXPENSIVE HOME TEST OR POINT OF CARE TEST THAT CAN BE BROUGHT TO VOLUME, I THINK THAT'S PROBABLY WHEN YOU SEE A REAL RETURN TO NORMALCY IN THE WORK FORCE. IN OTHER WORDS, WE'RE ALL TALKING ABOUT THIS CURVE, FLATTEN THE CURVE, WHAT -- AT WHAT POINT ON THE OTHER SIDE OF THE CURVE DO YOU GO BACK TO WORK? JESSIE ASKED THIS QUESTION THE OTHER DAY. THERE IS NO ANSWER. I THINK THE ANSWER IS GOING TO BE IN TESTING. DR. FAUCI, WHO I THINK IS -- WE ARE SO BLESSED TO HAVE HIM HERE AT THIS TIME -- HE TALKS ABOUT FASTER, EASIER TESTING. IF YOU CAN TEST MILLIONS OF PEOPLE, IF YOU CAN TEST TODAY MILLIONS OF PEOPLE, YOU COULD SEND THEM TO WORK TOMORROW. RIGHT. SO THE DEVELOPMENT OF THESE TESTS I THINK ARE VERY IMPORTANT AND INSTRUCTIVE. TOMORROW THE U.S. COME FIRST IS COMING, THAT IS ABOUT 1,000 BED CAPACITY, IT'S STAFFED BY A FEDERAL OFFICIALS, FEDERAL, MEDICAL PROFESSIONALS. IT IS NOT FOR COVID-19 PATIENTS BUT IT IS TO TAKE THE BACK-FILL FROM HOSPITALS. CURRENT STOCKPILE, WE'RE STILL WORKING TO PURCHASE EQUIPMENT ALL ACROSS THE GLOBE. WE HAVE A WHOLE TEAM THAT'S WORKING SEVEN DAYS A WEEK. UNFORTUNATELY, WE'RE COMPETING AGAINST EVERY OTHER STATE IN THE UNITED STATES FOR THESE SAME THINGS. SO, IT'S VERY HARD. BUT WE'RE MAKING PROGRESS. IN TERMS OF FINDING STAFF, THAT'S GOING VERY WELL. THE VOLUNTEERISM OF NEW YORKERS, GOD BLESS THEM. WE'RE UP TO 76,000 HEALTHCARE WORKERS WHO HAVE VOLUNTEERED. 76,000. 76,000 PEOPLE WHO VOLUNTEERED TO GO INTO THESE HOSPITALS AT THIS TIME. JUST THINK ABOUT THAT. ON THE TOTAL PEOPLE TESTED, WE DID 16,000. LAST NIGHT, TOTAL OF 172,000 TESTED. THAT'S THE HIGHEST IN THE STATE. THE HIGHEST IN THE COUNTRY, I'M SORRY. TOTAL CASES 59,000. THE VIRUS CONTINUES ITS MARCH ACROSS THE STATE OF NEW YORK. ONLY TWO COUNTIES NOW THAT DON'T HAVE CASES. THESE ARE THE OVERALL NUMBERS, 59,000 PEOPLE TESTED POSITIVE. 8,000 CURRENTLY HOSPITALIZED. 2,000 ICU PATIENTS. 3500 PATIENTS DISCHARGED. WE KNOW -- NOBODY REALLY POINTS TO THESE NUMBERS, BUT THIS IS GOOD NEWS, 846 PEOPLE CAME OUT OF HOSPITALS YESTERDAY DISCHARGED AFTER BEING TREATED FOR COVID. RIGHT. SO, YES, PEOPLE GET IT, 80% HAVE EITHER SELF RESOLVED OR HAVE SOME SYMPTOMS AT HOME. 20% GOING TO THE HOSPITAL, THE MAJORITY OF THOSE GET TREATED AND LEAVE. IT'S THE ACUTELY ILL BY AND LARGE WHO ARE THE VULNERABLE POPULATION AND THAT'S WHAT WE ARE SEEING MORE AND MORE. THE DEATHS WENT FROM 728 TO 965. WHAT'S HAPPENING NOW IS, AS I MENTIONED YESTERDAY, PEOPLE ARE ON THE VENTILATOR LONGER AND LONGER. THE LONGER YOU ARE ON A VENTILATOR, THE LESS YOUR CHANCE OF EVER GETTING OFF THAT VENTILATOR, THAT'S WHAT WE ARE SEEING. WE WILL CONTINUE TO SEE THE NUMBER OF DEATHS INCREASE. IN TERMS OF MOST IMPACTED STATES, AGAIN, NEW YORK IS STILL NUMBER ONE. TOTAL NEW HOSPITALIZATIONS, THESE ARE THE CHARTS WE LOOK AT EVERY NIGHT. THE NUMBER IS UP, 1,175. IT WAS A 47 THE NIGHT BEFORE. THESE BOUNCE NIGHT-TO-NIGHT. ANY ONE NIGHT'S DATA COULD HAVE A NUMBER OF VARIABLES IN IT, WHAT HOSPITALS ACTUALLY REPORTED, WHEN THEY REPORTED IT, HOW ACCURATE THEY WERE. SO THE MORE YOU LOOK FOR A TREND LINE, MORE THAN ANYTHING ELSE, AND THERE ARE TREND LINES. IF YOU LOOK EARLY ON, THE HOSPITALIZATION RATE WAS DOUBLING EVERY TWO DAYS. THEN IT DOUBLED EVERY THREE DAYS. THEN IT DOUBLED EVERY FOUR DAYS. NOW IT'S DOUBLING EVERY SIX DAYS. SO, YOU HAVE ALMOST A DICHOTOMY. THE DOUBLING RATE IS SLOWING AND THAT IS GOOD NEWS. BUT THE NUMBER OF CASES ARE STILL GOING UP. SO YOU ARE STILL GOING UP TOWARDS AN APEX, BUT THE RATE OF THE DOUBLING IS SLOWING, WHICH IS GOOD NEWS. CHANGE IN DAILY ICU ADMISSIONS. YOU SEE A PICKUP IN THE ICU ADMISSIONS. BUT AGAIN YOU SEE THE -- YOU LOOK FOR THE TREND LINE AMONG THOSE COLUMNS, MORE THAN THE INDIVIDUAL COLUMNS. CHANGE IN DAILY INTUBATIONS. WE DON'T NORMALLY RUN THIS CHART. BUT THESE ARE THE PEOPLE WHO ARE MOST SERIOUSLY AFFECTED. AND AGAIN YOU SEE A TREND LINE IN THAT. YOU SEE SOME ABERRATIONS. MARCH 26th THE 290 BUT YOU SEE A TREND LINE AND THE TREND LINE IS WHAT WE'RE WATCHING. YOU ALSO SEE A TREND LINE IN PEOPLE BEING DISCHARGED. OKAY. AND THIS IS A DRAMATIC TREND LINE. SO, PEOPLE CAME IN, THEY STARTED TO GET TREATED. ONLY MARCH 18th, RIGHT, SO WE'RE ONLY TALKING ABOUT TEN DAYS. THEY STARTED TO GET TREATED. A FEW OF THEM GOT OUT EARLY. A FEW MORE, A FEW MORE, A FEW MORE, A FEW MORE. NOW YOU ARE SEEING THE DISCHARGE NUMBER TREND WAY UP, BECAUSE THAT'S WHAT'S GOING TO HAPPEN. PEOPLE ARE GOING TO THE HOSPITAL. THEY GET TREATED. THEY LEAVE. THOSE THAT ARE ACUTELY ILL GET PUT ON A VENTILATOR AND THEN IT'S THE INVERSE DYNAMIC. THE LONGER THEY'RE ON THE INTUBATOR, THE LONGER THEY ARE INTUBATED, THE LONGER THEY ARE ON THE VENTILATOR, THE HIGHER THE MORTALITY RATE. AGAIN, PERSPECTIVE. THESE ARE THE NUMBERS FROM DAY ONE, SINCE CHINA STARTED. ALSO, WE SHOULD ALL KEEP IN MIND, WE LOST THE FIRST RESPONDERS WHO GO OUT THERE AND TALK ABOUT 76,000 PEOPLE WHO VOLUNTEERED TO HELP MEDICAL PROFESSIONALS. BEING THE FIRST RESPONDER TODAY, BEING A PUBLIC HEALTH OFFICIAL, WORKING IN A HOSPITAL, WORKING WITH SENIOR CITIZENS. THIS IS REALLY AN ACT OF LOVE AND COURAGE. WE LOST DETECTIVE SAID RICK NELSON, DIXON 46-YEARS-OLD, 22nd, 33-YEAR VETERAN, COULD HAVE RETIRED. SO WE WISH HIM AND HIS FAMILY PEACE. WE LOST A NURSE, A COUPLE OTHER NURSES, KELLY, 46-YEARS-OLD THE ASSISTANT MANAGER AT MT. SINAI WEST. WE WISH HIS FAMILY THE BEST. THESE PUBLIC. THESE PUBLIC PEOPLE. I DON'T EVEN HAVE THE TOWARDS TO EXPRESS MY ADMIRATION. COURAGE IS NOT THE ABSENCE OF FEAR BUT RATHER THE ASSESSMENT THAT SOMETHING ELSE IS MORE IMPORTANT THAN FEAR. TO ME THAT SAYS IT ALL TODAY. EVERYONE IS AFRAID. DO YOU THINK THESE POLICE OFFICERS ARE FOUGHT AFRAID TO LEAVE THEIR HOUSE? DO YOU THINK THESE NURSES ARE NOT AFRAID TO GO INTO THE HOSPITAL? THEY'RE AFRAID. BUT SOMETHING IS MORE IMPORTANT THAN THEIR FEAR, WHICH IS THEIR PASSION, THEIR COMMITMENT FOR PUBLIC SERVICE AND HELPING OTHERS. THAT'S ALL IT IS, JUST THEIR PASSION AND BELIEVE IN HELPING OTHERS. THAT OVERCOMES THEIR FEAR. AND THAT MAKES THEM IN MY BOOK TRULY AMAZING, OUTSTANDING, HUMAN BEINGS. I WISH THEM AND THEIR FAMILIES ALL THE BEST. THE PRESIDENT AND CDC ORDERED A TRAVEL ADVISORY FOR PEOPLE OF NEW YORK, NEW JERSEY, CONNECTICUT. THIS HAPPENED LAST NIGHT. THIS IS NOT A LOCKDOWN. IT IS A TRAVEL ADVISORY TO BE IMPLEMENTED BY THE STATES, IN ESSENCE. IT'S NOTHING THAT WE HAVEN'T BEEN DOING. RIGHT? NON-ESSENTIAL PEOPLE SHOULD STAY AT HOME. SO IT'S TOTALLY CONSISTENT WITH EVERYTHING WE ARE DOING. AND I SUPPORT WHAT THE PRESIDENT DID BECAUSE IT AFFIRMS WHAT WE HAVE BEEN DOING. IT ALSO AFFIRMS WHAT NEW JERSEY AND CONNECTICUT HAVE BEEN DOING. RHODE ISLAND ISSUED AN EXECUTIVE ORDER THAT NEW YORK LICENSE PLATES WOULD BE THEORETICALLY STOPPED AT THE BORDER FOR MANDATORY QUARANTINE OF SOME PERIOD, THAT EXECUTIVE ORDER HAS BEEN REPEALED BY THE STATE OF RHODE ISLAND AND WE THANK THEM FOR THEIR COOPERATION. THAT WAS REPEALED LAST NIGHT. PERSONAL OPINION, NOT FACT. GRATUITOUS. THIS IS DISORIENTING. IT'S FRIGHTENING. IT'S DISTURBING. YOUR WHOLE LIFE IS TURNED UPSIDEDOWN OVERNIGHT. TO THE BEST YOU CAN, YOU FIND A WAY TO CREATE SOME JOY. YOU TRY TO FIND A SILVER LINING IN ALL OF THIS. HOW DO YOU BREAK UP THE MONOTONY. WHAT DO YOU DO? HOW DO YOU BRING A SMILE TO PEOPLE'S FACE? I GIVE YOU MY IDEA FOR TODAY, SUNDAY, I COME FROM AN ITALIAN-AMERICAN FAMILY. SUNDAY WAS FAMILY DAY. WE HAD THE BIG FAMILY DINNER. IF WE COULD HAVE LIKE IN THE AFTERNOON, SO IT WAS LIKE CONFUSING, BUT IT WAS LIKE A LUNCH, LATE LUNCH. THEY CALLED DINNER. AND IT WAS SPAGHETTI AND MEATBALLS AND SAUSAGES AND MY FAMILY WOULD ALL GET TOGETHER. IT WAS A BEAUTIFUL TIME. I DIDN'T APPRECIATE IT AS A KID. IT WAS JUST BEAUTIFUL. THEY ALL CAME TOGETHER. THE GRANDPARENTS WERE THERE. THEY WOULD START TO EAT IT. 2:00. IT WAS LIKE A MARATHON SESSION. THE FOOD WAS REALLY JUST THE ATTRACTION TO GET PEOPLE TOGETHER. YOU KNOW, EVERYBODY TALKS ABOUT HOW DO YOU ITALIANS LOVE THE FOOD? THAT'S TRUE. BUT REALLY THEY LOVE BRINGING THE FAMILY TOGETHER AND THE FOOD WAS THE WAY THAT PEOPLE CAME TOGETHER AND YOU SAT AT THE TABLE AND IT WAS JUST A TWO, THREE-HOUR AFFAIR. MY MOTHER AND FATHER DID IT ALSO. NOT THAT MY GRANDPARENTS DID IT. BUT WE HAD THAT SAME SUNDAY DINNER AROUND THE TABLE. I TRIED TO CONTINUE AT THIS TIME AS A FATHER WITH MY KIDS. I WAS DIVORCED. AND SO I'M NOT REALLY THE BEST COOK TO SAY THE LEAST. BUT WE WOULD HAVE ON SUNDAYS, I WOULD ACTUALLY GO TO THE ITALIAN SPECIALTY STORE AND BUY THEM MEATBALLS AND SAUSAGES. I WOULD PUT IT ON THE STOVE AND PART OF IT WOULD SIT ON THE STOVE ALL DAY AND SIMMER AND YOU'D SMELL IT ALL THROUGH THE HOUSE. THEN I'D MAKE THEM SIT DOWN AND WE WOULD HAVE SPA GETTY AND MEATBALLS AND SAUSAGE ON SUNDAYS AND MY DAUGHTER KARA IS IN THE BACK. THEY WOULD NEVER EAT THE SAUSAGE AND THE MEATBALLS. THEY WOULD PICK AT THE PASTA, BECAUSE THEY KNEW I DIDN'T KNOW HOW TO COOK. SO THEY KNEW THAT MEATBALL AND SAUSAGE WAS INHERENTLY SUSPECT. I NEVER SAID I BOUGHT IT IN THE SPECIALTY STORE, BECAUSE THAT WOULD HAVE RUINED THE WHOLE TRADITION ANYWAYS. SO THEY WOULDN'T EAT IT AND WE'D GO FOR CHINESE FOOD AFTERWARDS. BUT THAT CONVENING WAS SOMETHING SPECIAL. AND TODAY, WE'RE GOING TO HAVE OUR FAMILY DINNER. WE'RE MISSING ONE DAUGHTER, MARIAH, WE'RE GOING TO GET MARIAH ON SKYPE AND GRANDMA WILL BE ON THE TELEPHONE. AND WE'RE GOING TO SIT AROUND THE TABLE AND WE'RE GOING TO HAVE THAT KIND OF COMING TOGETHER. A LITTLE DIFFERENT. SKYPE TELEPHONES, BUT, YOU KNOW WHAT, WITH EVERYTHING GOING ON, FAMILY, WE'RE HERE, WE'RE TOGETHER, WE'RE HEALTHY. THAT'S 98% OF IT. SO FIND WAYS TO MAKE A LITTLE JOY. ALSO FOR NEW YORKERS, I HAD A LOT OF PHONE CALLS YESTERDAY WHEN THE PRESIDENT FIRST SUGGESTED SOME FORM OF QUARANTINE. WHAT DOES THAT MEAN QUARANTINE? AM I GOING TO BE ALLOWED TO LEAVE THE HOUSE? ARE MY PARENTS WHO ARE SUPPOSED TO BE COMING BACK AND THIS ONE'S HERE, THIS ONE'S HERE. I KNOW WE FEEL UNDER ATTACK. THE RHODE ISLAND, YOU CAN'T DRIVE INTO RHODE ISLAND. WE'LL PULL YOU OVER WITH THE POLICE. YES, NEW YORK IS THE EPICENTER. AND THESE ARE DIFFERENT TIMES AND MANY PEOPLE ARE FRIGHTENED. SOME OF THE REACTIONS YOU GET FROM INDIVIDUALS, EVEN FROM GOVERNMENTS, ARE FRIGHTENING AND SUGGESTING THAT THEY'LL TAKE ABRUPT ACTIONS AGAINST NEW YORK. BUT LOOK. THIS IS NEW YORK. AND WE ARE GOING TO MAKE IT THROUGH THIS. WE HAVE MADE IT THROUGH FAR GREATER THINGS. WE ARE GOING TO BE OKAY. WE SPECIALIZE IN STAMINA AND STRENGTH AND INSTABILITY AND THAT'S JUST WHAT WE'RE DOING NOW. WE ARE STRONG. WE HAVE ENDURANCE. AND WE HAVE STABILITY. AND WE KNOW WHAT WE'RE DOING. WE HAVE A PLAN. WE'RE EXECUTING THE PLAN. ANYTHING, ANY OBSTACLE THAT WE COME ACROSS WE WILL MANAGE THAT OBSTACLE AND WE HAVE. I CAN'T SIT HERE AND SAY TO ANYONE, YOU ARE NOT GOING TO SEE PEOPLE PASS AWAY. YOU WILL. THAT IS THE NATURE OF WHAT WE ARE DEALING WITH. AND THAT'S BEYOND ANY OF OUR CONTROL. BUT NEW YORKER IS GOING TO HAVE WHAT IT NEEDS AND NO ONE IS GOING TO ATTACK NEW YORK UNFAIRLY AND NO ONE IS GOING TO DEPRIVE OF WHAT IT NEEDS. THAT'S WHY I'M HERE. THAT'S WHY WE HAVE A STATE NUMBER OF VERY TALENTED PROFESSIONAL PEOPLE. SO, A DEEP THREAT ON ALL OF THAT. AND WE ARE DOING EXACTLY WHAT WE NEED TO DO. THERE IS NO STATE IN THE NATION THAT IS BETTER PREPARED OR BETTER MOBILIZED THAN WHAT WE ARE DOING. SAND I FEEL THAT DEEPLY AND HAVING STUDIED EVERYTHING THAT EVERY OTHER STATE HAS DONE, FEDERAL OFFICIALS HAVE EVEN REMARKED TO ME, THAT THEY'RE SURPRISED HOW QUICKLY A STATE AS BIG AND COMPLICATED AS NEW YORK HAS ACTUALLY MOBILIZED. SO FEEL GOOD ABOUT THAT. THERE ARE TWO GREAT NEW YORK EXPRESSIONS THAT I USE ALL THE TIME. ANYTHING I BUILD IN NEW YORK OWES US TWO EXPRESSIONS ON IT. ONE, EXCELSIOR SAYS IT MORE, EVER UPWARDS, ASPIRATIONAL. WE CAN BE BETTER. WE WILL BE BETTER. WE WILL AIM HIGHER. WE WILL IMPROVE OURSELVES, EXCELSIOR, STATE MODEL ON THE SEAL BEHIND ME, EXCELSIOR. AND THE OTHER EPLURIBUS YOU NUM. OUT OF EVERYONE. UNITY. UNITY, YOU PUT THOSE TWO THINGS TOGETHER IT SAYS IT ALL, AIM HIGH, DO BETTER. BELIEVE ARE YOU DO BETTER. BE OPTIMISTIC AND THE WAY YOU GET THERE IS THROUGH UNITY. AND TOGETHERNESS AND COOPERATION. AND THROUGH A MUCH WEIGHT AND COMMUNITY. THOSE TWO EXPRESSIONS I SAY TO MY DAUGHTERS, IF YOU REMEMBER NOTHING ELSE WHEN I'M GONE, IF YOU WALK UP TO THE BOX AND HAVE NOTHING ELSE TO REMEMBER EXCELSIOR, YOU CAN BE BETTER. IT WILL BE BETTER. WE CAN MAKE YOU BETTER. WE MAKE IT BETTER TOGETHER. THAT'S IT P. QUESTIONS. >> SAY AGAIN. >> WHEN ARE WE GOING TO START FUNNELING PATIENTS INTO JAVITS? AND WHEN IS THAT PROCESS GOING TO WORK? >> WHEN WILL WE FUNNEL PATIENTS INTO JAVITS? JAVITS WILL BE COMING ONLINE THIS WEEK. ALSO REMEMBER, A LOT OF WHAT WE ARE DOING IS WE ARE BUILDING CAPACITY AND ASSEMBLING SUPPLIES FOR THE APEX. YOU LOOK AT PEOPLE SAY YOU DON'T NEED THIS TODAY. YEAH, I KNOW WHERE WE ARE ON THIS TRAJECTORY. I HAVE TO PREPARE FOR THE APEX, FOR THE CURVE. THAT'S WHERE I NEED THE BEDS, THAT'S WHERE I NEED THE SUPPLIES, ET CETERA. THAT'S WHEN I SAY, GET AHEAD OF THIS THING, RIGHT? THE VIRUS IS AHEAD OF US. I WANT TO GET TO THAT APEX BEFORE THE VIRUS GETS TO THE APEX. THE JAVITS IS A PART OF THAT SUPPLY. BUT IT WILL BE COMING ONLINE THIS WEEK WHEN WE ACTUALLY UTILIZE SIT WHEN WE NEED IT. KAREN. >> FAMILY DINNERS A MOMENT AGO. OBVIOUSLY, THE STAY AT HOME ORDERS AFFECT EASTER AND PASSOVER SO THAT MEANS THAT PEOPLE CAN'T GO TO CHURCH, CAN'T HAVE SADERS. WHAT ADVICE DO YOU GIVE THEM? >> IT'S HARD. IT'S HARD. BUT ON THE FLIPSIDE, I SAY, LOOK AT WHAT HAPPENED IN NEW ROCHELLE. THOSE GATHERINGS THAT BROUGHT PEOPLE TOGETHER WERE RELIGIOUS GATHERINGS. AND BROUGHT HUNDREDS OF PEOPLE TOGETHER, WHICH WAS BEAUTIFUL. BUT IT MADE MANY, MANY PEOPLE ILL. AND DENSITY IS THE ENEMY HERE. FOR THIS PARTICULAR TIME. SO, YOU WORSHIP, WORSHIP THE WAY YOU CAN BUT THE GATHERINGS ARE NOT A GOOD IDEA. BY THE WAY. THE PATIENT VIEW IN WEST CHESTER NEW ROCHELLE WHO WAS VERY SICK FOR A VERY LONG TIME, HE HAS ACTUALLY GONE HOME. AM I CORRECT ON THAT? >> HE'S OUT OF THE HOSPITAL. >> HAVE YOU SPOKEN TO -- [ INAUDIBLE ] SO HOW DO YOU TAKE BACK THE TRAVEL ISSUE? >> I SPOKE TO THE GOVERNOR OF RHODE ISLAND YESTERDAY AND WE HAD A CONVERSATION. I DON'T THINK THE ORDER WAS CALLED FOR. I DON'T BELIEVE IT WAS LEGAL. I DON'T BELIEVE IT WAS NEIGHBORLY. I UNDERSTOOD THE POINT. BUT I THOUGHT THERE WERE DIFFERENT WAYS TO DO IT AND THE GOVERNOR OF RHODE ISLAND WAS VERY RECEPTIVE AND I THANKED HER VERY MUCH FOR RECONSIDERING HER POSITION. >> 237 DEATHS IN THE LAST 24 HOURS IN THE STATE OF NEW YORK. 222 IT SEEMS IN NEW YORK CITY. WHAT ARE YOUR PROJECTIONS SHOWING IN TERMS OF WHAT THIS APEX MIGHT LOOK LIKE IN TERMS OF FATALITIES? ARE WE TALKING HUNDREDS OF PEOPLE? THOUSANDS OF PEOPLE? WHAT ARE YOU SEEING INSIDE? JUNE, HOWARD, DO YOU KNOW? >> SURE. THERE ARE MANY DIFFERENT PROJECTIONS THAT WE ARE LOOKING AT AND IT DOES SEE THAT WILL BE ALREADY WE'RE AT 965. SO YOU DO SEE IN THE THOUSANDS. BUT AGAIN, THESE ARE MODELS AND WE HAVE TO PLAN FOR WHAT THE MODEL MAY SHOW. HOPEFULLY, IT WILL BE LESS. >> HOW DO WE PREPARE NEW YORKERS? ARE WE TALKING HUNDREDS A DAY, THOUSANDS A DAY? >> IT GOES BACK TO THE NUMBERS. WE ALWAYS SAID 80% OF THE INDIVIDUALS GET BETTER. THE OTHER 20%, SOME END UP IN THE HOSPITAL. IT'S A SMALL PERCENTAGE THAT END UP, UNFORTUNATELY, DYING. THAT PERCENTAGE AS WE LOOK AT THE NUMBERS IS ACTUALLY HOVERING AROUND ONE OR EVEN LESS THAN 1%. SO AGAIN IT'S DETERMINED BY HOW MANY PEOPLE. >> OPINION, JESSIE, NOT DATA DRIVEN? >> I DON'T SEE HOW YOU LOOK AT THOSE NUMBERS AND CONCLUDE ANYTHING LESS THAN THOUSANDS OF PEOPLE WILL PASS AWAY. >> BECAUSE REMEMBER WHO IT'S ATTACKING. IT'S ATTACKING THE VULNERABLE, UNDERLYING ILLNESS, ET CETERA. AND I DON'T SEE HOW YOU GET PAST THAT CURVE WITHOUT SEEING THOUSANDS OF PEOPLE PASS AWAY? I HOPE IT'S WRONG, BUT -- >> AS OF FRIDAY, NEW YORK HOME RESIDENTS WERE ABOUT A FOURTH OF THE CORONAVIRUS DEATHS IN NEW YORK CITY. WHAT MORE CAN THE STATE DO TO PASS THAT RATIO? >> NURSING HOMES ARE ABOUT A FOURTH OF THE CORONAVIRUS DEATHS. FRANKLY, I'M -- WE ARE LUCKY IT'S ONLY ONE-QUARTER. CORONAVIRUS AND A NURSING HOME IS A TOXIC MIX. WE'VE SAID THAT FROM DAY ONE. WE SAW THAT IN WASHINGTON STATE. THIS VIRUS PREYS ON THE VULNERABLE. IT PREYS ON SENIORS. IT PREYS ON PEOPLE WITH COMPROMISED IMMUNE SYSTEMS AND UNDERLYING ILLNESSES AND CORONAVIRUS IN A NURSING HOME CAN BE LIKE FIRE THROUGH DRY GRASS. THE STATE HAS PUT IN DIFFERENT PRECAUTIONS. WE'RE NOT EVEN ALLOWING VISITORS INTO NURSING HOMES NOW, WHICH IS REALLY HARSH, FRANKLY, UNLESS WHAT WE CALL THERE ARE EXIGENT CIRCUMSTANCES WHERE THE PERSON IS IN A DESPERATE SITUATION AND THEN THE FAMILY COMES IN TO SEE THEM. THE STAFF IS BEING TESTED BEFORE THEY GO IN. SO WE'RE DOING EVERYTHING WE CAN. BUT THIS IS TRULY A TERRIBLE VIRUS TO STOP AND THAT COMBINATION IS LETHAL. CORONAVIRUS IN A NURSING HOME IS LETHAL. THE ONLY QUESTION IS HOW MANY PEOPLE ARE DYING. I'M SORRY, JIMMY. >> YOUR ORDE -- YOU'RE EXTENDING THAT CALL ORDER TO ALL ESSENTIAL WORKERS AND ALL THOSE GATHERING THROUGH? >> YES. >> OKAY. THEN TO GO BACK TO THE POINT THE DOCTOR IS MAKING, OBVIOUSLY, WE'RE TESTING AT A VERY LARGE RATE. WE'RE GETTING A LOT OF POSITIVES MAYBE COMPARED TO OTHER JURISDICTIONS, TO WHAT NUMBER ARE YOU ACTUALLY LOOKING AT? DO YOU LOOK AT THE RATE OF HOSPITALIZATION, ICU INTUBATION? THE DATA SEEMS TO BE SAYING DIFFERENT THINGS. >> YOU LOOK AT ALL THE NUMBERS. WE LOOK AT ALL DEATHS. WE LOOK AT THE TRENDS. IT'S VERY IMPORTANT. THE GOVERNOR MENTIONS IT IS A TREND WE NEED TO FOLLOW, WHETHER IT'S INTUBATIONS, ICU CARE AND OBVIOUSLY THE CASE MORTALITY RATE, WHICH IS THE NUMBER OF PEOPLE DIE, WHICH IS THE LARGE NUMBER TESTED. NEW YORK HAS TESTED MANY PEOPLE, MORE THAN ANYONE ELSE. >> JIMMY, IF I CAN ON THAT, THE QUESTION WAS BASICALLY WHAT NUMBERS DO YOU LOOK AT TO MAKE A PROJECTION? AS THE DOCTOR SAID, YOU LOOK AT ALL OF THEM. BUT I WOULD NOT LOOK AT THE TESTING NUMBERS. I WOULDN'T OVERWEIGHT THE TESTING NUMBERS, BECAUSE THE TESTING NUMBERS ARE NOT RANDOM. THE TESTING NUMBERS ARE ALL SELF SELECTIVE. RIGHT? THESE ARE PEOPLE YOU ARE TESTING BECAUSE THEY'RE SUSPECT OF BEING POSITIVE. AND WE DON'T DO THE PROJECTION OURSELVES. WE HAVE COLOMBIA WIRE MEDICAL CENTER THAT DOES PROJECTIONS. THE CDC DOES PROJECTIONS. WE HAVE MacKINZY COMPANY THAT WE HIRE TO DO PROJECTIONS. SO THERE ARE A NUMBER OF FIRMS THAT DO THESE PROJECTION MODELS AND THEY GO BACK TO STUDYING CHINA, SOUTH KOREA, EVERYTHING ELSE. AND THEY HAVE MODEL ITSELF. THE MODELS, SOME OF THE MODELS ARE ALL OVER THE PLACE, RIGHT? SO WE DO THE BEST WE CAN TO PICK A REASONABLE MODEL, NOT THE HIGHEST, NOT THE LOWEST, A REASONABLE MODEL, PLANS WITH NA MODEL -- PLANS WITH THAT MODEL, PLANS WITH THAT APEX. THAT'S WHERE WE GOT FROM DAY ONE, 40,000 ICU BEDS AT THE MODEL AT THE APEX, WHAT YOU DON'T NEED 140,000 HOSPITAL BEDS TODAY. OF COURSE NOT. WE NEED THEM AT THE APEX. BUT THAT'S WHERE WE GOT THE ORIGINAL PROJECTION. THEN HAVE YOU ACTUALITY. RIGHT? WHICH IS WHAT YOU ARE POINTING TO. YOU CAN SEE THE DAY-TO-DAY, HOW MANY COME IN, HOW MANY GO OUT, THE DISCHARGE RATE, THE DEATH RATE. THAT'S WHAT WE ARE PLOTTING. THEN THEY TAKE EVERY DAY AND THEY PUT IT AGAINST THEIR PROJECTION. BUT YOU STILL ONLY HAVE A PROJECTION. THEY STILL CAN'T TELL YOU THEY'RE WATCHING FOR THE SLOWING OF THE NUMBER OF CASES. AND WHEN YOU SEE THE NUMBER OF CASES, THE INCREASE IN THE NUMBER OF CASES SLOWING, THEN YOU ARE THEORETICALLY REACHING THE APEX. AND OTHERWISE YOU JUST WATCH IT DAY-TO-DAY. >> YOU KNOW ABOUT SORT OF STOPPING NEW YORK AT THE BORDER, WHAT ABOUT IN FLORIDA? WE'RE HEAR THEY'RE STOPPINGEN ON I-95? >> I DID NOT KNOW THAT. >> I HEAR THERE ARE STRICT RESTRICTIONS ON NEW YORKERS COMING FROM NEW YORK. >> I DON'T KNOW WHAT FLORIDA DID. I WILL LOOK INTO IT. >> I HAVE A THREE-PART QUESTION. >> YOU DON'T HAVE A THREE-PART QUESTION. HAVE YOU TWO PARTS. TAKE FIRST AND SECOND PART, PUT THEM TOGETHER IN ONE PART. >> WE'LL DO THAT. >> MOVING FORWARD, WHAT IS YOUR PLAN FOR TO APPEND WHAT MIGHT BE CONSIDERED BY THE MENTAL HEALTH CRISIS ENDING? AND AS PEOPLE ARE COUPED UP TOGETHER, DOMESTIC VIOLENCE IS EXPECTED TO RISE AND THEN YOU GET CRIME REPORTS AND CRIME RATES DOWN? >> ALL GOOD QUESTIONS. DOCTOR, DO YOU WANT TO COMMENT? JIMMY YOU WANT TO TELL US ABOUT THE MENTAL HEALTH PROGRAM? >> THE MENTAL HEALTH PROGRAM. WE HAVE A VOLUNTEER PROGRAM. WE HAVE NEARLY 12,000 MEDICAL EXPERTS WHO SIGNED UP TO OFFER SERVICES TO NEW YORKERS, EITHER VIA TELEPHONE OR SKYPE OR OTHER THINGS SO THAT PROGRAM IS GOING QUITE WELL OF PSYCHOLOGISTS AND PSYCHIATRISTS THAT ARE MENTAL HEALTH EXPERTS TO HELP WITH THAT. WE ARE TRACKING -- >> ARE YOU EXPECTING TO DO SOMETHING THAT NEW YORK STATE -- AS OPPOSED TO THIS NATIONAL PRICES OF PEOPLE, MENTAL HEALTH EXPERTS MORE AROUND THE COUNTRY THAT OFFER SKYPE? >> MANY OF THE PEOPLE. WELL, PEOPLE ARE SKYPEING BECAUSE WE WANT TO DISTANCE. WE WANT PEOPLE TO DISTANCE FROM ONE ANOTHER NOW. SO MANY OF THE VOLUNTEERS I MENTIONED ARE ACTUALLY NEW YORKERS, WHO ARE GIVING THEIR TIME TO HELP NEW YORKERS IN NEED RIGHT NOW, THAT ARE NEW YORK CENTRIC? >> YEP. THAT'S RIGHT. >> DOMESTIC VIOLENCE QUESTION -- >> JIM, HOWARD, YOU WANT TO TAKE THAT? >> TRACKING. >> SOME OF THAT DATA, IT'S TOUGH TO TELL HOW IT'S EMERGING. WE HAVE SEEN SOME ANECDOTAL INSTANCES OF INCREASE OF DOMESTIC VIOLENCE ISSUES AND DEPARTMENT OF HEALTH AND OTHER GOVERNMENT AGENCIES WILL BE MONITORING AND TRYING TO PROVIDE SERVICES WHERE POSSIBLE. BUT I DEFER TO THE DOCTORS. >> AS JIM SAID, WE ARE WORKING WITH ALL THE DIFFERENT AGENCIES ACROSS THE STATE ON THIS ISSUE AND MENTAL HEALTH AND THE OTHER AGENCIES. AND I HAVE ALSO REACHED OUT TO OUGHTS IN THE PRIVATE SECTOR TO ASK THE RECOMMENDATIONS THEY MAY HAVE. >> SIR. >> I APPRECIATE IT. CAN YOU KIND OF SPEAK TO IS THERE AN AMPLE WARNING BEFORE THE CORONAVIRUS TOUCHED ON NEW YORK SHORE THAT THERE SHOULD BE LARGE DATA AND ALL GATHERINGS SHOULD BE BANNED, THERE SHOULD BE LARGE WORKPLACE RESTRICTIONS. WHY DIDN'T YOU SHUT DOWN THE STATE SOONER? >> I THINK WE SHUT IT DOWN, I THINK WE WERE ONE OF THE FIRST TO SHUT IT DOWN. YOU KNOW SHUTTING IT DOWN IS NOT WITHOUT CRITICISM, EITHER. RIGHT? YOU ARE TRYING TO BALANCE THIS. YOU DON'T HAVE THE CONVERSATION OF WHEN DO YOU BRING THE ECONOMY BACK? WHEN DO YOU OPEN IT UP? SHUTTING IT DOWN IS A VERY DRASTIC MEASURE, BUT I THINK WE WERE ONE OF THE FIRST. ALSO, YOU WANT TO DO IT IN A WAY THAT DOESN'T CREATE MORE FEAR AND MORE PANIC. YOU ARE FIGHTING TWO THINGS. WE'RE STILL FIGHTING TWO THINGS. LAST NIGHT WE WERE FIGHTING TWO THINGS. YOU ARE FIGHTING THE VIRUS AND YOU ARE FIGHTING THE FEAR. I CAN'T TELL YOU HOW MANY PEOPLE QUALIFIED ALL FIGHT LONG ABOUT -- CALLED ALL NIGHT LONG ABOUT THE MANDATORY QUARANTINE COMMENT THAT THE PRESIDENT MADE AS HE WAS GETTING INTO A HOCK, WHICH WAS INCONCLUSIVE BY THE WAY. EVEN IF YOU HEARD THE COMMENT. PEOPLE ARE SO ON EDGE IT REALLY PANICKED PEOPLE. THEY WERE GOING TO LEAVE THE CITY LAST NIGHT. SO YOU NEED TO MANAGE THAT FEAR AND THE PANIC AND YOU ALSO NEED TO DO THE VIRUS. WE WERE ONE OF THE FIRST. I NEVER USED THE TERMÑi SHELTERN PLACE BECAUSE I BELIEVE THAT WAS AN INFLAMMATORY TERM AND INCORRECT, BY THE WAY, THEY STILL USE IT. NOBODY HAS A SHELTER IN PLACE POLICY. SHELTER IN PLACE WAS FROM THE NUCLEAR WAR THREAT GO TO A WINDOW IN YOUR ROOM AND STAY THERE UNTIL THEY GIVE YOU THE ALL CLEAR SIDE. BUT MODERN TIMES, IT WAS FOR AN ACTIVE SHOOTER CONCEPT OR IN SCHOOLS. THAT'S NOT WHAT THIS WAS. BUT YOU SAY THAT. NUCLEAR WAR ACTIVE SHOOTER, YOU KNOW, SO IT'S A HOW YOU DO IT. BUT WE WERE ONE OF THE FIRST TO DO IT. >> IT'S SUCH A QUICK FLIP, DO YOU REGRET NOT CLOSING SCHOOLS SOON 'ER. >> I THINK WE WERE THE MOST DRAMATIC AT BASICALLY THE FIRST POINT. >> YOU CAN TELL ME HOW MANY OR DO YOU KNOW HOW MANY MEDICAL PROFESSIONALS IN NEW YORK OR FRONT LINE FIRST RESPONDERS HAVE THE VIRUS AND TESTED POSITIVE? ARE YOU HEARING FROM HOSPITALS AND OTHER FOLKS? >> I DON'T HAVE WE DON'T HAVE A STATISTIC ON HOW MANY FIRST RESPONDERS SPECIFICALLY PROVED POSITIVE. >> SENATOR SCHUMER'S OFFICE SAYS ARE YOU REJECTING AND THROWING MEDICAID FUNDING FOR NEW YORKERS BECAUSE YOU ARE NOT WILLING TO DELAY THE MEDICAID REFORM UNTIL THE FEDERAL FUNDING RUNS OUT AND THEY CAN'T HURT GOVERNMENTS ESPECIALLY AT THIS TIME? >> SENATOR SCHUMER, IT WOULD BE NICE IF HE PASSED A PIECE OF LEGISLATION THAT ACTUALLY HELPED THE STATE OF NEW YORK. THE PIECE OF LEGISLATION HE PASSED STOPPED THE STATE FROM A PROCESS THAT WAS HAPPENING FOR SIX MONTHS, WHICH WAS REDESIGNING THE MEDICAID PROGRAM TO MAKE IT MORE EFFICIENT AND MORE EFFECTIVE. IT WAS CALLED THE MEDICAID REDESIGN TEAM. I ANNOUNCED IT BACK IN JANUARY. THIS IS THE SECOND TIME WE DID IT AND IT TAKES WASTE AND FRAUD AND INEFFICIENCY OUT OF THE SYSTEM AND THAT WAS GOING ON THE R ON SINCE JANUARY. THE LEGISLATION HE PASSED SAID YOU CAN'T REDESIGN MEDICAID FOR WHAT REASON, I HAVE NO IDEA. SO IT DISQUALIFIED THIS STATE FROM FUNDING. AND HE KNEW THAT WHEN HE PASSED IT. BECAUSE -- >> YOU HAVE A CHOICE. YOU COULD EITHER TAKE THE ADDITIONAL 6 BILLION AND CAUSE THE MRT WHICH IS WORTH 2.5 BILLION. YOU ARE NOT MAKING THE 6 BILLION YOU WILL PUSH AHEAD -- >> I HAVE NO CHOICE. BECAUSE ON THE -- LET ME -- I'LL TELL YOU. 2.5 BILLION PER YEAR RECURRING IS WORTH MORE THAN 6 BILLION ONE SHOT. I'D RATHER HAVE 2.5, 2.5, 2.5 THAN 6 BILLION TODAY. AND I CALLED EVERY CONGRESSIONAL REPRESENTATIVE AND TOLD THEM WHY WOULD YOU WANT TO STOP A MEDICAID REDESIGN THAT'S BEEN GOING ON SINCE JANUARY? I DON'T KNOW WHAT THEIR POLITICAL YOU CAN LUS WAS. -- CALCULUS WAS. THERE IS NO GOOD GOVERNMENT REASON TO SAY WHY YOU WOULD WANT TO STEP, MEDICAID REDESIGN HEADED BY DENNIS RIVERA, MICHAEL DOWING. TOP PROFESSIONAL IN THE STATE PASSED BY THE ASSEMBLY AND THE SENATE. A STATE PAST MEDICAID REDESIGN EFFORT. WHY WOULD YOU EVER WANT TO STOP THAT? I DON'T KNOW WHOSE POLITICS THEY'RE PLAYING. BUT THEY DIDN'T EXHIBIT THE PEOPLE OF THE STATE. >> MAYBE YOU CAN DO THAT NEXT YEAR. WHY NOT TAKE THE MONEY THEY ARE OFFERING BECAUSE YOU NEED IT? >> YOU WANT TO INTERRUPT? >> SO ONE OF THE NUMBERS HERE, THE $6 BILLION WE CAN'T GET IT, NO MATTER HOW YOU ESTIMATE THOSE NUMBERS. IT'S PROBABLY CLOSER TO $4 BILLION. THAT ASSUMES THE EMERGENCY IS IN PLACE FOR A FULL-YEAR-OLD. THERE IS NOTHING IN THAT BILL THAT SAYS IT WILL LAST FOR A YEAR. IN FACT, IT WILL END AS SOON AS THE PRESIDENT DECLARES IT'S OVER. SO THAT CAN HAPPEN ANY TIME. THAT $4 BILLION IS REDUCED. IF IT'S HALF A YEAR, IT'S TWO. THEN A SIGNIFICANT PORTION OF THAT MONEY DOESN'T COME TO THE STATE. IT WENT TO LOCAL GOVERNMENTS. SO YOU ARE LEFT WITH A NUMBER THAT'S UNDER $2 BILLION POSSIBLY, IF AT MOST. WHICH THEN YOU ARE BASICALLY SAYING TAKE ONE SHOT AT THESE FUNDS, DON'T REFORM THE MEDICAID SYSTEM. SPEND THAT MONEY INEFFICIENTLY ON A SYSTEM THAT UNANIMOUSLY EVERYONE ON THERE UNDERSTOOD WAS NOT WORKING PROPERLY OR WASTES THE MONEY. THE CHOICE IS TO DO IT OR REDUCE THE BILL AND FUNDING TO NEW YORK STATE. THAT DOESN'T GIVE US A FRACTION OF THE AMOUNT OF MONEY WE NEED. >> CAN YOU UPDATE -- >> THAT'S NOT THE STICKING POINT FOR THE BUDGET. BUT JUST TO SO YOU HAVE THE FACT. IT'S $2 BILLION. TAKE $2 BILLION FOR SURE. RIGHT. DOOR A, DOOR B. FOR SURE OR DOOR B FOR $2.6 BILLION. I PICK THE DOOR WITH $2.6 BILLION. I LIKE TO LET IT BE. I PICKED 2.6 BILLION. THE REAL QUESTION WITH ME, JIMMY, WHY WOULD DO YOU THAT TO THE STATE OF NEW YORK? WHY WOULD YOU SAY STOP A MEDICATE REDESIGN THAT SAVES TAXPAYERS MONEY THAT HAS TO BE PASSED BY THE ASSEMBLY AND BY THE SENATE? WHY WOULD A FEDERAL GOVERNMENT SAY I'M GOING TO TRAMPLE THE STATE'S RIGHT TO REDESIGN ITS MEDICATE PROGRAM THAT IT RUNS? THAT SAVES MONEY? WHAT IS -- I DON'T EVEN KNOW WHAT THE POLITICAL INTEREST IS THEY'RE TRYING TO PROTECT. BUT 2 BILLION FURS 2.6. I PICK 2.6. SECOND THE PROBLEM IN THE BUDGET IS THE NUMBERS. WHY? BECAUSE THE FEDERAL GOVERNMENT. WHAT WE THINK ABOUT IS IN THE PREVIOUS BILL. >> TWO BILL ACE GO. >> THE BILL THAT JUST PASSED, WE GET 1.19% OF OUR STATE BUDGET, ABOUT $5 BILLION. WHICH IS 1.9% OF OUR BUDGET. ONLY TO USE FOR CORONAVIRUS EXPENSES. OKAY. 5 BILLION, 1. % ONLY TO CORONAVIRUS EXPENSES. THE FIRST POINT YOU HAVE STATES THAT GOT 10 PERCENT OF THEIR BUDGET, 20% OF THEIR BUDGET IN CORONAVIRUS EXPENSES THAT DON'T EVEN HAVE CORONAVIRUS CASES. WE HAVE MORE CASES THAN ANYONE ELSE. WE GOT THE LOWEST LEVEL OF REIMBURSEMENT IN THE BILL. WHAT HAPPENED TO FUNDING NEED? SECOND, THE FEDERAL BILL HAD NO FUNDING FOR THE FACT THAT STATES HAVE LOST REVENUE. AND SPEAKER PELOSI, GOD BLESS HER, WAS ASKED TODAY HOW ABOUT GOVERNOR CUOMO'S POINT IT DIDN'T DO ANYTHING WITH THE STATES. THE SPEAKER SAID WE HAVE TO COME BACK AND PASS ANOTHER BILL SO WE HAVE A $10 BILLION, $15 BILLION REVENUE HOLE THAT THE FEDERAL GOVERNMENT DID NOTHING TO HELP ON. NOW I HAVE TO DO A STATE BUDGET SO NOW I SAY THE STATE SENATE, BY THE WAY, WE HAVE A 10 OR 15 BILLION HOLD. THEY DON'T WANT TO HEAR US. NOBODY WANTS TO HEAR IT. I DON'T WANT TO HEAR IT. HOW DO YOU DO A BUDGET WITH THAT BIG OF A HOLE? AND REMEMBER THE GREAT HEART BREAK WAS WE WERE ALL WAITING FOR THIS LAST FEDERAL PIECE OF LEGISLATION, BECAUSE WE ALL BELIEVED IT WAS GOING TO HAVE MONEY TO HELP US OUR REVENUE SHORTFALL. AND THEN IT DIDN'T. SO, LIKE THAT SHOCK WAS JUST TWO OR THREE DAYS AGO. NOW WE HAVE TO DO THE BUDGET NEXT WEEK. THE HELP WE WERE WAITING FOR FROM WASHINGTON NEVER CAME. NOW WE HAVE TO MAKE DRASTIC CUTS TO THE BUDGET, LIKE YOU HAVE NEVER SEEN. >> LET ME Q ASK YOU WITH THE TRAVEL ADVISORY, HOW DO YOU ENVISION NON-ESSENTIAL TRAVEL? I MEAN, BUSINESS TRAVEL FOR MANY IS CONSIDERED ESSENTIAL. YOU, YOURSELF, SAID THE FINANCIAL SECTOR IS IMPORTANT. HOW DO YOU IMAGINE THAT? ARE YOU ASKING PEOPLE NOT TO COME TO NEW YORK TO DO BUSINESS? >> THE SAME DEFINITIONS WE HAVE, JESSIE. NON-ESSENTIAL, IF YOU ARE NON-ESSENTIAL WORKER, YOU SHOULDN'T BE LEAVING YOUR HOME. IF YOU ARE AN ESSENTIAL WORKER, THEN YOU CAN TAKE A BUS, A TRAIN, A CAR, A PLANE? >> SPECIFIC TO THE TRAVEL ADVISER? >> SAME. >> SO SHOULD PEOPLE BE TRAVELING TO NEW YORK? >> SIMILAR. IF THEY ARE ESSENTIAL BUSINESS TRAVELERS. YES. >> IF YOU DID IT, WOULD YOU BE ALLOWED UNDER THE BILL? IT LOOKS LIKE YOU CAN FIND SAVINGS WITHOUT SHIFTING COSTS TO COUNTY? AND WHAT WOULD THE ACROSS THE BOARD CUTS THAT THEY ARE LOOKING AT THAT ARE POSSIBLE AT TIMES OF A PUBLIC HEALTH CRISIS? >> WELL, WE DO HAVE FUNDING. THE QUESTION IS, HOW DO WE FUND THE HEALTHCARE COSTS? THE FEDERAL GOVERNMENT DID PROVIDE HEALTHCARE FUNDING. I HAVE $5 BILLION IN THE BILL FOR CORONAVIRUS FUNDING. BUT YOU KNOW EVERY HOSPITAL NOW HAS CORONAVIRUS EXPENSES. SO WE HAVE $5 BILLION FOR HEALTHCARE IN HOSPITALS. IRONICALLY, OUR LAST PROBLEM IN SOME WAYS IS THE HEALTHCARE BUDGET. BSE W RECEIVED $5 BILLION AND THE HOSPITAL VERSUS RECEIVED A LOT OF MONEY. THE BIG PROBLEM IS HOW DO YOU FUND THE SCHOOLS? BECAUSE THE SCHOOLS ARE THE SECOND BIGGEST EXPENSES FOR THE STATE AFTER HEALTHCARE. AND THAT'S WHERE WE HAVE ZERO DOLLARS. >> [ INAUDIBLE QUESTION ] >> COULDN'T WE DO SHORT-TERM -- THERE THE ISSUE, IS, RIGHT, WE WILL NOT HAVE REVENUE IN THE FIRST QUARTER OF THIS YEAR IN A RESULT OF THE DELAY OF THE APRIL TO JULY 15th, SO WITH NO REVENUE COMING IN, PER THE FEDERAL DECISION. R, WE HAVE TO BORROW RESOURCES TO BRIDGE THAT GAP TEMPORARILY. THOSE REVENUES SHOULD COME IN. THAT'S DIFFERENT THAN THE REVENUE SHORTFALL WHICH IS A RESULT OF HAVING ONLY ESSENTIAL BUSINESSES OPENED AND THAT REVENUE NOT COMING IN. BUT TO BRIDGE THAT GAP, WE'LL DO SHORT-TERM BORROWING AND HAVE A REVENUE SHORTFALL. >> THE ESSENTIAL PROBLEM SO WE'RE CLEAR WHEN YOU HAVE THAT BIG A HOLE THAT HAS TO BE CLOSED, THERE'S TWO THINGS YOU CAN DO. YOU CAN SORT OF PAPER OVER IT, AND COME UP WITH EXPECTATIONS. WELL, WE BELIEVE THE NEXT FEDERAL BILL WILL ACTUALLY DELIVER MONEY TO THE STATE OF NEW YORK P. YES. YOU COULD SAY THAT. AND YOU COULD SAY THAT I BELIEVE THAT SANTA CLAUS IS REAL. YOU KNOW, BUT I'M NOT COMFORTABLE DOING THAT. ESPECIALLY SINCE THE FEDERAL GOVERNMENT JUST PASSED THE BILL AND THAT'S WHAT WE WERE JUST HOPING FOR AND THE FEDERAL GOVERNMENT JUST DID THE EXACT OPPOSITE AND HANDED US A GOOSE EGG. WELL, WE EXPECT THE ECONOMY IS GOING TO REBOUND IN NINE MONTHS. AND THAT IT'S GOING TO BE WITH THE V-CURVE. IT WAS A QUICK DOWN, IT WILL BE A QUICK UP AND IN NINE MONTHS, ALL THOSE REVENUES WILL KEEP COME FLOODING BACK. SO WE'RE GOING TO BE FINE. THAT'S ANOTHER WAY OF PAPERING OVER THE HOLE. I DON'T WANT TO DO THAT HERE. BECAUSE I DON'T BELIEVE IT. AND I DON'T BELIEVE ANYONE IS GOING TO BELIEVE IT. AND I DON'T BELIEVE CREDIT AGENCIES ARE GOING TO BELIEVE IT. AND I BELIEVE POSTPONING A PROBLEM IN GOVERNMENT, IN LIFE, YOU JUST MAKE IT WORSE. YOU JUST MAKE IT WORSE. LET'S NOT DECEIVE OURSELVES. YOU ARE NOT GOING TO GET SAVED BY THE FEDERAL GOVERNMENT, IF THEY WERE GOING TO DO IT, THEY WOULD HAVE DONE IT. THEY PLAYED THEIR OWN POLITICS. SHOCKER. THIS IS NOT GOING TO BE A QUICK DOWN, QUICK UP. YOU ARE LOOKING AT WEEKS OR MONTHS. AND I DON'T KNOW HOW QUICK THE RECOVERY AND THE RECOVERY IS GOING TO BE COMPLICATED AND EVERYBODY SAYS IT. SO I'M NOT GOING TO SAY TO THE PEOPLE OF THIS STATE, THERE IS A THEORY OF ECONOMICS THAT I DON'T BELIEVE. I BELIEVE WE HAVE TO ACTUALLY DEAL WITH THE NUMBERS THAT ARE PRESENTED, BY THE WAY, LIKE EVERY FAMILY IN THIS STATE HAS TO DEAL WITH THE NUMBERS. EVERYBODY'S INCOME IS DOWN AND THEY DON'T GET TO MAKE UP NUMBERS OR MAKE UP A RATIONAL. I'M GOING TO GO BUY A NEW CAR BECAUSE I THINK I'M GOING TO GET REHIRED AT A JOB THAT PAYS MORE. SO I'M GOING TO GO BUY A NEW CONSIDER. I'M NOT DOING IT. THEY CAN'T DO IT. I'M NOT GOING TO DO IT. IT'S GOING TO BE HONEST. I KNOW IT'S POLITICALLY HARD FOR THE LEGISLATURE. I KNOW LEGISLATIVE BODIES THEY WANT TO MAKE FRIENDS BY GIVING OUT A LOT OF MONEY. WE HAVE BEEN SUCCESSFUL IN BEING VERY PRUDENT ECONOMICALLY, OUR SPENDING RATE HAS GONE UP LESS THAN ANY ADMINISTRATION IN MODERN HISTORY. OUR BUDGETS HAVE PASSED AND THEY HAVE BEEN RIGHT. I'M NOT GOING TO CHANGE THAT NOW. SO I'M NOT GOING TO PAPER OVER THE ECONOMIC REALITY AND I KNOW IT'S DIFFICULT FOR THEM. BUT I'M NOT GOING TO DO IT OTHERWISE. I CAN TELL YOU THAT RIGHT NOW. I'M NOT FINANCIAL TO PASS OR SIGN PHONY BUDGET. >> [ INAUDIBLE QUESTION ] >> THE SAME POLICY ISSUES WE HAVE BEEN DISCUSSING ALL ALONG, THE MAIN POLICY OBJECTIONS, THEY OBJECT TO A POLICY PROPOSAL THAT I PUT IN, WHICH WOULD BE A BILL THAT IS MEANT TO FIGHT AGAINST ANTI-SEMITISM. ANTI-SEMITISM HAS BEEN A MAJOR PROBLEM IN THIS STATE. RIGHT NOW WE HAVE CORONAVIRUS AND THAT SORT OF ECLIPSES EVERYTHING. WE TEND TO BE MYOPIC. WE'VE HAD DOZENS AND DOZENS OF ANTI-SEMITIC ATTACKS ALL ACROSS THIS STATE. I HAVE BEEN THERE WITH FAMILIES WHO HAVE BEEN ATTACKED. I WAS THERE THE MORNING AFTER THE FIRST NIGHT OF HASN'T KA -- HANUKKAH, WHEN A RABBI'S HOME WAS ATTACKED. IT'S NOT ANTI-SEMITISM. IT'S WHAT I CALL ANTI-TERRORISM. IT'S REPUGNANT IN NEW YORK AND AMERICA TO ATTACK SOMEONE BASED ON THEIR RACE, COLOR OR CREED. IF YOU TRY I TO KILL SOMEONE, IF YOU KILL SOMEONE IN AN ATTEMPT TO KILL SEVERAL PEOPLE, BASED ON THEIR RACE, COLOR OR CREED, HOW IS THAT NOT A TERRORIST ACT? YOU KILLED SOMEONE AND YOU WERE ATTEMPTING TO KILL MULTIPLE PEOPLE BASED ON THEIR RACE, COLOR, CREED. THEY DON'T WANT TO PASS THAT BILL AND THERE IS OKAYS TO THE CELIBACY BILL, WHICH WOULD ALLOW, WHICH WOULD HELP INFERTILE WOMEN WHO CAN'T HAVE A CHILD, CAN'T CARRY A CHILD, BIOLOGICALLY, FROM HAVING A SURROGATE SO THEY CAN HAVE A CHILD, IT WAS STOP LBGTQ COUPLES FROM HAVING A CHILD, WHICH IS WHOLLY IRONIC TO ME, WHICH THIS IS THE STATE THAT FIRST PASSED MARNL EQUALITY. NOW YOU SAID TO THAT COUPLE, YOU CAN GET MARRIED, BUT YOU CAN'T HAVE A FAMILY BECAUSE YOU CAN'T HAVE A CHILD. IT MAKES NO SENSE TO ME. BUT THOSE ARE THE MANE DISCUSSIONS. LET'S GO TO WORK, GUYS. I HAVE TO GO.
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