ONE OUT OF EVERY FOUR MEMBERS OF THE CITY’S EMS PERSONNEL --
THE CITY’S EMS PERSONNEL -- THAT’S PART OF THE FIRE
THAT’S PART OF THE FIRE DEPARTMENT -- ARE OUT SICK.
DEPARTMENT -- ARE OUT SICK. MY NEXT GUEST HAS OUTLINED A
MY NEXT GUEST HAS OUTLINED A RIGOROUS SIX-POINT PLAN THAT HE
RIGOROUS SIX-POINT PLAN THAT HE SAYS CAN DEFEAT THIS PANDEMIC BY
SAYS CAN DEFEAT THIS PANDEMIC BY EARLY JUNE IF WE’RE ALL WILLING
EARLY JUNE IF WE’RE ALL WILLING TO THROW IN AND TRY HARD ENOUGH.
TO THROW IN AND TRY HARD ENOUGH. WE WELCOME TO THE BROADCAST
WE WELCOME TO THE BROADCAST HARVEY FEINBERG, PRESIDENT OF
HARVEY FEINBERG, PRESIDENT OF THE GORDON AND BETTY MOORE
THE GORDON AND BETTY MOORE FOUNDATION AND THE CHAIR OF THE
FOUNDATION AND THE CHAIR OF THE STANDING COMMITTEE ON EMERGING
STANDING COMMITTEE ON EMERGING INFECTIOUS DISEASES AND 21st
INFECTIOUS DISEASES AND 21st CENTURY HEALTH THREATS.
CENTURY HEALTH THREATS. IF THIS ISN’T ONE, IT WILL DO
IF THIS ISN’T ONE, IT WILL DO UNTIL ONE GETS HERE.
UNTIL ONE GETS HERE. HE’S ALSO FORMER PRESIDENT OF
HE’S ALSO FORMER PRESIDENT OF THE INSTITUTE OF MEDICINE NOW
THE INSTITUTE OF MEDICINE NOW KNOWN AS THE NATIONAL ACADEMY OF
KNOWN AS THE NATIONAL ACADEMY OF MEDICINE.
MEDICINE. HAPPENS TO BE THE FORMER DEAN OF
HAPPENS TO BE THE FORMER DEAN OF THE HARVARD SCHOOL OF PUBLIC
THE HARVARD SCHOOL OF PUBLIC HEALTH.
HEALTH. LET ME GET TO YOUR LIST SO WE
LET ME GET TO YOUR LIST SO WE DON’T WASTE A SECOND.
DON’T WASTE A SECOND. HERE ARE YOUR SIX POINTS.
HERE ARE YOUR SIX POINTS. WE’LL CRITIQUE AS WE GO.
WE’LL CRITIQUE AS WE GO. TO CRUSH COVID-19 IN TEN WEEKS,
TO CRUSH COVID-19 IN TEN WEEKS, YOU ARE CALLING FOR ESTABLISH
YOU ARE CALLING FOR ESTABLISH UNIFIED COMMAND.
UNIFIED COMMAND. WE DON’T HAVE THAT.
WE DON’T HAVE THAT. MAKE MILLIONS OF TESTS
MAKE MILLIONS OF TESTS AVAILABLE.
AVAILABLE. WE DON’T YET HAVE THAT.
WE DON’T YET HAVE THAT. PPE AND EQUIPMENT TO HOSPITALS.
PPE AND EQUIPMENT TO HOSPITALS. WE DON’T HAVE ENOUGH.
WE DON’T HAVE ENOUGH. DIFFERENTIATE THE POPULATION
DIFFERENTIATE THE POPULATION INTO FIVE GROUPS.
INTO FIVE GROUPS. THAT I NEED TO COME BACK TO.
THAT I NEED TO COME BACK TO. INSPIRE AND MOBILIZE THE PUBLIC.
INSPIRE AND MOBILIZE THE PUBLIC. I’M PRETTY SURE WE HAVEN’T DONE
I’M PRETTY SURE WE HAVEN’T DONE THAT.
THAT. AND LEARN THROUGH REAL-TIME
AND LEARN THROUGH REAL-TIME FUNDAMENTAL RESEARCH.
FUNDAMENTAL RESEARCH. RIGHT NOW IT SEEMS TO ME WE’RE
RIGHT NOW IT SEEMS TO ME WE’RE DOING BASIC TRIAGE, BUT I HOPE
DOING BASIC TRIAGE, BUT I HOPE OUR SMARTER ANGELS ARE ALREADY
OUR SMARTER ANGELS ARE ALREADY ENGAGED IN THAT.
ENGAGED IN THAT. SO IF YOU CAN BACK UP TO
SO IF YOU CAN BACK UP TO DIFFERENTIATING THESE FIVE
DIFFERENTIATING THESE FIVE GROUPS, THAT WAS A FASCINATING
GROUPS, THAT WAS A FASCINATING IDEA.
IDEA. >> WELL, THANK YOU, BRIAN.
>> WELL, THANK YOU, BRIAN. IT’S A PLEASURE TO BE WITH YOU.
IT’S A PLEASURE TO BE WITH YOU. THE BASIC IDEA IS IF WE ARE IN
THE BASIC IDEA IS IF WE ARE IN THIS AS A WAR, WE SHOULD BE IN
THIS AS A WAR, WE SHOULD BE IN IT TO WIN.
IT TO WIN. AND TO WIN WE HAVE TO DO A GREAT
AND TO WIN WE HAVE TO DO A GREAT DEAL MORE THAN WE ARE DOING.
DEAL MORE THAN WE ARE DOING. ONE OF THE CRITICAL ELEMENTS, AS
ONE OF THE CRITICAL ELEMENTS, AS YOU POINTED OUT, WAS TO
YOU POINTED OUT, WAS TO UNDERSTAND WHO IN THE POPULATION
UNDERSTAND WHO IN THE POPULATION FIRST IS INFECTED, SECONDLY IS
FIRST IS INFECTED, SECONDLY IS PRESUMED INFECTED BECAUSE THEY
PRESUMED INFECTED BECAUSE THEY HAVE ALL THE SYMPTOMS BUT THEY
HAVE ALL THE SYMPTOMS BUT THEY HAVEN’T YET TESTED POSITIVE.
HAVEN’T YET TESTED POSITIVE. THIRD IS SOMEONE WHO’S BEEN
THIRD IS SOMEONE WHO’S BEEN EXPOSED BUT NOT YET INFECTED.
EXPOSED BUT NOT YET INFECTED. SO THOSE PEOPLE SHOULD BE IN
SO THOSE PEOPLE SHOULD BE IN QUARANTINE.
QUARANTINE. FOURTH, THOSE OF US WHO HAVE
FOURTH, THOSE OF US WHO HAVE NEITHER DEVELOPED THE INFECTION
NEITHER DEVELOPED THE INFECTION NOR, TO OUR KNOWLEDGE, BEEN
NOR, TO OUR KNOWLEDGE, BEEN DIRECTLY EXPOSED TO SOMEONE WITH
DIRECTLY EXPOSED TO SOMEONE WITH IT.
IT. AND FINALLY, THOSE WHO HAVE
AND FINALLY, THOSE WHO HAVE RECOVERED AND PRESUMABLY HAVE
RECOVERED AND PRESUMABLY HAVE SOME DEGREE OF IMMUNITY, WHICH
SOME DEGREE OF IMMUNITY, WHICH CAN ALSO BE TESTED.
CAN ALSO BE TESTED. >> WE’RE WATCHING THESE STATES
>> WE’RE WATCHING THESE STATES ONE AFTER ANOTHER LATE IN THIS
ONE AFTER ANOTHER LATE IN THIS PROCESS SEE THE LIGHT AND TELL
PROCESS SEE THE LIGHT AND TELL OR ASK THEIR CITIZENS TO STAY
OR ASK THEIR CITIZENS TO STAY INDOORS.
INDOORS. IT SEEMS TO ME FOR EVERY STATE
IT SEEMS TO ME FOR EVERY STATE NOT UNDER SUCH AN ORDER, THAT
NOT UNDER SUCH AN ORDER, THAT THREATENS THE HERD, BUT THERE IS
THREATENS THE HERD, BUT THERE IS A SELF-REWARD FOR DOING WHAT YOU
A SELF-REWARD FOR DOING WHAT YOU AND I ARE DOING, STAYING INDOORS
AND I ARE DOING, STAYING INDOORS AND AWAY FROM OTHER PEOPLE.
AND AWAY FROM OTHER PEOPLE. IT’S YOUR WAY OF MAKING A TOUGH
IT’S YOUR WAY OF MAKING A TOUGH OUTER SHELL ON YOU THAT’S GOING
OUTER SHELL ON YOU THAT’S GOING TO RESIST THIS.
TO RESIST THIS. >> IT’S BASICALLY DISTANCE BY
>> IT’S BASICALLY DISTANCE BY PHYSICAL SEPARATION THAT MAKES
PHYSICAL SEPARATION THAT MAKES IT HARDER FOR THAT VIRUS TO FIND
IT HARDER FOR THAT VIRUS TO FIND SOMEONE ELSE TO INFECT.
SOMEONE ELSE TO INFECT. THAT’S THE WHOLE POINT OF OUR
THAT’S THE WHOLE POINT OF OUR WORK FROM HOME, STAY AT HOME,
WORK FROM HOME, STAY AT HOME, SHELTER AT HOME, THAT WHOLE
SHELTER AT HOME, THAT WHOLE CONCEPT.
CONCEPT. THAT’S LIKELY TO REDUCE THE
THAT’S LIKELY TO REDUCE THE FREQUENCY OF THE SPREAD.
FREQUENCY OF THE SPREAD. BUT UNLESS WE’RE MUCH MORE
BUT UNLESS WE’RE MUCH MORE AGGRESSIVE ABOUT TESTING AND
AGGRESSIVE ABOUT TESTING AND DIFFERENTIATING THE POPULATION
DIFFERENTIATING THE POPULATION INTO THOSE FIVE GROUPS AND THEN
INTO THOSE FIVE GROUPS AND THEN ACTING ON THAT INFORMATION,
ACTING ON THAT INFORMATION, ISOLATE THE CASES, QUARANTINE
ISOLATE THE CASES, QUARANTINE THOSE WHO HAVE BEEN EXPOSED,
THOSE WHO HAVE BEEN EXPOSED, KEEP OTHERS AWAY FROM THE
KEEP OTHERS AWAY FROM THE EXPOSURE, WE’RE NOT GOING TO
EXPOSURE, WE’RE NOT GOING TO REALLY WIN THIS WAR.
REALLY WIN THIS WAR. >> WELL, AS YOU KNOW, AS A
>> WELL, AS YOU KNOW, AS A WELL-READ GUY, WARS ARE WON IN
WELL-READ GUY, WARS ARE WON IN PART BASED ON LEADERSHIP.
PART BASED ON LEADERSHIP. CENTRAL LEADERSHIP AND TERRIFIC
CENTRAL LEADERSHIP AND TERRIFIC BATTLEFIELD LEADERSHIP.
BATTLEFIELD LEADERSHIP. WE DON’T HAVE ANY ONE PERSON.
WE DON’T HAVE ANY ONE PERSON. I’LL TRY TO KEEP YOU IN MEDICINE
I’LL TRY TO KEEP YOU IN MEDICINE AND OUT OF POLITICS, BUT IF YOU
AND OUT OF POLITICS, BUT IF YOU HAD YOUR DRUTHERS, WOULD IT BE
HAD YOUR DRUTHERS, WOULD IT BE ONE OF THE MANY HIGHLY QUALIFIED
ONE OF THE MANY HIGHLY QUALIFIED RETIRED GENERALS IN OUR COUNTRY,
RETIRED GENERALS IN OUR COUNTRY, MANY OF WHOM ARE QUITE ACTIVE
MANY OF WHOM ARE QUITE ACTIVE AND VOCAL ON SOCIAL MEDIA?
AND VOCAL ON SOCIAL MEDIA? WOULD IT BE A DR. TONY FAUCI?
WOULD IT BE A DR. TONY FAUCI? DO YOU HAVE A CANDIDATE WHO YOU
DO YOU HAVE A CANDIDATE WHO YOU WISH WOULD RISE UP AND LEAD THIS
WISH WOULD RISE UP AND LEAD THIS THING?
THING? >> THE MOST IMPORTANT THING IS,
>> THE MOST IMPORTANT THING IS, FIRST, WHOEVER IT IS WHO’S OUR
FIRST, WHOEVER IT IS WHO’S OUR COMMANDER IN THE FIELD, WHO
COMMANDER IN THE FIELD, WHO REPORTS DIRECTLY TO THE
REPORTS DIRECTLY TO THE PRESIDENT, HAS TO HAVE THE FULL
PRESIDENT, HAS TO HAVE THE FULL CONFIDENCE OF THE PRESIDENT.
CONFIDENCE OF THE PRESIDENT. THAT IS ESSENTIAL.
THAT IS ESSENTIAL. IT TOOK LINCOLN A WHILE BEFORE
IT TOOK LINCOLN A WHILE BEFORE HE FOUND HIS GRANT.
HE FOUND HIS GRANT. PRESIDENT TRUMP NEEDS THE
PRESIDENT TRUMP NEEDS THE EQUIVALENT.
EQUIVALENT. SECONDLY, THIS INDIVIDUAL HAS TO
SECONDLY, THIS INDIVIDUAL HAS TO UNDERSTAND BOTH THE GOVERNMENT
UNDERSTAND BOTH THE GOVERNMENT AND THE HEALTH SCENE.
AND THE HEALTH SCENE. THIS IS SOMEONE WHO ALSO KNOWS
THIS IS SOMEONE WHO ALSO KNOWS ABOUT STATE AND FEDERAL
ABOUT STATE AND FEDERAL RELATIONS.
RELATIONS. THIS HAS TO BE SOMEONE WHO IS
THIS HAS TO BE SOMEONE WHO IS WELL RESPECTED, VERY
WELL RESPECTED, VERY KNOWLEDGEABLE, AND DECISIVE IN
KNOWLEDGEABLE, AND DECISIVE IN DECISION-MAKING.
DECISION-MAKING. THERE ARE A NUMBER OF PEOPLE,
THERE ARE A NUMBER OF PEOPLE, BRIAN, WHO COULD QUALIFY.
BRIAN, WHO COULD QUALIFY. JUST TO NAME ONE, TO PICK A NAME
JUST TO NAME ONE, TO PICK A NAME OUT OF THE AIR, FORMER GOVERNOR
OUT OF THE AIR, FORMER GOVERNOR H.H.S. SECRETARY MIKE LEVITT,
H.H.S. SECRETARY MIKE LEVITT, KIND OF PERSON WHO SUCCEEDED IN
KIND OF PERSON WHO SUCCEEDED IN RUNNING A DEPARTMENT, VERY
RUNNING A DEPARTMENT, VERY COMPLICATED, WELL ORGANIZED,
COMPLICATED, WELL ORGANIZED, ABLE TO GET THINGS DONE.
ABLE TO GET THINGS DONE. IF YOU REACH ACROSS THE AISLE,
IF YOU REACH ACROSS THE AISLE, YOU HAVE ASH CARTER, FORMER
YOU HAVE ASH CARTER, FORMER SECRETARY OF DEFENSE, EXTREMELY
SECRETARY OF DEFENSE, EXTREMELY BRILLIANT, GREAT HISTORY IN
BRILLIANT, GREAT HISTORY IN LOGISTICS.
LOGISTICS. MAYBE YOU GET BOTH OF THEM.
MAYBE YOU GET BOTH OF THEM. MAYBE ONE IS IN CHARGE AND ONE
MAYBE ONE IS IN CHARGE AND ONE MANAGES DIFFERENT ASPECTS OF THE
MANAGES DIFFERENT ASPECTS OF THE PROGRAM.
PROGRAM. WE KNEAD THE "A" TEAM BROUGHT
WE KNEAD THE "A" TEAM BROUGHT TOGETHER UNDER A UNIFIED COMMAND
TOGETHER UNDER A UNIFIED COMMAND TO DIRECT THIS EFFORT IN A WAY
TO DIRECT THIS EFFORT IN A WAY THAT AVOIDS A LOT OF THE
THAT AVOIDS A LOT OF THE MISCOMMUNICATION,
MISCOMMUNICATION, MISUNDERSTANDING, LACK OF
MISUNDERSTANDING, LACK OF COHERENCE IN THE WAY WE’RE
COHERENCE IN THE WAY WE’RE APPROACHING THIS PROBLEM.
APPROACHING THIS PROBLEM. JUST THINK ABOUT THE WAY WE’VE
JUST THINK ABOUT THE WAY WE’VE TRIED TO SETTLE THE VENTILATOR
TRIED TO SETTLE THE VENTILATOR SHORTAGE PROBLEM, EACH STATE OUT
SHORTAGE PROBLEM, EACH STATE OUT ON ITS OWN AND THEN FEMA AND THE
ON ITS OWN AND THEN FEMA AND THE FEDERAL GOVERNMENT OVERLAYING
FEDERAL GOVERNMENT OVERLAYING ITS WORK ON TOP OF ALL THE
ITS WORK ON TOP OF ALL THE STATES.
STATES. THIS SHOULD BE A COORDINATED,
THIS SHOULD BE A COORDINATED, UNIFIED, THOUGHT-THROUGH EFFORT
