vin gupta, a critical care pulmonologist in seattle. he is also on faculty at the university of washington institute for health metrics and evaluation. doctor gupta you make us feel safe there. and definitely smarter on all things covid when you hear. new york times is reporting in some hospitals, as many as half of the people who are testing positive, we're actually brought into the hospital for something else. testing positive after they were admitted. when we look at the soaring numbers about the omicron variant. are they even close about how we should believe about how serious the hospitalizations are? >> stephanie, good evening, good to see you. what i will say, for all your viewers out there is this. the hospitalizations numbers, the case numbers, we all have to take them into context. but by january 23rd, the institute for health metrics and evaluation was predicting that we are going to see a peak and daily deaths from this virus. about 2000 daily deaths at that point. and then a pretty precipitous climb, stephanie, to less than

joining us now is doctor vin gupta -- assistant professor at the university of washington, major in the u.s. air force -- he spent this past weekend on the medical mission moving critical patients, i should, note around the country, with air force reserves. he spent the fast week -- at the university is washington. doctor gupta, all i can say is thank you for making time for us, and spending time -- and i was unite, office thank you for spending your night off with us. can you help us understand what the staffing shortage looks like on the ground, from where you've been? what positions are most understaffed are overworked? >> good evening. typically was happening, across hospitals, in every single -- we don't have enough support staff, much less docks. or support staff to run it for -- [interpreter] even though we might have enough beds -- that was all a hot rage in 2020. now, we just don't have enough respiratory therapist or icu nurses. that is causing a pinch. at 60% capacity, or 75% capacity, in terms of better visibility, that's where we have to close down. we're not filling this -

vin gupta, thank you so much for joining us. we always appreciate the clarity of your responses to our questions. thank you, sir. >>> still ahead, we could soon learn the fate of three men convicted in the killing of ahmaud arbery. the latest on the sentencing hearing happening right now. >>> also ahead, joe biden finally delivers the january 6th speech democrats hoped to hear months ago. new reporting from the white house about why that speech at this moment. >>> later, the man who has been hailed as hollywood's first black movie star has died at the end of 94. a look back at the trailblazing career of sidney portier. hey joshie... wrinkles send the wrong message. help prevent them with downy wrinkleguard. feel the difference with downy. i'm jonathan lawson here to tell you about life insurance through the colonial penn program. if you're age 50 to 85, and looking to buy life insurance on a fixed budget, remember the three ps. what are the three ps? the three ps of life insurance on a fixed budget are price, price, and price. a

vin gupta. doctor, i want to get down to what works and what doesn't. "the wall street journal" had a helpful grid that talked about masks. if you're out and you're going to go buy a mask, which one should you buy? >> katy, good afternoon, great to see you. i have demos here to help folks understand what we're now talking about. we're talking about a better mask. cloth masks we were talking about for the first two years of this pandemic. as we turn the corner towards the end, now we're talking about different types of masks. kn95 masks and n95 masks or a kf94 mask. these are considered to be better masks. i'll keep repeating them. but what's the difference here? these are considered to be medical grade type masks such as these green ones here. very tight-fitting, the n95, the difference between the n95 and the kn95, the kn95 has loops and the n95 has straps that are very tight-fitting and they both filter out droplets of covid. that's why these better masks are so key. that's why that figure you first presented from "the wall street journal" is so relev

vin gupta. it's always great to have your expertise. >>> and back to the table. secretary of state blinken heading to ukraine and then to berlin and then he's off to geneva. those talks with the russian counterpart added to his schedule. talks that were supposed to be at a dead end, according to moscow. what's changed? we'll have more on that. >>> plus, money and politics. congresswoman abigail spanberger's latest attempt to rein in her fellow lawmakers. she's joining me next on "andrea mitchell reports." stay with us. joing me next on "a mitchell reports." stay with us i booked our hotel on kayak. it's flexible if we need to cancel. cancel. i haven't left the house in years. nothing will stop me from vacation. no canceling. (laughs) flexible cancellation. kayak. search one and done. >>> and as we've been reporting, secretary of state tony blinken spoke to his russian counterpart today and they are going to meet in geneva on friday to see if they can find a diplomatic solution to ease tensions on the ukrainian border and avert a russian invasion. this after the r

vin gupta. >>> we are not done on "the 11th hour." coming up, tensions still running high in ukraine despite today's hours and hours of diplomatic discussions. our chief foreign correspondent richard engle is there with an update when "the 11th hour" continues. n "the 11th hour" n "the 11th hour" continues. a place where everyone lives life well-protected. ♪♪ and even when things go a bit wrong, we've got your back. here, things work the way you wish they would. and better protection costs a whole lot less. you're in good hands with allstate. click or call for a lower auto rate today. trelegy for copd. [coughing] ♪ birds flyin' high, you know how i feel. ♪ ♪ breeze driftin' on by... ♪ if you've been playing down your copd,... ♪ it's a new dawn, it's a new day,... ♪ ...it's time to make a stand. start a new day with trelegy. ♪...and i'm feelin' good. ♪ no once-daily copd medicine... has the power to treat copd in as many ways as trelegy. with three medicines in one inhaler, trelegy helps people breathe easier and im

vin gupta, critical care pulmonologist and a major in the u.s. air force medical reserve. he spent this past week in the icu in seattle at the university of washington. dr. gupta, all i can say is thank you for making time for us and spending time. i know it's your night off so thank you for spending a little bit of that with us here. dr. gupta, can you help us understand what this staffing shortage looks like on the ground where you've been? what positions are most understaffed or overworked? >> good evening. typically what's happening across hospitals in every single zip code we don't have enough support staff. so even though we might have enough beds in an icu and ventilators that was all the hot rage back in march 2020 now we don't have enough respiratory therapists or icu nurses. at 60% capacity or 75% capacity in terms of bed veil availability, that's when we have to close down. and this is symptomatic of what you're seeing across the country. which is why we need fema, why we need dod assets to do the mission and really be deployed for something we previously not do

vin gupta, global health policy expert. dr. gupta, hospitalizations are doubling in more than a dozen states, but this california study shows that omicron causes fewer hospitalizations, shorter stays, and when you look at those states, what do they show you? high concentrations of unvaccinated people. >> good morning, stephanie. you know, i do think we should take this into context. we're expecting that daily deaths are going to increase and peak around january 23rd and then precipitous decline. by end of february, less than 500 daily deaths. i do think it's going to be still a combination of omicron and the delta variant causing 10,000 weekly american deaths well into the end of january at least, and it's important to note here that if you're vaccinated, yes, i think omicron is not going to be that big of a deal. if you're unvaccinated there's still going to be a lot of virus that can accumulate in your lungs, in your nose, and that is a problem here. the messaging here still needs to be that omicron and delta, that covid-19 i

vin gupta and said if a school district is following proper protocol, if they have the ventilation in place that you talk about then we also do want parents to feel confident that they can begin to send their kids back. i wonder what that means to you. >> right. emphasis is a heavy lift in that sentence. what perspective are they taking? persons who have made policies don't live the life experience of those that are the most vulnerable. my mom did the best she could do and my school district didn't have a school nurse. didn't have a window in the classroom. saying open up the windows for a breeze why what breeze? so the focus when persons say it's okay to go back to the school. is your child in the private school? if you're a ninth grader in america and black 1 in 4 have risk of having more than 40 students in the classroom. we know that 18% of all u.s. public school systems don't have a school nurse. who provides vaccinations? the rates are dropping for those kids. it is this issue of systemic racism and plays into the health that feed down to impact even our children and until that

that company was founded by vin gupta, a major donor to bill clinton who had been probed by the sec for allegedly misusing company funds to fly bill and crooked hillary around on private jets. but, doesn't just stop there for junior pelosi or little pauly p., p.p. jr., you know these guys all have nicknames. according to the "new york post" in 2009, he co-founded natural blue resources an investment company that the sec alleged was run by convicted fraudsters. he was also tangled up in questionable companies in 2013, and 2014, and later tied to a crypto currency scam in 2015, quite a run. but while paul jr. has been connected to plenty of suspect businesses, he has never faced the same consequences as his partners. i wonder why? i guess when your mother is the leader of the democratic party, you have a get out of jail free card. and, unfortunately, it's not just the house of representatives where family circles are influencing family decisions at the highest level. just on the other side of the u.s. capitol senate majority leader schumer has his own family drama last week a senate panel

vin gupta, msnbc medical contributor. doctor, good morning. what kind of masks should be available to us and which should we be wearing? >> jose, good morning. as this virus has become more airborne, so transmitted through tiny droplets in the air that we can't really see with our naked eye, now we're saying, if you can, especially if you're higher risk, have an underlying medical condition like cancer, for example, or over 65, upgrade your mask if you can. so this is -- a lot of people have seen this, the k 95 masks. i'll go through a quick demonstration. very similar to the kf94 that is made in south korea. this is made in china. we're going to give places for people to get these if they want to surge for them online and the n-95 mask. the key difference between the n 95 and the kn 95. loops on the kn95 and straps on the n95. you can know that you're buying a high-quality, non-quality n95 mask if it says niosh on the surface of it or on the box for the kn95s, they have loops. that's the difference in quality. it's still very high quality, ju

vin gupta, a pulmonologist and global health policy expert. he's an affiliate to an assistant professor at the university of washington. also an msnbc medical contributor. jesse, you've been talking to nurses on the front line of this latest surge. what are they telling you? >> reporter: jose, some health care workers out here are questioning how much longer they can be doing this work. here in california, we continue to see hospitalizations go up. we've been seeing a seven-day average of more than 100,000 cases in california over the last two weeks. and here in southern california, the providence hospital system, including right here at st. joseph's, we are seeing according to the hospital system, a jump from about 400 covid patients to around 900 covid patients in their system over the last month. but thankfully, they are starting to see a little bit of a drop. but just to give you a sense of the distress that health care workers are seeing, a survey conducted last year of about 1,400 health care workers out here found that more than 70% of

vin gupta who has a question for you. >> mika, thank you, good morning. sanjay, it's really an honor to be here with you and willie and mika. sanjay, just in reading your book, it's something we picked up here as a family, one of the favorite lines in the book is if it's good for the heart, it's probably good for the brain, and you talk about dementia care, mental health is a big issue, youth mental health. we're all stressed. two questions. one, who are you hoping will read this book? and the second -- the second would be as a pulmonary doc, what advice do you have for the person who struggles with getting good sleep? you mention good sleep a lot, sleep hygiene. those two questions, i would love your perspectives. >> and, first of all, what a pleasure to be with you, or as my wife calls vin, the younger, the smarter, and the better looking gupta. that hurts my feelings, my wife says that. >> ouch. >> with regard to who should read this book, it's interesting. a lot of times we think about dealing with disease once we have it. it's the society in which we

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vin gupta. he serves as a health adviser to multiple fortune 500 companies good to have you. >> thank you for having me great to see you. >> so like me kids -- parents are going to be sending the kids to school today or have done so those that are not delayed the politicians especially president biden made it clear this is a priority get the kids to school doesn't do so safely require testing and with the delays and shortages what do you think will happen next? >> i think you'll see an approach that this is not a one sized fits all the federal government did what it can do with improving ventilation in school districts across the country the american rescue plan offered money to school districts. that is a decision that's frankly up to local and state officials so there's only so much that the federal government can do to make sure that there's accountability and the resources utilized this is a different discussion for every parent if maskless are widely deployed in the schools, if vaccines are

vin gupta. claire is still here. doctor, there has been a real shift. i think people are -- it is not that they are too exhausted to do the right thing. i think it has become clear what the right thing is. shutting down and keeping our kids home doesn't feel like the right thing to do with a variant that all data available to everybody who don't have expertise, and you do, seems to suggest it is not as severe. where are we? what should we be looking at? what do you see in our forecast? >> nicolle, happy new year. to the senator as well. this is what i will say. we live in a universe, a reality where there is two parallel realities happening at the same time. if you are unvaccinated, and the unvaccinated are hearing a persuasive message -- we will get to that in just a moment. if you are unvaccinated, omicron, delta or whatever it may be down the road is a mortal threat to you as an individual. that's why we are expecting 10,000 weekly deaths still we can over week well into the beginning of march. if you are vaccinated there is a different reality. this