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Rep. Paul Ryan Seeks Unity to run for House Speaker; Trump Outsmarting Competitors with Media?; Mammogram Guidelines Changed Again. Aired 6:30-7a ET

Aired October 21, 2015 - 06:30   ET

THIS IS A RUSH TRANSCRIPT. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED.

[06:30:00] JACKIE KUCINICH, THE DAILY BEAST: As we all know, these hearings have sort of become more of a dog and pony show rather than actually getting substantive answers, these televised congressional hearings.

CHRIS CUOMO, CNN ANCHOR: But she's got to come in there with some anxiety as well.

Let's put up poll numbers. Satisfied with Clinton's Benghazi response? Only 27 percent.

Benghazi investigation fair or partisan? Which is the flip side question. They say kind of the same way, same breakdown of she wasn't forthcoming enough, they're not fair enough.

And then Clinton's private server a factor in the 2016 vote. Is important, not important, don't know? You know, the Democrats and the faithful can say as much as they want. This is a nonissue.

Obviously these people who are being asked this question.

ALISYN CAMEROTA, CNN ANCHOR: Right. It's almost divided in terms of is it important, is it not important? Zeke?

ZEKE MILLER, TIME POLITICAL REPORTER: Yes, certainly, I mean, a lot of that is, you know, a proxy for are you a Democrat or are you a Republican. But, certainly, you know, this is going to be an issue for her. She has to set some of the concerns aside.

You know, she did a really good job in testifying into 2013 when she testified on Capitol Hill. But for those ten seconds. She needs to be fairly -- when she says, what difference does it make? She needs to be pretty darn perfect tomorrow, but otherwise, there will be concerns in the Democratic Party that she's not Teflon like we saw in that debate last week, that maybe there are flaws that Republicans and then maybe other Democrats can exploit.

CAMEROTA: OK. Zeke, Jackie, thanks for previewing it all with us. Great to see you, guys.

KUCINICH: Thanks you.

CAMEROTA: Let's go to Michaela.

MICHAELA PEREIRA, CNN ANCHOR: Well, everywhere you look, Donald Trump. The Republican front-runner monopolizing the media spotlight. So, why haven't the other candidates done the same thing? Could they?

(COMMERCIAL BREAK)

[06:35:47] PEREIRA: Congressman Paul Ryan says he is willing to serve as House speaker but he's laying out conditions before he officially mounts a run. He wants the support of three key groups of House Republicans, including far right conservatives. He also wants the GOP to evolve into a party of proposition rather than opposition. He wants guarantees he won't have to concede time with his family.

CAMEROTA: Breaking overnight: Syrian President Bashar al Assad meeting with his ally, Russian President Vladimir Putin in Moscow. The two discussed the Russian air strikes inside Syria, this as senior U.S. and Russian officials finally broker a deal on air safety over Syria. This includes specific protocols for air crews to follow as they conduct their separate bombing campaigns. This still comes as Iraqi officials assure a top U.S. general that they will not seek Russian airstrikes in their fight against ISIS.

CUOMO: Student leaders at the University of Mississippi voting to stop flying the Mississippi state flag on campus. That's because the state flag contains the elements of the Confederate flag as you see on the inset. The vote is not binding, however. The school chancellor has the final decision and says he'll discuss it with university officials.

PEREIRA: Today is October 21st, 2015. My friend, the future has arrived. Today marks back to the future day when Marty McFly landed in the future in his DeLorean time machine.

For those of you who think that I'm speaking Greek, this is part two of the classic film trilogy. All three movies are being released today as part of the global celebration. A lot has been made about what the 1989 film got right about the year 2015.

One prediction eerily, the Cubs winning the World Series. Now, we know this is not looking good right now, they're down three games to zip. But coming up in our 8:00 hour, we're going to actually meet and speak with the film's screenwriter and composer.

So, I'm fascinated to hear if they thought that 30 years later, we would be talking about this film with such affection.

CAMEROTA: Glee.

CUOMO: Got closer than any time in recent history about the Cubs.

PEREIRA: Yes, right? Isn't that eerie?

CAMEROTA: I mean, it does look prophetic, but we don't have hovering skateboards.

CUOMO: Ho, ho, don't we? Don't we?

CAMEROTA: Do we?

PEREIRA: We're very close. They still have wheels. Those little Segways without the stem.

CAMEROTA: The Segway is close, but it doesn't hover over the ground.

CUOMO: Don't we?

PEREIRA: Those ones over the water.

CAMEROTA: No, we don't.

CUOMO: Let's Google it in the break, shall we?

CAMEROTA: He's a lightning rod for ratings. Wherever he goes, the cameras follow. Of course, we're talking about Donald Trump. Is he manipulating the media and how can the other candidates do the same?

(COMMERCIAL BREAK)

[06:42:19] CAMEROTA: Here's a news flash: Republican front- runner Donald Trump is dominating the airwaves. But how can the other candidates take a page out of his media playbook?

Let's discuss that and bring in CNN contributor and author of "The War for Late Night", Bill Carter, and former George W. Bush political director and chairman of the American Conservative Union, Matt Schlapp.

Gentlemen, we have a lot to talk about. Let's dissect how Donald Trump has done this so effectively.

Bill, I want to start with you. Just, for example, let me put up how many media mentions Donald Trump gets. This is all media, press, everything, compared to his rivals. He has gotten 18 million, OK? This is on television, in newspapers, Web sites.

Look at the closest competitor. Hillary Clinton with just 5 million. Bernie Sanders, 5 million.

How does Donald Trump do it, bill?

BILL CARTER, CNN CONTRIBUTOR: Well, he is a celebrity. He started out as a celebrity. He's also really skillful at this. Anybody who spent the last 25 years in New York has seen this guy do this locally. He has been on the tabloids forever. He's got great skill at this.

Plus, I think this race is more intense than anyone expected and there's more media than there's ever been before. So, there's more opportunity to spread it out. He's really good at that.

CAMEROTA: Matt, here's the crazy thing, because he gets so many media mentions, he doesn't have to spend the money the other candidates have to spend. Look at the figures.

He -- I mean, just compare it to what Hillary Clinton has spent. This is her third quarter fund-raising and spending, OK? She has fund raised almost $30 million. She spent $25 million.

Look at Trump, $3.9 million. He's only spent $1.5 million. I mean, obviously, media buys, advertise, that's really expensive. He doesn't have to do it.

MATTH SCHLAPP, FORMER GEORGE W. BUSH POLITICAL DIRECTOR: Yes, it's driving Bernie Sanders crazy, because the rich are getting richer. And he flies around in first class in that big jet and helicopters. He's doing it in style.

The fact is, is that running for president has changed a lot. And Donald Trump has brought a lot of change and innovation to the process. He has no shame. He doesn't seem to reach a saturation point and the American people can't get enough.

CAMEROTA: I don't know if it's called flying first class when you own the jet.

(LAUGHTER)

SCHLAPP: That's right.

CARTER: Self-class.

CAMEROTA: That's yet another level.

But, Bill, here's the question. And even I in the media don't know this, because it's a chicken and egg question.

Are we giving him so much media coverage because he gets buzz or does he have buzz because we're giving him so much media coverage?

CARTER: No, I think it works both ways. You have to say, what he's doing is something people are interested in, because when he does appear on "60 Minutes" and certainly when he's going to be on "Saturday Night Live," the ratings do go up.

So, the interest is there. It's not being manufactured. It is there and the media says, hey, we need him. He pumps up our numbers, let's book him, let's book him.

[06:45:01] Everyone wants to book him.

CAMEROTA: So, Matt, what can the other candidates do to take a page from that, what could Carly Fiorina do? I mean, she got a big bump after the debate and then sort of dropped off the radar. So, how can they seize some of that media interest?

SCHLAPP: Well, in fairness to Carly, some of these other Republicans, you know, CNN aired the first Democratic debate. There's all this conversation about Joe Biden. We're having all this conversation about Paul Ryan. So, other political topics are jumping in.

But what Donald Trump is doing, which is so unique, if you look at the social media, especially on twitter, he's not afraid to say things that are sometimes controversial, sometimes are over the line. He says real things to people. That's what social media is all about, it's a small packet and there's authenticity and something real about it.

I'm noticing the other Republican candidates, they're getting better at social media because of it. It's not so much about hawking hats and shirts from their campaign shop. It's more about talking about real issues of the day. I think it makes the field better.

CAMEROTA: Matt, to your point. Listen to this. This is an incredible window into what Donald Trump is doing according to his book "Art of Deal." This is from 1987. Let me read you an excerpt.

"People want to believe something is the biggest, and the greatest and the most spectacular. I call it truthful hyperbole. It's an innocent form of exaggeration, and it is a very effective form of promotion."

SCHLAPP: That's it. That's the definition of him.

CAMEROTA: Decades ago, he knew how to play it and he continues to do that.

CARTER: Yes, he just says it's the biggest, it's the greatest. And people come back and say, no, it isn't. But he's already said it and people like that, they like hearing it.

The one thing is he's getting away with saying things that other people wouldn't because of this sort of bombast and bluster he's always had.

You notice the other candidates trying. I mean, Carson has some out there things and it is helping him actually. It is helping him a little bit. But it's a risk for other candidates. If you're a candidate who's a politician, you get called on it more than a guy who is a celebrity. I mean, that's just what's happening.

CAMEROTA: So, last night, Donald Trump was supposed to be on Jimmy Kimmel but something happened or went wrong.

Let's listen to Jimmy Kimmel's explanation of why Donald Trump didn't show up.

(BEGIN VIDEO CLIP)

JIMMY KIMMEL, JIMMY KIMMEL LIVE: Donald Trump was supposed to be here tonight. And now, he's glad he didn't come, I guess.

They were cryptic as to why he canceled. They said he has a major political commitment but he did want me to relay the message to you, that if he had been here, he would have been great.

(END VIDEO CLIP)

CAMEROTA: So what was that major political commitment he had?

CARTER: Well, nobody has cleared that up. You know, these guys have public schedules a lot. It's sort of odd. That's an unusual one.

I think it's also indicative, he said he would come back. So, I don't think he's angry with Jimmy Kimmel.

CAMEROTA: But you think there's a back story?

CARTER: There must be. He -- why would he cancel? He wants to be out there and it had been promoted. He wants to be out there. Donald usually comes through. He's reliable that way.

CAMEROTA: All right. We'll try to get to the bottom of that.

Matt and Bill, thanks so much. Always interesting to talk about this with you, guys.

What's your take? You can tweet us using #NewDayCNN or post your comment on Facebook.com/NewDay.

Michaela?

PEREIRA: So, Alisyn, you probably heard there are new guidelines for breast cancer screening. It's got a lot of women talking. The American Cancer Society says women should start having mammograms later and less often.

We're going to break down the new recommendations. What do they mean? We have an expert, ahead.

(COMMERCIAL BREAK)

[06:52:34] PEREIRA: This morning, growing questions about the new guidelines for mammograms. The American Cancer Society now says women should start them later and have them less frequently. In fact, the new guidelines suggest starting annual mammogram at age 45 instead of 40.

Why are they changing again?

Here to discuss is Dr. Susan Love. She's the president of Dr. Susan Love Research Foundation and former director of the UCLA Breast Center. Knows a thing or two about the matters we're going to talk about.

I heard from women on social media, in public on the street. Sort of like, what, what is going on? Why are they doing this? This doesn't make sense. What about those women? Early detection is key. Why are they delaying it to 45?

Overall, are you thinking that these new guidelines are the right stuff?

DR. SUSAN LOVE, PRESIDENT, DR. SUSAN LOVE RESEARCH FOUNDATION: I think the new guidelines are the right thing.

PEREIRA: Really?

LOVE: You know, the idea is we hoped that early detect was again to be the answer but what we've found is, it is the answer for some cancers. You can find them early and make a difference. Some are so fast, we're never going to find them in time and some are so slow, it doesn't matter when you find them, they're never going to kill you anyway.

And so, we're sort of prying to guide to where is the right time, the right amount of mammography, because it is radiation, it is often extra biopsies. And we don't need all of that.

PEREIRA: We don't need all of that. But I think there are so many people that are so afraid.

Let's look at the difference now. I think we can show the old standards, the guidelines. The old was start at 40, new starting at 45. And after 55, women can choose to have them every other year. Explain that, but that doesn't make sense.

LOVE: No, it does make sense, because your breast tissue gets less dense after menopause. And 55 is a surrogate for menopause. And so, now, you can see three them much better, mammograms are much more accurate. So, every other year is fine.

Whereas before menopause, the breast tissue is much denser, and it's like looking for a polar bear in the snow. You just can't see it.

PEREIRA: OK. Now, the next guideline change that is also big is they're essentially doing away with the regular breast exams by the doctors. I'm sorry, that doesn't make a lick of sense to me.

LOVE: Well, the doctors are not that good at it. They're not trained at it.

PEREIRA: Shouldn't they be better doing it?

LOVE: Feeling is not always -- you know, you're better at it because you feel from the inside out and outside in when you're palpating --

PEREIRA: Good point.

But we don't necessarily know what we're looking for.

LOVE: No. If you feel something that's different, that feels unusual, you need to get it checked out. And I think that's a more important message.

[06:55:01] The doctors are half the time thinking about something else and it's never been shown that a doctor breast exam makes that much difference.

PEREIRA: But, you know, when women hear this and people hear this, they say, wait, is this just about the insurance companies trying to make sure that they're not paying for these tests and what- have-you? That's going to feel true to some people.

LOVE: I'm sure it will feel true but it's not true. The actual fact, it doesn't have to do with insurance. It has to do with the fact that we hoped and really put too much into thinking mammograms would be the answer to all our problems. And now, we're pulling back to some things that are more realistic than what we're doing.

PEREIRA: You're saying mammography isn't the best indicator, best test to detect certain types of breast cancer? But then what is? So, OK, I'll go with you, maybe we should not put all the emphasis on mammography. But then what?

LOVE: We have to figure out how to prevent breast cancer in the first place. I think we need to take a lot of the money and a lot of the effort we put into finding cancers that are already there and to preventing it and figuring out how you can prevent it.

PEREIRA: That's going to take time. And in the meantime, are we going to lose women are they going to lose their breasts while we're searching for the preventative measure?

LOVE: But mammography isn't going to solve that. Mammography is like the TSA. It is. It's screening. It's trying to find cancer.

PEREIRA: There's a pat-down involved. That's for sure.

LOVE: Some of them are going to get by, because they really weren't. Some of them are false positives. They had, you know, too much liquid but they really aren't a terrorist. Some of them -- and somewhere in between.

So, you have all the pluses and minus of it and what they're weighing is, when does it become worthwhile? When are we really saving lives and not doing too much?

PEREIRA: But you can see also that it is crazy for the average woman at home who is caring about her health, whose health is forefront in her mind. When you see these guidelines change, you can't seem to find consensus. You have three different guidelines, one from the American College of Obstetricians, one from the Cancer Society, one from the Preventative Task Force. Why can't we find --

LOVE: Because we don't the truth. The truth -- you know, science is trying to figure it out. We are continually doing more research to try to figure it out, but we don't have the answer.

And so, therefore, everybody is coming at it from their own direction, trying to make the best guess. And, actually, we're getting much closer than we used to be. The American Cancer Society used to say 40, the U.S. task force 50. Now we're 45 to 55. We're getting a little closer.

And I think what we really need to do, what we try to do at Dr. Susan Love Research Foundation is find the cause.

PEREIRA: Right.

LOVE: Because if we could prevent it the way we can prevent cancer of the cervix and a lot of other cancers, then we'd be much better off.

PEREIRA: Right.

Well, we should point, these new guidelines are for average risk women. If you are high risk, the situation is quite different.

Dr. Love --

LOVE: Thank you.

PEREIRA: Really a pleasure. Thanks for being here with us.

You can join in on the conversation by joining us on Twitter or Facebook, make sure you post your comments there.

Alisyn, Chris?

(BEGIN VIDEOTAPE)

REP. PAUL RYAN (R), WISCONSIN: It is our duty to serve the people the way they deserve to be served.

CUOMO: Congressman Paul Ryan saying he's willing to run for speaker of the House but -- there's a but.

UNIDENTIFIED MALE: This is a job Paul Ryan does not want.

UNIDENTIFIED FEMALE: This is a huge sacrifice for that family.

UNIDENTIFIED MALE: He'll get enough votes and it will be a sign of unity.

JOE BIDEN, VICE PRESIDENT OF THE UNITED STATES: The only two people who didn't disagree on a single substantive issue were the president and me.

UNIDENTIFIED FEMALE: The best indicator yet that Joe Biden is running for president.

CUOMO: Hillary Clinton squares off with the House Benghazi Committee.

UNIDENTIFIED FEMALE: A multi-front, Democratic attack taking shape.

UNIDENTIFIED MALE: We are reaching out for help everywhere.

UNIDENTIFIED FEMALE: A young African-American driver shot and killed by a police officer.

UNIDENTIFIED FEMALE: The officer thought he was checking out an abandoned car.

UNIDENTIFIED FEMALE: Police say they found this handgun near Jones's car.

ANNOUNCER: This is NEW DAY with Chris Cuomo, Alisyn Camerota and Michaela Pereira.

(END VIDEOTAPE)

CAMEROTA: Good morning, everyone. Welcome back to your NEW DAY.

Paul Ryan says he's willing to help end the Republican leadership crisis and take the reins as House speaker if conditions are met. Here's what he wants: support from all of the warring GOP factions and time with his family.

CUOMO: So, Republicans are struggling to right the ship after a rough few weeks. And the American people are taking notice. Take a look at this. New CNN/ORC poll this morning shows disapproval for Republican leadership rising to 74 percent in the last few months.

Can Ryan help reverse the tide? The answer to that is yes, if the party can get around him. That's the big question.

CNN senior political reporter Manu Raju live in Washington with the latest.

And what is that?

MANU RAJU, CNN SENIOR POLITICAL REPORTER: Hey, Chris.

Paul Ryan had no ambitions to become House speaker but agreed to put his hat in the ring to avoid further turmoil in his party. But it's not done yet. Ryan wants to be a unifying candidate. So, the question is this, will a group of roughly 40 conservatives in that House Freedom Caucus who helped drive out Speaker John Boehner and torpedoed Majority Leader Kevin McCarthy's bid do the same to Paul Ryan?

(BEGIN VIDEOTAPE)

RYAN: I have left this decision in their hands.

RAJU (voice-over): The ultimatum is set this morning by Wisconsin Congressman Paul Ryan.

RYAN: This is not a job I've ever wanted.