pushing in with the storm from the north-west. . welcome to al jazeera america, i'm john siegenthaler in new york. here are the top stories - washington entering a second day of the government shutdown, leaders of both parties are concerned it will last a while while. in the house some proposals were put to open some areas, but they were defeated. democrats complained republicans were trying to cherry-pick parts of the government they liked. some parts of the governments were shutting down, a key part of the president's health care reform package was starting up. websites where people can sign up for health insurance were launched and overloaded. the main federal website,

healthcare.gov had 3 million visitors, the president is urging americans to be patient. >> in syria wepon inspectors are back to oversee the destruction of that country's chemical weapons. the team of independent experts arrived their mission to kind, take party and destroy chemical weapons. >> a strong warning about the president of iran, from benyamin netanyahu, of israel. he accused the president of iran as being a wolf in sheep's clothing, that is the latest, i'll be back in the next hour.

[[voiceover]] every day, events sweep across our country. and with them, a storm of views. how can you fully understand the impact unless you've heard angles you hadn't considered? antonio mora brings you smart conversation that challenges the status quo with unexpected opinions and a fresh outlook. including yours. >> obama administration

officials said they need to enrol 2.7 u.s. redents between the ages of 18 and 35 in exchange plans to balance risks and hold down costs. will they enrol come 1 october - should they pay the face. >> joining me now is jen mishory, deputy director of young invincibles, she's in washington d.c. and yevgeniy feyman, a research assistant at the manhattan institute. thank you for being with us. i want to start with you yevgeniy feyman. the young people are crucial to the success of obamacare. >> absolutely. they'll balance out the risk pool, they'll keep premiums that need the insurance, and the administration is reaching out to them. >> jen, the young invincibles are in the 18-34 group.

the united states have agreed to take in the refugees. we don't know how many yet. but it's a big change to the international approach to syrian refugees. an acknowledgement that syria's closest neighbors can't shoulder

the burden alone. we sent jane raft to assess the challenges in jordan. >> she is a young mom who thought she would have a middle class life her parents had. but for thousands of others that dream has been slipping away. she a and her husband blame the syrian refugees. >> her husban her husband had his own graphic design business. >> the situation is very difficult. if i put myself in the place of any syrian family, someone like me who has two daughters, of course you would go to a neighboring country. but i feel like our country has become like a hotel. a lot of people are coming in but there is no plan. >> ama middle class life and pre-school for the kids used to cost $1,400 a month.

wages have fallen a and rents he doubled. they can't afford to stay and they can't afford to move. bardice has been looking for work for a year. she has worked in hair and make up and marketing and would take work in any of those fields. >> before i used to fine work -d work when i didn't want to work. but the situation is getting worse. i want a job but they want sir sirians. >> most of the million refugees are not in the camps. >> they are living in the cities. this chec chicken shop had four stores in d dasmascus. the owners relocated to egypt and then to imman. jordanian customers love this dish, but they don't love the

effect the huge rise in population has had on their country. >> obviously the prices go up. real estate goes up an ren and t goes up. it's a bit tougher. you have places like that raise the competition across the field. you have workers that come in, although they are taking jobs from national citizens, but at the same time, they are providing good quality work for cheaper. >> that cheaper labor is good for consumers but not for juror jordanians that can't find jobs. amar had a men's wear shop in dasmascus. here he works seven days a weeker. >> ldays adays a -- aweek. nearly ten hours a day for $350 a month. >> so does his counterpart.

with so many people willing to work for less, wages have dropped across the country. syrian amar has been find four times for not having a work permit. >> can i speak honestly. you won't get upset. i have never ever seen such prejudice in jordan. you are syrian you should not work. even when the permit man comes he says you are syrian you should not work. leave it for a jordanian. >> this is a slow day at the school in iraq. children normally sit three to a desk at the school. this is one of the sirians this syrians that account for 10% of the student population here. only a fraction of syrian children that live here are even

in school. there are even bigger problems, shorshortages of water and electricity and healthcare, and subsidized bread. >> the syrian refugees have negatively impacted the level of services provided whether education, health or infrastructure or housing and water and health as well. we look at the population of 250,000 and it's received an influx of 8000 sirians. 800 8000 syrians. >> the main hospital is having trouble dealing with an influx of refugees. many have diseases that are costly to treat. and intensive care is particularly overloaded. >> for all of our city and from the migration of syrian citizens. there are more and more and there is a shortage in a big town. >> it doesn't always seem like

it but jordan is a big country and the south is the poorest part. even before the refugees arrive there were serious water shortages and over crowded schools. there have never been enough jobs. >> the employment here is 20% and unofficially a lot more. >> the jordonians are losing patience. >> the syrians are filling up the country. they take salary and get relief and we here can't find bread. >> he says syrians getting refugee benefits live a million times better than jordonians do. >> we believe the government should take the refugees away. because jordon ya

jordonian citizens are without homes. >> i have two children out of work. we used to make $450 a month. it was dent. - decent. but now they are taking over. with no sign of a conflict ending they say a country that is your vie thatis your thatisthat survived waves of shutdown. we'll ask how the communities in his state comment on inside story, we bring together unexpected voices closest to the story, invite hard-hitting debate and desenting views and always explore issues relevant to you.

that's all i have an real money. victoria azarenko there's more to financial news than the ups and downs

there's more to financial news than the ups and downs of the dow. for instance, can fracking change what you pay for water each month? have you thought about how climate change can affect your grocery bill? can rare minerals in china affect your cell phone bill? or how a hospital in texas could drive up your healthcare premium? i'll make the connections from the news to your money real.

there's more to financial news than the ups and downs of the dow. for instance, can fracking change what you pay for water each month?

have you thought about how climate change can affect your grocery bill? can rare minerals in china affect your cell phone bill? or how a hospital in texas could drive up your healthcare premium? i'll make the connections from the news to your money real.

there's more to financial news than the ups and downs of the dow. for instance, can fracking change what you pay for water each month? have you thought about how climate change can affect your grocery bill? can rare minerals in china affect your cell phone bill? or how a hospital in texas could drive up your healthcare premium? i'll make the connections from the news to your money real.

there's more to financial news than the ups and downs of the dow. for instance, can fracking change what you pay for water each month? have you thought about how climate change can affect your grocery bill? can rare minerals in china affect your cell phone bill? or how a hospital in texas could drive up your healthcare premium? i'll make the connections from the news to your money real.

>> joie: the government shutdown, the budget battle, all of this ties back to the bitter bicker over the president's program to bring affordable healthcare to americans. there is another struggle over american healthcare in homes across the nation. a personal fight faced by many families over the end of life. we know that most americans want to die at home. but most of us made our end in hospitals or nursing homes how that could change might begin with a tough talk on how w how we want to die. >> my name is joe nyre.

i am 40 years old. i was diagnosed with stage four brain cancer. it's the most dangerous brain cancer there is. the medium is 1 14 months from diagnosis. the standard protocol is to be on chemo for life. 14 days on and five days off. i did five days on and it took me 13 of the 14 days to get off the couch and do what i love. for me it's more about quality of life than quantity. i opted not to continue the chemo protocol at all. it was too much time of feeling horrible. and very, very slim gain. >> joe spoke to his family making it clear how he wanted to be cared for and how he wanted

to die. >> if i got pneumonia or something like that i would go to the hospital, if it's a treatable condition. if it's related to brain cancer i want to stay home. if it goes that route, i know the end is coming, i don't want to be away from here. i can see and feel people going, gosh why isn't he doing everything he can? i am doing everything i can. i am doing what i think is best for everyone involved, myself and the family. >> family. i knew for me an joe i and joe e way to go. >> the kind of death joe envisions is rare. the study showing that most americans would prefer to die at home. more than two-thirds die in a hospital or in a nursing home. many after stays in an intensive care unit like this one. >> he is a o of 56-year-old decreased

respiratory drive. a probable bacterial meningitis and a lot more lab abnormalities. temperature is 103. her daughter is here. her husband does not understand she is doing very badly. >> it's very serious. >> today the doctor and her team are treating a 60-year-old woman with multiple organ failure. >> this is the patient who just came in last night who became very ill very quickly. we don't know which way it's going to go. i think it's important that it's clear to the family that the patient is almost as sick as she can be. do you have any questions right now? i know it's overwhelming. we don' don't know if she will survive this. we have pushed the limits as far a sedation. we have to talk about what the patient would want. in terms of remaining on life fort fo

support for a prolonged period. >> the nurse has worked here for 14 years. patients get severely ill and nobody is disgusted. families are not ready to go. and they will stay to the staff, of course mom would want everything done and other members would be like, no she wouldn't want that done. and the way i help and a lot of us do, is to say to the family members if your mom were listening to us, what would she be telling us to do. or what was important to her in her life? i think if decisions were made by patients prior to their admissions and expressed to their family, then a lot of the suffering that goes on right now would be a be avoided. >> that is the goal of the conservation project. we want people to go to the kitchen table with the people

they love and have a conversation about what it is they want. my interest in this subject really grew out of the end of my mother's life. i was faced with a cascading number of decisions for her healthcare. and i wasn't always certain what she would have wanted. i often wished i could have said, mom, is this what you want me to do. >> is this whado? is this what you want to have happen to you. the project website has tools to help families think about and talk about what kind of death they want. >> when you ask people how they want to die, 70% of them say they want to die at home, for example. home is not a geographic place, necessarily, but it's an idea. it's away you want to die peacefully, not in pain. surrounded by people you love. not in the icu.

people are not dying in the way they would choose. that is a big motive for the conservation project. >> that is how jay felt about his father's death. he and his wife decided to have their conversation with their daughters, starting with 22-year-old kaitlyn. what did you feel went wrong with gran grand pa'spa's passin. >> when he got sick at the end i don't know if he knew who should pack the decisions. >> some family members thought grand glpa should go to the intensive care unit and some felt he should stay home. >> if something happened to me today i would not want to be kept alive by medicine if i didn't have a chance to recover or if i didn't know you. >> if there is something going on with me, you don't know how

things would turn out, say is mom actually going to get better, or is she going to live or never talk to us again. >> okay ncht. >> for me what the important thing is it's not the best medical out there and everything that can possibly be done. it's di dignity for me and -- >> comfort. >> they are using the project tools as a guide. >> it gave an outline which was helpful and important. all i could do is look back at my father-in-law or somebody i had lost and say, what would i have done in that circumstance. >> we changed the way we give birth in america. women had their feet in stir uppings and theupups an and knocked out. it was women in general who

said, wait let's have this experience the way it should be. this is that. not only a medical experience, it's a life experience. i think if we changed the way we gave birth in america, we can change the way we die in america. >> there are lots of hospitals where healthcare providers are eager to respect wishes. but it's been really hard to feel comfortable doing that. so they need is for the culture around them to change. how are you? >> dr. lore ra laura rock agree. she says when patient's wishes are not clear doctors often feel forced to give more treatment than necessary. >> we need to have a culture shift. it's rare we have a family that comes in that has had conversations about the type of care they would choose or their

loved one would choose at the end of life. it's rare. when they have had those conversations they weren't burdened with guilt in making decisions that they think is leading to the death of someone they love. >> that is what joe nyre has tried to do with his family, by talking to him about how he wants to die. >> it's not going to be easy for the kids or laurie but it's going to be easier if you talk it through. you know death is not going to go away but the fear and anxiety is going to go away if you are clear and you communicate with each other. it's huge. >> joie: and america tonight what happens when social media uncovers unheard, fascinating news stories? it drives discussion across america. share your story on tv and online.

>> joie: and finally tonight we look south of the border to a turnabout that few would have predicted . not so long ago a trip to

tijuana would mean trinkets and tequila. but now it's a very different destination. >> you are looking at one of the hottest new art scenes south of the border. it's a small passage way in downtown tijuana, mexico. the creative energy is flowing here as sculptors are showing off the twisted metal they tranltransform. and painters transform abandoned shops into art galleries. >> even the man dressed as a corpse has an elec electric vib. ♪ until recently this scene in this playing would have been unimaginable. swept up in a brutal drug war, many residents fled tijuana, tourism the city's life blood dried up. now they are

experiencing a rebirth. led by artists. what was the atmosphere like when you were able to open mple. >> it was a place where a lot of hood hoodlums would hang out. and a lot of shops were closed. they abandoned business. >> how dihow did you think of transforming tijuana. >> we didn't think of transforming tijuana. it was the idea of low rent. tijuana transform itself again. >> this latest reinvention was a unlikely one. when the tourism and partygoers left it turned into a transformed place. >> people wanted to turn it into another place especially with tourism. it all went away.

>> roberto is one. most famous musicians in mexico. his former group is known around the world. mendoza is a life long resident of tijuana. >> what has changed over the last few years when it comes to the art scene. >> tijuana is happening at the moment. but especially with local people. it's really interesting you don't see a lot of tourists but you see a lot of locals everywhere from the clubs, bars to the restaurants. you see all of these new faces and new generations growing up and people just really enjoying the city. that is the biggest difference between now a and before. >> it looked like some of the tour istourism had gone away. at first it looked like a detriment or a bad thing. but you are saying now there is more community. >> yeah. i don't know how to say, but exactly. it's like that. >> the danger hit pretty close

to your home? >> oh, yeah. there were hard times at one point, even though we are in a quiet part of the city, just like two blocks from here they had hostages and they are bringing people that were kidnapped. and we didn't know about it until the police raided the place. >> it's a point of really living in the city. and we are just hanging in there. >> if there is any place that symbolizes tijuana's transformation it's this art center. this is in tijuana's colonial federal neighborhood. right next to the border of the united states. hidden down a side street it's an enclave for

artists. the tunnel starts here at the as building where does it go? >> it went over to that parking-lot. that parking-lot across that is where the tunnel came out from this building. >> where those cars are right now. yes, that is where the cars are. >> it's erie how many people may have died, and what the struggles were around the people and the people that went through there. the coyotes. it's very sad. that is why we want to turn it into something more positive. >> it's an incredible metaphor. as artists we love me metaphors. >> every place in the world there is good and bad. a lot of bad from tijuana has been magnified out of pro proportion. this is a cultural hub for the community. this night the music is afro cuban.

a regular feature that attracts people from both sides of the border. >> when i first moved here in '92 it felt like the harlem renaissance. i was completely amazed at the quantity and quality of art. and the level of art. and the level that people were educated about art. and enter the drug wars and it was tragic to see. >> the youth really stood up, it's coming back. the kids and the youth have taken over. they have taken over with art and culture and that is the way it should be. it's not the border that it used to be. totally different than the americans coming and getting drunk. no, that is the same old tijuana. it's totally different. >> i'm a merchant. i have been here for many years on this same street. maybe 30 years ago. >> not everyone is convinced that tijuana is back.

mr. g gomez owns this stop on a tijuana street. americans were his best customers and without them he struggles. with the art scene he sees a ray of hope. >> we welcome people to come and make away of life. maybe the american tourists they see and they can come again. >> i was here and there was shootings all the time sirens and police and ambulances. every day it was like a war zone. >> it's not just the souvenir shops that depend on free spending tourists. javier is one of mexico's acclaimed chefs. he is playing a big part in the renaissance. we met him in his newest restaurant. >> we decided to open this restaurant when tijuana was going through harsh times.

>> i probably heard and saw shootings three and four times a week. >> he and his family own several high end restaurants in tijuana. a few years ago garage gangsters tried to kidnap his blower. brother. back then anyone with money was a target. >> we left tijuana my whole family, brothers and sisters and father and everybody. my father has been in business for 36 years and he told us i have never seen or experienced anything like this. people started to ask is the restaurant? what is happening? i was thinking to myself, i felt sort of like a coward for leaving. i wanted to come back and do something about it because i was reading in the newspaper and seeing how this bad people were taking over our city. >> now they are not just getting rave reviews from local

customers, but from far flung publications lik like the "new york times." he says it's a start. >> i feel very proud of what we did. and i feel very lucky to be living at this time. and how the future looks. i feel very excited. >> how does the future look? >> very, very, very bright. i love this city and i couldn't be happier. >> joie: and that was america tonight's laura jane gliha. >> that is it for america tonight. we would love to hear from you log on to www.aljazeeraamericatonight. and