breaking news from the supreme court. they decide not to hear five same-sex marriage appeals. >> perhaps even bigger is the fact that now the lower court rulings stand. that means 11 more states will now -- the law will be that same-sex marriage will be granted. >> on u.s. soil, a free lance cameraman with ebola arrives back in the u.s. with in nebraska. >> not one inch of his body will be exposed. >> in dallas, the first patient diagnosed with ebola in the u.s. is listed in critical condition. stronger screening. the white house is considering instituting cdc screening of arriving passengers at four of the nation's gateway airports. des pray plea. the parents of an american isis

hostage. >> we implore the captors to show mercy and use their power to let our son go. >> most of all, know that we love you. our hearts ache for you to be granted your freedom so we can hug you again. good day, everyone. i'm andrea mitchell in washington. the supreme court's decision not to take up any of the same-sex marriage cases at least for now with a ripple effect for couples across the country. pete williams joins me from the supreme court. pete, this was completely unexpected. tell us the implications of it. >> it was the option we thought was least likely. let me do this for you in numbers. first the number five.

that's how many state bans on same-sex marriage are now unconstitutional where marriage can now begin. utah, oklahoma, virginia, indiana and wisconsin. they will start here in an hour in virginia. they will start probably soon in indiana. we are waiting to hear about the other states. let me give you another number. six is how many other states are in those same federal circuits as the five states i just listed where the law of the circuit now is the state bans on same-sex marriage are unconstitutional and expect marriage to start soon in those other states. colorado, wyoming, kansas, north and south carolina and west virginia. four is how many supreme court justices is takes to grant a case. so what we don't know is why weren't there four justices to say they wanted to take this issue. is it a matter that they didn't want to take it now when there

seems to be a tidal wave of rulings. they want to let the other states decide for themselves? was it that they wanted to wait until there is a different ruling in one of the color courts? they split in the circuits and a court that upholds a ban on same-sex marriage? i don't know the answer, but i know this. if the court takes a pass on it now which it has done and later decides it will take up the issue, ultimately it said you can ban same-sex marriage, what becomes of the marriages performed during this window? surely the justices had that in mind when they took this action. why did they do this? we don't know. >> pete, we also don't know how many justices decided in this. all we know is it takes to have taken the cases. >> that's right.

we didn't get the descent from denial. we don't know if all nine did it or just three. we don't know and we don't know why. that's par for the course here. >> one thing we know is we heard from the governor of virginia and at least in the case of virginia as of 1:00, they are going to start granting marriage licenses or people will start lining up, we are told. >> one other interesting thing about this. normally with two opposing sides, a lawsuit where somebody wins and loses in the lower court. when you go to the supreme court, the winner said don't take my case. stay out of it. leave it alone. both wanted the supreme court to take the case and there is some disappointment expressed by advocates and opponents that the supreme court for now is going to take a pass because the feeling was this would never get resolved unless the supreme court took it up. they might as well get it over

with. explaining it all. we have more breaking news. we are awaiting a press conference in nebraska about the latest ebola patient to arrive in the united states. the free lance photojournalist working with dr. nancy sneiderman and her team arrived this morning at the nebraska medical center. you can see him getting off the plane and he is undergoing treatment already. the parents are expected to speak at the press conference. meanwhile in dallas, thomas eric duncan is in critical condition fighting for his life. they are monitoring 48 other people who may have come into contact with him. president obama will be briefed on the crisis in western africa and u.s. relief efforts. john yang is outside the hospital and joins me with the latest. we expect to hear from the doctors and the parents. the good news is he was strong

enough to walk on to and off the plane with some assistance. >> that's exactly right. before he left liberia, they were saying he felt well enough to eat and drink on his own which is also a good sign. the doctors are confident about his treatment. they spent the first three hours assessing him with the course of treatment they will follow. they treated doctor rick successfully for ebola last month. the parents are going to speak at the news conference with other doctors. they just completed the first video confwrens their son. the first time they have been able to see their son although electronically. they can't be in the same room together because of his isolation. they were in a room down the hall. they spoke by video conference and the parents spoke with the

doctors directly involved in the treatment. the father is a physician himself. in rhode island. >> john, not to interrupt you, but we are about to hear from the doctor. let's go to the briefing. >> to assist in the care within our country and through telecommunications around the world. the nebraska containment unit is one of the safest places in the world for him to be and also one of the safest places in the world for our team of highly experienced health care professionals caring for him, for his family and the general public. as with our last patient, we can assure you that every possible measure will be taken to ensure that he receives the very best care and treatment that modern medicine has to offer.

along with a signature doze of nebraska niceness and hospitality for him and for his family. joining us today on the panel, dr. al icahn to my far left. dr. khan is the dean of the college of public health at umc and has experience working with the cdc and treating ebola in africa. seated next to dr. khan is bradley brit can. dean of the college of medicine at unmc, president of the nebraska medical center and he is also an infectious diseases expert and specialist. seated in the middle is ms. rosana morris, the chief nursing officer and chief operating officer at the nebraska medical center and closest to me i would like to extend a warm and personal nebraska welcome to dr. mitchell levy and diana muck poe, parents of the patient.

with that, ladies and gentlemen, i would like to open to your questions. we will take questions online and over the telephone as well. who would like to start? >> where he would have come into contact with the virus or is it too hard to tell? >> i asked him about that a lot. he is not certain, but he was around the clinic and inside the clinic and around the clinic. i had a lot of opportunity to be exposed and he does remember one incident and a vehicle with chlorine and he thinks he might have been splashed. he is not exactly certain. >> how are his spirits right now? >> he's enormously relieved to be here. of course it's still quite frightening, but he's hanging in and sounds very strong.

he shares in the relief of the rest of his family that he able to come back for good medical treatment here. >> he looks strong. he walked off the plane and waved to us as we saw him from a distance wheeled into the room. he was tentative and frightened, but he is strong and his symptoms are not more advanced than i talked to him before he left which was a relief to us. he was on iv fluids before he left. >> we have room for ten patients. what type of staff will be needed to take care of something like that?

>> the team of 40 and growing because we have had many individuals from physicians, nurses, technicians, other support staff. they continue to want to volunteer and participate as part of the care delivery team. it really is set up so that we can create a 24-7 presence and the necessary resources if are this patient. we have discussed our ability to assume more patients over the course of time and we would evaluate the needs of those patients and what we would need to do to supplement the team further. at this point in time, he is receiving very good attention and we would reevaluate that option if it were to appear. you considering experimental treatments. >> pull the microphone closer. some are having trouble hearing. >> i mean with each one of these

patients, therapy needs to be individualized. so we certainly are considering all treatment options and obviously it will need to be discussed if there experimental therapies involved, he will have to be willing and understand the risks and benefits. >> from someone who has survived ebola? >> all things are being considered. >> do you think the way that he might be treated this time, of course it's too early to say, but it would be similar in the sense that we saw three different components to the 2r50e789 and it's not just one drug or one syrum? >> i think it's going to be difficult to predict that. certainly the standard therapies of managing the fluids and all of the other changes that go on in terms of the blood electrolytes is going to be

standard. the other forms of therapy will be visitized to him. >> what did you think when your son went to liberia, knowing the risk? >> well, i think we both had similar reactions. our son is very strong-willed and determined and has always lived by his integrity. he made a strong connection for the two years he lived there with the liberian people and their culture. he felt compelled to go back. i asked him if he was crazy. i did everything i could and diana as well tried to dissuade him. he made it clear he felt like this was what he was trained for and had to do it. he felt he understood the risks and put himself in harm's way, but that's how he wants to live his life. i still think --

>> i'm sorry? >> when did he go over? >> i think -- >> the 4th of september. >> he had come home just in may after being there with an ngo for two years. >> what are did you do to dissuade him? >>. >> i begged him please don't go. >> i told him he was crazy. >> there was nothing to do. he was determined. >> told him about the risks and what i knew about ebola and why i thought it wasn't a good idea and the difficulty of getting treatment and all the things any of us would tell friends or loved ones. none of it worked, obviously. >> i'm guessing you had this conversation about other things. you must get asked this question a lot. have you had that conversation before? >> yes. when he first went to liberia to

work for the ngo. he graduated from london school of economics and went to work for an ngo. i'm proud of him and at the same time i would prefer he went somewhere safer, as a parent. >> what did he do at the ngo? >> writing and field work looking at the relationship between the liberian people and big industry. >> and the conditions of the workers and the mines. >> has he expressed regrets or second thaws now or has he realized i knew what i was getting into. >> both. he said i'm sorry i put this in this situation for you guys. he is more concerned about what it would do to us. i think of course he is probably of two minds. he has regrets and at the same time he still is proud of what he is doing and i'm sure he will go back to doing things just

like this. . >> have you talked to the doctor and has he reached out to your family? >> we have not spoken to him. >> your son's face is passionate about the people in liberia and getting them help. is he just a big hearted person wanting to make a difference in this world. >> that is a shocker in a nut shell. we are very proud of that. >> i would add strong will to that. >> dr. khan, he did end up back in the hospital over the weekend. is there an indication although he was found to be ebola-free, is there an indication that this virus is mutating or might be changing in some way so each case is different in the treatment? >> not at this point. as you know, the patient who was initially treated here at the university was hospitalized and briefed over the weekend and was

determined not to be -- it was not associated with this ebola infection. it's a concurrent illness, but no evidence of significant changes in the virus. >> we were here a little over a week ago and the doctor said that it seemed as though the tell tale signs of symptoms, some might be hidden and we hear the cdc say the symptoms are the same. have you been able to figure that difference out? he thought that maybe they were not the tell tale signs when he talked to us. >> i don't have the specific details of what the doctor may have told you, but with any disease, everybody doesn't have the exact same symptoms and the exact same progression. that's why it makes it difficult to sometimes identify going on. there characteristic conditions that you know this is likely to be ebola. they had contact with a patient,

they had a fever, they have headaches, muscle aches and a stomach ache and vomiting, diarrhea and that sort of progression. about five to seven days, about half will have a rash also. seven or days into it, they may have bleeding and puncture sites. that's how the illness would progress. it's different for each individual person. >> how much of a help is it going to be in treating this case -- >> as you just heard, the patients describing their son as strong willed, but big hearted and wanting to make a difference in the world. outside the hospital there, john, that was such a human and understandable and proud parental response. proud, concerned, worried, all of the above for parents who have young people. highly educated and highly determined and dedicated to making a difference in the world

and going into danger zones. >> i was struck by dr. levy saying he was proud of his son and on the other hand he thought he was crazy for going back to liberia and he tried to talk him out of it and tell him as a physician as a mgz would tell any patient or loved one the dangers and the risks and he was determined to go back to a place that he had made a connection as working for a nongovernmental organization after he had graduated from college and graduate school. i thought it was a wonderful human moment talking about how he was proud, but wished he had gone someplace else. >> outside the hospital there, we will have continuing coverage and updates throughout the day here on msnbc. >> sue desmond is the chief executive officer of the bill and melinda gates foundation

that pledged to fight ebola around the world. we will be joined sortly from liberia as well from the world health organization. tell us about the gates foundation and what this commitment means and whether the supplies that you are trying to provide are going to get to the people who need them. we have seen how things have been backed up by a lack of responsiveness from the governments. >> andrea, our foundation always had a small amount of funding available for emergencies. when we heard in early september that help was needed and rapid response was needed, we moved almost 15 million of the 50 million we pledged towards ebola to organizations on the ground who were working with the communitys, who, unicef and cdc. they could not only get supplies where they need it the most, but

put in place the important shoe leather public health efforts that we know have contained this virus before. isolating the cases and making sure we track the contacts and those things. very importantly now in the medium term, we focus on those emergency operations centers so that coordination can happen on the ground where it's needed. >> i wanted to also bring in peter graph from liberia, the representative for the world health organization in monrovia. thank you so much for joining us. what is the status of the supplies that have been backed up in a number of countries? >> actually splice are not really the problem at the moment. not in terms of getting them into countries. we have supplies from monrovia and to the fields and we need to

build up as to the county level. and the accusations from some in the cdc and dr. freed in and others who believe they were slow to alert the rest of the world to the growing outbreak. can you respond to that? >> i think that they do admit they should have been more quick in responding, but again we were not the only ones. having said that, it's also that this outbreak is unprecedented in terms of the damage.

after a smaller outbreak, it came back. the moment they opened the facility, the moment in the government is a facility that immediately fills up. there is a lot of hidden problems. should we have been quicker to get started? yes, but at the same time let's say as soon as we knew, we started putting in people and by early may we had 110 people on the ground. in june, when it was clear that it was beyond the typical source of ea outbreak, we had the technical staff from 11 countries in ghana and $100

million was committed. i'm willing to accept part of the blame, but at the same time i think it's a shared responsibility. at the moment, i think we see a very concerted effort on the ground. we play a role in that. >> thanks very much to sue and peter. thanks to both of you. as we try to understand better here in the united states how this could have happened and how it is the attempt to try to contain it in africa which everyone admits dr. brantley and others testify is the key to making sure it does not become an outbreak here on this side of the atlantic. coming up next, another crisis of what is going on with isis on the border in trky. richard engle will be here next. ameriprise asked people a simple question: in retirement, will you outlive your money?

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isis militants and kurdish fighters are in an intense battle on the syrian border. isis has not won the city yet, they planted a black flag and continuing the propaganda push that includes the latest video of another brutal beheading. this time a british aid worker, alan henning. the video includes a threat to kill another hostage in america, peter kassig. isis has not been slowing down. richard engle joins us now. this fight has pitted the kurdish fighters against isis and so far at least, the turkish forces have not taken an active role. >> they have taken an active role in the tanks and artillery and troops have been deployed along the border.

there have been exchanges of fire. occasionally when isis was firing at the kurdish fighters, some of the rounds, some of the aircraft were firing and flew over the turkish border and hit a turkish shop and hit homes and in these cases turkey did respond, firing at isis and firing into syria. it hasn't escalated into a cross border invasion and incursion although that is a possibility. turkey is talking about it. turkey is threatening that if isis gets too close to the border or pushes further and tries to come into turkey, turkey is prepared to invade parts of syria and create buffer zones on syrian soil. >> is turkey prepared to let them fall? >> it seems that it is. turkey has been watching this

happen the world has been watching this happen for the last couple of weeks. this has been well-known. there have been journalists on a hill overlooking and we have broadcast pictures of the isis fighters and quite casually walking up to kobani and engaged in battles in open terrain and yet it's happened. it happened sometimes a few hundred yards away from turkish troops. turkey is in a very complicated situations and throughout this region of the border, the fighters who necessary cobanny are not friendly to turkey. would they move in to respect in cobanny. many of whom they consider terrorists themselves? this problem, the whole isis

problem across the middle east has torn or exposed all of the sensitive and much older conflicts. the sunni shia conflict and here in turkey, the turkish-kurdish conflict. >> this did explode diplomatically on this side with what happened over this weekend. with joe biden, the vice president, he was delegated because of the tense relationship and the turkish leader will take that over. he had been on the phone with them trying to persuade him to close the borders to be more helpful in the fight against isis. at harvard, this is what he had to say in their conversations. >> now with saudi arabia to stop the funding, saudi arabia is allowing training on their soil of american forces under title ten, open training. the cut ries have cutoff suppor

for the terrorist organizations and the turks told me you were right. we let too many people through and now they are trying to seal the border. >> as you know he exploded and demanded an apology a couple of hours later. biden called and apologized and issued a statement shortly after to say he apologized for the way he quoted the president. most people here seem to think he was telling the truth and it was not diplomatic and there was a lot of concern with the administration that they don't know what to do. >> bides en someone who speaks his mind. he is often criticized for being too blunt. he is an old friend and he confided in me and said too many foreign fighters crossed the border. he may have, but by exposing

that, he embarrassed him and he lashed out saying he is history to me. this can probably be reconciled. the united states and turkey both have a common interest in working this out. they have isis right on the turkish border. he always have a very explosive kurdish problem that because of the isis situation is escalating. it was a gaffe. both of these are strong importants, but i think right now they can probably get over it. considering what the real problems are. >> indeed. thank you very much. if you have more questions about isis and about its rise to power, go online in a live chat today at 1:00 eastern. go to speak out.msnbc.com o or #msnbcchat. we'll be right back. bottles of water every year. that's enough plastic bottles to stretch around the earth 230 times.

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>> just moments ago, the parents spoke at a press conference about their son who arrived earlier in the day at the university the nebraska medical center. he is already receiving treatment in a special biocontainment unit and undergoing tests to determine his condition and therapy. the department of medical ethics at the university of pennsylvania, founding chair of the department of bioethics at the nih. thanks for being with us. we have a second american, now this photojournalist who worked in nebraska. we know the kind of treatment and a lot of intraveinous fluids. he was able to walk and walking on to that special plane and off of the plane with some assistance. >> right. he seems to have been caught much earlier and it doesn't seem to be as bad. obviously these things are unpredictable and people

initially can look well and then decline rapidly as we have seen in other contexts. mostly what you have got are supportive measures here unless they will use an experimental treatment and obviously if you have someone walking, that's probably not likely at least initially. >> the girlfriend or fiance of the liberian-american was downgraded to critical condition. we don't know what kind of care he is receiving. what about the recycled blood of patient who is survived and that therapy as an experimental therapy? >> well, this has been known because they have antibodies available. it has been tried and been successful in other cases. again, when you have a situation where you have a disease that is 50% or 60% fatal, trying things

seems reasonable even if you don't. you don't want to try these things haphazardly. you want to do it so you understand whether it's working or not and not just chance. i think that's a very important element here. we have very limited resources. these treatments and interventions and the important thing to do is so that we learn what's working and what isn't working so we don't keep trying the same stuff without any gain in knowledge. i think that's a very important issue, both here treating two patients in the united states as well as what we will launch in both sierra leon and liberia, trying experimental interventions there. >> no question according to most doctors that the fact that they sent him back home untreated not only exposed other people, 48

are being tracked and contact tracked, but potentially hurt his recovery because he didn't get the treatment he needed for several days. i wanted to ask you about another threat which is -- go ahead. >> i was going to say that is true that he didn't get two days of supportive care, but again here's a disease that has a 50% mortality even with supportive care. we need to be a little -- they clearly made errors in dallas, communication and other errors. we need to be clear. it's not clear how much the errors are actually contributing to his worsened health state given the fact that this is a very high mortality illness even with proper supportive care. >> fair enough. i wanted to ask you about the enterro virus. parents all over america are increasingly concerned about this ailment that fell on a

4-year-old who went to bed over the weekend and didn't wake up. you have hundreds of children sickened around the country. another boy from his school is being tested for the virus. recovering at home after being released from the hospital. what do we know about this disease? >> this is a virus that has been around, but it does appear that this virus like many viruses mutate and can mutate quite rapidly and it must have mutated so that it's more -- well, it's more infective and can actually bring people to be sicker and obviously in this case increase mortality. that's the thing that is worry some. it is hundreds of kids as opposed to thousands or tens of thousands as we get with other items. but as with all viruses, the key here is regular hygiene and

making sure that kids are protected from the clean up and protected from each other. it is scary for every parent and i understand how scary these schools and daycare centers are sicesspool of viruses. they get easily transmitted between children and that i think is the worrisome thing for parents. this one in particular that has not been deadly before now really turns into much more threatening virus. i think that's the most worry some aspect. >> thank you so much. as we have been reporting on msnbc for the last day, the white house is strongly considering having checked cdc checks@least four airports where there is a rifle of international performs, not relying exclusively on the questioning and the temperature

taking at the point of departure. this would be a big change under homeland security. we are following breaking news right now. the u.s. attorney's office said a 19-year-old illinois man is due in court at any moment on terror charges. he was arrested at o'hare airport saturday night foralliedly trying to fly over seas to fight for isis. he tried to provide material support to a terrorist organization. more to come here. stay with us. but her knee pain returns... that's two more pills. the evening's event brings laughter, joy, and more pain... when jamie says... what's that like six pills today? yeah... i can take 2 aleve for all day relief. really, and... and that's it. this is kathleen... for my arthritis pain, i now choose aleve. get all day arthritis pain relief with an easy-open cap. so ally bank really has no hidden fethat's right. accounts? it's just that i'm worried about you know "hidden things..." ok, why's that?

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here's what the candidate told kelly o'donnell over whether he would throw the vote to the republicans or democrats in the senate if he would win. >> you have to pick which party you are working with. which will it be? >> if there is one party that is in the majority, i think it's in the best interests in the voters of kansas. i would seek to work with that party as it relates to that choice that you have just defined. the nice thing is we will be in the ability to hold them accountable. at 4 or five months going by, it is clear they are engaged in the same partisan politics, we will be able to change allegiance and work with the other side. >> you can switch which party you would work with when you are there? >> sure. this is about solving problems. this is about the voters of kansas saying the status quo

doesn't work anymore. absolutely. >> kelly o'donnell is here with the managing editor jean cummings. kelly, it's incredible being against incumbents and against washington, it's preferable to being wishy undefined. >> in an election season, that can be appealing to voters who are upset. what was striking is that once elected, the business of being in the senate does require that you align with one party or another for important things like what committees you get on and it's not the stuff that makes up the news stories. to suggest within months he might switch back, that's unheard of. he is really leaving kansas voters guessing. a lot of his positions are a bit more on the democratic side and statement i asked him who does you vote for for president?

obama in 08 and mitt romney in 12. he is keeping voters wondering. he is a self made wealthy businessman as well. he understands the concerns that might be more the chamber of commerce part of the party, but pat roberts, the three-term incumbent will get that and will be on a bus tour later this week with none other than ted cruz and tom coburn. it is a race to watch much. >> all of the big republicans had been lining up and this could be the senate race that decides everything. >> the kansas race and every one is important. the polls that you just showed, it's every one is within the margin of error. this is an amazing year. >> except for kansas. >> it's an amazing year for all of these races to be that tight. it may not be until december after a louisiana run off or a georgia run off.

so many others. >> you have to have 50% of them. they have three candidates. >> exactly. >> and a new poll came out today, just within a half hour that showed mitch mcconnell slipping behind allison grimes in kentucky. that's a surprise. >> it's within the margin, but he always has been ahead. that's a change. in august she was six points down and now a few points. >> that's a race hillary clinton will be campaigning. the clintons have a long standing relationship with her dad who was a political figure in kentucky. >> republicans have a better map and the momentum is challenged. to be as close as it is into october now make this is a fascinating mid-term season to watch. >> democrats have this head wind of a president with 35% approval or less in some states.

president obama is -- >> he is not campaigning. they shouldn't be here. they should not be competitive with the head winds they have against them. the other thing we don't know is they put most of their money in a ground game. that doesn't show up in polls and it will be interesting to see if that pays off for them. if they hang on to the majority in the senate, this is going to be a miracle year for them. >> here's a bit of your interview with greg orman. this is a guy who wants to be on all sides of every issue and it could be working for them. let's watch. >> ultimately what i am is a fiscally responsible and socially tolerant problem solver who thinks we need to solve our country's problems head on. we can't keep tuducking them as way to confusion the electorate and try to get the electorate to think they are doing something when in reality they are getting nothing done. >> fiscally responsible and

socially tolerant problem solver. focus group tested? >> he was comfortable using the phrases and when i talked to the voters, they were intrigued by his ads and he put a lot of his own money into the campaign and he made very appealing ads, but i was told we don't know where he stands. it makes it quite interesting. >> kelly o'donnell, thanks for your reporting from kansas and you are reporting on everything. more ahead right here on andrea mitchell reports. we'll be right back. on my journey across america,

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>> we had a lot of breaking news today. that does it for this busy edition of andrea mitchell reports. leon panetta has been making headlines with his new book and criticism of obama policies. follow us online and on twitter and facebook. ronan farrow has a look at what

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1:00 on the east coast and high noon in texas where i am in the ecoconference in austin later this afternoon. here's what you need to know. a lot of news today. in a dallas hospital north of where i am, the first person diagnosed with ebola in the united states is in critical condition and fighting for his life. thomas eric dunk an got sick after traveling from liberia to texas two weeks ago. he is not being given the experimental drugs given in the successful treatments of the ebola virus here in the united states. rick perry expressed concern that ebola could spread to other states and urged the federal government to do more. >> washington needs to take immediate steps to minimize the dangers of ebola and other

infectious diseases. to begin with, customs officials and border patrol agents at all points of entry should be directi directed to conduct enhanced positions. >> the cameraman with ebola is back on u.s. soil for treatment. a live report in omaha on that subject in a new moments. another virus wreaking havoc, enterro virus 68. confirming that the virus killed a 4-year-old new jersey boy, eli wallace. his father said he was full of unconditional love. his school is being sanitized as a precaution. people in 43 states and washington, d.c. have fallen ill to the enterro virus. of those, 538 cases nationwide, almost all of children. we will keep an eye on that for