app. the show is also available as a podcast. there's no reason ever to miss a single edition of the 11th hour. that is our broadcast for this thursday night. thank ul for beiyou for being w good night from msnbc headquarters in new york. thanks to you at home for joining us this hour. there's a whole bunch of developing news we've been watching over the course of this afternoon and into tonight and we've got an update tonight on this story that we have covered pretty intensively over the course of this week that until now as far as i can tell hadn't received any other national news coverage. this is the story we've been covering of this new policy by the trump administration that they didn't announce but it came to light when families of seriously ill children started getting letters last week from the trump administration telling these families that although they may have had permission to

stay in this country before, because their children were receiving advanced medical treatment here, the trump administration no longer respects that, these parents are being told to take their children out of medical treatment, which in some cases may result in death and get out of the country by next month. so this story perked in the local press in massachusetts first, in the boston area, and then in florida yesterday. well, as i said that we should maybe anticipate, we are now seeing big time national coverage as people start to realize what exactly the trump administration is doing here, even though they never made a policy announcement that they're doing it. tonight this story is now on the front page of the "new york times." it is breaking and expanding as a national story as we knew it would. we've actually got a doctor who is going to be joining us tonight who has a story you are definitely going to want to

hear. we are also watching of course this projection of the possible track for hurricane dorian. the islands in the immediate path are the bahamas. as you can see from the track there, one of distinct possibilities is the storm will continue to barrel in this direction over the weekend, which could send it barrelling into florida as a category three or category four hurricane. the virgin islands were taken by surprise by the direct hit the storm gave the virgin islands. the planning for the southeastern united states is basically pore the whofor the w florida's atlantic coast from miami up to jacksonville to get ready for what may be a major

hurricane arriving as soon as monday morning. we've got eyes on that right now and throughout the evening. this is going to become increasingly an urgent situation over the next hours and days. today president trump cancelled a planned trip to poland with a white house statement saying that was in response to the hurricane bearing down on the eastern coast of florida. and that hurricane may absolutely be why president trump is cancelling his planned trip to poland. but whether or not it is, that cancellation also happens to have some really interesting knock-on consequences that are not about the storm at all. and so we'll be talking about that a little later on this hour as well. that is all ahead. but first tonight, do you remember when vice president dick cheney accident lially sho guy in the face. remember when that happened? i know we play a lot of archival

footage on this show. i got to say this particular moment in american politics when vice president dick cheney shot a guy in the face and we all found out about it through a really weird set of circumstances, it was so weird i feel like the best way to get a sense of what this was like when it unfolded at the time was actually to watch "the daily show" from the time. >> vice president dick cheney accidentally shot a man during a quayle hunt at a political supporter's ranch making 78-year-old harry wilmington the first person shot by a sitting veep since alexander hamilton. alexander hamilton of course was shot in a duel with aaron burr over issues of honor, integrity and political maneuvering. whittington was mistaken for a

bird. the other player in the drama, ranch owner and witness katherine arm strong. >> we were shooting a covey. the bird flushed, the vice president took aim at the bird and shot and unfortunately mr. whittington was in the line of fire and got peppered pretty well. >> cheney discussed why no one found out about the incident until ranch owner katherine armstrong went to a local paper the next day. >> katherine suggested and i agreed that she would make the announcement, that she put the story out. i thought that made good sense. she was the immediate past head of the texas wildlife and parks department.

>> so she outranked you? is that how the government works? is the hierarchy basically president ex-head of the texas wildlife parks department, vice president? >> we miss you, john stewart. the man who dick cheney shot, for the record he ended up okay, he's alive and kicking, in his early 90s now. to this day i believe he still does have some pellets lodged beneath his skin. but the woman in the clip, who outranks the presidevice presid the united states, katherine armstrong, it was her ranch, the armstrong ranch where the shooting occurred. the "texas observer" called the ranch hallowed ground for

republican politicians. they are a well-connected family in republican politics. you could see those connections in 2014 when george bush's nephew, george p. bush was elected to manage texas's sprawling oil and gas resources. he cleared house at his new office and decided when he was looking to hire that he would reach out to the armstrong family from the ranch where dick cheney shot that guy when he was looking to find somebody to fill the top job at the state oil and gas agency. he ended up hiring the daughter of katherine armstrong, a woman woman named ann idsell. and from there she got hired into donald trump's administration, became the head of epa region 6. when she was appointed to that job, again to the epa, she waxed

poetic at the time to the "texas observer" about all this climate change nonsense everybody's been talking about and said, quote, there was still a lot of ongoing science and said that the climate has been changing since the dawn of time. quote, i think it possible that humans have some type of impact on climate change. i just don't know the extent of that. obviously she was the natural choice to get promoted from that epa region 6 job that trump initially put her in. earlier this summer, trump moved her up to take over the job of being our nation's top cleana ir official. the first guy had to resign in the midst of an ethics investigation into his meetings with his former oil and gas lobbying clients which is he was now charged with regulating he had to go. let's bring in the woman who says, you know, the climate has been changing since the dawn of

time. have you visited my family's ranch? today. we got the trump administration's first big move on air quality under the stewardship of ann idsell. methane, the primary component of natural gas is about 25 times more potent than carbon dioxide in trapping the earth's heat. the environmental defense fund estimates methane is about a quarter of the emissions. and they were the equivalent of greenhouse gas emissions of about one quarter of all cars

registered in the united states. this rule rollback from the trump administration is so draconian, so hardline and so unexpected, even the oil and gas industry isn't cool with it. quote, some companies, including exxon mobil and royal dutch shell have warned the trump administration that a lack of government-backed minimum requirements to curb emissions could undermine the argument that natural gas is a cleaner fuel than oil. we've been trying to make fracking and natural gas seem like a good thing, it's a free fuel. if natural gas is going to be allowed to willy-nilly spew into

the atmosphere the most potent greenhouse gasses without any restraint at all, it's going to be hard to maintain that fiction about how awesome natural gas is. even with the oil industry arguing this is probably not a good decision with the concern about the climate and everything. it's interesting, even the trump administration as they are doing this, they don't seem to understand what the problem is. the heir to the dick cheney's favorite shooting ranch fortune and who is remarkably our nation health insuran nation's top clean air official, she told "the wall street journal" today, quote, i don't see that there's going to be some big climate concern here. climate? why? what? what does methane have to do

with what? why is this even a cloimate thing? nobody said climate to me. and this rollback would be unfortunate at any time. even the oil and gas industry said so. but at this technical moment, like this week, really? literally this week the amazon rain forest, right this second the amazon is literally on fire having its worst year of fires in nearly a decade, closing a global freakout over the implications of those uncontrolled fires, while the wofr world's largest tropical rain forest is on fire, the president to instruct sonny purdue to exempt alaska's national forest

from log restrictions. the move would affect more than half of the world's largest in tact tongass national rain forest. in addition to being massive and massively beautiful and the headwaters of more than 40% of the salmon in the western united states, the tsongass is also a buffer against climate chang. that's how it's described by donald trump's own department of agricultu agriculture. this is a briefing paper from the usda's forest service last summer titled "addressing

climate change." quote, the coastal-temperate forests in southeast alaska currently sequester and store large quantities of carbon. as a result, southeast alaska plays an important role in the global climate and carbon change. the tongass is doing really important work. it is stable and resilient, said the usda. that's a good thing because it eats uptons and tons of climate eating targets.

the usda produced that report about the importance of that tongass forest and this past wo week, the president has reportedly ordered sonny purdue to chop that forest down. this isn't just like the trump administration acting writ large. part of what is going on here is the silent catastrophe of one specific part of the trump administration. i don't know why this hasn't had more national attention but there is a governing catastrophe inside the trump administration that hasn't of much attention and it is can called the usda, the u.s. defendant of agriculture. even the tongass forest organization admit it's huge.

donald trump and his campaign think he can count on rural voters and be but had you trade and agriculture policies are a disaster for rural america and american farmers. and they are quite obviously making that consistency a problem for him right now. just scan the headlines that trump's getting out are farm country. >> national farmers union condemns new tariffs. quote, trump is making things worse. farmers, this from the. >> jon: the government put us in the government has put us in this situation. >> a soy bean farmer in ohio saying, quote, i couldn't vote for trump again, have i to protect my business.

>> a farmer in north korea -- every time i go to the grain elevator, it's frikin trump this and that. >> as to all the solutions he's caused for american farmers, his proposed solution has been to sort of go motionist on the issue. give farmers billions in cash bailouts to make up how badly the trump administration's policies are hurting american agriculture. but the trump administration is having trouble reporting that out as well. >> pli because they can't get it to together to pay the warmers they way they said they would. >> we had farmers waiting at the door from clo and so amidst all

of this, and this is a real problem for the president in terms of how he thinks of his political base. amid all of these worsens headlines and this increasingly bad situation the president has created for american farmers, the president recently dispatched his agriculture secretary, sonny purdue, to try to sotomayor. what do you call two farmers in a basement? i said, i don't know, what do you call them? >> he said, "i don't know, a whine cellar." >> a whine, whine.

donald trump's agriculture secretary getting roundly booed at the annual minnesota farm fest. we're talking about a bunch of farmers getting together being whiners. isn't that hilarious? that's political outreach in the u.s. department of agriculture. one of the stories we've been covering for a couple of months now is this fubar situation they got into trying to get rid of all the scientists at that agency. u.s. scientists have done impressive work for general races at usda. it's one of the scientific cores of the government. under sonny perdue and donald

trump, they said they would have to move halfway across the country or be fired. they called it a cost-cutting mo move. donald trump said it wasn't about getting all those scientists to quit. they definitely weren't trying to get rid of the farmers. this was about efficiency. it's about running the fda as a more effective situation. that was the move until trump budget director mick mulvaney let the cat out of the bag while talking to republicans at a fund-raiser early this month. >> you've heard about drain the swamp. what you probably haven't heard is what we're actually doing. the usda tried to move or did move two offices out of washington, d.c. to kansas, missouri.

guess what happened? guess what happened? more than half the people quit. now, it's nearly impossible to fire a federal worker. i know that because of a lot of them work for me and i've tried and you can't do it. by simply saying to people you know what, we're going to take you outside the bubble, outside the belt way and outside this liberal haven to other parts of the country and they yet. >> the trump administration was so excited to tell republican donors about this. you know how hard it is to get rid of these terrible pesky federal workers? finally we have figured out a way to shed that dead weight. we are so psyched to get rid of these federal employees. they've been so psyched to do it to the point where they have just been adding insult to injury. not only shutting down the scientific core of the agricultural department, oh, and by the way, we told you we'd pay

you $25,000 buyouts to leave? actually we're making that $10,000 now. you still want it? because we could just fire you if you'd rather. funny thing is happening with that, though. the trump administration is starting to realize all those workers they got to quit their jobs, all those workers they streamlined out of the federal government, it's possible maybe they needed them. not that they could have seen it coming. "the washington post" reported that many departures are unable to produce reports required by law, required by statute. for example, this fall the research service is slated to update estimates for the input costs needed to grow wheat in the united states. congress uses these estimates to determine how to help farmers become more competitive with their counterparts overseas. but the entire existing team that produces such reports is either retiring or otherwise departing because the trump administration came up with this

awesome way to streamline them out of their jobs and get rid of them. but now that means they're faced with having none of these highly qualified, experienced, scientific workers that they need to do the work that this agency is required by statute to do and paid by congress to do. so what are they going to do now that they've gotten rid of all the workers? well, we found out this week that the trump administration is now scrambling, literally trying to rehire retired usda employees, some of whom they just forced to quit in order to fill these sudden gaps in their workforce for these jobs they now realize are actually things they needed people to do. come on back halftime for half the pay? apparently there's still stuff that needs to be done around here. apparently the scientists weren't just dead weight.

>> so what the trump administration is doing to the usda is a catastrophe for the work there and it's turning out to be a catastrophe for american farmers. but this latest thing the president has ordered usda to do, to roll back protections on this huge wilderness in alaska, that's not going to have ramifications for just the president and this country, that could have ramifications globally. hold that thought. do your asthma symptoms ever hold you back?

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last month 2019 was the w m warmest month ever recorded in alaska. to the extent that alaska and the rest of the planet have any way to slow the march of climate chang, the reprieve will come from the tongass national forest. even the trump administration's

own usda say it's a globally important sponge for carbon and staving off more warming literally worldwide. the president has apparently just ordered his usda to open up the forest to more mining and just chop it down. joining us, our guest who has worked on environmental issues for three decades. mr. jorgensen, thanks for making time for us. >> thank you. >> as far as you understand this decision-making process around the tongass national forest, do you believe that this is in motion? is this being floated as a trial balloon? does it seem to you the trump administration has a plan for

actually doing this? >> we do believe that they're in process to attempt to exempt the tongass of the rule. the forest service is preparing a review document and preparing to go out for public comment as soon as this fall. can you describe for us the consequences for this kind of development in the tongass. we've been talking about its mitigating impact on global warming but what would it mean? alaska in. >> the tongass is so important for so many reasons, both to people here around alaska and people around the country and the planet, as you recognize. the forests of the tongass provide forests of habitat and

wildlife, grizzly bears and wolves, creatures that are rare in other parts of the globe and here are healthy and depend on a whole growth rain forest. the salmons in alaska's waters still wild are a key part of the economy of south east alaska and important for people who make their way of life based on salmon in the region. in addition, the unique tongito forest draws visitors from around the country every year, last year more than a million visitors to see the spectacular place. and together with the fishing industry, the visitor -- tourism is the mainstay of southeast

alaska's economy and important to preserve going forward and are dependent on protecting the wild area, the roadless areas that are now apparently protected by the roadless rules. these areas are also very important to -- >> i'm sorry to interrupt you. we have a long delay between here and juneau. let me ask you briefly if you anticipate there is going to be a legal fight with the trump administration if they move forward to try to make this change? >> well, before they can make this change, they have to go through this substantial public process and they have to justify the change and explain the reversal of course. this rule is popular nationally. we know it's got bipartisan majority around the country. there will be an opportunity for people to speak out in favor of the tongass and protecting this

area going forward. if the administration proceeds in the end with a rule to exempt the tongass and removes the protection of these wild areas, there can be litigation. the question will be has the administration justified the course. >> we have much more ahead tonight. do stay with us.

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sfwlfr here's a heads up to watch for a story tomorrow. in 1996, oxycontin turned out to be a highly addictive pain killer. it came on the market in '96. by '97 the company that made it already knew it was being abused. so the president of the company responded with a plan. he wrote an e-mail saying "quote, we may need to start a campaign to focus attention on the untreated patient in this campaign. he gets word that the drug is

being abused and this new plan not to address the abuse or addictiveness of his drug, it was a plan to push the drug further. those were among the documents gathered by prosecutors as they prepared federal criminal fraud charges against executives at purr do you pharma. even though a prosecution memo was brutal, prosecutors recommended felony charges against multiple purdue executives that could have put they will all in jail, purdue's lawyers argued them down and it ended up with one charge on the company and misdemeanors for the executives. purdue had to pay $600 million. that was barely even a pothole

on the road to the multi-billion dollar national opioid catastrophe that would roll on se seamlessly that day in court to ultimately kill 400,000 americans. that cleared the way for the opioid epidemic to continue unabated for another decade plus. but this didn't stop thousands of cities and counties and states from suing purdue pharma themselves for fraudulently marketing oxycontin and misleading the public about the risks of abuse. now here in 2019 it's all coming to a head. there is this federal judge in ohio who is currently overseeing a combined docket of more than 2,000 of these lawsuits against purdue and other companies arguing they should be held liable for fueling the opioid

disaster. these companies have insisted they haven't done anything wrong, they're sure they'll win, they're innocent, happy to fight. in the wake of a big verdict against one manufacturer this week, nbc news broke the news that purdue fapharma is trying figure out a way to open its checkbook and make this go away once and for all. it's being reported that the sackler family would give up ownership, hand over $3 billion personally as a family. don't worry, they'd still be billionaires. they'd also have their company declared bankruptcy. those terms were supposed to be private. the judge imposed a strict gag order. but somehow the news broke anyway. the a.p. furthers the story today saying the sackler family wants this settlement to not only get them off the hook, they

ever want the settlement to settle all the cases against them in federal court everywhere and in every state court in the country, too. now, whatever you think of this as a potential fate for the company that brought us objectiony couldn't oxycontin, whatever you might think about their offer and divvied up among every jurisdiction with a claim in it, this is something that's supposed to be mulled over just by the plaintiffs. and tomorrow, as best as we can tell, those plaintiffs are going to have to tell the judge in that case what they think about this offer. there are going to be many, many, many judgment days when it comes to true reckoning for these companies that killed hundreds of thousands of our fellow americans and made billions of dollars while they were doing it. but one of those judgment days, potentially a very important one, looks like it's going to be tomorrow behind closed doors in

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(avo) bounty, the quicker picker upper. . the university of california at san francisco has a really, really good children's hospital. when isabelle was 7 years old rn she was invited to come to that facility for treatment. isabelle had been born with a rare genetic disease called mps-6. it means her body is lacking an enzyme that causes severe damage to her body and cells in a way that's not going to get better on its own and not going to get better over time. they wanted to launch an important clinical trial but they needed her in their trial to be able to do it. rare is an important point in this story, right? by definition, for any rare disease, there just aren't that many people who have it. there aren't that many patients. the wave you get new cures for

rare diseases, you need to be able to find patients to be able to develop the cures to be able to beat those diseases. so isabelle, who had this rare disease, she and her family were invited to come to ucfs for the parliame experimental treatment and ultimately the treatment she received in that trial got fda eye approval. that basically would not have happened if she had not been able to take part in that crucial trial. today she continues to be treated at ucsf. he gets weekly intravenous infusio infusions. she came in when she was 7 years old. her family was told she might never make it to see age 8.

isabelle is now 24 years old, a assu college graduate, may want to go to grad school. she teaches dance at the children's hospital that saved her life. she needs weekly intravenous infusions of this treatment. he also has a tracheotomy which is a delicate thing that needs consistent care. but she is alive. her doctors say if she stops treatment, she will die and not on a distant horizon but a matter of months. the trump administration has just sent isabelle and her family a letter ordering them to get out of the united states in 33 days or she and her family

will be forced out for deportation. for isabelle, this is very simply a death centers. the treatment keeping her alive is literally not approved for distribution in the country her family is from. that's the treatment keeping her alive, weekly irchl.v. infusion. she doesn't get that treatment, she'll die. she's been told to get out of the country. the trump administration offers no appeal process. her u.s. senator has written to the federal government but there is no process for them to do that. there is no appeal. there's just been this pronouncement to isabelle and her family get out and get out now. the trump administration's plan, in other words, is to kill this young woman. she was, again, invited to the hospital for this clinical trial, which could not have happened without her.

that clinical trial, because she was in it and because it worked, produced an fda-approved treatment that not only saved her life, it will now save the lives of other people who have this rare genetic disease. her family pays for her treatment with private medical insurance. her family came to this country legally. she has never done an illegal thing in her life, but the trump administration plan is apparently to kill her. one of her doctors joins us next. each charted course ♪ ♪ each careful step ♪ along the byway ♪ much more ♪ much more than this ♪ i did it my way (announcer) verizon is america's most awarded network and the only one with the galaxy note10 5g. right now, when you buy one, you get a galaxy note10 free. that's verizon. before discovering nexium 24hr to treat her frequent heartburn,

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in 2005, the fda approved a new treatment for a rare genetic disease. it was a hard road to get there because the disease in question is rare, so finding enough patients to test it in clinical trials was a hard thing. doctors at ucsf's benioff's children's hospital found a young woman in guatemala named isabel bueso who was willing to participate. ms. bueso and her family have been told by the trump administration that they need to get out of this country within 33 days. that among other things will end her access to the drug that is still keeping her alive and that she helped developed for everyone else in the world who also has this rare genetic illness. joining us is dr. paul harmitz who has treated her since she was 7 years old and led the clinical trial to treat her disease. thank you very much for being with us tonight. >> thank you, rachel.

it's really, this has been a devastating two-week period and we appreciate your help trying to tell isabel's story. >> it's absolutely horrifying. i have to ask you basically if i have explained this accurately, if this is the situation her family is facing. >> you did beautifully, even without a biochemistry background, which is remarkable. but we feel like we have given isabel a death sentence, just as you described it. when we surveyed in the early 2000s, 2001, and isabel participated, a hundred patients worldwide, which we figured was 10% of the population, we didn't find any patients much beyond age 20. that was sort of the cut off in the survival with her type of disease, and so at this point, my prediction would be if we stop enzymes, she's going to

rapidly move into that category of disease level, and whether it's months or one to two years, you're really handing her a death sentence. it's as if we're pulling the-plug on a respirator or stopping feedings for a patient that needs that type of support, and i think we you know, have really devastated this family, so, you know, we couldn't do these trials. the families are unbelievable in their willingness to move from around the world to a site that's experienced in these very sophisticated trials. they relocate, they live one to two years at the home site and sometimes the option to go back to the home country does not materialize, the countries can't offer the therapies and as you

described, she only had the option of staying, and she stayed for now, most of her life, i mean, she's really grown up through the grade school, high school, college, now she's looking at graduate school, and what sort of career and jobs she can pursue, and she's a really amazing child and young adult. she's one of the leaders in our program and the entire nation in terms of mps, and it, i think, you know, i hope we can see a change in policy so they're able to move back to their normal life. >> dr. paul harmatz, pediatric gastroenterologist. i can't imagine this is not going to continue to be national news until it's resolved. you and your colleagues being able to talk about it is important. we'll be back with you to talk

about how this case is progressing. thanks for with us tonight. >> thank you. >> stay with us.

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that's going to do it for us tonight. i will say one note about the off as local reporting and is now national news about this unannounced policy change by the trump administration where they do appear to be targeting the families of kids with cancer, kids with cystic fibrosis, kids with rare genetic diseases and other kids who need life saving advanced medical care and have been given permission to live in this country on that basis. this story, credit to wbur in boston, the boston globe in boston, commonwealth magazine in massachusetts, for being the first news outlets to report that, it then moved to miami herald who started reporting it out. today it's on the front page of the "new york times" and we expect in coming days to see this become a lightning rod of a national story. credit where credit is due to