atul gawande gets tonight's last word. a showdown between the white house and the judiciary. then the government agency protecting your finances is shut down after its director is fired. he'll join me just ahead. and trump announces new tariffs on steel and aluminum imports. what it means for our economy. as the 11th hour gets underway on this monday night. good evening once again. it is day 22 of the second trump administration. and there is big news out of the justice department, an official tells nbc the department ordered the acting u.s. attorney for the southern district of new york

darling. >> doctor atul gawande gets tonight's last word.> that could. >> set off. >> a showdown. >> between the. >> white house. >> and the judiciary. then the governmenty

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with us now, doctor atul gawande, former head of global health for usaid. doctor, thank you so much for being with us. so so what happens on friday? where will these losses, how will these losses be felt? >> you have to understand you cannot pause an airplane. >> in. >> mid-flight and fire the crew. >> but this. >> oligarch with unchecked power. >> is doing that to the entirety. >> of our. >> foreign assistance worldwide. our lifesaving foreign assistance worldwide. >> um. >> we are. >> damaging us capacity, us standing, and also harming lives. >> these are. >> programs that range from eradicating. polio to fighting outbreaks that are occurring right now. bird flu. >> monitoring is being shut down. it's already shut down. it's already closed. >> uh. >> and so this is the. >> demolition. >> unconstitutional demolition. >> of a. >> critical agency. >> um, and. >> it is, uh, it's. going to. >> it's going to be it's going to cost lives. >> how will it impact, for instance, fighting malaria? >> uh, the entire. >> malaria team is wiped out, including. >> some of

we want to discuss now with former usaid assistant administrator for global health, doctor atul gawande. thank you so much for joining us, doctor. we appreciate you being with us. you've said that even a temporary stoppage of usaid programs does enormous damage to the united states and is a gift to our enemies and competitors. help us understand why. >> well, you're trying to stop an airplane in mid-flight. fire the crew, and then expect that things are all going to be okay. these are these are thousands of people all across the world working in some of the most dangerous places or poorest places to advance our national security as civilians without guns going in and doing everything from eradicating polio, trying to end hiv, to working with, uh, with refugees and people who are in starvation in conflict zones. so, you know, we're putting people in harm's way. we are, uh, by simply pulling the rug out from under them, yanking them back. but in many cases, stranding them out there at the moment, as one of the people i spoke to who are out in the field said to me, our government is attack

programs have ground to a halt, and you see enormous suffering now as a consequence. >> doctor atul gawandeank you so much for joining us. appreciate the conversation. next here, ana cabrera reports president trump reportedly looking to gut the department of education. what it could mean for millions of students and teachers nationwide. >> well, you're in the big leagues now. >> how was your vacation, sir? >> well. >> i needed one. >> with your 10%. >> loyalty program discount, that's $225 for. >> the night. >> not bad. >> $155 for the night. hold up. how? >> it's easy when you. >> know. >> where to look. >> trivago compares hotel. prices from. hundreds of. >> sites so you can save up to 40%. 40(tony hawk) >>skating for over 45 yearstic. has taken a toll on my body. i take qunol turmeric because it helps with healthy joints and inflammation support. why qunol? it has superior absorption compared to regular turmeric. qunol. the brand i trust. just breached has my social security number from the credit check. >> 75% of americans have had their social security number exposed due to recent data

that's that's false. >> doctor atul gawande, thank you, as always, for your time and your experience.u. >> up next, here in washington, recovery crews are raising the wreckage of that passenger jet that collided with an army helicopter over the potomac river. i'm going to be joined by someone who lost his wife and his daughter in this disaster, and how he wants to help honor their memories tonight the boeing 747 has crashed in the lockerbie area. >> it was the largest act of terrorism on the united states before nine over 11. >> there are a number of anomalies. >> trying to find. >> out the why of it became everything. you could look at the iranians, the libyans. >> the cia. >> hezbollah. >> nothing is what it seems in the lockerbie story. >> lockerbie, the bombing of pan am flight 103, february 16th on cnn. >> i started brightstar care to provide a higher standard of care. it's been my goal for 20 years, and it always will be. if you're an experienced caregiver with that same passion, join the brand that supports you most. >> your cardiovascular health impacts. >> everything, and we

that's that's false. >> doctor atul gawande, thank you, as always, for your time and your experience. >> thank you. >> up next, here in washington, recovery crews are raising the wreckage of that passenger jet that collided with an army helicopter over the potomac river. i'm going to be joined by someone who lost his wife and his daughter in this disaster, and how he wants to help honor their memories tonight. >> welcome back. >> have i got news for you. returns february 15th on cnn. >> slow down. >> honey. >> ah! a new. >> driver. you need. >> new insurance. >> zebra compares over 100. >> insurance companies. >> to find savings no one else can. up to $400 a year. >> trevor. >> oh, look. it's my. stop, the zebra. we do the searching, you do the saving. >> they say. >> good things. come to those who wait. well, we don't buy it at university of phoenix. >> we're earning. >> career relevant skills with every 5. >> to. >> 6 week course as we pursue our bachelor's and master's degrees, putting what we learn into practice and updating our. professional profiles in weeks, not years. always r

you heard doctor atul gawande, former usaid official, on this program monday night, saying lives have already been lost. people have already died because of what elon musk decided to do to them. elon musk is african. he is from the continent that has suffered more starvation during his lifetime than anywhere else in the world. but when the white house press corps got their chance to ask him questions yesterday, not one of them asked how it feels to be holding his child in the oval office while he is starving children in africa, while children and their parents and their grandparents are dying. because of his decision, the white house press secretary pretended that she was presenting proof of what she called fraudulent expenditures by the united states agency for international development today. she waved around a piece of paper and claiming that it showed $57,000 in an expenditure in sri lanka for. we're not sure what that she didn't like, but she's sure it's fraudulent. now, $57,000 is a lot of money, but it's not a lot of money in the budget of the united states of america. and it's

there were political appointees, like our recent assistant administrator, atul gawande, who did a goodjob of streamlining bureaucracy. and that's where there are important programs that i'm concerned are going to be thrown out with a bureaucracy that has grown over six decades without enough accountability, there have been efforts to reform it, not successful. and so i hope that this can be an act of creative destruction, which is a good thing. instead of just total destruction, which would be the concern of overreach. >> well, okay. and i'm sure it will be because no one wants to see dead babies in africa. if it just costs a little bit to save them. we want to save everyone we can, but we have to save people here to. why aren't democrats saying, yeah, you caught us? 2 million for sex change surgeries in guatemala? maybe not the best use of american tax dollars. why don't they just say that? >> you'll have to ask them. what i would say is, under republican administrations, agencies can pivot to support those priorities. and under democratic administrations, like the last one, you would

these we had doctor atul gawande on here last night who worked for usaid saying, yes, people have died already because of what elon musk has done. >> and they're dying every day. you know, i was talking today. to an aid worker. about a program in northwestern nigeria where there's an emergency feeding center that is run out of the emergency peanut paste that keeps these kids alive. and meanwhile, in the warehouse, there are stacks of it. there are pallets of it. but to get that from the warehouse to this emergency feeding center to keep these kids alive, they need a waiver from usaid. and because nobody's at work at usaid, they can't get that waiver. and so kids die. and, you know, at a time when we were already losing 2 million children worldwide to malnutrition, we have the resources. we have the assets, we know how to save these lives. and now that has been stopped. and there is that, i mean, women, hundreds of thousands of women are becoming pregnant because all of a sudden contraception has dried up around the world. in zimbabwe, the condoms are almost impossible to get now. >> wh

but let me just read what doctor and author atul gawande, who served usaid under president biden, which you say required some reforms. he said, look, we did work battling and and it will stop a deadly marburg outbreak in tanzania, a wide outbreak of mpox variant killing children in west africa. it will stop monitoring bird flu in 49 countries. it will cut support, aiding some 90 million women and children with vaccinations, prenatal care, safe childbirth, et cetera.. so i guess what i what i, what i don't understand is why you think it's happening in this way. why so radical? why so absolute? >> i mean, if you take a large atmospheric approach to this, certainly through the prism of the last election, we have seen places in america in with pressures domestically, on the economy, on the middle class, on disaster zones. yet for the last four years, you saw billions after billions, after trillions, after trillions announced for the rest of the world. this had a psychological effect. this now has a bit of a backlash. but what i what we as even conservatives, can affirm is the outcomes, the

atul gawande gets tonight's last word. the 11th hour with stephanie ruhle starts now. >> tonight, federal courts hit the brakes on trump's agenda with rulings that could set off a showdown between the white house and the judiciary. then the government agency protecting your finances is shut down after its director is fired. he'll join me just ahead. and trump announces new tariffs on steel and aluminum imports. what it means for our economy. as the 11th hour gets underway on this monday night. good evening once again. it is day 22 of the second trump administration. and there is big news out of the justice department, an official tells nbc the department ordered the acting u.s. attorney for the southern district of new york to dismiss all charges against new york. mayor eric adams will be watching to see what happens next. meanwhile, as we begin the fourth week of trump's new administration, we are getting closer to an actual showdown between the white house and the courts. today, a federal judge in new york basically remi

. >> aid official doctor atul gawande says the relief workers he knows are devastated. >> they're in. >> fear for. >> what this. >> means for. >> america, what. >> this means. >> for the. people that they. >> touch, and they're in fear. >> for themselves. >> what we are seeing right now seems to be elon musk's attempt to take over key areas of the federal government. so let's talk about who elon musk is and more importantly, who he is not. elon musk is the richest person on the planet. he is someone who has massive government contracts here and around the world. he is not someone who is elected to office by the american people. he is not someone who is confirmed by the u.s. senate. his role was created by executive order, and his team is taking control of some parts of government agencies. and you just heard today, the white house said musk has been designated as a special government employee. that position does come with a conflict of interest requirements and ethics policies, but they are far less strict than federal employees or people in full time roles. these types of employees c