ruling on a protective order for donald trump, how it could impact the former president and jackson its federal election case? and more good news on the economy -- what it means for the president and his 2024 strategy. then, the clock is ticking for congress to pass aid for ukraine and israel. what's the holdup in the senate, as some in the house secretly blow expelling another congressman. as the 11th hour gets underway on this friday night. ♪ ♪ ♪ readings, everyone. i am symone sanders-townsend in for stephanie ruhle. tonight, a major ruling in donald trump's federal election interference case means the protective order is back on. a three judge appeals court panel mostly upheld the original order from the trial judge but they narrowed it down. it bans trump from attacking potential witnesses, court staff, and most prosecutors on the case. however, trump is allowed to criticize the charges. the justice department, and special counsel jack smith himself. the judges explain the decision writing, quote, trump's public statements posed a significant and imminent threat. but they also said, the district courts order, however, sweeps in more protective speech than is necessary. the former lead investigator on the january 6th committee said the judges had to thread the needle on this decision. >> i see the logic here, the former president is allowed to criticize the process, to criticize the motivation of the justice department. and now, after today's ruling by the appeals court jack smith himself, he can't however challenge the integrity or say anything intended to influence actual potential witnesses. that is key, right? it is the potential attempt to save things and put pressure upon or influence witnesses or unfairly disparage them. criticizing jack smith is criticizing the process and that will have a ripple effect on others. it is an imperfect balance, but the court is trying very much to protect the participants, and protect his free speech right. it makes that march 4th trial date increasingly firm. >> meanwhile, the former president's 250 million dollar civil fraud trial is winding down. he is expected to return to the witness stand on monday. today, and accounting expert testifying for the defense told the court that some of his nearly $900,000 in fees or paid by trump's save america political action committee. yesterday, he testified that he saw no evidence in fraud in trump's business. meanwhile, we are also following the latest legal developments involving hunter biden. the president's son was indicted on nine tax evasion charges on thursday, including three felony counts. now, the charges, of course, had nothing to do with president biden. hunter biden is also the target of house republicans who have been investigating him and who are pushing an impeachment inquiry into his father. biden's son spoke out about the attacks from republicans in a podcast recorded before his latest indictment and released today. >> as long as my dad is the president of the united states, they are not going to stop. they are trying to destroy a presidency. what they are trying to do is they are trying to kill me knowing that it will be a pain greater than my father could be able to handle. >> hunter biden was also indicted in september on federal gun charges as part of a special counsel's investigation. with that, let's bring in our lead off panel. eugene daniels, white house correspondent for politico. eugene scott, is also here, seeing a political reporter for axios. and paul butler is here, but not physically with us, and he's a former federal corruption prosecutor at the department of justice. paul, i'm going to start with you, my friend. our resident, lawyer. you know, the appeals court, they wrote this, quote, like any other criminal defendant, mr. trump has a constitutional right to speak. and his millions of supporters as well as his millions of detractors have a right to hear what he has to say. also like any other criminal defendant, mr. trump does not have an unlimited right to speak. so,, paul when it comes to donald trump, do you think that the appeals court struck the right balance with this particular ruling? >> i do. the court shot down his first amendment arguments, which is what he was arguing the loudest. remember, judge chutkan said when you are a criminal defendant, you don't get to use all the words. if this court basically said the same thing, it's said many of trump's statements threaten the integrity of the court. and the court also said that this is trump attacking somebody and then there's a torrent of threats of retribution and violence against that person. so, so far, in gag orders, trump is oh for two, the gag order in the new york fraud case is reinstated. and now in the federal election interference case, trump has been told that his violent rhetoric has no place in our criminal legal system. >> you know, eugene, hearing that from paul, some would say that, you know, judge tanya chutkan in the election interference case, she is the judge that made the original, stood for the original protective order. i wonder if today's ruling made her job harder. what do you think? >> i don't think so. i mean, much of what she ruled was upheld. her job is harder, trump's lawyers tried to keep him on track and make sure he does not say anything that violates that new order, this new revised gag order. >> i mean, eugene daniels, look, this ruling, this does allow donald trump to continue to attack jack smith. frankly, it's something he had been doing even while this ruling was in place. what does that mean for public impressions of this case? donald trump has a large microphone whether people like it or not. >> i think part of this a lot of this has already paid off. if you are someone who's gonna listen to donald trump talk about jack smith and then hate jack smith because of it, you are probably already gonna vote for donald trump, right? this is so much a part of the electorate as it is right now. they may not know all the details but they know what team they're supposed to be on. and i agree, i think the idea of donald trump not violating those gag orders, it's gonna be something very interesting to watch because he is not someone who has ever not, whoever wants to listen to a court when he's out there. and he doesn't, you know, read a speech. he's just out there talking, just talking. >> you don't know what he's gonna say yet. like, even if his lawyers are coaching him and his for, we know he will go off script. and he may go off script in a way that harms everybody. >> all, let me bring you in here because my question is, we know he's gonna go out script. he rarely does, the former president. mike pence, and some of former president trump's officials, like bill barr, mark meadows his former chief of staff, they can all be witnesses in this case. they are not individuals whom are covered by the exception in this protective order. what's gonna happen if donald trump violates this order? do you think we will see -- what is a stronger penalty, i guess, is my question? >> cash money. it could be charged thousands or tens of thousands of dollars a day. and then, that may actually work. the judge also has the option of holding him in contempt. and then, there will be a separate criminal trial if he lost that trial, he could be locked up. i doubt it will get to that point. but sometimes with trump, money talks, especially since he's about to lose a whole lot of it in the new york fraud trial. >> well, let's turn to the new york fraud trial. donald trump is supposed to testify, again, on monday. paul,, paul, why is he being brought back? >> because he wants to be brought back, because he's using this president campaign rally which is nothing to do with his civil case because he is a lousy witness. symone, he is taking the stand twice before in this trial. the first time was during the hearing when he was held in violation of a gag order. and in that hearing, trump testified for less than five minutes. and the judge said he wasn't credible and find him $5,000. the next time the prosecutors put him on the stand, the judge said that he was treating the courtroom like a campaign rally. and that was true. but then the judge let him go on because just like that campaign rallies, trump started to make all of these damaging admissions. he admitted. he looked up the financial things and made suggestions about them. so, i expect more of the same on monday. trump will talk about what a great businessman he is and how much bankers and lenders just love him. but none of that is relevant for the fraud that the judge has already found him liable for. symone, this is mainly about how much, how close to 250 million, or $300 million that laetitia james says taxpayers of new york -- how much of that trump has to come up with? >> eugene daniels, good reminder, this is about the money, that if he committed fraud. the judge has already said, honey, the front exists. this, eugene, feels like a taste of what we could be in when we get to the thick of campaign season next year. we talked about the march 4th, march 5th trial date, super tuesday. donald trump is gonna be in court at least in one of these cases. is this, was this argument normal? >> yes, 100%. people are already sick of it, and there's gonna be, they're gonna be even more sick of it next year. especially if he becomes the nominee of the republican party as it seems like he will. the thing that's really fascinating is by the end of march, about 70% of the delegates and the republican primary will be awarded. so, we will basically know who will be the nominee at that point. and if it's donald trump, he would still be running in and out of court cases. what is interesting when he is on stages, when he's in front of a judge, he's doing the same thing because for him, it's not about whether or not the judge believes him, or if there's if there's a jury that believes him. it's about the folks watching, right? it's about him talking about how he is being persecuted, and therefore, he is the only thing between you, the voter, and the deep state, and the doj coming after you. and that's something he's been doing for years. that is what he is focused on. >> all the more reason why i think it's more important that us, in the media apparatus, speak very clear about what is being very sad and what is true and what is a lie. i want to talk about hunter biden, eugene. today, this sprawling document was unveiled. there are no accusations against the president and that document. it's all about hunter biden, his taxes. he paid the taxes back, but it's a six-page indictment, okay? i encourage people to go look at it and read it. do you think that the white house or the campaign apparatus should be concerned. i have my thoughts about that, but what do you think? >> well, anytime hunter biden is in the news, quite frankly, it's not a great thing for the biden white house. if you are looking to win over voters who are already skeptical. the republicans have worked hard to put some things in the water that make voters uncomfortable with, you know, hunter biden's behavior, whether or not anything has been proven regarding the actual president or not, and it's not. we know that this is republicans right here. so, what you are gonna probably see is some people looking and paying attention, who maybe have turned off house republicans, because they're not politically motivated. however, we do know that hunter biden's lawyers have said that if his last name wasn't biden, these charges would not have been brought forward. >> his attorney was with my colleague katie church, she did a really great interview getting him on the record as an exclusive. eugene, i think that there are, you saw the president come out recently and he was a little bit more, as i like to say, he had some righteous indignation's. he slammed the door. he said there's nothing there, he had a little bit more fire behind these accusations that he did, there is some impropriety. do you think that the white house believes that that is the tactic to take care? or is that just the president coming here, being a president, and saying what he thought needed to be said. >> it was joe biden leading joe biden. who is the administration or the campaign, for that matter changing tax at all when it comes to hunter biden. i think, i know -- they think a lot of this is baked in for the most part, right? that people who hunter biden was litigated in 2020, republicans try 2022, then tying him to his father as if they did something illegal hasn't worked so far. there hasn't been evidence. over and over and over again we saw james comer do an interview today on another network, and the anchor talking to him and realizing that they still haven't proven anything at this point. and so, the white house feels not good that president biden is being pulled untied and east high kinds of things, especially when you see house republicans hurdling toward voting on an impeachment inquiry sometime soon. >> reporter: eugene, you are really in the nitty-gritty, zylah to sayah, but what's going on in the house and house play not across the country in 2024. how do you think this affects or doesn't affect what house republicans are gonna do? they literally have zero evidence. when they last held some impeachment inquiries, their own witnesses, republican witnesses, came forward and said i don't think there's enough here for an impeachment inquiry. that seemed to me damning. how is this going to effect? >> this doesn't help their case, i mean, this is not anything that suggest very clearly that joe biden should not be president. we're talking about tax charges, for the most part. for his son, right? and not even when he was in the white house. this is not something that republicans are going to be able to stand on and make the case that this individual, the presidential -- should not be an office over. but they're gonna continue to push it forward and cause doubt among their voters, and hopefully, that will benefit republicans, you know, in 2024. that's what those in congress on capital are hoping. >> if you look at the numbers too, right, you're starting to see a lot of americans think, maybe something did go wrong. so it is -- there's been a question with me and my colleague -- wrote a story about this, the new tactic that hunter himself was taking, which is a little bit more aggressive. when it comes -- >> reporter: on a podcast! >> on a podcast. and that is causing a little bit of frustration in biden world, but some people are like, yes, but this should be happening. it should've happened earlier, because now you have, and sometimes 60% of people and upwards saying that maybe something improper or at least unethical happened between president biden and his son. whether there's evidence of that or not, the american people have been hearing that one sided conversation about that for the most part. >> reporter: paul, there is the political arena and then there is the legal arena. and as, you know, eugene scott alluded to, hunter's attorney says that the latest indictment is about his last name and that that has to do with political pressure being put on the special counsel. -- to say that the special counsel is a republican. what do you make of that claim? if hunter's last name was, you know, johnson, for lack of a better term, would these charges have been brought today? >> they would not have been. for the tax charges, before he was indicted, hunter paid back the taxes. we all know people who haven't paid their taxes for years and almost none of those people who get charged and criminal court. it's usually a civil matter. roger stone, one of donald trump's biggest supporters on $2 million in taxes, the irs to come to civil court and reached a settlement. so hunter is getting special treatment because his father is a president. he's been treated worse. because republicans are using him as a pawn. and they weaponized the special counsel to play along with their partisan agenda, but -- if biden is convicted of gun charges, he could face a sentence of up to 17 years. if he's convicted on the tax charges, he could get up to 25 years in prison. >> reporter: oh my. paul butler, thank you very much. eugene daniels, eugene scott, appreciate you all coming in tonight. coming up, everyone. another good jobs report and growing consuming sentiment. -- and susan del percio will be here on what it all means for president biden heading into 2024. and later, new reporting on some house republicans who are secretly considering expelling matt gaetz after george santos was ousted from congress. the 11th hour just getting underway on a friday night. so now, do you have a driver's license? 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insulin, 400 bucks a month, guess what it is now? 35 bucks. >> reporter: joining me now, john allen, senior national politics reporter for nbc, basil -- former executive director of state democratic party. and susan del percio, veteran strategist an msnbc political analyst. let me start with you. i was struck by the presidents comments there, touting saying great, great, great, but there's some more work to do. got a lower prices. what was the reaction to these numbers today? i didn't hear much from republicans on capitol hill. >> first off, the president hasn't been challenged, right? a lot of people still feel like they're not doing as well as they'd like to be, and he's acknowledging that, but that's a difficult message. it's a two-part message. look, we're doing greater with the economy, everything looks good this month. and at the same time, we still gotta do better. in terms of capitol hill, anytime the jobs reports come out you have a partisan divide. democrats want to talk about what they look at as a pretty good month and pretty good quarter after quarter, and republicans are not gonna stop fighting each other or fighting democratsto pise joe biden, no matr at it says. >> reporter: that has, olson thing very notable i thought in these job numbers today after months of bad vibes, consumer sentiment is finally starting to improve. how do you think the white house and more specifically the biden campaign should message this? >> yeah that's an important question because i was moved by a new york times article, i can't remember who wrote it, by a couple weeks ago they talked about the challenge that americans have with the narrative around capitalism. and i thought about that a lot, and jonathan's point about messaging, i think the messaging on the actual numbers, the unemployment numbers, the jobs numbers, the inflation numbers, that's all great and important, but i think what the white house needs to focus very closely on is addressing the issue of bringing down the barriers to the economic aspirations of americans. can they have a clear path to getting that first home? can they have a clear path to moving into the middle class? i think that, particularly for a lot of young voters, is where a lot of the concern and that worry comes from. and i do think it's a messaging tweak, it's not minor, but it is something that i believe can be done and make a world of difference. because the numbers are important. but you're not going to necessarily be focused on the numbers. you're gonna be focused on, you know, can i plan for the future? and that's the little tweak that i think the white house needs to make. >> reporter: susan, this is such an important point, because the economic data has been getting stronger for months, frankly, but it feels like it's taken so long for sentiment to catch up, and that could be perhaps because of what people see and feel right in front of them. it is expensive to buy a house right now. >> yeah, that's true, and let's not forget about 18 months ago, there was a very strong narrative out there that there would be a recession. so they're almost coming back out of that narrative that there isn't a recession, that the economy is doing well, but you are absolutely right, symone, it is difficult for people, and it's difficult for a couple of reasons. one, with the inflation that we've seen, the ugly truth is that even as inflation comes down, prices do not. now, i'm excluding supply chain issues for certain items, but for the most part, the prices are going to stay the same. so the question is if i'm using my credit card, what's my interest rate on my credit card? how much am i getting? and how much is a costing, am i carrying every month? that's the statement i see. if i want to go out and buy a home now, the interest rates are through the roof. it doesn't seem attainable. and those of the things that people feel. and they see it firsthand, they see it in their bills, and that's, i think, the disconnect. now, as people feel better about the economy, that certainly going to work in joe biden's favor, but i think his message is to kind of play off of what basil was sane, also needs to be yes, we are doing better, but yes, there's so many of you that i recognize need to get a little bit more help. we need to do more for you. and show the contrast that we could do better those in the economy and how people are doing that way, but also living lifting everybody up. >> reporter: i think this is why it's so important that we give people the facts and we let them make their own decisions. and the facts are the economy is great, but the facts are also that things are still quite expensive. john, these are some more facts. today, the president actually announced an 8.2 billion dollar, billion with a b, i had underline a, investment and rail. it's part of the bipartisan infrastructure law was passed in 2021. he announced it in las vegas. there will eventually be high speed rail from las vegas to l.a.. there is more high speed rail going across the country. i took the amtrak the other day, john allen, and i was like whoa, lord, what is going on here? how do you think this impact will be? >> it's going to have a huge impact on the contrary, on a country that has had lagging infrastructure, whether talking about bridges or roads, are talking about rails. so from a substantive standpoint, 8.2 billion dollars is gonna do a lot to update america's rail infrastructure and modernize it. in terms of political impact, it's gonna take a while before we actually see the real improving. so if joe biden's in the second term, he's going to get a lot take a lot of credit for what people start to, see start to feel that. i don't think they're gonna start to feel that before the next election. >> reporter: you know, basil, the president has been traveling in the country talking about infrastructure projects that he has funded, his cabinet has been out there. i listened -- there was a prescott with secretary buttigieg the other day talking about this very thing. is that to john's point, part of the winning message for 2024? because people can see these projects going up. they can see, i fly to new york often, i can see the work being done at laguardia, but they might not feel the effects of that work until 2025. >> isn't laguardia so much better now? my god. >> reporter: y'all gotta get rid of that carpet. >> i tell you, secretary buttigieg was visiting us about a month ago and address this very issue, that while they're spending a lot of money on these infrastructure projects, he knows as the administration knows that they take time, they take years to plan and to get started. one of the things that i think that the democrats should keep talking about is that these are by and large union jobs, which goes back to the earlier point about having the ability to move people into the middle class through these jobs. but i would also say that there are some things that a lot of young voters really care about, not just about transportation, but about how the department is planning for climate change, how they're planning for resiliency. there's a story a couple months ago about here in new york, there was a landslide. you had mud on the tracks that actually stopped the very significant artery of trains going from new york city to the state capital. and it was related to climate change. i think the connection to a lot of those hot button issues, particularly among young voters, can motivate them. in and of themselves, they're important, but connecting them to how, again, we're planning for the future and talking about these really critical issues like resiliency and climate change. >> reporter: basil just gave a really great tease as to why you should all stick around for the end of the show. we're talking climate. and the panels sticking around, because we have a lot more. coming up, the fangs are out. george santos got a swift kick out of congress and now republicans may have their eye on another thorn in their side, matt gaetz. we get into all of the chaos in the house when the 11th hour continues. r 1, and you can help take control of your symptoms - with vraylar. some medicines only treat the lows or highs. vraylar treats depressive, acute manic, and mixed episodes of bipolar 1 in adults. proven, full-spectrum relief for all bipolar 1 symptoms. and in vraylar clinical studies, most saw no substantial impact on weight. elderly dementia patients have increased risk of death or stroke. call your doctor about unusual changes in behavior or suicidal thoughts. antidepressants can increase these in children and young adults. report fever, stiff muscles or confusion which may mean a life-threatening reaction, or uncontrollable muscle movements which may be permanent. high blood sugar, which can lead to coma or death, weight gain and high cholesterol may occur. movement dysfunction and restlessness are common side effects. sleepiness and stomach issues are also common. side effects may not appear for several weeks. ask about vraylar and learn how abbvie could help you save. kevin, where are you?! kevin?!?!?.... hey, what's going on? 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>> i think it has people scared to their core. how could it not? you have ken paxton deciding what a woman can have done to her own body. if she will be able to have children again. this is so, this is where our government falls -- lets people completely down. government supposed to help people. it supposed to move things forward. it is not meant to control a woman or her body or her reproductive rights. and that's all this is. it is cruel to see what ken paxton is doing. and frankly, i had hope around the country that he is the phase that we see and say, do you want this man making your medical decisions? because that's what he did tonight. that's what he is forcing this woman and her family to go through. the pain and suffering. he should be ashamed of himself, except of course, as we know about can back, stand he has no shame. i think women and men and everyone around this country should be really scared about this ruling. >> reporter: basil, as this has been unfolding, i can't help but think about how every single week, i find myself in a conversation with journalists and some strategists across the country as i'm talking to people about abortion and if it will be a motivating issue in 2024. and news like this, this seems to underscore to me that it will be. >> you know, that's absolutely right. susan's absolutely correct. i don't really have much more to say than what she's already said so eloquently. i'll just add that, when we think about what's at stake here, the fact that this young woman could lose her life is something that we shouldn't even have to debate. why is that a debate? why is that from what i heard someone who was commenting on this in realtime after the initial ruling was given that they didn't feel that the risk to her was sufficient to warrant this kind of decision. i am struck by the notion that in the order, they even had to specifically say that the doctor who performs this cannot be prosecuted, but of course, they were going to prosecute him anyway. so, when i think about the if i could use th, the infrastructure around criminalizing what this young woman is going through and any of the doctors that are having to take care of her in this matter, it is shock again, disturbing, and it should, and i really hope it does, motivate americans next year. >> reporter: well we just ha on screen john was an article from reuters, the texas attorney generals threatening to prosecute doctors who who would -- if they were to perform abortions for k cox or anyone else. i'm struck by earlier this week, it seems so long ago, but there was a debate. i don't know how many people watched, but i was watching. abortion did not come up in the republican presidential primary debate. this is an issue that republicans are gonna have to grapple with, and i have not yet to find a consensus on this yet. >> the supreme court unleashed all hell from a social perspective from a women's health perspective, political perspective, and what you see in the republican party right now is a race to see who can be the most extreme. and i think they were fortunate on that debate stage do not have to answer questions about abortion. right, now you've got nikki haley and places, at one point, she was sane she would leave it to the states, at a point, she said she would sign a six-week federal ban. we've had ron desantis, has a six-week ban. and you had someone in new hampshire representatives introducing their legislator a 15-day ban this week. there is this incredible risk to get as extreme as possible and what you're seeing is the courts have to get involved, so courts and legislators are making decisions about women's health as a result of the supreme court decision. and the political ramifications continue to pile up, and i think it's been, you know, it's been clear that that's helping democratic turnout. it's helping energize democrats, and it will continue to go on because they're gonna see states grapple, not just texas, many of the states grappling with where they wanna draw these lines. >> reporter: who was not in the debate stage was donald trump, the current front runner in the republican presidential primary. at one point, the former president probably touted that he picked all -- nominated all the justices that voted on the side to overturn roe v. wade with the dobbs decision, and i read some articles couple weeks ago that donald trump thinks that he can be a unifier now on abortion, and perhaps attempting to moderate his position. if he is in fact the republican presidential nominee for president, what does this mean for a general election? >> i think that's what he's been focused on the whole time. he warned republicans that talking about abortion bans was bad for them over the course of the last election. and he is definitely trying to moderate them. but this guy's had positions all over the place. there was a time when he was basically democrat, where he was pro-choice. and there was a time when he told chris matthews on this very network that women should be punished for having abortions. so he's everywhere. i don't think it's the issue that motivates him personally all that much, but he did put that supreme court in place, and he's laying back and saying, this is what i thought was right, to undo roe versus wade and then let states decide what they're gonna do. it's a much more moderate position than most of the candidates in the republican field of had. >> reporter: john allen, basil's michael, and susan del percio, thank you so much for pivoting to that breaking news. you all will have to google about at cates and what's going on there. coming up, folks, and winter storm may be making its way across the country, but tonight, we are talking heat. the dangerous warning about it's linked to climate change and a historic agreement that may address it around the world when the 11th hour continues. music)♪ ♪nothing is everything♪ i'm celebrating my clearer skin... my way. with skyrizi, 3 out of 4 people achieved 90% clearer skin at 4 months. in another study, most people had 90% clearer skin, even at 5 years. and skyrizi is just 4 doses a year, after 2 starter doses. serious allergic reactions and an increased risk of infections or a lower ability to fight them may occur. tell your doctor if you have an infection or symptoms, had a vaccine, or plan to. thanks to clearer skin with skyrizi - this is my moment. there's nothing on my skin and that means everything! ♪nothing is everything♪ now's the time. ask your doctor about skyrizi, the #1 dermatologist-prescribed biologic in psoriasis. learn how abbvie could help you save. sure, i'm a paid actor, and this is not a real company, but there is no way to fake how upwork can help your business. search talent all over the world with over 10,000 skills you may not have in house. more than 30% of the fortune 500 use upwork because this is how we work now. >> reporter: it is crunch time at the cop 28th climate summit. negotiators are haggling over an ambitious agreement that could eventually phase out fossil fuels. at least 80 countries have thrown their support behind the deal despite mounting resistance from opec. and it's all happening at a crucial time for our world. according to one new study from the lancet medical journal, global heat deaths could quadruple if action is not taken on climate change. for more, i want to bring in doctor van gupta, a critical care pulmonologist and global health policy expert. doctor gupta, it is good to see you, you've kept a close eye on these talks. are you optimistic at all that a deal can be reached? >> well, simone, first of, all thank you for platform in this. and i'm optimistic that there will be incremental progress, but why is that important? we know that the environment around us, simone, is the most dangerous, threat multiplier of our time across communities, across countries, across -- what i mean by that? for all your viewers out there, say something very who is a smoker, now we have to deal with the fact, that means a pulmonologist, that smokers also brayden terrible air whether it's california or shanghai and that dual risk, it's not one plus one equals two, it's one plus one equals ten. there is an exponential increase in the risk for a lung cancer, brendan up in the hospital -- take the patient with heart failure. now, not only do we have to deal with heart failure, we have to deal with an exposure to a terrible heat in houston. that combination again symone is not one plus one equals two, it's an exponential -- that's what we're dealing with here. that's why cop28 is so critical. i'm glad they're highlighting health. >> reporter: doctor gupta, i think we hear a lot about the threat of extreme heat due to climate change, but can you break down how concerning this actually is? >> well, you mentioned in the lead up, simone, 400% increase and he related deaths by the middle of the century, but it's the things that we don't talk enough about. now we're seeing just in the last six months a clear link between heat, unrelenting heat and unstable behavior. increased in mental health admissions, increase in addiction disorders, crime. we're seeing that link there between unrelenting heat, not just heatstroke, but cognition issues. increased aging. these are the things we don't talk enough about, air pollution exposure as an example. just five days of exposure to air pollution, terrible air like that, that would you experience earlier this summer in new york city, it increases the risk of stroke by 30% among those 65 years in theese e thino talk about, not just a long term effects, but the short term and facts that impact us all. >> reporter: so what about extreme cold? isn't that a threat to? i'm thinking about just last winter when people who froze in texas, right? is extreme cold also in effect of climate change? >> absolutely it is. and this brings up the broader point here, which is utilities. how do we deal with the fact that you're gonna have extremes of weather, weather is extreme cold or extreme heat? and really there is a health equity here. we talk about climate and health, we talk about the environment around us, who is disproportionately impacted by extreme cold or extreme heat? simone, it's those who are in underserved communities, lower so if you economic status. -- next to major highways, whether it's extreme cold or extreme heat, it's about health equity. that was a big focus of cop28. all these hvac improvements to our heating, ventilation that we talk about in the wake of covid-19, we're not talking about how we resource residential units in places that are socioeconomically maybe not as well off. how do we make sure that they have ventilation needs they need? utilities that are climate proof, that's the conversation we need. you're exactly right. cold is as risky to human health as heat. >> reporter: it sounds like this isn't just an environmental issue. it's also a public health crisis. talk about the risks that we frankly face if we do not address this problem. >> so, you know, we've talked about, for example, air pollution as the leading cause of death worldwide. he taciturn a spike for under-percent by the middle of the century. what are some solutions that we need to be leaning in on here? frankly, simone, i don't know about you, but i think it's making solutions more readily accessible to the individual. i think about -- four homes. they're very expensive, it's hard to understand what you can actually do across the country. if you're a homeowner, how do you actually get solar in an affordable way for home if you live in a place where there is decent uv radiation? it's still priced out. it's not easy. what about electrical vehicles? yes they're getting cheaper, yes there are subsidies, still quite expensive. resilient health systems, big focus of addressing this health crisis that you are mentioning related to climate change. health system resiliency was a big focus of cop28. now we're talking about climate solutions that are actually held solutions. making sure that, say, the hospitals in phoenix that are very much exposed to 120-degree weather for six months out of the year, that they're being powered by microgrids that are solar-powered. that makes sense. off the electrical grid on solar-powered microgrids to keep critical infrastructure like hospitals running in the dead of heat. these are the things that we need to really be talking about here, making solar understandable and accessible to the common individual homeowner, making electric vehicles more -- sorry, less expensive. and making sure that we have health systems that are resilient, microgrids are solar-powered, really critical. >> reporter: doctor gupta, sounds to me like this is also an equity issue. thank you very much for your time. coming up folks, a possible life changer for thousands of americans who suffer from sickle cell disease. we're gonna get into how it all works when the 11th hour continues. the jen x is planning a summer in portugal with some help from j.p. morgan wealth plan. let's go whiskers. jen y is working with a banker to budget for her birthday. you only turn 30 once. and jen z? 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[ cheers ] yeah! woho! running up and down that field looks tough. it's a pitch. get way more into what you're into >> reporter: the last thing when you stream on the xfinity 10g network. before we go tonight, a life-changing treatment. the fda has just approved a potential keeler a forfeit sickle cell disease in gene editing technology. our own reyna alice has more. >> reporter: the medical breakthrough focuses attention on a long overlooked genetic disorder affecting mostly african americans suffering from an ex crew durationally -- painful disease, sickle cell. the treatment called -- is the first fda approved medical use of the gene editing tool crisper. at the beginning of a new era and medicine using this technology, and modifies the dna anna patients own stem cells so they no longer produce sickle cells, which can cause health complications and can lead to an early death. doctors call it transformative for nearly 100,000 people affected. >> i think it really will change the landscape of science for sickle cell disease. i think it's going to open a lot of doors for a lot of patients. >> reporter: it's already changed her life. the 29 year old first year law student at american university's washington college of law was one of 46 patients involved in a clinical trial. diagnosed at birth with sickle cell, doctors told her mother she might not live beyond 11. for most of her life, she says she suffered severe pain. >> it's consistent. it's sharp. and it's crippling. >> reporter: and that could be where for example, in your body? >> my knees, my arm, anywhere there is a joint. >> reporter: now she runs and works out in the gym, things she always wanted to do but never could do before. >> reporter: it's changed your life? he said it's given new life? >> it's given me life, yeah. >> reporter: experts argue the calls puts it out of reach for many families. the price tag is two point $2 million, but it's likely insurance will cover at least some of it. >> reporter: let's hope they figure out a