And the rampant spread of misinformation online about the israelhamas war. We are going to separate fact from fiction with two experts as the 11th hour gets underway on this tuesday night. Good evening once again, i am stephanie ruhle, live from msnbc headquarters in new york city. President biden is on his way to israel as we speak, as a crisis in the middle east appears to reach a tipping point. Bidens mission, to show support for israel in its and to press for aid to gaza, now in the midst of a humanitarian crisis. But just hours ahead of biden leaving d. C. , a powerful explosion rocked a hospital in gaza, Killing Hundreds of people. Officials in gaza and in israel had blamed one another for the blast. That has inflamed already high tensions across the region. Nbcs Richard Engel has more. Palestinians call it a massacre and say hospital in gaza city, a direct hit with thousands of pellets to palestinians airstrikes on gaza Gazas Health Ministry which is run by hamas says hundreds are dead. Body seen lying the wounded were rushed to another hospital in gaza city. Young children are among the victims. It was an a big thud and the on top of us. Lots of children, very Young Children whose bodies were laying on the floor. This could be a tipping, Point Triggering Rage cross the arab world, just as the region is on the brink of a wider war. Israel quickly denied responsibility and said the explosion was part of a palestinian rocket that misfired, launched not by hamas but by another Palestinian Militant Group in protests erupted in the king cat a heinous war crime, and President Bidens impending visit is now in jeopardy. The leader of the palestinian authority, mahmoud abbas, a moderate, left jordan other arab leaders and now that summit has been canceled. Inside gaza, hamas hes under pressure. On monday the top spokesperson for the groups Military Wing claimed the group is willing to release an unspecified number of foreigners they took hostage during their attack in southern israel. Today, a senior hamas official told me that offer has expanded. We are ready to release all the civilians, including the foreigners. All of the civilians including the israeli civilians . Including im sorry, can i just clarify this . You say you are willing to release all the civilians, including the israeli nationals, if there is a stop . Including the israeli civilians and all the foreigners. And what are you asking for in order to do that . Do you want the airstrikes to stop . Is that the condition . Stop the aggression. How can we technically, logistically our viewers might here that and say this offer doesnt mean anything. That if you are not willing to carry it out, it doesnt mean anything. How . If you stop the aggression it can be implemented in the next hour. Lets get right to my khalid, Ellison Barber, who is at the israel gaza border. It is just after six a. M. 6 00 Ellison Barber stephanie, you might be overhead, throughout the, night we throughout the sound of military aircrafts, Military Helicopters and drones circling over this area. When we look back to the area behind me, which is part of gaza, you can see sometimes when something goes off the glow of orange from where we are standing and we had not heard from the overnight hours any sort of our hunch Artillery Bombardment into gaza. We have not heard anything rockets was coming from the section of the border out of gaza into israel last night. In the overnight hours we heard quite a bit of coming from the israeli side into gaza. That has not been the case tonight. Most of the discussions, the talks, from the Israeli Military to all of the different parties inside of gaza have been focused on what happened at that hospital in gaza city. There is a lot of finger pointing going on right now, and nbc news has not been able to independently verify who is responsible for the explosion at the hospital. But we do know hundreds of civilians have been killed. We have seen videos that have been given to our teams from people inside of gaza. Weve heard from people, but who were there witnessing it, and it is an absolutely horrific situation. One of the doctors who is working at another hospital and in gaza city, we are they are treating a lot of the patients who have been sent over from the new Al Ahli Hospital where that explosion took place, they have described to us help that were already at the brink. They were already passed their capabilities. They dont have enough resources there. They say they were already overcrowded, full of patients, and now they are treated so many people who are injured and is bombing. There are so many bodies, they say, they cannot keep up with the situation that has happened. Fear and what all the doctors working at that hospital told us, they feel, right, now like nowhere in gaza is safe. No hospital is safe because of what has happened tonight. There was a Press Conference earlier this morning, earlier tonight your time, a spokesperson for Israels Defense Forces said they are planning to brief President Biden on the evidence they say they have in terms of who carried out the attack on this hospital. Again, they are claiming it wasnt him. They are saying it was Islamic Jihad. Theyre saying they have Video Footage they plan to show the president , as well as audio recordings, they say, intelligence operations have collected that they claim show, and you can hear and, them Islamic Jihad saying something that indicates that were behind this or had something to do with this. Israel is claiming that a rocket or rockets, headed towards israel misfired and struck this hospital. Hamas, gazas military of the way that the bomb fell, this had to be done aerial bombardment like the attacks weve seen israel coming out, essentially saying we dont have the weapons or capability, it wasnt us, we do not know. Nbc news does not know who is responsible for this. But we know a lot of civilians lives have been lost and we know the idf plans to brief President Biden on this when he gets to israel. Stephanie . Maybe the most important point. We might not know who caused it, ellison, but we certainly know who is suffering. Ellison barber, thank you so much for being here tonight. Please stay safe where you are. I want to bring in our panel tonight. Im not nevada amna nevaz and ben rhodes former National Deputy security adviser for president amna, i want to turn to you. We knew about it yesterday, before this horrific explosion. The trip was already high stakes, stephanie, and one of the president s main goals and making this trip was not only to show solidarity, as he has continuously done over the past days with israel, to say that the u. S. Will stand by them in this war against hamas, but then also to try to contain this conflict from expanding beyond the borders it is already in, broadly, into the region. That was the region reason with the leader of the palestinian authority, the leader of egypt, with King Abdullah of jordan was going to be hosting that summit is now canceled. So those conversations on this trip. The other part of this meeting is also to try to leverage some of that open and candid relationship we have heard white house Officials Say the president has with Prime Minister netanyahu, to say allow humanitarian aid in. People of gaza, innocent civilians who were caught in this cross fire, they need food, they need water, they need access to electricity. They need access to a. Humanitarian corridors, to actually evacuate some of the areas being hardest hit. Everyone we talked to inside gaza says there is nowhere that is safe right now. And also to try to press the israelis to do more to minimize civilian casualties. We know in that private conversation President Biden had with mr. Netanyahu last week, that was part of that message thats been delivered. And since, then thousands of palestinians have been killed including hundreds and hundreds of children. And so even in this fog of war, as we are trying, responsibly as journalists, to figure out what we can effectually say about who is behind this latest atrocious attack on this hospital, in many ways, im set to say this, we may not know and it may not matter. Because people who express propellant indian sentiment youve been watching the largely indiscriminate bombing by Israeli Forces across gaza whove seen innocent civilians already killed, likely wont believe any evidence that comes from israeli officials or from the u. S. , or from journalists right now. Because theyve already seen so many people killed. Because ive already seen Hospital Facilities and ambulances and United Nations run shelters and schools that have been hit. So it is our job, i will say, to get to the bottom of. This to report what we know based on the facts. But in terms of the impact on the ground, this might be a tipping point. Ben, when President Biden announced his trip to israel, Antony Blinken had been to several countries in the region. He had just finished a seven hour session with netanyahu. This time last night, it felt like that was some progress. Because the hospital explosion, has a changed all that . I think what its done is its made and already risky trip that much riskier. Look, i think if you listen to tony blinken yesterday, he it was clear that he had just been in these arab countries. And it was clear he was trying to message several things. One, getting humanitarian access and humanitarian supplies into the people of gaza. At the other, i think, was pretty clearly messages from arab leaders that they were concerned about what Public Opinion was doing in their countries. That there is a risk of an explosion, not just regionalization with hezbollah to the north or on the west bank from palestinians there whove been in back and forth violence with the israeli settlers, but also in arab capitals and also risks potentially to u. S. Embassies. And i think that was a bit of the backdrop for the messaging from the white house so to emphasize. That a big part of this trip is trying to secure that humanitarian opening, that humanitary access. I think this horrific event at the hospital, which i want to echo, we dont know what happened, but we do not want no even more dire humanitarian circumstance. I think that makes it that much more tricky for the white house, i think it makes that much more important that theyre able to leave that meeting showing something really tangible and substantial on the humanitarian front. Not something symbolic but something that can significantly alleviate some of the suffering were seeing, whether its credible safe zones, whether its robust commitment to get humanitarian supplies in through the southern border. And frankly, honestly, i think what youre hearing from the white house as well is that they there are going to have some hard questions about this great invasion. How extensive that is going to be if this is what gaza looks like now, imagine what it can look like if 100,000 Israeli Soldiers imagine what the risks are to israelis, including those Israeli Soldiers. So, this is a really high stakes meeting. Its almost hard to think of a similar meeting the president of the u. S. Has had in such a Fluid Situation and what it is really an active war zone. Jeremy, how do you think this explosion changes things . First, i give President Biden tremendous credit for boldly going and standing by an ally. We are just obviously ten days after the worst atrocity against the jewish people since the holocaust. Hes been so resolute, some so morally clear, for him to go to tel aviv, to go to jerusalem, to go to the war cabinet that now, to bens point, the reaction on the arab street is a critical factor at this hour. But why was there this reaction on the arab street . For some reason, the news media ran out there and barrel, of a Hamas Military Spokesperson before that was any evidence. I agree, at this hour, we dont know, the idf has put out a Radar Track Showing that the missile from Islamic Jihad flew right over the hospital. They also say there is a Second Intercept of the Islamic Jihad fighters, talking about firing this rocket. So we dont have the evidence, at the point earlier, when i never know. But the fact that it was reported breathlessly, word for word from hamas, which obviously they told Richard Angle engel hostages, they are nowhere to be found. So, i dont think you can cry the timeouts. This is a dicey situation. I credit the president for going. And hopefully there humanitarian relief inside the and the u. S. Can kind of transmit a message of strength and Resolute Support for israel at this time. And lets stay on this Hostage Crisis, because, to jeremys about the conditions in which they will release hostages, but one of the president s main missions, he is hoping to make some headway on this issue. What is his look, he is up against i dont even know, the hamas official its important, obviously, to hear what they are saying. But i that guy in we have to bear in mind this is a chaotic situation in which there are different command and control hamas some could be internal, some could be in civilians. I think that what is clear is that, on secretary blinkens trip he was in qatar and hamas office and one of the destinations that have been exchanges saying things like egypt, another those kinds of discussions, and look, i think that, unless there is a comprehensive ceasefire and some negotiation, the kind of full scale something that i just could not foresee. But i think the u. S. May be pressing hard forlimited releases, women, children, hamas, you obviously want to see everybody about how moss may want to release some of the americans, for instance. So, i do think that getting anybody out there that you can is really important. That is further to the point of and the potential it gets harder actually, so, the more the military operations in gaza to negotiate for hostages if they are intermingled with that kind of and fighting. So, i think the administration diplomatically before there is a potential much more difficult. Earlier today, my colleague today lester holt spoke to the father of a 23yearold american man, who is currently being held hostage. I want to share a bit. How do you think he is doing . Is not the strongest guy physically, but he has a very tough resilient, mental makeup, and i do pull strength from that. I keep saying to myself throughout the day, dont give up. I am so amazed by how strong his Family Members are. Amna nawaz, you are just in israel. What did people say about how the government is handing the Hostage Crisis . Its so interesting to hear that father speak there because i heard this message over and over again from folks on the ground, including the number of families whose loved ones have been taken hostage, one women in particular, i will never forget, whose father was taken from the kibbutz. He is 81 years old, dependent on medication for his health, and they have no idea if he is even still alive, but the resilience and strength shown by these families, with what they are entering, the unimaginable pain, it leaves you in awe. What is interesting on the ground right now in israel, just to the domestic political situation and some more support for this war, stephanie, is you have to remember the netanyahu government was very divisive leading up to that atrocious attack by hamas. So a lot of folks will say right now, we dont support this government necessarily. We dont support this Prime Minister, but we support them doing whatever they need to do to keep us safe. I spoke with one man, who is a veteran of a combat unit in the idf, who has gone out and protested the government. Hes pressed that state Israeli Occupation of palestinian territories, but he sent his son off toward, to war when he was caught up with his combat unit, because he knows that this is not sustainable, that israelis living under the threat of hamas, which is an organization that has vowed to end the state of israel, that it is not sustainable anymore. Its a different moment for israelis. Amna nawaz, ben rhodes, jeremy i wish you all three you all night. Thank you so much for starting us off this evening, i appreciate it. When we come back, we have got to talk about politics. Two weeks later, and still, there is no speaker of the house, as jim jordan officially fails the first ballot. David jolly and matthew dowd are here on the chaos in the house and to remind us about jim jordans record in congress, maybe answer why he would even be up for speaker. And later, the wave of online misinformation about the israeli hamas war. We will talk to jake ward about the dangers of lies lies that are shaping opinion of the conflict. The 11th hour just getting underway on a very important tuesday. Tuesday. To finally lose 80 pounds and keep it off with golo is amazing. Ive been maintaining. The weight is gone and its never coming back. With golo, ive not only kept off the weight but im happier, im healthier, and i have a new lease on life. Golo is the only thing that will let you lose