jansing. israeli soldiers conducting a targeted raid searching the medical complex for hamas, something the idf calls an operational necessity, but it's one that sparked massive pushback from the u.n. and perhaps the strongest statement yesterday from the biden white house. how might what happened inside the hospital today change the face of this war? >> the victory in the house, a bipartisan group of lawmakers passing a stopgap bill and kicking it to the senate with just days to go before a possible government shutdown, but it is also just a band-aid on a gaping wound. so what will happen after the holidays? and throwing elbows, inside the nasty battles on the hill. with no one backing down, no one apologizing, and other members taking sides. plus, they haven't been face to face in a year, but that's going to change in just about an hour. the eyes of the world now on president biden and president xi jinping today. can anything be done to turn down the heat and find some light between the world's two richest countries? it's a very busy day here, but we begin inside gaza with this major escalation by the israeli military where soldiers carried out a, quote, precise and targeted operation against hamas inside al-shifa hospital. the raid escalating fears and increasing peril for hundreds of patients who were stranded there right now. the world health organization said earlier today, they lost contact with hospital staff, while posting on social media that the w.h.o. is extremely worried for their and their patients' safety. al-shifa was already collapsing. just yesterday nearly 200 people bury instead a mass grave inside because they couldn't move the bodies outside. and it's not just al-shifa. the health care system all across gaza is crumbling by the minute. just one example, the u.n. agency for women's health now estimates about 50,000 women are currently pregnant in gaza, about one in ten is due in the coming month, with little or no access to health care. nbc news talked to a 32-year-old mother who says she almost gave birth in the rubble after the home she was sheltering in was t by an air strike. her baby was born with a broken leg because of the attack, and she id quote, thank god we made it peacefully, but my girl came into this world broken. nbc's keir simmons is in tel aviv for us. what more do we know about what's happening at al-shifa. >> reporter: the former israeli ambassador said the operation is continuing, and so bits of information are coming out kind of intermittently i would say. it is incredibly difficult to reach doctors at al-shifa hospital. we have been trying, haven't been able to get through to someone that we've spoken almost every day. others have managed to reach some in there. the bbc is reporting that men aged from 16 to 40 were asked to come out into the courtyard, that 200 were taken away, some made to strip. the israeli operation began at 2:00 a.m. this morning here, and it is now just after 8:00 p.m. so you can see it is a substantial operation, and on both sides, there are videos being -- i mentioned that communication is difficult. on both sides where possible, video is being kind of pumped out if you like. the palestinian health authority, which is run by hamas is sending out video from inside the halls of al-shifa it says, and that video shows patients being wheeled away from rooms where there is smoke and what looks like another female patient manually being given oxygen, and there is debris strewn around. on the other hand, the israeli defense force releasing video showing soldiers carrying boxes with large labels onhem saying medical supplies, and also video of an operation that says it's around al-shifa looking in particular for it says a terrorist installations. that's the way they describe it. and we are now beginning to see some video from the israeli defense force around al-shifa. we're just looking at that right now. we don't know what they're claiming to say, but certainly we do know of course that they are looking for potential hamas headquarters, islamic jihad headquarters somewhere around the hospital, and then at the same time, all of the families that are worrying about people inside gaza and in area are watching, including, of course, some of those almost 240 hostages, their families. we managed to speak to one man. he has seven members of his family held hostage. he lost his dad in the october 7th terror attack, and i asked him what it was like to see what's happening now on the television screens. >> it terrifies me that they're holding hot tajs, you know. i'm not a military man. i don't know the details. i trust what the military is saying, but i mean, if they're there, i hope they're getting medical treatment, they're probably not there for their benefit, but i'm scared for them. i'm scared for the palestinian people that they don't have hospital. >> reporter: and you know, we're waiting really just to hear the results of this operation. the world is watching. first, of course, how this goes in materials of the humanitarian side and how the israeli defense force behave, and then of course whether they find any evidence of hamas there. >> nbc's keir simmons in tel aviv, thank you for that update. i want to bring in "politico" white house bureau chief and host of msnbc way too early, jon that la mere. also with us, collin clark, director of research at the sufan group. thank you for being here. the palestinian health minister is calling the move on al-shifa a crime against humanity. how might this raid, how might this move impact the war and potentially increase pressure on bibi netanyahu? >> well, this is a pivotal moment in what's been a very intense conflict for the past several weeks. if the israelis attack the hospital and something goes wrong, you know, what's the narrative going to be? is it going to be that israel took an unnecessary risk, or is it going to be that hamas was using the hospital for militant activities, which is a violation of international law. it's likely going to reinforce pre-existing views of which side you view to blame already, but really, it's a very, very complex issue with a lot of nuance. >> without a doubt, jonathan, and i want to read for our audience what the whi house response quote, we do not ort sl the air, and we don't want to see a firefight in a hospital wher people, helpless people, sick people trying to get medical care they deserve are caught in the cross fire. that might be the administration's strongest statement yet, but what do we know about non-public messaing conversations and whether they believe any other country can influence strategy here? >> well, i mean, from the early days of this war, the u.s. has publicly been very supportive of israel, but privately and at times in public has also warned israel to proceed cautiously, to be careful, to keep humanitarian aims in mind, and that's been the case in recent days as well. president biden spoke with netanyahu yesterday. there's constant communication between u.s. officials and their counterparts. there are messages asking them to be careful with palestinian civilians. but it's not clear at all times if israel is going to listen, and we heard from national security council spokesperson john kirby a short time ago in san francisco where he is with president biden, ahead of his summit with xi jinping of china, and kirby made clear, he's like we don't weigh in on specific israeli tactics. they're going to make their own decisions and the hospital is no exception. but they have made clear they've warned israel that if things were to go badly in gaza and in particular a facility like a hospital where there are innocent civilians and patients that it could really turn public sentiment further against israel particularly in the arab world. at this point, you know, israel, though, they say they have shown some restraint. they have shown some caution. you know, the procedure, the operation at the hospital goes forward, and it's hard to really know what's going on there since there's largely a communications blackout in the region. >> there's been a consistency to what we've heard from the prime minister, what we've heard from members of his administration who have come on this program and that is very simply they say israel is not responsible for this. this is hamas using palestinians as human shields. what else can joe biden -- what else can the u.s. do that is already not being done here? >> i think to keep up the diplomatic pressure on both sides to the extent that that's possible, on the israelis directly and on hamas through interloek tours through the region. the human element, look, at the end of the day, this is a war, but these are the most vulnerable of any society. these are pregnant women. these are children, sick and elderly. and i think if we could just take a step back and think about that aspect of it, cooler heads may prevail. i realize this the essence of asymmetric warfare, these types of situations, but in a social media age, everything is elevated and amplified, and if this goes wrong, this is going to be a complete disaster and likely nullify any tactical gains the israelis get. >> jonathan, there is also the question of hostages including americans. one of the things that we've heard from a number of the families is that when they've spoken to the president, when they've spoken to members of the administration, they believe he gets it. they believe he is trying to do everything he can do, he understands their pain, and my colleague, lester holt, spoke to families of some of those hostages being held captive in gaza, and i want to play what one father told him. >> there's a huge amount of pressure on israel to supply humanitarian support to the gaza strip. we understand. where is the pressure to get our kids back home? where is the pressure to get the red cross in? we don't feel that pressure. >> i know president biden and the prime minister just spoke about the hostage, the white house put out one of its brief fairly vague statements, but again, netanyahu has been clear israel's strategy to amp up the military pressure is the way to get the hostages released. do u.s. officials you speak to, jonathan, believe that pressure is working? and what else can you tell us is being done to bring the hostages home? and in the interim, get them the help they need. >> yeah, we'll know more i think in the coming days, chris, whether the strategy is working. the prime minister has been very consistent in his public statements. we heard from president biden yesterday while still in washington sort of sitting -- trying to reassure the families of hostages that we're coming. help is on the way. and there has been some reporting that a deal may be close to allow some, again, some, a couple dozen, perhaps, 75 or 80 hostages, women and children to be set free in exchange for a number of palestinians who are being held in israeli prisons. that would require likely a lengthy pause in the hostilities, maybe three days, some chatter even could be five. israel has been reluctant to do that thinking hamas would take advantage. so the deal though close not done yet. u.s. officials warned me it still could fall apart. that would be a concrete step to get those hostages home. in terms of aid, there has been exceeding pressure on israel to allow more humanitarian aid into gaza, but of course the question is who's getting that aid? is hamas, are the hamas terrorists hijacking it? or is it getting to the people who so desperately need it, whether it be hostages or those at say that hospital, and we simply do not know at this point and u.s. officials, as you might imagine, are being very cage ji as to what they say say about the location and, frankly, health of the hostages not wanting to endanger any hostages. >> jonathan lemire, collin clark, thank you, guys, appreciate it nch the senate expected to reset the countdown clock to the government shutting down in january, but can both houses cool off enough to pull off that lasting compromise in 2024? we'll have that in 60 seconds. we'll have that in 60 seconds. he hits his mark —center stage—and is crushed by a baby grand piano. lasting compromise in 2024? we'll have that in 60 seconds. at lasting compromise in 2024 we'll have that in 60 seconds. e with liberty bibberty. he doesn't even have a mustache. only pay for what yone. ♪ liberty. liberty. liberty. liberty. ♪ right now get a free footlong at subway. like the new deli heroes. buy one footlong in the app, get one free. it's a pretty big deal. kinda like me. order in the subway app today. a government shutdown is two days and ten hours away and now it's up to the senate to avoid it. house speaker mike johnson's two-tier plan was approved on a bipartisan vote of 336 to 95 with more democrats voting in favor of it than republicans. you'll remember a similar scenario is what triggered kevin mccarthy's removal as speaker, but the victory barely registering a blip compared to the personal animosity on the hill and new details about the alleged altercation between mccarthy and one of the members who voted to oust him, tim burchett. here's new audio of that moment burchett was allegedly eowed as captured by an npr congressional reporter. >> i think it went all right. is. >> yeah. >> sorry, kevin, didn't mean to elbow -- why'd you elbow m in the back, zmechb hey, kevin, you got any guts? jerk. >> has he done that before? >> no. >> huh, that's a new move. me and elbow me in the ck?alk by >> i didn't. >> you goto guts. you did so, the reporter said it right there, what kind of chicken move is that? >> you're pathetic, man, you are so pathetic. >> nbc's julie tsirkin is reporting for us on capitol hill. so look, tensions, julie, seem to just keep escalating. some say it's because they've been working for ten straight weeks or just the pressure of the budget and funding two wars. so first of all, how are things looking for the senate for this funding bill? will the government stay open, and is the belief that lawmakers will be able to go home, cool off, and get this done in january and february? >> reporter: chris, i think lawmakers are already smelling the turkey in their ovens. they're ready to get out of here. in the senate particularly, there are jet fumes to try and get this continuing resolution done, even perhaps tonight, so they can get home and, in your words, perhaps cool off a little bit. i want you to take a listen to what senator john kennedy told us about all of this this morning, watch. >> how confident are you we're going to get this cr finished today or tomorrow and on to thanksgiving? >> well, i wouldn't bet my house on it. i'd probably bet your house on it, though. that's one way of saying i think we're going to -- we're not going to have a shutdown, nor should we. >> we've got a lot to do. and this congress needs to get up off of its butt and get it done. >> reporter: two days ahead of a deadline is certainly a record i haven't seen in the last few years covering this place, but it does seem like they're going to be able to get this done. what's not going to be in this clean continuing resn with those staggered deadlines, is talked to members of the house freedom caucus who tell me maybe speaker john season is still in his honeymoon period. they had the new speaker tap in as a quarterback in overtime. this is not really his fault just yet, but i think this is going to be a bigger issue come january when they have all of those funding deadlines staring down into the pike. the other thing too israel aid, ukraine aid, border proposals not a part of this continued resolution. there is a fear, some concern among members that they're leaving town, particularly without aid to israel, so that could potentially drag out the process to tomorrow rather than today. but all in all, they're just punting their work until later. but i think for the sake of all of us, including the lawmakers who are getting into near brawls here, that they want to get home and get a little bit of break with family and friends before they come back to another full plate. >> julie tsirkin, thank you for that. i want to bring in republican congressman ken buck of colorado. good to have you back on the show, congressman. i know you voted against speaker johnson's funding bill, and keeping the government open with the help of democrats, as we all know, is what sparked the effort to remove kevin mccarthy as speaker. why is it different this time around? some people have suggested, well, the caucus just likes speaker johnson more than they did mccarthy. what's your take on what happened here? >> that's one of the reasons, obviously, but there are other reasons. kevin mccarthy wanted an omnibus, and you know he wanted an omnibus because he didn't bring any appropriations bills to the floor in may. he didn't bring them to the floor in june, in july. i think we got one done in july, we got three done in september, but there was no time to finish 12 appropriations bills, get them to the senate. have conferences, get them passed and signed by the president by the time september 30th rolled around. this is a mess that mike johnson inherited from kevin mccarthy. it's a mess that mike johnson is trying to work through and he still is in the honeymoon period right now, so really i don't anticipate any motion to vacate mike johns son. i think he is acting in good faith and trying to do the best he can to get these appropriations bills passed. >> one of the things that congress is consistently good at -- i think you would agree with me about this one congressman -- they're good at kicking the can down the road. what does this mean for january and february when this cr comes up? >> here's the problem, not only are we kicking the can down the road, but we're kicking the can down the road into a year where we need to be working on the next year's appropriations bills. when i think of kicking the can down the road, i think of the big spending items like medicare, social security, that we need to figure out how to deal with. we haven't dealt with those for a couple of decades now. certainly keeping the government open and funding in a responsible way, i don't anticipate we'll have 12 bills done by the end of february, and that's a real shame. >> even by current standards, yesterday was not a good one for tolerance or understanding or respect on the hill. we played that audio from the alleged incident between kevin mccarthy and tim burchett, mccarthy denies elbowing his colleague. burchett hasn't backed down from his claim. there was name calling by another house member, threats of violence in the senate. this is really personal stuff, and some would say really juvenile stuff. what is going on, congressman? and can it be fixed? >> i think we've had a fundamental breakdown in civil any politics in america in the last six, seven, eight years. i think we've had a breakdown in civility in the house and senate. the senate less so. they are -- they sort of have this country club mind-set a lot better than the house does in terms of civility and respect for each other, but we have some members in the house on both sides, republicans and democrats, who are just not -- i don't want to throw names around, but they bring motions to censure. they bring motions to impeach. they're constantly using language that inflames the public and unfairly, you know, negative towards other members of congress, making it very personal, and the tensions have escalated to the point where we need a good strong majority on one side or the other, and we need a leader who just starts to put this stuff to rest. people should not be on committees if they are going to use the kind of language and the kind of just negativity towards fellow members. you can disagree without being disagreeable and we've lost that. >> when you look