Part of that ceasefire agreement. Rise to meet the challenges we face in the 21st century. Take all of the steps necessary to put the squeeze on isil. Destruction of isil. Degrade and ultimately defeat isil. Very strong message, very clear message. Do whatever is necessary to ensure our collective defense. Good to have you with us tonight, thanks for watching, only time will tell how successful this trip actually was, it was awfully important. President obama wrapping up the visit to wales earlier today, the goal clear, to go there and build International Support team for fighting isis and dealing with russia over the conflict in ukraine. Coming to an end. Russias aggression the president gave a president conference this afternoon about the summit. President obama said nato will firmly stand behind ukraine. Nato was preparing a Rapid Response team to deal with russia. The president also said they are ready to move further against the russians if need be. Today the United States and europe are finalizing measures to deepen and broaden our sengss against the energy and defense sectors and at the same time we strongly support president pore shen cos effort to secure a peaceful resolution to the conflict in his country. The ceasefire announced thd can advance that goal but only if there is followthrough on the ground. Prorussian separatists must keep their commitments and russia must stop its violations of ukraines sovereignty and territorial integrity. President obama said sanctions on russia are definitely working. The only reason that were seeing this ceasefire at this moment is because of both the sanctions that have already been applied and the threat of further sanctions, which are having a real impact on the russian economy and have isolated russia in a way we have not seen in a very long time. The path for russia to rejoin the community of nations that respects International Law is still there. And we encourage president putin to take it. And president obama spent a good deal of time addressing the isis threat. Today the United States says its forming a Core Coalition to be a Rapid Response team, to battle isis in iraq. The United States calling for a broad support from allies and partners from around the world. So far countries include the united kingdom, france, germany, canada, australia, turkey, italy and poland and denmark, all very important. The president said in todays press conference, every member of nato recognizes isis as a threat. There was u. N. Nimty over the last two days that isil poses a significant threat to nato members. And there was a recognition that we have to take action. I did not get any resistance or pushback to the basic notion that we have a Critical Role to play in rolling back this savage organization that is causing so much chaos in the region and is harming so many people. President made very clear the International Community must act to destroy isis. Theres great conviction that we have to act as part of the International Community to degrade and ultimately destroy isil and that was extremely encouragin encouraging. Beyond that what we have already seen is significant support from a variety of Member States for significant actions weve been taking in iraq. Keep in mind, weve taken already 100 strikes in iraq that have had a Significant Impact on degrading their capabilities. So this is nation building, is it not . Its Coalition Building. Its getting a lot of countries together to do what is going to be a very heavy lift. Now lets all remember president obama was elected to get us out of war and do something about the budget and hes done it. Not lead us into more conflicts although the circumstances clearly have changed and now he stands in a cross roads challenging his legacy on Foreign Policy. What do you do . You have to get back and get other people involved, which is exactly what he said he was going to do. With the change in circumstances, the white house may be reversing its position and policy on dealing with boots on the ground are we getting mixed signals here . Deputy National Security adviser ben rhodes told Chris Jansing the white house snts ruling anything out. Can you do it in syria without boots on the ground . Were looking at whats going to be necessary. Weve said clearly you need a strategy on both sides of the border, this is an organization that operates without respect for borders. Youre not ruling that out . Were not ruling that out. Were providing military assistance to Syrian Opposition who is the strongest counterweight on ground to isil and look at what additional options are necessary going forward. I just heard him say were not ruling that out meaning there might be a time when the United States have to put boots on the ground to defeat isis. The question is are we getting mixed messages this evening . Earlier today john kerry said nato defense meeting, quote, obviously i think thats a red line for everybody here. No boots on the ground. Okay, what does that mean . Does that mean that nobody in the room wants to put boots on the ground or does it mean that if we have to, we will put boots on the ground . Vice President Joe Biden says were going to follow these people to the gates of hell. Im not trying to manufacturer a controversy here but i have to be somewhat critical, im not sure were getting the Straight Talk on exactly how far were going to go. Onening is clear, when Congress Returns from the recess in august, here we go, of course, the United States plan of action on isis is going to be heavily deba debated. Why dont we just say, well do whatever it takes to defeat isis. Right now its air strikes, theres been 100, might be a lot more. Well do whatever it takes. Does that mean boots on the ground . Well do whatever it takes. Get some bullet points, dont be confusing and dont say nobody at this table doesnt want to boots on the ground because that tells me well, i dont know how good this coalition is. Get your cell phones out. Tonights question, do you think the president has his team on the same page . Text a for yes and b for now, 67622 and go to our blog and leave a comment there. Well bring you results later on in the show. For me, let me bring in former vermont governor and dnc chair, howard dean. Good to have you with us tonight. I want your analysis of the news unfolding from the nato conference and Different Things were hearing. Maybe were overplaying this but i dont feel im getting the Straight Talk and i want your impressions of whats unfolding. First of all, i actually am a big supporter of Obama Doctrine, which this is an example of. No president can say were not going to do this or that. Everybody has to say all options are on the table. Now, i dont think were going to have boots on ground. And heres why and heres why i think the president means it. First of all, we have learned painfully since vietnam, learning it in afghanistan and certainly learned painfully in iraq, that boots on the ground dont really help in the long term. If we want to succeed long term against isis or any other cult crazy people and thats what these people are, not islamists, i wish the press would stop calling them militants in islamists, they are no more muslims than i am in what they are doing and any muslim scholar will tell you that. It is a violent cult thats well financed. If you want to stop them, you cant do that without the will of the sane people on the ground, of the sunni, kurds and shia to stop them. So i dont think it makes any sense for us to have boots on the ground because if they are not willing to take over their own country back, we cant do that for them. I do think air support makes a tremendous amount of sense. I think coalitions make a tremendous amount of sense. So, how important was it for the president on this trip in your opinion to build this coalition . Hes been very patient and senator feinstein said maybe too cautious, your thoughts . Well, you know, its easy to criticize the president and people do it all the time, but if you look at the overall bent of our new Foreign Policy when we dont do things unilaterally and when we you see the terrible price were paying for iraq, none of this would be happening if george bush hadnt sent troops into iraq ten years ago. No doubt. I think the president is careful and thoughtful and methodical, i dont have a lot of differences with what hes doing. I think hes handling russia very well. I do think he needs to put sanctions on. I think this ceasefire is mostly a employ to keep the sanctions off. Hes got to put sanctions on and take them off if russia behaves itself. Theres no evidence that russia will behave. I like what the president is doing and like the deliberation and thoughtfulness and no boots on the ground. What do you think the debate and conversation in congress will look like when they come back and Start Talking about isis sns. You think john kerry wants to go out and play golf as soon as he can. I dont think they are going to have serious conversation whatsoever. You see the partisan attacks from the republicans, all they care about is blaming the president right before the election. Former governor howard dean, i appreciate your time, thank you. Let me bring in jonathan alter. You wrote an interesting piece about how important you thought this trip was. Is this a defining moment for when it comes to nation building and Coalition Building to fight what were now faced with as a country . Your thoughts . Well, we dont really know yet. The proof will come in the next weeks and months. If these lines that the president has drawn very strongly this week, if they hold and he can get nato to back them with whatever measures are appropriate, be they sanctions or troop maneuvers in the case of isis or air strikes, if the followonto the nato conference is appropriate and what the president has indicated its going to be then this will be seen as an important leadership moment for this president. A lot of whats happened in the press and saying there was no strategy, gaffes that some people considered to be a big deal those will all fade into insignificantance if the basic policy of muscular multilateralism, if that holds, then august and september of 2014 will be seen as a time when the Obama Doctrine really proved to be effective. Do you think from all of the reports that tfgs an effective conference that the president gets Mission Accomplished to get over there and get people on board to collectively do what has to be done . I do think there was they were all on the same page on this. There clearly had been a lot of prep work before this conference so they could roll out certain things, for instance, the president and Prime Minister cameron wrote an important article in a london newspaper that really explained how the United States and Great Britain and rest of our nature toe allies were really in the same place, that there wasnt an inch of difference between the nations on these really very important policies. I think what some americans who maybe are paying attention to other things dont quite understand this is really history knocking at the door. This is a big this is a big deal when you have russia trying to show that might makes right, which is what civil iszed nations have been fighting against for more than 100 years. And that idea that might makes right. Then meanwhile in the middle east you have bar bear yans trying to turn back clock to the 12th century. The 12th century muslims make these butchers look pretty good by comparison. Make the 12th century guys look good by comparison. This is evil in our time. And so while were coming back from vacation, we all have to recognize that when evil does appear, it must be combatted. All right, jonathan alter, good to have you with us tonight. I appreciate your time. Remember to answer tonights question at the bottom of the screen and share your thoughts on twitter and facebook. We want to know what you think. Coming up, there are new questions surrounding the death of comedian and entertainer joan rivers. Plus Hillary Clinton gave a huge speech on energy but failed to mention something very important. Jane cleb tells us where clinton missed the mark and what happened in nebraska with the state Supreme Court. Well bring you the latest on a tragic plane crash off the shores of jamaica that killed a prominent Real Estate Developer from new york. Were right back. We are a collection of smalls. 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Mattress discounters whenwork with equity experts who work with regional experts who work with Portfolio Management experts thats when expertise happens. Mfs. Because there is no expertise without collaboration. Time now for trenders, follow the ed team on twitter, like us on facebook and you can get my podcast at wegoted and also at rawstory. Com and itunes. The ed show social media nation decided and we are reporting, here are the top trenders voted on by you. The number three trender, try again. Not just a fall but a tumble from grace for the once rising star of the republican party. Mcdonnell was found guilty on 11 of 13 corruption charges against him. The former governor plans to appeal his corruption conviction. Mcdonnell and his wife maureen face up to 30 years in prison. Had to do with lavish gifts and loans worth 180,000. As if Jonni Williams were the personal atm. Creepy crawler, number two. Its okay. Internet prank artist in poland happened to later he strung up a fake web and took the scare to an entirely new level. Its sticky. The facebook declares insane people are the best and hes proving it again. Most everyone is mad here. Todays top trenders. Joan rivers was brash and bold and trailblazers. The 81yearold died a week after going into cardiac arrest. Investigators look into the death of comedy legend joan rivers. Medical experts in new york are investigating what cause her to stop breathing during a routine medical procedure. The new York State Health department is launching an investigation into the clinic. Was life saving equipment readily available. If so, was it used . The medical association that are credited, they are now reviewing their decision. Joining us tonight, dr. Nancy snyderman, nbc news chief medical examiner. Dr. , good to have you with us tonight, i appreciate it. You bet. They do an autopsy. The cause of death undetermined. How troubling is that . Well, we dont really know everything yet because this death happened unexpectedly, the things the doctors are going to be looking for on the autopsy will be medications in her system, was there some kind of drug interaction and could gastric acid from her stomach have gotten into her vocal chords and lungs and caused problems . Specific things like that are needed to nail this down. Unfortunately at this point, we can do a lot of monday morning quarterbacking but the only people who know exactly what happened are the doctors nurses and assistants in the room that day. Could we come to the conclusion, doctor, that if she had not had this procedure, she would still be alive . Most likely. There are 8 million upper gi endoscopies done every year and the Safety Record is pretty darn good. If you look at the deaths most can be attributed to the anesthesia issue. It raises the question about age and clinic and medications being used and what happened. We certainly can assume that she lost her air way, it was some time before she was able to be stabilized enough to transfer to the hospital and be admitted to the intensive care unit at mt. Sinai. What transpired to trigger this . That will be the point of the investigation. Having spoken to countless physicians, this clinic is well known and recognized and staffed. Whether there was a big medical error that happened to good doctors or there was a terrible mistake and whos responsible, this is not going to be held quietly. These things will come to the surface and will be able to really then figure out exactly what happened and make some sense out of this and some kind of bizarre way. Its a very, very tragic. But obviously patients before these procedures are well versed on the risk, are they not . Joan rivers probably knew exactly what she was getting into, it was not always going to be perfect. She made fun of the fact that she was more than a casual patient. Shes had many, many, many procedures and i always worry when patients have had lots of procedures that take some things for granted. This should have been a simple diagnostic end scopepy to look at her vocal chords and maybe her stomach and something went wrong. It is a real reminder that there are no free passes sometimes. That every procedure, no mat