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everywhere. i've never seen damage like this in my whole life. it's unreal. >> reporter: boats tossed like toys. the lone bridge connecting the island cracked and crumbled with the storm's winds putting some sections totally under water. >> we had about 200 households that didn't evacuate on the island that we know of. >> reporter: anyone still trapped on the isolated island now waiting for rescue by boat or air. we joined the lee county sheriff as he surveyed some of the hardest hit areas to see the full scope of ian's power. >> you know that as we are speaking right now, there are ...

of ian's destruction. look at the pictures in front of you. this is what it looks like, including in lee county, where rescue crews, this is a live look now, a live look at that location, rescue crews are trying to get to people, with millions of floridians without power and water. we're going to take you live to the hardest-hit areas including lee county, which you're looking at now, for what is expected to be obviously a years-long recovery. i'm halle jackson in washington. let's get to shaq brewster live for us in charleston, south carolina, nbc news meteorologist janice is with u...

ian now setting its sites on the south carolina coast, as we come on the air, with the tropical storm expected to strengthen back into a hurricane as it moves, look at it there, very slowly across the atlantic and back towards the east coast, after a trail of destruction in florida. people there are reeling now from one of the worst storms that has ever hit them, and doing what they can to start picking up the pieces. sanibel island, captiva island, a storm surge, with a huge chunk of the causeway there, that is the only way in or out, in a state overall, more than two and a half mil...

scott, who would not attack something trump said. don't we also have a responsibility to not only not do it but also to say when someone does it, that that's wrong or we disagree with it forthright and not try to kind of pull out punches? >> absolutely to i agree with you. one of the things that just shocked me early in trump's presidency was when he would use words like deranged and human scum to describe his enemies, enemies of the state. and i'm from a generation when we would address our opponents by something like my right honorable opponent. what a -- what a fall in just the ci...

A decisive vote has set the stage for a major shift in southwest Florida's healthcare landscape. Thursday, the Lee Health board voted.