The US Peacekeeping compound is attacked and American soldiers are killed. As the White House struggles to contain the story, the father of one of the slain soldiers speaks out against the mission. Meanwhile, Democratic Congressman Santos attaches his Patients Bill of Rights to a Republican piece of legislation and effectively keeps the Democratic elements while maintaining a Republican agenda. Also, Leo gets a lesson in life and business from his nurse.

At a Bartlet family birthday, Penn and Teller burn an American flag in the White House, prompting a political and publicity nightmare. Aboard Air Force One, Bartlet is stricken by a paralyzing episode of MS. Josh is approached to run the Vice President's presidential campaign.