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While Elizabeth is away, her staff tries to secure an international agreement to protect citizens who have been displaced due to global warming. Daisy and her daughter are caught up in a measles outbreak.
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This episode features a fictional Australian Prime Minister and Jay comments that Australia throws Prime Ministers out like confetti. This is in reference to the real-life frequency of changes in Prime Ministers between 2010 and 2018 as a result of successful leadership spills against the sitting Prime Minister
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The author of "Hollywood Fiction" above gets much of this show wrong. The correct terms for immigrants are not "legal" and "illegal," but "documented" and "undocumented." This reviewer is almost certainly a political supporter of the current U.S. President, whereas one of the reasons I watch "Madam Secretary" regularly (and, when it was still on, watched "Designated Survivor" as well) is to be reminded of a time when the U.S. was still being run by people with intelligence and common decency, whom I could respect even when I disagreed with them politically, who were obviously working for the common good and not just to aggrandize their own egos and enrich themselves and their friends. I'm a bit more sympathetic to opponents of vaccination than the writers of this show, but the main point about the immigration crisis as it's depicted here is that our leader's willful denial of climate change and reversal of his predecessor's inadequate but right-minded policies to deal with it is just speeding the total destruction of earth's environment as suitable for human life. The immigrants in this program are literally fleeing their homelands because rising sea levels are rendering their homelands non-existent. What, in the mind of the "Hollywood Fiction" author, are they supposed to do -- just drown?