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Dalton debates coming back as President as he recalls his brother's struggles with mental health and the events that led him to continue pursuing politics after losing a gubernatorial race in California. Russell, Lydia, and Bess all urge him to sign the paperwork to reinstate him as President, but he's not ready to do so he visits the president of Burma and gives him some advice, inspiring himself in the process. 

Henry's sister Maureen comes to visit. Allison learns to not be so dismissive of different types of culture (especially when hosting someone who has a stated preference for a particular artist) and some long held grievances are aired between the siblings--Mo had been under the misapprehension that she wasn't able to go to college because their father paid for Henry's schooling. Henry asserts that he will never think well of their father because it's his belief that the old man prevented Maureen from following her dreams as a way to keep his favored daughter near him. 

Elizabeth and her staff are alarmed to find out that the new president of Burma, in the US to be honored with the Medal of Freedom, may be complicit in the ethnic cleansing of the Rohingya people. They try to suss out exactly what he knew about his military's actions, but are impeded by their own people -- the assistant secretary for South East Asia advises Kat to ignore the situation so that the new president isn't put into an awkward position, believing that any scandal will disrupt the progress of democracy in the region. After Conrad goes to visit the Burmese president and inform him that the Medal of Freedom will not be conferred on this trip, the president finds the courage to stand up to the military factions of his government. He starts to advocate for a government and society that is inclusive of all Burma's citizens. 

Madam Secretary
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Madam Secretary Season 4 Episode 15 Quotes

Allison: Do you have time for muffin?
Elizabeth: What kind of life would I be living if I didn't have time for a muffin?
Allison: Not your best one.

I'll be happy to get back to security briefings. Why does anyone watch cable news?