When India sends troops into Kashmir, President Bartlett calls for a British former ambassador to India to help out - over Leo's strong objections.

When the President collapses on the eve of his State of the Union, it's diagnosed as the flu. But when the First Lady cancels a trip and rushes home to look after him, Leo suspects the first family is hiding something about Bartlett's medical condition.

Sam meticulously prepares a speech for the President to give to the environmental lobby, but Toby wants to sneak in some criticism of their failure to condemn environmental terrorism. Leo tries to convince the President to support his pet project - a missile defense shield - despite its continued failure to produce results, and the fact that it likely contravenes an anti-ballistic missile treaty. Several countries including Great Britain have sent new ambassadors to Washington to be recognized by the White House. C.J. travels to New York on a delicate mission to ask for a political favor from a comedian.

A lavish W.H. party for Abbey's birthday the night before a N.H. medical board begins hearings on whether to suspend her license over her secret treatment of her husband's MS. Abbey returns to the residence with C.J. and Amy Gardener to get blitzed on wine and discuss her concerns about her medical career. Donna is restricted from joining the party because a decades-old cartography error puts her birthplace in Canada. Toby and U.K. Ambassador Lord John Marbury (Roger Rees) go to a nearby bar to share a bottle of very rare Scotch and to discuss a planned W.H. visit by an IRA political activist, which culminates in Marbury surprising Toby with his progressive vision. Later, Donna joins the women in the residence and makes an off-the-cuff remark that causes Abbey to rethink her stance on the issue of her license.

CJ and Abbey go twelve rounds on how to handle President Bartlett and his disease. Lord Marbury makes his return to the White House after a British commercial plane gets shot down by Iran. Toby splits his time between helping write a Belarus constitution and the yearly meeting with Miss World