Elizabeth is torn about presenting the Presidential Medal of Freedom to someone who may not deserve it. President Dalton doubts his ability to return to leadership despite being cleared by doctors.
Elizabeth and the team are caught in an uncertain situation when they are about to award a foreign leader with the Medal of Freedom but learn he may have known that a minority group in his country is being persecuted. Also, President Dalton doubts his ability to return to office after being cleared by his doctor, and a past family grievance is brought to light when Henry's sister pays a visit.