almost an hour. we know that president obama is again delivering the message to the leadership that he won't negotiate with republicans to end the shutdown. and in an interview earlier, mr. obama called the shutdown entirely unnecessary. and he descreebd himself as exasperated. >> if john boehner, the speaker of the house, puts a bill on the floor to reopen the government at current funding levels, so that we can then negotiate onñia real budget that allows us to stop governing from crisis to crisis, it would pass. the only thing that is stopping it is john boehner right now has not been willing to say no to a faction of the republican party that are willing to burn the house down because of an obsession over my health care initiative. >> reporter: scott, the president also warned that if republicans are unwilling to raise the nation's borrowing level when it runs out in about two weeks and then default on u.s. government obligations,

then, in his words, we are in trouble. >> pelley: senior white house correspondent bill plante at the white house for us tonight. thanks, bill. the shutdown, as you know, is the result of republican attempts to roll back obamacare, but house republicans appeared to be having second thoughts today and they began passing bills to fund parts of the government, despite threats of a presidential veto. nancy cordes is on capitol hill. >> reporter: house republicans moved to fund national parks and the national institutes of health after the nation saw stories about sick children shut out of cancer trials and veterans blocked from the world war ii memorial. house majority leader eric cantor. >> it is a shame that folks in this country who come to washington to be able to see these memorials can't. >> reporter: as he spoke, a small group of furloughed workers demonstrated nearby urging lawmakers to reopen the entire government. why are you pushing for monuments to be opened instead

of, say, headstart preschools for low-income children? isn't that all important? >> that is coming as well. we are going to take every issue that is out there that we have agreement on and put it the on the floor and we will pass the funding bills to go to the senate. >> reporter: senate democrats vowed to block the bills and most house democrats voted no. ohio's jeff bader: >> it's like asking a large family for the parents to pick three children to feed and let the others starve before their eyes. >> reporter: senate democrats say the only funding they'll agree to is a bill that funds the full government, no strings attached. in fact, scott, today, senate majority leader harry reid was asked if he would be open to funding cancer research for kids only and his response was why would i do that? >> pelley: we'll check in with you tomorrow, nancy, thank you. the shutdown affects far mrnt government. we asked bill whitaker to look into the impact on small businesses.

>> we're going to work really hard to make sure it does not affect our employees. >> reporter: lisa papini is vice president of dante valve company. the 42 workers at the small business south of l.a. make safety release valves for the u.s. navy. >> our applications are the catapult steam system of aircraft carryiers, laundry piping within the ship, andñr ao there are nuclear applications for our products. >> reporter: now, grinding these valves to perfection for the navy is grinding to a halt. >> we were surprised to findxd t that nuclear inspectors and government quality assurance inspectors won't be able to come to our facility. so we'll be stay top. >> reporter: the nuclear inspectors will not be coming out? >> that's the message we received and that's not a message we expected. >> reporter: now she has $100,000 worth of valves for the navy that can't be shipped because they can't be inspected, which means she can't get paid.

day with u.s. contractors. it gets shut down like today, it has real effects on real people, absolutely. >> reporter: most of her contractcontracts are with the government, but after the sequestration earlier this year, she diversified, taking on more commercial clients. papini says business needs predictability, just not washington variety. >> this gridlock that we're seeing is what we expect and we're starting to accept as the new normal in washington. >> reporter: lurching. from crise to crise. >> governing by crisis. >> reporter: and, scott, she expectexpects it to get worse. the navy is planning to defer $950 million in fleet maintenance. she says that won't be good for her company or the country. >> pelley: bill whitaker in our los angeles newsroom, thank you, bill. now moving on to the other news today. at least eight people were killed in a highway collision in tennessee. this was the scene on interstate 40 near knoxville.

the highway patrol tells us a church bus blew a tire, crossed the median, clipped an s.u.v., and slammed into a tractor trailer. the bus overturned. the truck caught fire. in addition to the eight killed, 14 people were hurt and eight of them are in critical condition. again today, many people trying to shop for insurance on the new health care exchanges ran into frozen web sites and long delays. the online exchanges are a major portion of the affordable care act, also known as obamacare. the main web site, healthcare.gov, was overwhelmed yesterday when 4.7 million americans tried to get on the site. california took its site downñr last night for a fix. it went back up at mid-morning. california told us it has created 7700 new health care accounts on its web site. colorado has more than 6900 new accounts so far. the obama administration says

give the service time. it will improve. the affordable care act hoped to cover more poor americans by requiring states to expand medicaid. but 26 states declined to go to that expense, creating a coverage gap. all of those states have republican governors or legislatures that are controlled by republicans. and we asked elaine quijano to look into this. >> reporter: 45-year-old bertha mcintyre needs daily medication to manage her diabetes and heart problems. the unemployed home health aid also cares for her grandson. she does not qualify for medicaid in missouri because her family income is too high, about $1200 a month. >> it's just shocking to me when a gallon of milk and a loaf of bread costs $10, there's only so much you can buy with $1200 a month. >> reporter: the affordablexd care act covered the poor by requiring states to expand

medicaid but many states sued, and the supreme court ruled states could not be forced to comply. now, as many as 7 million people make too much to qualify for medicaid but not enough to get help to buy a plan on the new health care exchanges. so do you just not go to the doctor sometime? >> you just don't go. >> reporter: what is that like for you? >> i know that my health suffers for it. but am i going to take food out of a child's stomach or am i going to do without going to the doctor? which would you choose? >> reporter: republican state senator johnçó lamping argues missouri faces tough choices too,. he voted against medicaid expansion. >> the entire cost of medicaid in missouri is one-third of missouri's budget. it's more money than we spend on k-12 education. it's three times the money we spend on higher pend we can barely afford to be in the medicaid program as it exists today. >> reporter: the federal government offered to cover the cost of expanding medicaid

across the country, but missouri rejected that. >> idea that the federal government pays 100% of the cost for the first two, three, four years, missourianans are skeptil to that. we're trying to make the best long-term decision we can. >> i would like for anyone of the politicians to come and live in my shoes for 30 days and see what it's like because they don't have a clue what it's like to not have health care. >> reporter: states can decide to expand medicaid at any time. scott, the federal government insists it's up to them to bridge the coverage gap. >> pelley: elaine, thanks very much. charlie rose has another important interview tonight, this time with israeli prime minister benjamin netanyahu. you remember that there was a potential breakthrough last weer when president obama phoned iran's new president rouhani to discuss negotiations over iran's nuclear progra program.

israel thinks iran's atomic program is a mortal threat and this was netanyahu with charlie today. >> will the prime minister of israel believe that the iranian regime can change and can say whatever we were trying to do, we're prepared to change? >> well october madin jad was a wolf in wolf's clothing, and rouhani is a wolf in sheep's clothing, but we cannot let him pull the wool over our eyes. so the answer to your question is can there be a real change? maybe yes. maybe not. but the only way we can find out is to insist on an agreement that truly dismanteis-- dismantle's iran's nuclear program. >> pelley: you can see the full interview tonight on "charlie rose" on pbs and more portions of it will air tomorrow on "cbs this morning" with charlie, noraand gail. patients are leaving intensive care units with problems they didn't have when they went in.

a woman beats enormous odds giving birth to identical triplets. and our story on whitewater kayaking takes an unexpected turn when the cbs evening news continues. good job! still running in the morning? yeah. getting your vegetables every day? when i can. [ bop ] [ male announcer ] could've had a v8. two full servings of vegetables for only 50 delicious calories.

two full servings of vegetables is there a lot of worry building up around a daily problem? well ladies, now there's big news in controlling your overactive bladder symptoms. thinking less about them with new oxytrol for women. it's a patch. the first and only over the counter treatment for overactive bladder. it's good to know how to put the control back in your go. new oxytrol for women. see this sunday's newspaper for a four dollar coupon.

suddenly you're a mouth breather. a mouth breather! how do you sleep like that? you dry up, your cold feels even worse. well, put on a breathe right strip and shut your mouth. cold medicines open your nose over time, but add a breathe right strip, and pow! it instantly opens your nose up to 38% more so you can breathe and do the one thing you want to do. sleep. add breathe right to your cold medicine. shut your mouth and sleep right. breathe right. hey, guys. sorry we're late. milk looks warm. finally got the gang together: maple brown sugar, strawberry, blueberry. yeah, a little family reunion. strawberry, your whole grains are showing. ooops! [ female announcer ] try frosted mini-wheats hot or cold. in 8 delicious flavors. >> pelley: a study published today in the "new england journal of medicine" caught our eye. it says patients who are treated in intensive care units often leave with dementia, even when

there is no evidence of it prior to their treatment. we asked dr. jon lapook to look into this. >> reporter: 18 months ago, lsia uribe had gallbladder surgery. after the operation, she developed a severe infection and spent three weeks sedateed in the intensive care unit. after waking up, she knew something was wrong. >> i felt very confused, totally weak throughout my entire body. i thought this was something that would be normal for someone being in an i.c.u. >> reporter: but after leaving the i.c.u., she never got better. now 46, uribe has short-term memory loss and trouble thinking. she's unable to work and sometimes gets lost when driving. >> being somewhere and not knowing why you're there or what your purpose was for being in this location and it's a scary thing. >> very good! >> reporter: dr.ed wit dr. ely coauthored the study.

>> what we found was a dramatic amount, 75% of patients leaving with cognitive impairment, and in fact, one in three leaving with cognitive impairment in the realm of alzheimer's disease. >> reporter: those problems persisted for at least a year. there are several possible causes-- severe illness, which on its own can damage the brain. so can drugs used to sedate patients, as well as the disorienting environment of the i.c.u. >> when they survive xthey go through all of that i.c.u. experience, now they have to survive with essentially a new disease of the brain. >> reporter: the study also found that younger patients had the same problems as older ones. >> and that was the real new news here was that people in their 30s and 40s at the height of their earning capacity, et cetera, were leaving with this newly found brain problem. >> reporter: lsia uribe tries to jog her memory with pictures. >> every day i wake up, keep thinking, this is a day i'm going to go back to my old life. >> reporter: this study ended ed

in 2010. since then, i.c.u.s across the country have developed programs to try to prevent cognitive damage, and includes lighter sedation, giving patients a better sense of day and night and getting them up and around as soon as possible. >> pelley: jon, last night you won an emmy award for your work on this program. we are so proud of you, thank you. >> thanks. >> pelley: the odds of giving birth to identical triplets could be as high as 200 million to one. but karen gilbert of great britain did it. she and her husband posed with their daughters. the girls came from a single fertilized egg that split splitinto three. now they're eight weeks old and doing just fine. we'll follow a rising star in her attempt to master a dangerous sport when we come back.

>> pelley: in los angeles, there is now a verdict in the wrongful death lawsuit brought by michael jackson's family against his concert promoter. the jury ruled in favor of the promoter, a.e.g. live, saying it was not negligent when it hired dr. conrad murray to treat jackson who died before he could begin a concert series. in a criminal trial, dr. murray

was convicted of involuntary manslaughter for giving jackson an overdose of an anesthetic. whitewater kayaking is one of the most thrilling and challenges sports. our david martin went to cover 3 held in virginia and the remarkable story he tells took an unexpected turn. >> reporter: each summer, the great falls of the potomac attracts some of the country's best kayakers for an annual ra race. this year, 23-year-old nicholas christensen came to take on the men. how old were you when you started kayak? >> almost 21. >> reporter: she's already run some of the most extreme whitewater on the east coast, but she's never been here before. so you take up the sport when you're 21. and you're going to run great falls three years later. >> i am. >> reporter: that doesn't strike you as over-reaching?

>> i wouldn't say over-reaching. it would strike me as confident. >> she's a rising star in the kayak scene, and she's just getting to the point where want to capture what she does. >> reporter: steve fischer from south africa is one of the sport's biggest stars. before her first run down the falls, shannon got some pointers from jason baeks, a six-time winner of the race. >> right there in the middle, pop, pop. >> reporter: he wiewrnd her to stay away from the good deadly chute called subway. >> ready. >> ready. >> let's do it. >> reporter: sheer she goes for her first run. >> oh, that was great! i cannot wait to do it again. >> reporter: her enthusiasm is infectious. but these are class 5 rapids, an international rating which means extremely difficult and violent with life-threatening hazards. two days before the race was to start, our cameras spotted an

empty kayak at the bottom of the falls. it was shannon christie's. no one saw it happen but somehow she had come out of her kayak, between swept over subway and killed, her body trapped under an avalanche of water >> you've got tons of water pressure pinning her against a rock. >> reporter: fischer led a team spot falls where they risked their own lives to recover her body. tethered by a rope on one hand and anchored by another from behind, he leaned into the torrent, stabbing at the water with first his hand, and then a paddle. >> i felt it hit something soft. that was not a rock. i said, "she's here." i told her-- i said, "i'm going to take you home." i said, "don't worry, i'm going to take you home." >> reporter: he managed to attach a set of slings to shannon's arm and shoulder. the kayakers heaved with all their strength. >> and suddenly, everything gave. >> reporter: she was out.

>> she came right out of the surf. >> reporter: shannon christie was the third kayaker killed by straight falls since they were first run 40 years ago. this year's race was canceled and a memorial service held instead the lure of the falls remains. as the service ended, the kayakers ran the falls again, this time for shannon. david martin, cbs news, on the potomac river. >> pelley: you can see david's full report tonight on "smith minutes sports qots showtime. we'll remember tom clancy next.

>> pelley: an aspiring writer of military novels can do no better than having the commander in chief endorse his debut book, and after president reagan gave the "hunt for red october" a thumbs-up, it soared to the top of the bestseller list. tom clancy, who wrote that and a string of bestsellers, died yesterday. anthony mason has his story. >> reporter: tom clancy was too nearsighted to qualify for the military, so he wrote about his obsession with naval operations instead. >> the most important talent for a writer to have is persistence. you just have to stick with it. and it's hard. >> reporter: clancy was a

maryland insurance salesman when in 1983 he sold his first book for $5,000 to the naval institute press. president reagan would call it "the perfect yarn." >> present you the ballistic missile submarine "red october." >> the story followed a soaf submarine captain looking to defect to the u.s. and take his sub, the red october, with him. >> the revolution now and then is a healthy thing. >> reporter: "red storm rising" and "patriot games" would follow. he would write 17 "new york times" bestserlz. more than 100 million copies of his books are in print paps he told charlie rose in 1996 -- >> the book acquires a life of its own and the characters acquire a life of their own. >> reporter: one critic called his work the verbal equivalent of a high-tech video game. and he later branched out into video games like rainbow six,

and splinter cell. if clancy loved the pentagon, he had little affection for the capitol. >> why does washington so rarely do smart things? >> i don't know, tell me. >> because we elect idiots. >> reporter: the difference between fiction and reality, tom clancy once said is that fiction has to make sense. anthony mason, cbs news, new york. >> pelley: the cause of death has not been announced. that's the cbs evening news for tonight. for all of us at cbs news all around the world, good night. captioning sponsored by cbs captioned by media access group at wgbh access.wgbh.org

good evening, i'm derek mcginty. >> house speaker, john boehner, has spoken with the president. they in fact, just got done with a meeting and they are speaking right now. >> and the president has announce thad he is not going to negotiate. speaker boehner, i think, stepped to the microphones and he just walked away, actually. just a minute ago and we'll have more on that story in just a moment. there will be no negotiation. so -- >> let's take a look at your world in 90 seconds. >> we're having technical difficulties right now. it is day two of the government shutdown. and the u.s. senate adjourned

for the day. again, we just discussed president obama did meet with house speaker, john boehner. speaker boehner did speak to the american people. he held a press conference and at that press conference, he said the president will not negotiate. >> the president said basically the same thing. that meeting had been going on for an hour and a half and there wasn't any progress. but what we do know is that in an interview today, the president has said that he will negotiate with the republicans only after aagree to reopen the federal government and after they increase the nation's debt limit and democrats say there are at least 20 republicans who would vote for a clean spending bill that does not have any cuts to obama care. passed bills to fund the d.c. government, and reopen the national park and museums. those bills are expected to die in the senate. >> i think that what we're trying to do is get the government open as