Does Donald Trump Have Dementia Or Psychiatric Problems?

I have been wondering for quite a while whether Donald Trump’s primary problem is dementia or psychiatric. He has shown some signs of possible dementia, but they were hardly definitive. Psychiatrists have also been questioning Trump’s mental health. We probably now have an answer to the question of whether Trump’s problem is dementia versus psychiatric. Reportedly Donald Trump scored a 30 out of 30 on the Montreal Cognitive Assessment. The test is a pretty reliable indicator of dementia and with a score of 30 and, assuming the report of Trump’s score is factual, it is now doubtful that he has dementia.

With dementia ruled out, Trump should have thorough psychiatric testing, but it is unlikely that he will ever consent to this. The only way to force him to would by trying to remove him from office under the provisions of the 25th Amendment, and this is unlikely to happen unless there is a very clear deterioration .

Study Shows That Legalizing Medical Marijuana Decreases Violent Crime

The Guardian reports on another study showing a decrease in crime with legalization of marijuana:

The introduction of medical marijuana laws has led to a sharp reduction in violent crime in US states that border Mexico, according to new research.

According to the study, Is Legal Pot Crippling Mexican Drug Trafficking Organizations? The Effect of Medical Marijuana Laws on US Crime, when a state on the Mexican border legalised medical use of the drug, violent crime fell by 13% on average. Most of the marijuana consumed in the US originates in Mexico, where seven major cartels control the illicit drug trade.

“These laws allow local farmers to grow marijuana that can then be sold to dispensaries where it is sold legally,” said the economist Evelina Gavrilova, one of the study’s authors. “These growers are in direct competition with Mexican drug cartels that are smuggling the marijuana into the US. As a result, the cartels get much less business.”

The knock-on effect is a reduction in levels of drug-related violence. “The cartels are in competition with one another,” Gavrilova explained. “They compete for territory, but it’s also easy to steal product from the other cartels and sell it themselves, so they fight for the product. They also have to defend their territory and ensure there are no bystanders, no witnesses to the activities of the cartel.

“Whenever there is a medical marijuana law we observe that crime at the border decreases because suddenly there is a lot less smuggling and a lot less violence associated with that.”

In other words, the experience with marijuana prohibition is similar to what we experienced with alcohol prohibition.

This also shows a failure of our political system. Despite ending prohibition being both the sensible choice, and a choice favored by a large majority of Americans, there has been little pressure to change the system from either major political party. While the two parties find plenty to fight over, there is little difference over what they parties actually do on far too many issues.

Psychiatrists Debate Speaking Out On Donald Trump’s Mental Health

The Goldwater Rule has received considerable attention this year with the election of Donald Trump. The rule was put into place to dissuade psychiatrists from talking about the mental health of politicians without actually doing an exam after some had speculated about Barry Goldwater’s mental health.  As I noted in July, the American Psychoanalytic Association has released an emailed statement freeing its members to give opinions on the mental state of Donald Trump. The controversy has continued with the publication of a book entitled The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President.

The New England Journal of Medicine has an article by a psychiatrist, Claire Pouncey, resonding to criticism of the book and making an argument for psychiatrists to be able to comment on the mental health of Donald Trump. Here is a portion:

…in October, psychiatrist Bandy Lee published a collection of essays written largely by mental health professionals who believe that their training and expertise compel them to warn the public of the dangers they see in Trump’s psychology. The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President rejects the position of the American Psychiatric Association (APA) that psychiatrists should never offer diagnostic opinions about persons they have not personally examined.Past APA president Jeffrey Lieberman has written in Psychiatric News that the book is “not a serious, scholarly, civic-minded work, but simply tawdry, indulgent, fatuous tabloid psychiatry.” I believe it shouldn’t be dismissed so quickly…

The relevance of the Goldwater rule has spiked in the past 2 years in the setting of Trump’s candidacy and now presidency. There are good reasons to respect the intention of Section 7.3. Most psychiatrists want to teach the public about the myriad presentations of mental illness and character pathology and not to oversimplify, stigmatize, promote stereotypes, or disparage the persons whose mental health we work to improve. We believe that people with mental illness can flourish and contribute to our communities, and on the flip side, we do not assume that everyone who behaves erratically or earns public disapprobation is mentally ill. Most psychiatrists do not think we have superpowers that let us know the inner thoughts and psychological workings of strangers. Section 7.3 reminds us to remain humble about the claims we can reasonably make and to present ourselves responsibly for the sake of our patients and our profession.

Increasingly, however, some psychiatrists are expressing professional concern about Trump’s public remarks and behaviors and what they mean for public safety. Lee and her coauthors clearly take themselves to be fulfilling the moral obligation of Section 7 by using their specific expertise as mental health professionals.

The Goldwater rule, like the other APA annotations, is meant to clarify a principle of medical ethics, not contradict it. Yet in March 2017, shortly after Trump’s presidential inauguration, the APA broadened the rule to apply to “any opinion on the affect, behavior, speech, or other presentation of an individual that draws on the skills, training, expertise, and/or knowledge inherent in the practice of psychiatry”5 — an expansion that would silence psychiatrists who want to honor the moral obligation of Section 7 by educating the public about the dangers they see in Trump’s psychology. The problem is that psychiatric diagnostic terminology has been colloquialized, so the public and the press use it to describe Trump, but when a psychiatrist does so, use of the same words is considered to be a formal diagnosis (at least in the eyes of the APA). As a result, psychiatrists are the only members of the citizenry who may not express concern about the mental health of the president using psychiatric diagnostic terminology.

The Dangerous Case of Donald Trump challenges the APA position that a psychiatrist cannot know enough about a person she has not interviewed to formulate a diagnostic impression. Contrary to the APA, a physician who has not formally evaluated a patient is not making a diagnosis in the medical sense, but rather using diagnostic speculation and terminology informally, with the benefit of education. That characterization applies to the orthopedist or physical medicine specialist speculating on the knee injury of the football player limping off the field and the dermatologist wincing at a stranger’s melanoma in the grocery line as well as to the psychiatrist interpreting Trump’s public statements. Physicians don’t stop knowing what we know when we leave the clinic. Psychiatric terminology has become part of the common parlance, and the authors in Dangerous Case describe and define that terminology much better than, say, Ralph Northam. The question is whether psychiatrists are the ones we should hear it from.

I expect that the APA will denounce and dismiss this book and its authors, but I encourage others not to do so. Dangerous Case is unapologetically provocative and political, and the authors clearly take themselves to be contributing to the improvement of the community and the betterment of public health, as the AMA (and APA) principles of medical ethics direct. Dangerous Case will have supporters and detractors for good reasons — some political, some social, some psychiatric — that have much more to do with views of Trump’s mental health than with the Goldwater rule. I believe that the APA, in the interest of promoting public health and safety, should encourage rather than silence the debate the book generates. And it should take caution not to enforce an annotation that undermines the overriding public health and safety mandate that applies to all physicians. Standards of professional ethics and professionalism change with time and circumstance, and psychiatry’s reaction to one misstep in 1964 should not entail another in 2017.

Porn Star Running For Democratic Nomination & Other Political Briefs

Are we now Italy? The Hill reports that a porn star has announced her candidacy for the Democratic nomination:

A porn star and a rapper say they have what it takes to win the White House in 2020.

Cherie DeVille, who’s starred in such videos as “Ass Planet” and “Hot Tub Hottie,” says she was inspired to run for office out of her “personal frustration for the current political climate.”

When Donald Trump won the election last year, DeVille — who’s running alongside rapper Coolio — says she sobbed. “I didn’t cry because I hated [Trump] specifically, I cried because of what I felt that meant for the direction our country was going in.”

“We’re voting for people as if we’re on a reality television show, and my concern is if we continue to purely vote for celebrities, or political figures, or the most entertaining, they’re not always going to be quality politicians,” DeVille told ITK on Tuesday.

So the 39-year-old adult film performer decided to toss her hat in the political ring, saying she’s planning on running as a Democrat.

“If our criteria now for becoming a political official is minor celebrity, I have that,” says DeVille, who boasts 190,000 Twitter followers. “I feel like I can be potentially what I’m feeling the American people — for better or for worse — want, which is interesting news, scandalous news, you know, not ‘boring’ political news.”

“But at the same time [I can] do what the American people really need,” she continues, which is “having a person with integrity, and having someone listen to the people, and actually care about America in public office.”

A former physical therapist, DeVille — whose campaign slogan is “Make America F—— Awesome Again” — says a lot of people “giggle” when they learn that “Gangsta’s Paradise” rapper Coolio is running as her VP.

The Guardian has a story under the headline Christopher Steele believes his dossier on Trump-Russia is 70-90% accurate. So, in other words, he admits that his dossier, which fueled much of the Russia-gate hysteria (and which Clinton and the DNC hid the fact that they paid for) could be 30% false.

Portions of the left and libertarian right do often share some views in common. For example, CounterPunch today has a post on The Logic of Drug Legalization:

The Drug Lords of today exist because of the extraordinary profits resulting from criminalization. Estimates run in the half a trillion range globally per year. By way of comparison there are only twenty or so countries with a national economy of that size. The situation is exactly analogous to the prohibition era. When gunfights, beatings, murders and firebombs were the business strategy of choice for the pushers of alcohol. Once booze was legalized the bootleggers were immediately driven out of business. Alcohol is heavily taxed today there are however no Bootlegging Lords on the playground pushing cheaper booze on our children.

Nor would such pushers exist for any other drug that we might choose to legalize. Sure the criminals could evade the cost of taxes on their product but there are enormous costs incurred by criminal enterprises that don’t apply to legal ones. This is why marijuana today is sold for hundreds of times what it costs to grow. Our legal producers will not be faced with those costs and so can sell to us below current prices on the street. With profit margins cut to the bone the ‘dread lords and masters’ that control the illegal drug market today will simply melt away like the last snow before the advancing spring…

Matthew Yglesias writes at Vox, Bill Clinton should have resigned: What he did to Monica Lewinsky was wrong, and he should have paid the price. What is amazing about this is that it comes from a usually very pro-Democratic Party source. Now that they aren’t concerned about white washing the past for Hillary, some Democrats might be able to face the truth about at least some aspects of their party.

Also at Vox, yet another reason to oppose the Republican tax bill: Republicans’ tax bill could trigger a $25 billion cut to Medicare.

Periodically I see articles from people who have good intentions but don’t understand how health care really works argue that we should end private practice and have all doctors become employees to save costs. The reality is that this trend has increased costs rather than save money, as discussed in this article at Modern Healthcare entitled Hospital-employed physicians drain Medicare:

“When hospitals grow their physician network, with a subsidy of $150,000 to $200,000 per physician, they have to cover those costs by driving ancillary services and (getting more people) in hospital beds,” said Dr. Jeffrey LeBenger, CEO of Summit Health Management, an integrated, physician-led independent physician group that includes some 800 doctors. One of the main drivers of physician acquisitions is to increase referral networks, he said.

Donald Trump Meets With The President Of The Virgin Islands & Other Briefs

Donald Trump is talking about having met with the President of the Virgin Islands (who technically would be himself). He says that tomorrow he will meet with the Commander-in-Chief of the US armed forces. He has also suggested that Mike Pence schedule a meeting with the President of the Senate. This is the guy who was boasting about his IQ earlier in the week.

Columbia is talking about hiring Hillary Clinton to be a professor. Can they afford her speaking fees? Do university’s have any form of ethics agreements before hiring someone? If so, they should know that she totally ignored the ethics agreement she entered into before taking her last job as Secretary of State.

Question of the Day: Which organization is more wracked in scandal and chaos: The Weinstein Co. or the Trump White House?

It makes perfect sense that Bernie Sanders was picked instead of Hillary Clinton to speak at the Women’s Convention. Unlike Clinton, Sanders has not promoted bombing of women around the world, has not defended the use of cluster bombs where women live, and has not backed taking welfare benefits away from women.

Eighteen states are suing the Trump administration over stopping the ObamaCare subsidies. The Pottery Barn Rule should now take effect with regards to Donald Trump and the Affordable Care Act–You Break It, You Own It.

I’ve been saying all along that the real Russia story is about the money, not altering the 2016 election results. NBC News is reporting that Paul Manafort had a $60 million relationship with a Russian oligarch.

Quote of the Day: “For the last 24 hours, Donald Trump has been the president of busy town. This morning, he signed an executive order to get rid of some key provisions of Obamacare. For instance, the care part.” –Stephen Colbert

Trump Called Schumer To Work On Health Care

Donald Trump lacks long term ties to the Republican Party, and has started to figure out that his best shot of passing legislation might be to work with the Democrats. If he can bring along part of the Republican Party he might have a better chance of passing legislation by working with the Democrats than by trying to pass legislation with Republican votes alone. With the inability of Republicans to repeal Obamacare, Trump has upset many Republicans by calling Chuck Schumer to seek a path forward on healthcare.

Trump previously worked with the Democratic leadership on three-month government funding measure, debt limit hike, and hurricane aid. He has also spoken with them about  Deferred Action for Childhood Arrivals (DACA), with no agreement reached yet.

Trump has verified that he called Schumer on Twitter but so far Schumer has not seen a path for the two to work together. The Hill reports:

Senate Minority Leader Charles Schumer (D-N.Y.) said Saturday he told President Trump that Democrats would be open to stabilizing the health-care system, but that another push to repeal and replace ObamaCare was “off the table.”

“The president wanted to make another run at repeal and replace and I told the president that’s off the table,” Schumer said in a statement on his call with Trump on Friday, news of which the president confirmed in a tweet.

“If he wants to work together to improve the existing health care system, we Democrats are open to his suggestions. A good place to start might be the Alexander-Murray negotiations that would stabilize the system and lower costs,” Schumer added.

This could be just the opening round as there is reason for Democrats to work with Trump if Trump is willing to agree to a satisfactory plan to stabilize Obamacare, as opposed to continuing to undermine the markets. Even without having the votes to repeal Obamacare, Trump can do considerable harm to the success of the Affordable Care Act. So far Trump has greatly cut funding for outreach to promote signing up for the plan and his actions are causing an increase in health insurance premiums. This week his administration has also acted to cut back on the mandate to cover birth control.

If Democrats do work with Trump, they will have to make sure that they are not just enabling him to further reduce health care coverage. On the other hand, if Trump is really willing to diverge from Republican orthodoxy, rather than demanding preservation of the Affordable Care Act the better course would be to promote a single payer plan as proposed by Bernie Sanders. While unlikely to happen, Donald Trump just might go for the idea of going down in history for delivering such a great accomplishment while president.

Republicans Surrender On Graham-Cassidy

It was already obvious by Saturday when I last wrote about it that the votes were not going to be there for Republicans to pass Graham-Cassidy. It became official today. Mitch McConnell announced that the Republicans will not be holding a vote on the bill, disappointing Donald Trump.

Republicans still might attempt to repeal the Affordable Care Act beyond the current September 30 deadline to do this under budget reconciliation. Vox explained in considerable detail how this might be done. However, this would make changing the tax law more complicated, making many Republicans reluctant to go this route. There are already aspects of Trump’s plan which could cause serious headaches for many Republicans.

Last week Bill Cassidy faced the wrath of Jimmy Kimmel on health care. Last night, prior to the decision to cancel the vote on Graham-Cassidy, CNN held a debate on the law. Alternet reports that Bernie Sanders stole the show with quotes such as:

“These are wonderful gentlemen, and I know nobody up here wants to see anybody die. But you tell me what happens when somebody who has cancer, somebody who has a serious heart condition, somebody who has a life- threatening disease suddenly loses the health insurance that they have.”

“This [current] system is designed to make billions of dollars in profits for the insurance industry. We spend 12 percent to 18 percent to administer the incredibly complex hundreds of plans that we currently have. And with these guys, if they got their way, there would even be more plans, more bureaucracy, more complexity, more money going to the insurance companies.”

“So if we are serious about moving to a cost-effective universal health care, yeah, we do have to take on the insurance companies. They do not play a role in providing health care. Our money should be going to doctors, to nurses, to hospitals, not to the insurance industry or, in fact, the drug industry, which is charging us by far the highest prices in the world.”

While we do not know what the Republicans might do next to try to strip people of their health care coverage, it is a safe bet that the insurance and pharmaceutical industries will not be supporting Bernie Sanders if he runs for president in 2020.

Today’s Good News–Graham-Cassidy Will Not Become Law And The World Is Not Going To End

A week ago we were faced with predictions both that the Republicans might be able to repeal the Affordable Care Act with their new plan and that the world was going to come to an end. Today it is looking like neither will occur.

It does not look like the Republicans have the votes to pass Graham-Cassidy. Rand Paul quickly announced he will vote against it because it does not go far enough in taking away everyone’s health care coverage. Hopefully he remains as forceful in standing up to Donald Trump on issues where he has more sensible positions such as non-interventionism and civil liberties.

The real killer was when John McCain announced he would vote against this bill for the same reasons he voted against the previous Republican attempt to repeal Obamacare While his opposition is appreciated, before he is made out to be too much of a hero we must not forget that in 2008 he ran on a terrible health care plan which would have led to millions who had health care even before Obamacare losing their coverage.

Graham-Cassidy would lead to such terrible outcomes that other Republicans also remain undecided, making it very unlikely to pass. It becomes more difficult for Republicans to repeal Obamacare after the end of September, leading to pressure from conservative donors to make one more attempt.

Earlier in the week I posted two monologues from Jimmy Kimmel which did an excellent job in describing the failings of the Republican plan, including failure to guarantee coverage for pre-existing conditions and allowing insurance companies to reinstate lifetime caps. The Daily Beast has described how Kimmel did his homework. Faced with Republican attacks, Kimmel returned to healthcare a third night on Thursday. Video of round three below:

Comments from Kimmel included:

For Donald Trump, this isn’t about the Graham-Cassidy bill. It’s about Obamacare, which he hates, because Obama’s name is on it. He likes to have his name on things: buildings, vodka, you name it. At this point he would sign anything if it meant getting rid of Obamacare. He’d sign copies of the Quran at the Barnes and Noble in Fallujah if it meant he could get rid of Obamacare…I guarantee he doesn’t know anything about this Graham-Cassidy bill. He doesn’t know the difference between Medicare and Medicaid; he barely knows the difference between Melania and Ivanka.

As for the other prediction, David Meade has backed away from his earlier prediction and says that the world will not come to an end today:

David Meade, who claimed the world is ending Saturday when a mysterious planet collides with Earth, is now backtracking on the calamitous claim.

Meade said the world won’t end on Sept. 23 after all, but instead Saturday will only mark the beginning of a series of catastrophic events to occur over several weeks.

 “The world is not ending, but the world as we know it is ending,” he told the Washington Post. “A major part of the world will not be the same the beginning of October.”

Meade said his prediction is based on verses and numerical codes found in the Bible, specifically in the apocalyptic Book of Revelation. He said recent events, such as the solar eclipse and Hurricanes Irma and Harvey, are omens of the approaching apocalypse.

The significant number is 33, according to Meade.

Others made similar predictions about the beginning of a series of catastrophic events before November 8 and January 20, saying the significant number is 45.

Jimmy Kimmel Again Becoming Major Defender Of Preserving Obamacare

If the latest Republican effort to strip people of their healthcare coverage fails, I Jimmy Kimmel just might become the front runner for the 2020 Democratic nomination. Jimmy Kimmel has once again been speaking out against the Republican efforts. First he had this monologue two nights ago:

Kimmel showed how Bill Cassedy was lying about his health care bill passing the “Jimmy Kimmel Test” with problems including failing to guarantee coverage of pre-existing conditions and failure to have a life time cap as are present under Obamacare. See the full monologe in the video above, with transcript here. Kimmel concluded:

But don’t take my word for it. Here are just some of the organizations that oppose this Graham Cassidy Bill: the American Cancer Society, the American Diabetes Association, the American Heart Association, the American Lung Association, the Arthritis Foundation, Cystic Fibrosis, the ALS Association, the March of Dimes, Multiple Sclerosis Society, Children’s Hospital of LA. Basically, any group you’ve ever given money to thinks this is a bad idea. Do you trust them, or do you trust him? OK?

So if this bill isn’t good enough for you, call your congressperson. That’s the number, go to your congressperson — whoever he or she is — (202) 224-3121. You have to do this; you can’t just click like on this video. Tell him this bill doesn’t pass your test.

And Senator Cassidy, you were on my show, you seemed like you were a decent guy. But here’s the thing. Nobody outside of your buddies in Congress wants this bill. Only 12% of Americans supported the last one, and this one is worse. Right now there’s a bipartisan group of senators working to approve the healthcare system we have. We want quality, affordable healthcare. Dozens of other countries figured it out. So instead of jamming this horrible bill down our throats, go pitch in and be a part of that. I’m sure they could use a guy with your medical background. And if not, stop using my name. Because I don’t want my name on it. There’s a new Jimmy Kimmel test for you. It’s called the lie detector test. You’re welcome to stop by the studio and take it any time.

When Republicans attacked, including their mouthpieces at Fox, Kimmel responded last night:

While other late night comedians are frequently making jokes about Donald Trump and the Republicans, it is unusual for a late night talk show host to get into the details of policy to the degree that Kimmel has with health care. Dean Obeidallah says he is also doing a better job than the Democrats:

Jimmy Kimmel has done again what Congressional Democratic leaders cannot: thrust the debate over how disastrous the GOP’s proposed healthcare plan would be for Americans with pre-existing conditions back into the national headlines. Sure, Democrats in Congress are objecting to the GOP proposal via press releases and on Twitter, but Kimmel has been clearly more effective at attracting media coverage on this issue…

Maybe if the Democrats had done as good a job selling the Affordable Care Act in the beginning, instead of going on the defensive, they wouldn’t be in this position. Fortunately Bernie Sanders is speaking out forcibly about an even more comprehensive alternative, Medicare for All.

Reading “What Happened” So You Do Not Have To

Reading Hillary Clinton’s memoir, What Happened, is like reading a memoir from Jesse James which makes no admission that he ever robbed a bank. She talked about trivial matters from her life, repeated her excuses blaming everyone else for her loss, and gave virtually no recognition of her dishonest actions and lifelong opposition to liberal values behind the opposition to her. What Happened  was previously used as a book title by former Bush press secretary Scott McClellan. Maybe she reused this title because Jeff Flake beat her to reusing the philosophically more honest choice, Conscience of a Conservative. Of course that would assume that she has a conscience, but she showed no signs of having one.

It is hard to see the point in this book beyond finger pointing. Clinton wrote:

At first, I had intended to keep relatively quiet. Former Presidents and former nominees often try to keep a respectful distance from the front lines of politics, at least for a while. I always admired how both George H. W. Bush and George W. Bush avoided criticizing Bill and Barack, and how Bill ended up working with George H. W. on tsunami relief in Asia and Katrina recovery on the Gulf Coast. And with George W. in Haiti after the earthquake in 2011. That’s how it’s supposed to work.

She should have ended the book right there.

In a rare moment of honesty, Clinton showed how clueless she is in writing, “in terms of fighting the previous war, I think it’s fair to say that I didn’t realize how quickly the ground was shifting under all our feet.” The only shifting Clinton has shown with the times has been to move on from blaming everything on the vast right wing conspiracy to blaming the vast left wing conspiracy against her.

She might briefly admit to a mistake, but it is quickly followed with a major but as she places the blame on Russia, James Comey, Joe Biden, Bernie Sanders, or others. If she did mention something she did wrong, it was passed over as a minor tactical error, ignoring the magnitude of her ethical lapses.

This week Bernie Sanders has been pushing for comprehensive, affordable health care for all Americans. Hillary Clinton is pushing a book which attacks the left and questions the validity of our electoral process (which she previously attacked Trump for threatening to do). She has opposed Medicare for All based upon false claims, continuing her long history of working to undermine liberal ideas.

While she launched numerous bogus attacks against others, she feels that her mistakes are too trivial to be considered. She wrote, “The truth is, everyone’s flawed. That’s the nature of human beings. But our mistakes alone shouldn’t define us. We should be judged by the totality of our work and life.”  Judging Clinton by the totality of her work and life, we must include her repeated push for neoconservative wars and regime change, her repeated advocacy of violating our First Amendment rights, her social conservatism, her support for the corrupting influence of money in politics, and her use of her position for personal financial gain–including violating the ethics agreement she entered into before being confirmed as Secretary of State.

Hillary Clinton wrote about her concern for children. In the real world, Hillary Clinton has shown her concern for children in other countries by dropping bombs on them and defending the use of cluster bombs in civilian areas. There are also those who suffered from Bill’s welfare reform at home. However, “It was a hard call. Bill and I lay awake at night talking it over.”

Clinton shows no understanding of liberal or progressive values. While she mischaracterized Bernie Sanders’ platform as offering everyone a pony, it is actually Clinton who sees liberalism as little more than government giving out ponies, even if smaller ones than she believes Bernie Sanders would. She has no understanding of how true liberal and progressives would change the status quo, no concept of the human rights we defend, and no concept of what is wrong with her interventionist views.

Her ignorance of liberal concepts of human rights would explain how she totally misunderstood the warnings of George Orwell. To an authoritarian such as Hillary Clinton the lesson of 1984 is that we should not question our political leaders, the press, or experts:

Attempting to define reality is a core feature of authoritarianism. This is what the Soviets did when they erased political dissidents from historical photos. This is what happens in George Orwell’s classic novel Nineteen Eighty-Four, when a torturer holds up four fingers and delivers electric shocks until his prisoner sees five fingers as ordered. The goal is to make you question logic and reason and to sow mistrust toward exactly the people we need to rely on: our leaders, the press, experts who seek to guide public policy based on evidence, ourselves.

On the other hand, Clinton is quite skilled in using Orwellian techniques to attack her political enemies. She uses the same types of distortions against Bernie Sanders as she did during the campaign, and as she used against Barack Obama in 2008. I have already responded to some of the attacks against Sanders here, and also recommend this rebuttal of Clinton’s arguments by Les Leopold. While reading What Happened I came across another fallacious attack on Sanders. Clinton wrote, “After the election, Bernie suggested that Democrats should be open to nominating and supporting candidates who are anti-choice.”

No, that is not what happened at all. On the other hand, the Democratic establishment has shown how they are willing to ignore reproductive rights. Clinton herself has also been to the right of Sanders on the issue, including her support for parental notification laws and expressing a willingness to compromise with Republicans. This is not surprising in light of her personal social conservatism on the issue and her mantra of keeping abortion”safe, legal, and rare,” stigmatizing women who have had an abortion.

Her attempts to falsely portray Sanders as being to the right of her on abortion are similar to her claims of being to the left of Sanders on gun control, despite having run in 2008 as a “pro-gun churchgoer.” Of course while attacking Sanders and blaming him for her loss she overlooked the degree to which Sanders campaigned for her after the primaries were over. Her antipathy towards a fair democratic process includes a visceral objection to being challenged for political office.

Clinton was no more honest in discussing the scandals which rightfully harmed her campaign. For example, she misquoted from the State Department Inspector General report to falsely make it look like the report supported her actions in the email scandal. In reality, the Inspector General report said exactly the opposite in showing how she violated policy. As we saw during the campaign, she keeps repeating the same lies about the scandal, including the statements from James Comey, regardless of how often the media fact checkers show that she is outright lying.

She attempted to open up personally, but even then wasn’t entirely honest. Among the more unbelievable lines, Clinton wrote, “For me, fund-raisers were a little more complicated than other campaign events. Even after all these years, it’s hard for me to ask for other people’s money.”

Among the other personal discussions in the book, Clinton wrote, “Bill and I bought our home in 1999 because we loved the bedroom.” Now try to get that image out of your mind.

Actually what she wrote after this was quite tame, including a description of the vaulted ceiling, windows, and photos. And then, “After waking up, I check my email and read my morning devotional from Reverend Bill Shillady, which is usually waiting in my inbox. I spend a few minutes in contemplation, organizing my thoughts and setting my priorities for the day.” The rest of us will not be able to see the writings of Bill Shillady as his publisher has pulled his planned book, entitled Strong for a Moment Like This: The Daily Devotions of Hillary Rodham Clinton, due to plagiarism.

Of course, as was inevitable, I am seeing defenses of What Happened claiming that disagreements with Clinton’s book are based upon misogyny. What an intellectually and morally bankrupt viewpoint. Do such Clinton supporters have even a shred of integrity? I am just relieved that Hillary Clinton is not in the White House, leaving us to contend with claims that our objections to whatever war she wanted to start, or whatever violation of the First Amendment she was advocating, was based only on sexism.