Fox Republican Debate Dominated By The Donald

Fox Debate August 2015

Fox brought in a record 24 million viewers for the first Republican debate on Thursday night , and nobody doubts it was because of Donald Trump. CNN explained what this number means:

For perspective, the first GOP primary debate four years ago, also on Fox, attracted 3.2 million viewers.

The most-watched primary debate that year, broadcast by ABC, reached 7.6 million.

Thursday’s debate audience more than tripled that one.

The audience easily exceeded pretty much everything that’s been on American television this year, from the finale of “The Walking Dead” to the final episode of David Letterman’s “Late Show.”

The debate was bigger than all of this year’s NBA Finals and MLB World Series games, and most of the year’s NFL match-ups.

It also trumped Jon Stewart’s Thursday night’s sign-off from “The Daily Show,” which averaged 3.5 million viewers.

Trump is a known ratings magnet. His reality show “The Celebrity Apprentice” used to reach 20 million viewers a week. But it has slipped over the years, averaging 6 to 8 million viewers for recent seasons.

The debate, as well as most of the talk afterwards, was about Donald Trump. They might as well have named it Presidential Apprentice. By the end, many viewers might have been expecting to go to the boardroom to see who Trump would fire. Hint–it might not have been one of the candidates considering what he has been saying about Megyn Kelley and the other Fox correspondents. Among the most crude:

Trump was the center of attention from the start when the very first question was a show of hands  as to “who is unwilling tonight to pledge your support to the eventual nominee of the Republican party and pledge to not run an independent campaign against that person.” Only Donald Trump raised his hand. (Full transcript of the debate can be found here).

Donald Trump did make a great case for campaign finance reform:

I will tell you that our system is broken. I gave to many people, before this, before two months ago, I was a businessman. I give to everybody. When they call, I give.

And do you know what?

When I need something from them two years later, three years later, I call them, they are there for me.

QUESTION: So what did you get?

TRUMP: And that’s a broken system.

QUESTION: What did you get from Hillary Clinton and Nancy Pelosi?

TRUMP: Well, I’ll tell you what, with Hillary Clinton, I said be at my wedding and she came to my wedding.

You know why?

She didn’t have a choice because I gave. I gave to a foundation that, frankly, that foundation is supposed to do good. I didn’t know her money would be used on private jets going all over the world. It was.

Trump also restated his opposition to the Iraq war but flip-flopped on his previous support for a single payer system. Trump could have been the best candidate in the room if he hadn’t turned into a Tea Party clown.

There were some other moments when Republican candidates deserved credit. This includes Rand Paul criticizing both his fellow Republican candidates and Hillary Clinton for their policies which on sending more arms to middle east:

I’ve been fighting amidst a lot of opposition from both Hillary Clinton, as well as some Republicans who wanted to send arms to the allies of ISIS. ISIS rides around in a billion dollars worth of U.S. Humvees. It’s a disgrace. We’ve got to stop — we shouldn’t fund our enemies, for goodness sakes.

This was followed by John Kasich defending taking funds for the Medicaid expansion under Obamacare:

First of all, Megyn, you should know that — that President Reagan expanded Medicaid three or four times.

Secondly, I had an opportunity to bring resources back to Ohio to do what?

To treat the mentally ill. Ten thousand of them sit in our prisons. It costs $22,500 a year to keep them in prison. I’d rather get them their medication so they could lead a decent life.

Rand Paul made a another good point when he argued with Chris Christie over NSA surveillance:

The Fourth Amendment was what we fought the Revolution over! John Adams said it was the spark that led to our war for independence, and I’m proud of standing for the Bill of Rights, and I will continue to stand for the Bill of Rights.

Beyond this, we primarily learned from the debates that Republicans hate Barack Obama, Hillary Clinton, Obamacare, and Planned Parenthood.

I am looking forward to seeing Bernie Sanders debate Hillary Clinton on foreign military intervention and suppression of civil liberties. Clinton’s record on these topics does fit well in the GOP mainstream.

I am hesitant to write about winners because we have learned that the winner of a debate is not based upon the debate itself, but the perception of the candidates after people have listened to the talking heads in the days following the debate. This is further complicated with the Republican Party as most of their voters receive their thoughts from Fox. Criticism from the Fox commentators could make Donald Trump look like a loser, but so far he has managed to survive better than the pundits have predicted, and it is not looking like Fox will be successful against him.

From my perspective, which could be quite different from that of Fox, the winners were John Kasich and Marco Rubio. Kasich barely squeaked into the prime time debate, and the two debates did show that Kasich really did deserve to be there more than Rick Perry, who was excluded, possibly by fudging the results of the polls. Kasich and Jeb Bush looked the most stable in the group. Bush already has his position as top contender after Trump, but now Kasich might replace Scott Walker as the leading challenger to Bush and move into the top tier.

I also downgraded Bush for his discussion of his brother’s policies. It wasn’t faulty intelligence which got us in Iraq as he claimed, but his brother twisting the intelligence to justify the war he wanted to start. Jeb! also seemed oblivious to the fact that ISIS and the other problems now occurring in Iraq are due to his brother destabilizing the region. They all seemed oblivious, when talking about the deficit, to the fact that the deficit is a consequence of George W. Bush both fighting the war on credit and cutting taxes on the wealthy.

The other Republican who looked good, if you ignore his actual views, was Marco Rubio. He could make a good candidate in a television-based campaign. The entry of Trump into the race made it hard for candidates like Rubio to get attention, but he did get a shot at being noticed Thursday.

On the other hand, it seemed a battle throughout the evening between Mike Huckabee and Ted Cruz to be the most bat-shit candidate on stage, which was impressive considering that Donald Trump was on the same stage. I was edging towards awarding this to Huckabee, with lines such as, “The purpose of the military is kill people and break things,” until Cruz gave his closing statement, and clinched the title:

If I’m elected president, let me tell you about my first day in office. The first thing I intend to do is to rescind every illegal and unconstitutional executive action taken by Barack Obama.

The next thing I intend to do is instruct the Department of Justice to open an investigation into these videos and to prosecute Planned Parenthood for any criminal violations.

The next thing I intend to do is instruct the Department of Justice and the IRS to start (sic) persecuting religious liberty, and then intend to cancel the Iran deal, and finally move the U.S. embassy in Israel to Jerusalem.

I will keep my word. My father fled Cuba, and I will fight to defend liberty because my family knows what it’s like to lose it.

In contrast, Huckabee went for the laugh as opposed to Cruz’s tirade:

It seems like this election has been a whole lot about a person who’s very high in the polls, that doesn’t have a clue about how to govern.

A person who has been filled with scandals, and who could not lead, and, of course, I’m talking about Hillary Clinton.

So, in conclusion, Trump wins for continuing to totally dominate the discussion, Kasich and Rubio had smaller victories which might improve their position if the race should return to be about the more conventional candidates, and Cruz edged Huckabee for the scariest Republican in the room. Hillary Clinton and Bernie Sanders must really have felt happy seeing this debate and the caliber of candidate they might come up against in the general election.

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Jeb Bush Not As Transparent As He Claims

The revelations this week regarding Hillary Clinton’s use of private email (discussed here, here, and here) added to questions about her secrecy, opposition to transparency in government, and her character. Her actions also look remarkably foolish for a major candidate, especially considering how she had previously criticized Republicans in the Bush administration for the same actions. Her actions, and her poor response to the situation, have also reinforced concerns among some Democrats that Clinton is not a very good campaigner.

Initially it appeared that Jeb Bush had out-maneuvered her by recently releasing email from when he was Governor of Florida. Now CNN is reporting that Bush is exaggerating the transparency of his administration:

Bush has released hundreds of thousands of emails from the personal account he used during his eight years as governor in the name of transparency — and after public records requests for those emails. A Bush aide told NBC News that a number of his staffers and his general counsel’s office decided which emails to release.

But a CNN review of those emails turned up evidence a number of his official aides and family members also had email addresses housed at Jeb.org — and used them to conduct both official and political business — raising questions about how transparent that email dump ultimately was.

Of course Bush isn’t the only potential Republican candidate with email problems. Chris Christie’s administration had similar problems. Perhaps that is why Hillary Clinton thinks she can get away with primarily keeping quite about the whole thing.

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Clinton’s Use Of Private Email Suggests Democrats Need To Consider A Plan B For 2016

Clinton Email

The reports I discussed yesterday regarding Hillary Clinton using private email as Secretary of State are leading some, such as Frank Rich, to wonder if Democrats need a backup plan for 2016. A follow up story in The New York Times reports how Clinton used her private email to thwart requests for information, including requests from Congress and Freedom of Information requests from journalists. These ethical breaches by Hillary Clinton are of particular concern taking place so soon after scandals in the Bush administration regarding private use of email, making many liberals besides myself question why Clinton could have done something so foolish.

As The Guardian summarized the significance of the news:

It leaves Clinton vulnerable to at least three lines of criticism: that she potentially broke fundamental rules governing the handling and security of state secrets; that she skirted around guidelines put in place to ensure historical accountability and transparency within high public office; and the political attack that she must have had something to hide.

Perhaps the most serious accusation facing Clinton is that she may have breached one of the fundamental tenets of classified information. J William Leonard, former director of the body that keeps watch over executive branch secrets, the Information Security Oversight Office, told the Guardian that if Clinton had dealt with confidential government matters through her personal email, that would have been problematic. “There is no such thing as personal copies of classified information. All classified information belongs to the US government and it should never leave the control of the government.”

The Associated Press is considering legal action in response to her failure to respond to Freedom of Information Act requests for email:

The unusual practice of a Cabinet-level official running her own email server would have given Clinton — who is expected to run for president in the 2016 campaign — significant control over limiting access to her message archives.

It also would complicate the State Department’s legal responsibilities in finding and turning over official emails in response to any investigations, lawsuits or public records requests. The department would be the position of accepting Clinton’s assurances she was surrendering everything required that was in her control…

The AP said Wednesday it was considering taking legal action against the State Department for failing to turn over some emails covering Clinton’s tenure as the nation’s top diplomat after waiting more than one year. The department has failed to meet several self-imposed deadlines but has never suggested that it doesn’t possess all Clinton’s emails.

Having checked more coverage in the media and blogosphere since my initial post, I was pleased to see that most liberal bloggers I read did question Clinton’s conduct. For example, rather than a partisan defense Steve Benen‘s post raised the same objective points:

There’s no shortage of problematic angles to this. Obviously, there’s the question of transparency and compliance with the Federal Records Act. Clinton wasn’t the first Secretary of State to make use of a personal email account – Colin Powell did the same thing during his tenure in the Bush/Cheney administration – but preservation rules have changed and Clinton apparently faced more stringent requirements.
There’s also the matter of security: as Secretary of State, Clinton sent and received highly sensitive information on a daily basis, including classified materials, from officials around the world. By relying on private email, instead of an encrypted State Department account, Clinton may have created a security risk.

Other liberal bloggers have been far harder on Clinton.  Clinton is also receiving criticism on MSNBC, as opposed to the partisan defense we would expect in the reverse situation from Fox. Needless to say, conservatives tended to be quite critical, and  hypocritical, usually ignoring the comparable use of private email by many Republicans, including officials in the Bush administration, Chris Christie, and Sarah Palin.

It was disappointing but not surprising to see that the Clintonistas did quickly get some writers out to defend Clinton. Typically their defenses were no more honest than a report from Fox. Defenses of Clinton tended to concentrate on the arguing that Clinton did not actually break the law. This is definitely a case of moving the goal posts and possibly also incorrect. The initial articles raising these concerns did note that Clinton may have broken the law and with the complexity of the regulations involved avoided a definite conclusion, but it was her conduct and judgment, not whether she was in violation of the law, which is the heart of the issue.  The defenses of Clinton point out that Colin Powell used private email, but ignore the changes in regulations made in 2009 which “required that all emails be preserved as part of an agency’s record-keeping system.” Her defenders have also ignored the more stringent requirements put into place in 2011. As a consequence of these rules changes, John Kerry has used government email for his communications, as has Barack Obama since taking office in 2009.

Many of the other defenses of Clinton are rather trivial attacks on the journalist who wrote the story. The statements that these revelations came out as part of the Benghazi hearings is contradicted with finding a journalist who had reported on this previously. This is analogous to the debates as to who discovered America. Finding that someone had previously reported on Clinton’s private email does not change the substance of this story any more than discovering that Vikings beat Columbus to America substantially other facts regarding American  history post-Columbus.

The rapid release of such dishonest defenses of Clinton by her allies is yet another reason why I would hate to see Hillary Clinton as president. I have always been disturbed by the degree of secrecy when she was working on health care reform, her push for war against Iraq based upon fictitious claims of ties between Saddam and al Qaeda, along with many questionable statements I’ve heard from her over the years. Electing Clinton would be a great blow to honesty and transparency in government. Democrats should be able to do better.

There is no question that Clinton was at least skirting the rules in effect when she became Secretary of State, if not outright breaking them. Her honesty has already been a serious question. Someone with a reputation for dishonesty and lack of transparency should have realized that this would only make matters worse. Her credibility, already in question, will be even lower when there is always the question of secret emails looming. Republicans will be able to drag out their hearings on Benghazi even longer because of this. If she runs against Jeb Bush she would be on the defensive over transparency after the release of his emails. Clinton has never been a very good campaigner, and her lack of judgment in this matter only raise.

Update: Hillary Clinton On Private Email 2007 And 2015

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Conservatives Celebrate “Darwin Was Wrong Day”

Ken Ham believes that “Darwin Was Wrong Day” has been a big hit. It is not clear that it was a hit beyond thinking it is good that he is being mocked considerably on Twitter today. Declaring a day to claim a falsehood hardly makes it true, even if a number of right wing science-deniers were to back the day.

I imagine that next we will start seeing a whole new set of holidays from the anti-science/anti-fact right. These might include “Climate Change Is A Hoax Day,” “Cigarettes Do Not Cause Cancer Day,” “Ebola Can Become Airborne Day,” “Tax Cuts Pay For Themselves Day,” “Saddam Had WMD And Helped Osama bin Laden Day,” “Vaccines Cause Autism Day,” “Ban Abortion Because A Twenty-Week Fetus Can Feel Pain Day,” and “The Earth Is Flat Day.” In Texas, Rick Perry will proclaim “Texans Don’t Want Insurance Day.”

There is one group which might help Ken Ham celebrate “Darwin Was Wrong Day.” Denial of evolution is popular among the current group of potential Republican nominees, with Scott Walker being the latest Republican to look foolish on evolution. Salon looked at the views of all the candidates after summarizing the overall anti-scientific mood of the Republican candidates:

From climate change to vaccines to the theory of evolution, much of the Republican Party has made clear that it’s not exactly enamored of modern science. This anti-intellectualism can take a few forms: Republicans may flatly reject empirical evidence. They may accept parts or all of the evidence, but with major caveats — the climate is warming, but humans aren’t causing it; vaccines work, but parents should have the right to opt their children out of them; evolution occurred, but it should be taught alongside creationism in public schools. Or, like Wisconsin Gov. Scott Walker, they take the “I’m not a scientist” tack, and simply decline to state their views.

Asked during a trade mission to London today whether he accepts evolution, Walker replied, “I’m going to punt on that one… That’s a question a politician shouldn’t be involved in one way or another.” The Boston Globe’s Matt Viser quipped that following Chris Christie’s disastrous trip across the pond, during which the New Jersey governor said that “parents need to have some measure of choice” in whether to vaccinate their children, Walker seemed to have learned that the best approach is to stay mum on such topics.

But Walker’s refusal to indicate whether he accepts a fundamental tenet of biology underscores the GOP’s tortured relationship with science, not least on evolution. With Walker and other GOP hopefuls gearing up to launch their 2016 campaigns, Salon now provides you with a comprehensive guide to where the Republican candidates stand on the origin of life.

Check out the full article for the break-down by candidate. While there is a range in how much each candidate is on the record denying science, not a single one of the potential Republican candidates is willing to say they accept the science regarding in evolution without qualifications.

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Measles Outbreak Shows How Republicans Have A Serious Problem With Science And Facts

Statements from many prominent Republicans, including Chris Christie and Rand Paul, on the measles outbreak have served to remind people that Republicans really are the Party of Stupid. This follows recent problems with Republicans ignoring the science to promote hysteria in response to Ebola.  As The New York Times wrote:

The vaccination controversy is a twist on an old problem for the Republican Party: how to approach matters that have largely been settled among scientists but are not widely accepted by conservatives.

It is a dance Republican candidates often do when they hedge their answers about whether evolution should be taught in schools. It is what makes the fight over global warming such a liability for their party, and what led last year to a widely criticized response to the Ebola scare.

As concern spread about an Ebola outbreak in the United States, physicians criticized Republican lawmakers — including Mr. Christie — who called for strict quarantines of people who may have been exposed to the virus. In some cases, Republicans proposed banning people who had been to the hardest-hit West African countries from entering the United States, even though public health officials warned that would only make it more difficult to stop Ebola’s spread.

On climate change, the party has struggled with how to position itself, with some Republicans inviting mockery for questioning the established science that human activity is contributing to rising temperatures and sea levels.

There are two types of misinformation being spread by conservatives regarding vaccines. The most extreme is to deny the basic science, claiming that vaccines do not work or are harmful. Some limit their arguments to denying the public health dangers resulting when some people refuse to vaccinate their children, often on libertarian grounds. While herd immunity has generally protected Americans from the effects of some refusing vaccines, the current measles outbreak shows what can happen. This also highlights a major problem with libertarianism. Sometimes, as even Fox’s Megyn Kelly has argued, “some things do require some involvement of Big Brother.”

It is also hard for Chris Christie to hide behind any libertarian justification for allowing parents to refuse to vaccinate their children after he involuntarily quarantined nurse Kaci Hickox despite the lack of either legal or medical justification.

It does make it much worse for the Republicans when they show similar problems with science and facts on other issues, not limited to evolution, climate change, vaccines, and Ebola. As I discussed yesterday, Republicans are also basing their attempts to restrict abortion rights on pseudo-science, such as claiming that a fetus can feel pain before it has developed a cerebral cortex, and framing the debate around unscientific claims that there is a definite point when life begins.

While economics is not as exact a science, there is ample data which disputes Republican Voodoo Economics. Tax cuts on the wealthy do not pay for themselves, do not stimulate the economy, and do not lead to wealth trickling down. The multiplier effect of government spending on economic development, along with the benefits of giving tax breaks to the poor and middle class, as opposed to the wealthy, often provide far greater benefit. These are among the reasons that the economy does so much better under Democrats than Republicans.

We are still seeing the disastrous effects of Republicans ignoring the facts in Iraq to go to war.

Facts matter, and Republican denial of the facts do not change this. What does happen is that we all suffer when Republicans decide public policy while denying science and facts.

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The Republicans Now Have A God Problem

If you listen to Republicans, they are running to uphold moral values based upon Christianity. Many Republican candidates in the past have even claimed that god wanted them to run, and have cited god to justify their policies. Suddenly it is no longer the case that the Republicans are running on god’s platform. Amy Davidson looked at God and the GOP at The New Yorker:

Indeed, other potential G.O.P. candidates are now having to recalculate how another religion figures into the equation. There has never been a Catholic Republican nominee for the White House (the Mormons, interestingly, got there first), although there may be one this year, with a field that includes Rick Santorum, Chris Christie, and Jeb Bush, who converted to Catholicism, his wife’s faith, some twenty years ago. For them, the issue is not one of religious bigotry, such as John F. Kennedy faced in his 1960 campaign, with insinuations of adherence to secret Papist instructions. In a way, it’s the opposite: the very public agenda of the all too authentic Pope Francis.

Early signs of trouble came in the summer of 2013, when the new Pope, speaking with reporters about gays in the Church, asked, “Who am I to judge?” The conservative wing of the Party had relied on his predecessors to do just that. Then he proved much less reticent about issuing a verdict on capitalism. In an apostolic exhortation issued at the end of 2013, he labelled trickle-down economic theories “crude and naïve.” The problems of the poor, he said, had to be “radically resolved by rejecting the absolute autonomy of markets and financial speculation and by attacking the structural causes of inequality.” That went quite a ways beyond the sort of tepid proposals for job creation and “family formation” that Romney made on the Midway, and the response from Republicans has involved a certain amount of rationalization. “The guy is from Argentina—they haven’t had real capitalism,” Paul Ryan, Romney’s former running mate, and a Catholic, said.

“It’s sometimes very difficult to listen to the Pope,” Santorum noted last month, after Francis, in remarks about “responsible parenting”—widely interpreted as an opening for a discussion on family planning—said that there was no need for Catholics to be “like rabbits.” Santorum echoed Ryan’s suggestion that Argentine exceptionalism might be at work: “I don’t know what the Pope was referring to there. Maybe he’s speaking to people in the Third World.” On that front, when it emerged that Francis had been instrumental in the diplomatic breakthrough with Cuba, Jeb Bush criticized the deal, and Senator Marco Rubio, also a Catholic, said that he’d like the Pope to “take up the cause of freedom and democracy.”

As if all that weren’t enough, His Holiness is preparing an encyclical on climate change, to be released in advance of his visit to the United States later this year. In January, he said of global warming, “For the most part, it is man who continuously slaps down nature.” Stephen Moore, of the Heritage Foundation, has written, “On the environment, the pope has allied himself with the far left.” Actually, Francis is very much in the center in terms of scientific opinion, but the leading potential G.O.P. contenders, with the possible exception of Christie, sit somewhere on the climate-change-denial-passivity spectrum—Jeb Bush has said that he is a “skeptic” as to whether the problem is man-made.

In recent decades, liberal Catholic politicians were the ones with a papal problem; both Mario Cuomo and John Kerry had to reckon with the prospect of excommunication for their support of abortion-rights laws. John Paul II, meanwhile, was a favorite of conservatives; despite his often subtle views, he became at times little more than a symbol of anti-Communism and a certain set of social strictures. He cemented an alliance, in the political realm, between conservative Catholics and evangelicals. (Rubio also attends an evangelical church.) Abortion was a significant part of that story. By contrast, the Franciscan moment will push some Republican candidates to make decisions and to have conversations that they would rather avoid.

It will also offer a chance to address the knotty American idea that faith is an incontrovertible component of political authenticity. (Why is the Romney who thinks about God the “real” one?) The corollary should be that nothing is as inauthentic as faith that is only opportunistically professed, something that this Pope, who has extended a hand to atheists, seems to know. Still, the campaign will be defined not by theological questions but by political ones, prominent among them inequality and climate change. Both can have spiritual dimensions and speak to moral issues, such as our obligations to one another. But neither can be solved by faith alone.

For those who buy the false claims which have come from some Republicans in the past that the United States was founded as a Christian nation, it might conceivably cause some problems to see Republican candidates at odds with the Pope’s views on religion. While this could be amusing, most likely it won’t matter. The Republican base, which never allows facts to get in the way of their beliefs, sure aren’t going to alter their view based upon what the Pope says. We have seen how willing they are to ignore science when it conflicts with their views on evolution, climate change, or abortion. Republicans also don’t allow economic data which shows that their beliefs (essentially held as a religion) on economics are total hogwash interfere with this religion, no matter how often the economy performs better under Democrats than Republicans. Still, Republicans who could never justify their policies based upon facts, might lose even more legitimacy when they also lose religious justification for their policies.

While most people, or at least those who respect the desire of the founding fathers to establish a secular state, would not use religious views as justification for public policy decisions, there will at least be a bit of satisfaction in seeing Republicans lose even this basis to justify their absurd positions.

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Clinton v. Bush, Again?

Clinton Bush

A lot can change between now and when the two major political parties pick their nominees, but it is looking increasingly like we might face another Clinton v. Bush campaign. Larry Sabato, while acknowledging that there are factors which could cause him to lose, has placed Jeb Bush alone in his top tier of Republican nominees:

So for the first time in a while, we elevate a candidate to the First Tier of the Crystal Ball’s GOP rankings for president. Jeb Bush fills a long-established vacuum. Our decision is tentative; his poll ratings are still underwhelming, and Bush is a shaky frontrunner. Yet Bush is No. 1 on a giant roster as we begin the long roller-coaster process of picking the party nominees over the next year and a half.

We are amazed that Republicans could nominate their third Bush for a fifth run at the White House since 1988. Such family dominance of either major party is unprecedented in American history, unless you want to link Republican Teddy Roosevelt’s one nomination (1904) with Democrat Franklin Roosevelt’s four nominations (1932-1944). The Roosevelt presidencies were separated by party labels and 24 years. The Bush presidencies, should Jeb win it all, will have been separated by just eight-year intervals.

By no means is Bush a sure thing — far from it. The path to the nomination will likely be tougher for this Bush than it was for his father in 1988 and brother in 2000. The party establishment is still a force to be reckoned with, but nowhere near as dominant in the GOP of 2015 as it was in those earlier times.

Currently, more than three-quarters of Republicans want someone other than Bush. The frontrunner depends on a split in conservative ranks — which appears to be happening — as well as a concerted push by the party’s establishment leaders and donors to freeze out Bush alternatives (including Mitt Romney, Marco Rubio, Chris Christie, Scott Walker, and John Kasich). We’ve always doubted Romney would run unless the pragmatists in the leadership and donor class deemed a rescue mission essential; right now, they do not. The remaining Bush alternatives are still in the game, though.

After Bush, Sabato has Rand Paul, Scott Walker, and Chris Christie in the second tier, with other candidates ranked down to a seventh tier. Mike Huckabee, who has also taken recent action towards a possible campaign, is in the third tier along with Ted Cruz and Ben Carson. My Governor, Rick Snyder of Michigan is in the fourth tier. He is likely the least bat-shit crazy of the bunch, but I fear that even if he was president he would acquiesce to far too much from a Republican Congress, as he sometimes does with the bat-shit crazy Michigan legislature. Snyder originally won the Republican nomination for Governor because of support from Democrats in 2010 when he looked like the lesser evil when it was apparent that a Republican was going to win.

With three-quarters of Republicans wanting someone other than Bush, it certainly seems possible that another candidate could emerge. While there is some sentiment among Democrats for someone other than Clinton, there do not appear to be any serious challengers at this point.

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Court Rules Against Quarantine Of Hickox Representing A Victory For Science And Civil Liberties

A judge in Maine has ruled against the quarantine of Kaci Hickox which the governor of Maine has attempted to impose, agreeing with the medical evidence that Hickox “currently does not show symptoms of Ebola and is therefore not infectious.” This is a victory for Hickox personally, along with a victory for both science and civil liberties.

The politicization of Ebola has demonstrated the usual divisions between left and right in this country. As on so many other issues, the right wing has rejected scientific findings, distorted scientific information which conflicted with their political goals, and ignored the rights of the individual. This also provides another example of the emptiness of Republican claims of wanting to keep government out of health care decisions.

While the media has concentrated on a small number of people who have returned from West Africa, Médecins Sans Frontières (Doctors Without Borders) has had a staff of over 3300. Of these 3300 MSF staffers, only 23 have contracted Ebola. The staff includes over 700 who came to West Africa from other nations with only one developing symptoms of Ebola after he returned home.The one doctor who did return to New York subsequently followed protocols for continued monitoring and was hospitalized prior to spreading the infection to anyone else.

With these odds, there is no justification in assuming that Hickox, or any other medical worker, is infected with Ebola merely due to having worked in the affected nations. People who are infected have a very low viral load early and do not spread the disease until after they exhibit symptoms, which Hickox has not done. It is becoming increasingly unlikely that she will. While a twenty-one incubation period is commonly cited by the media, and should be used as a precaution, in reality the vast majority of patients exhibit symptoms in six to twelve days. Monitoring for twenty-one days provides an ample additional margin of safety to the public.

While some Republicans have played politics with the issue and, as happens far too often, some Democrats such as Andrew Cuomo initially acquiesced in fear, the guidelines from the CDC and precautions already in effect are sufficient to protect the public and, to err on the side of safety, call for greater restrictions than are necessary based upon the science. There is no need for politicians to go beyond these precautions and unjustly restrict the civil liberties of Americans. The monitoring protocols already in place from Doctors Without Borders can be seen here.

In response to the controversy engendered by those who have been ignoring the science, the American Nurses Association released this statement on October 29:

The American Nurses Association (ANA) opposes the mandatory quarantine of health care professionals who return to the United States from West African nations where Ebola is widespread. ANA supports registered nurse Kaci Hickox, who recently returned to the United States after treating Ebola patients in Sierra Leone, in her challenge of a 21-day quarantine imposed by state officials in Maine, her home state. Hickox arrived at Newark airport on Oct. 24 and was immediately quarantined in a hospital tent by New Jersey state officials, who eventually allowed her to travel to Maine via private transport on Oct. 27. After testing negative twice for Ebola, nurse Hickox, who continues to be symptom free, poses no public threat yet is restricted to her home.

ANA, along with the American Hospital Association and American Medical Association, supports the Centers for Disease Control and Prevention’s (CDC) guidance based on the best available scientific evidence. The CDC guidance would not require a mandatory 21-day quarantine of Hickox given risk levels outlined by the CDC in her particular case. ANA urges authorities to refrain from imposing more restrictive conditions than indicated in the CDC guidelines, which will only raise the level of fear and misinformation that currently exists.

ANA supports a policy of appropriate monitoring for health care workers who have cared for or been in contact with patients with Ebola. Those who are not exhibiting symptoms of illness consistent with Ebola do not require quarantine. Monitoring should follow recommendations outlined by the CDC based on risk levels and the presence or absence of symptoms, including regular monitoring of body temperature and oversight by a public health agency. If symptoms do occur, the appropriate next step is isolation and transport to a medical facility for further evaluation. ANA seeks to balance protection of public health and safety with individual liberties. Policies to protect the public from the transmission of Ebola must be based on evidence and science, not fear.

Mandatory quarantine for individuals who do not have symptoms or risk factors is not backed by science. Such actions undermine efforts to recruit sufficient numbers of volunteer nurses and other health care professionals, who are essential to help contain the spread of the disease in West Africa.

ANA’s position emphasizing evidence and science as the foundation for decision-making extends to proposals to ban travel to the United States from West African nations affected by the Ebola outbreak. There is no evidence to suggest that a travel ban would be effective; public health experts oppose it. In fact, a ban could be counterproductive, encouraging individuals to try to circumvent reporting and other systems. ANA supports the current requirement that those traveling to the U.S. from affected nations in West Africa, including health care professionals who have provided care to Ebola patients, once they have passed initial screening, engage in monitoring according to CDC guidelines and reporting to their respective public health agencies.”

Multiple other medical organizations have issued statements in opposition to imposing quarantines including the American Medical Association, the Infectious Diseases Society of America, and the Association for Professionals in Infection Control and Epidemiology.

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Kaci Hickox Is A Hero–Now On Two Counts

Kaci Hickox is a hero. First for volunteering to help treat Ebola patients, as eradicating Ebola in West Africa is the only way to handle this disease. She became a hero again for standing up to unjust restrictions upon her civil liberties upon returning home and supporting the concept of making political decisions based upon science and reason as opposed to giving in to public hysteria.

It was Hickox’s protests which forced Governors Christie and Cuomo to back away from guidelines policies which were both unnecessary and counterproductive. Some state governments are still going beyond the extremely cautious CDC guidelines with policies such as home quarantine of individuals who show no sign of the disease for twenty-one days. We know that this is unnecessary based both upon our knowledge of how the Ebola virus is transmitted and based upon our experience to date.  Ebola is not contagious early in the disease and is not transmitted by casual contact. While highly contagious when people are having symptoms such as projectile vomiting and uncontrolled diarrhea, those who do not have symptoms are not contagious. People with Ebola do not yet pose a danger of spreading the disease when they initially reach the CDC’s threshold of a fever of 101.4 degrees, and they certainly are not contagious before reaching this point.

We have seen one patient in Texas be released in error by an Emergency Room and return to the community. We have seen a nurse later revealed to be infected with Ebola fly with a low grade fever. We have had a doctor traveling around a city as densely populated as New York City just prior to meeting criteria for isolation. Not a single person has contracted Ebola due to contact with these individuals. That is the nature of the disease.

Kaci Hickox, well aware of the science, has stated she plans to fight the involuntary home quarantine being imposed:

“I will go to court to attain my freedom,” Hickox told “Good Morning America” today via Skype from her hometown of Fort Kent, Maine. “I have been completely asymptomatic since I’ve been here. I feel absolutely great.”

One of her attorney’s explained her legal position:

New York civil rights lawyer Norman Siegel, said she would contest any potential court order requiring her quarantine at home.

“The conditions that the state of Maine is now requiring Kaci to comply with are unconstitutional and illegal and there is no justification for the state of Maine to infringe on her liberty,” he said.

Hickox will abide by daily monitoring, as recommended the by updated guidelines released Monday by the federal Centers for Disease Control and Prevention, Hyman said. She has been in regular contact with state health officials, Siegel said.

U.S. CDC Director Tom Frieden called for isolation of people at the highest risk for Ebola infection but said most medical workers returning from the three African nations at the center of the epidemic — Sierra Leone, Liberia and Guinea — would require daily monitoring without isolation.

The new guidelines recommend considering isolation only for individuals exposed to Ebola who show symptoms. Those with no signs of illness should be monitored for 21 days after the last potential exposure, with symptom-free individuals at the highest risk subject to “restricted movement within the community” and no travel on public transportation, according to the guidelines…

“She understands the nature of the disease, she treated it,” Hyman said. “She understands the nature of the risk.”

The American Civil Liberties Union has posted an article on the over-reaction to Ebola coming from some politicians, in contrast to the more rational guidelines proposed by the Center for Disease Control and the Obama administration:

One over-reaction to the disease that has emerged is a proposal for a blanket travel ban from the affected countries in West Africa. Public health experts say that such bans are not necessary, would not be effective, and would be a poor use of resources. Worse still, experts say they would most likely make matters worse by further isolating the countries where the outbreak is taking place, worsening the situation in those countries and therefore the threat to the United States. Travel bans “hinder relief and response efforts risking further international spread,” as the World Health Organization warned. Experts say such bans would also inevitably drive travelers underground, making it difficult to retrace the path of a disease when a case does appear.

Proposals to close the border to all travelers from affected nations are not a scientifically and medically legitimate exercise of government power and therefore would be arbitrary and discriminatory whether applied to citizens or non-citizens.

Now, of course, we are also seeing the questionable use of quarantine powers in some states. Medical experts have opposed such steps given that Ebola is not transmissible until after a fever begins and is not a highly transmissible disease generally, and given that individuals have strong incentives to carefully monitor themselves. Doctors Without Borders, for example, has condemned these quarantines as a threat to its battle against the disease in Africa. It cites the effect the quarantines will have in deterring doctors and nurses from taking the already remarkably brave step of entering the fight against the disease—and in stigmatizing them when they do. In short such quarantines threaten to weaken the most effective weapon we have in stopping the disease at its source. (It’s also shameful to treat returning health care workers, who have put their own lives at risk to help others, as anything less than heroes.)

Where individuals cooperate with the authorities in allowing close monitoring of their health and other reasonable precautions, the imposition of quarantines on those without symptoms appears to be driven by politics rather than science, and therefore raises serious civil liberties concerns.

While some political leaders have acted out of fear, Obama Administration officials deserve praise for largely sticking to science and not caving in to some of the fear mongering that is swirling around them. The White House has prioritized medicine over politics. It has resisted calls for travel bans, tried to persuade the governors of New Jersey and New York to reconsider their quarantines, and has largely followed the advice of public health experts in the recommendations that they have made. The Administration has also taken helpful steps such as expediting emergency FDA authorization for the use of new machines for rapid detection of the Ebola virus—which could allow detection of the disease before symptoms appear.

In fact, the Obama Administration has a history of good policy on communicable diseases. As we described in a 2009 white paper on that year’s H1N1 flu scare, the Administration acted calmly and appropriately in response to that epidemic, and overall, President Obama has turned away from his predecessor’s military/law enforcement approach to fighting disease, which we criticized in detail in our 2008 report on pandemic preparedness.

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Arguing Against Counterproductive Hysteria Over Ebola

While the outbreak of Ebola began in West Africa about ten months ago, we have now had only nine patients with Ebola in this country. Most were brought in for treatment after contracting it elsewhere. One is currently undergoing treatment. One died. All the rest have recovered. There have been zero cases of transmission in the general population but two nurses have become infected while treating the patient who died.

There is a remarkable amount of hysteria in this country for a disease which has had so little actual impact. Some of this is natural fear, seeing how less developed nations have been affected, and some is due to hysteria being generated by Republican politicians for political gain. Unfortunately the proposals made by Republicans would be counterproductive, making it harder to treat Ebola at its source. Eliminating Ebola in West Africa is the only way to eliminate the problem and prevent further spread.

This is also turning out to be a learning experience, at least for those who respect science and are willing to consider the facts. In terms of treatment, hospitals around the country have learned from the mistakes made in Texas, and these are not likley to be repeated.

In terms of the political reaction, there are many sources which are trying to counter the over-reaction with reason. As we have seen on so many issues, some will pay attention to the facts, and others won’t.

The New England Journal of Medicine has released their editorial for next week’s issue, which includes a repetition of how Ebola is transmitted and the dangers of over-reaction:

The governors of a number of states, including New York and New Jersey, recently imposed 21-day quarantines on health care workers returning to the United States from regions of the world where they may have cared for patients with Ebola virus disease. We understand their motivation for this policy — to protect the citizens of their states from contracting this often-fatal illness. This approach, however, is not scientifically based, is unfair and unwise, and will impede essential efforts to stop these awful outbreaks of Ebola disease at their source, which is the only satisfactory goal. The governors’ action is like driving a carpet tack with a sledgehammer: it gets the job done but overall is more destructive than beneficial.

Health care professionals treating patients with this illness have learned that transmission arises from contact with bodily fluids of a person who is symptomatic — that is, has a fever, vomiting, diarrhea, and malaise. We have very strong reason to believe that transmission occurs when the viral load in bodily fluids is high, on the order of millions of virions per microliter. This recognition has led to the dictum that an asymptomatic person is not contagious; field experience in West Africa has shown that conclusion to be valid. Therefore, an asymptomatic health care worker returning from treating patients with Ebola, even if he or she were infected, would not be contagious. Furthermore, we now know that fever precedes the contagious stage, allowing workers who are unknowingly infected to identify themselves before they become a threat to their community. This understanding is based on more than clinical observation: the sensitive blood polymerase-chain-reaction (PCR) test for Ebola is often negative on the day when fever or other symptoms begin and only becomes reliably positive 2 to 3 days after symptom onset. This point is supported by the fact that of the nurses caring for Thomas Eric Duncan, the man who died from Ebola virus disease in Texas in October, only those who cared for him at the end of his life, when the number of virions he was shedding was likely to be very high, became infected. Notably, Duncan’s family members who were living in the same household for days as he was at the start of his illness did not become infected…

The American College of Physicians has made the same argument:

The American College of Physicians is strongly concerned about the approach being taken by some state health departments to impose strict, mandatory quarantines for all physicians, nurses, and other health professionals returning from West Africa, regardless of whether they are showing symptoms of Ebola virus infection. ACP agrees that physicians and other health professionals must take the necessary precautions to ensure the safety of others and prevent the spread of infection. However, the College maintains that mandatory quarantines for asymptomatic physicians, nurses and other clinicians, who have been involved in the treatment of Ebola patients, whether in the United States or abroad, are not supported by accepted evidence on the most effective means to control spread of this infectious disease. Instead, such mandatory quarantines may do more harm than good by creating additional barriers to effective treatment of patients with Ebola and impede global efforts to contain and ultimately prevent further spread of the disease…

Some newspapers, such as The New York Times, have repeated these arguments for a larger audience:

The Dangers of Quarantines

Ebola Policies Made in Panic Cause More Damage

… two ambitious governors — Chris Christie of New Jersey and Andrew Cuomo of New York — fed panic by imposing a new policy of mandatory quarantines for all health care workers returning from the Ebola-stricken countries of West Africa through John F. Kennedy and Newark Liberty international airports. There is absolutely no public health justification for mandatory quarantines…

Lost in this grandstanding was one essential point. The danger to the public in New York in the case of Dr. Craig Spencer, who had worked in Guinea for Doctors Without Borders, was close to nonexistent. Health experts are virtually unanimous in declaring that people infected with the virus do not become contagious until after they develop a fever or other symptoms, such as diarrhea, vomiting, or severe headaches, at which time they need to be hospitalized and taken out of circulation.

Health care workers like Dr. Spencer know that it is in their interest to ensure that — if symptoms do arise — they get care quickly to improve their chances of survival and to reduce the risk of infecting their friends and families. Dr. Spencer reported his temperature promptly when it was a low-grade fever of a 100.3 degrees and was rushed to Bellevue Hospital Center for isolation and treatment while his fiancée and two friends were put into voluntary isolation…

The problem with a mandatory quarantine, even if done at home, is that it can discourage heath care workers from volunteering to fight the virus at its source in West Africa. Doctors Without Borders, the nongovernmental organization that has led the battle there, typically sends its workers on arduous four- to six-week assignments. The risk of being quarantined for another 21 days upon return has already prompted some people to reduce their length of time in the field and may discourage others from volunteering in the first place…

Fortunately the response has been more rational at the federal than state level, including the statement from Barack Obama earlier today, pointing out that “If we don’t have robust international response in West Africa, then we are actually endangering ourselves here back home.”

President Obama pledged support for health care and aid workers in West Africa Tuesday, saying new rules for monitoring them for Ebola once they return to the United States would be “sensible and based on science.”

Obama gave brief remarks on the federal response to the disease after speaking with U.S. aid workers on the front lines of battling Ebola in West Africa.

“They’re doing God’s work over there, and they’re doing that to keep us safe, and I want to make sure that every policy we put in place is supportive of their efforts. Because if they are successful, then we’re not going to have to worry about Ebola here at home.”

Besides being counterproductive, there are civil liberties concerns when the government forcibly quarantines people who do not have the disease or who are not contagious.

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