Skynet Medical


You would think there hadn’t been 50 years of science fiction books and movies warning us what happens when you let the computers take over.

This is an open thread. See y’all this evening.

The Skynet Funding Bill is passed. The system goes on-line August 4th, 1997. Human decisions are removed from strategic defense. Skynet begins to learn at a geometric rate. It becomes self-aware at 2:14 a.m. Eastern time, August 29th. In a panic, they try to pull the plug.


Technology Is Not Magic

Giant-Sawbones


From The Mystery Of Ezra Klein by Mickey Kaus:

The Education of Ezra Klein (and Barack Obama) continues: In 2007, Young Ezra Klein was full of enthusiasm about the cost-saving potential of electronic record keeping in the health industry. The failure to rapidly adopt this new technology was nothing less than an indictment of the American Way of Medicine:

I’ve never read a compelling explanation of why the nation’s doctors and hospitals haven’t broadly adopted electronic medical records. It’s not as if they’re allergic to technology. At this point, cardiovascular care employs every strategy but astral projection to keep our in rhythm. It’s not as if it wouldn’t be cheaper and easier for them. …

That all these factors haven’t spurred our private providers to incorporate such broadly appreciated technology should be one of our first signs that American medicine is not responding to the incentives we’d expect.

[...]

Comes now the RAND corporation to tell us that the projected cost-saving benefits of electronic medical records have not materialized. From the NYT‘s report:

But evidence of significant savings is scant, and there is increasing concern that electronic records have actually added to costs by making it easier to bill more for some services.

It turns out that electronic records allow hospitals to easily “upcode” procedures, charging more for them, while removing some of the hassle of ordering expensive tests. As Groopman and Hartzband note, the most common kind of costly medical error is misdiagnosis–and those misdiagnoses are now spread far and wide at the speed of electricity rather than carbon paper. Doctors may also be discovering something Microsoft employees discovered long ago: computers allow the exponential proliferation of bureaucratic paperwork. You don’t even need the paper.


This is one of those “I don’t get it” things. I have been hearing for years how computers and the internet would revolutionize medicine, and I guess it has in some ways. But I never understood exactly how electronic record keeping could really save a whole lot of money.

Doctors still have to examine patients. They still order tests. Old tests might be useful for comparison but new tests will still be necessary. There will still be record keeping, and I would expect most doctors to keep hard copies of all their records. But even if doctors went completely paperless how much could that really save?

No matter how you store records someone still has to read them. Even worse, the potential for a misdiagnosis (or a mis-keyed diagnosis) to come back to haunt the patient at a later date increases.

You cannot accurately predict the effect of new technologies. Computers and the internet revolutionized the legal profession, especially in regard to research and writing. But lawyers didn’t get any cheaper.

Technology is not magic.


This is your brain on Kool-Aid


Crazy Joe Cannon:

Papa John’s Pizza goes COMMIE!

A couple of weeks ago, Papa John’s Pizza CEO John Schnatter made headlines when he said that he would have to cut back hours and/or raise prices on his products in order to pay for Obamacare. The price rise threat never made much sense: New health care regulations will cost the company (says Schnatter) between five and eight million bucks per year, which he can cover with a price rise of four cents per pie. Besides, I was always under the impression that, under capitalism, prices are determined by competition.

Well, I’ve been doing some research. Turns out that Papa Johns operates in a place called Canada, where Big Obtrusive Nanny State Gummint offers — get this — full, socialized health coverage. And yet the restaurants seem to be doing well!

[...]

Now that we’ve exposed Schnatter, I think we can point to another deep cover Marxist agent: John Metz, who operates 40 Denny’s restaurants in Florida. He told the media that he was going to add a five percent “Obamacare” surcharge to the bill. Are you wondering how a price rise of a few cents could turn into a five percent surcharge? Well, y’see, that was all part of Comrade Metz’ scheme to fool the public into believing that Denny’s favors capitalism.

Turns out that Dennys is also open for business in Red Canada, the hellish wasteland where the Bolshevik hordes crucified John Galt. The company seems able to run restaurants (now serving “Frodo’s Pot Roast Skillet”) despite the menace of socialized medicine.


One little problem with Joe’s theory: Canadian Health Care is not connected to employment. It is paid for from income taxes. Employers contribute nothing.

But other than that, he’s dead on. The Canuckistanis are big ol’ commies. (The main color in Canada’s flag is red, right?)


People need health care, not health care insurance


Fareed Zakaria:

Curbing the cost of health care

Many liberals believe that the Affordable Care Act — Obamacare — is unpopular only because most Americans don’t understand it. There is some truth to this: Studies show that the core provisions of the bill are more popular than the bill itself. But there’s also a reason, rooted in reality, why many Americans worry about Obamacare — its cost.

Most Americans have health care. What they worry about is the cost of insuring 20 million to 30 million more people. Unless the meteoric rise of health-care costs is slowed, a big expansion of coverage might well remain unpopular, no matter how it is explained.

Republican alternatives to Obamacare, such as Rep. Paul Ryan’s plan, don’t bother with expanding coverage, which is a mistake because they leave in place a broken insurance model in which people can freeload. But most do have a strategy to control costs — get consumers to pay for more of their health care. The basic idea is intuitively appealing. Markets produce efficiencies; they presumably would do the same thing in health care.


People aren’t “freeloading”, they are opting out. If you are young and healthy and only see the doctor for annual check-ups and occasional minor injuries and illnesses, paying $1000 month for health insurance is a bad bet. Whether we privatize or socialize the cost of health care we still need to control it.

We spend twice as much (or more) per capita on health care as other industrialized nations. ObamacareTax does nothing to address that disparity. The problem isn’t that health care is inaccessible, it’s that it’s unaffordable.


Busted


Gateway Pundit:

Democrats told us Obamacare was not a tax.
Then they argued in front of the Supreme Court that it was a tax.
Now they want to tell us again that Obamacare is not a tax.

Jack Lew, the Obama White House Chief of Staff, was trying to persuade Chris Wallace on FOX News Sunday that Obamacare was not a tax. But it didn’t work out so well for Lew when Wallace played audio of the Obama lawyer arguing that Obamacare was a tax in front of the Supreme Court.

Lew was stunned after being caught in the lie.


Obamacare = ObamacareTax


Repeal Obamacare


Election day is November 6th.



BREAKING NEWS – OBAMACARE RULED CONSTITUTIONAL


The U.S. Supreme Court ruled that the insurance mandate in the Affordable Care Act is constitutional.

Today is the big day!


Shortly after 10 am Eastern time today the fate of Obamacare will be announced.

I’m gonna go out on a limb and predict that SCOTUS will strike down the mandate as unconstitutional. That’s a death sentence even if they don’t throw out the rest of the Affordable Care Act.

I freely admit that I may be guilty of wishful thinking. I think Obamacare is a bad program and Congress needs to start over and do it right. Either way it will not be good for Obama.

There are a lot of opinions flying around about this topic, but like I said a long time ago there are only five opinions that count. Those five opinions belong to whoever makes up the majority of the Supreme Court decision.

Supreme Court justices serve as long as they want to. They can’t be fired, and though technically they can be impeached as a practical matter they are untouchable. We can’t even cut their pay.

They are literally a law unto themselves. They make their own rules and follow or ignore those rules as they please. They aren’t bound by precedent, and they have on more than one occasion reversed earlier rulings. The rules of ethics don’t apply to them.

They choose what cases they will hear and ignore the rest.

But they are, by far, the smallest branch of our federal government. They have no means of enforcing their rulings. Besides themselves they have only some clerks and administrative staff, as well as some bailiffs to protect them and keep order.

So why do we listen to them?

Tradition. Because the system works, mostly. Because nobody has come up with a better way.

Thomas Paine said, “In America the law is king.” Those nine black-robed justices are the king’s high priests. Or, as the late Justice Robert H. Jackson once said, “We are not final because we are infallible, but we are infallible only because we are final.


Ezra Klein is an idiot


Ezra Klein:

How Republicans made it possible for the Supreme Court to rule against the mandate

But permission structures aren’t just for elections. Over the past two years, the Republican Party has slowly been building a permission structure for the five Republicans on the Supreme Court to feel comfortable doing something nobody thought they could do: Violate the existing understanding of the Commerce Clause and, in perhaps the most significant moment of judicial activism since the New Deal, overturn either all or part of the Affordable Care Act.

The first step was, perhaps, the hardest: The Republican Party had to take an official and unanimous stand against the wisdom and constitutionality of the individual mandate. Typically, it’s not that difficult for the opposition party to oppose the least popular element in the majority party’s largest initiative. But the individual mandate was a policy idea Republicans had thought of in the late-1980s and supported for two decades. They had, in effect, to convince every Republican to say that the policy they had been supporting was an unconstitutional assault on liberty.

[...]

When this campaign began, it was unthinkable that the Supreme Court would indulge it, even if some on the Supreme Court were sympathetic to its aims. “There is a less than one-per-cent chance that the courts will invalidate the individual mandate,” Kerr said at the time. Today, it’s entirely thinkable that the Supreme Court will indulge it, and that means that the members of the Supreme Court, who care deeply about protecting their institution’s legitimacy, are free to rule in whichever direction they want. We’ll find out what direction that is on Thursday.


Unthinkable? Ezra really needs to get out more. There were a lot of people (myself included) who thought the Obamacare mandate was unconstitutional right from the start.

This kinda pisses me off because Ezra is impugning my profession. I actually have a lot of respect for judges. SCOTUS may be a lot of things but they generally aren’t political. Ideologues, yes, political no.

I’m not saying I always agree with their decisions, because I don’t. Right now we have four SCOTUS justices that are very conservative and another that is moderately conservative. That’s no secret. But how come no one ever questions the integrity of the four “liberal” justices?

What lawyers want from judges more than anything else is consistency. In a given set of circumstances you want to know what the judge will do. That way you can make plans and give good advice.

Right now the only inconsistent SCOTUS justice is Anthony Kennedy. He is usually the swing vote in every 5/4 decision.

US v. Lopez, 514 U.S. 549 (1995) was the first SCOTUS decision since the New Deal to set limits to congressional power under the Commerce Clause of the Constitution. Kennedy, Scalia and Thomas were all part of the majority in that decision.

If SCOTUS strikes down all or part of Obamacare it will be because they decided it was in excess of the Commerce Clause. If SCOTUS upholds the individual mandate it will extend congressional power farther than ever before. Either way, it will have nothing to do with any “campaigns.”

BTW – John W. Smart stole this post from me and posted it first.


Stupid should hurt


Seriously:

Supporters Slow to Grasp Health Law’s Legal Risks

With the Supreme Court likely to render judgment on President Obama’s health care law this week, the White House and Congress find themselves in a position that many advocates of the legislation once considered almost unimaginable.

In passing the law two years ago, Democrats entertained little doubt that it was constitutional. The White House held a conference call to tell reporters that any legal challenge, as one Obama aide put it, “will eventually fail and shouldn’t be given too much credence in the press.”

Congress held no hearing on the plan’s constitutionality until nearly a year after it was signed into law. Representative Nancy Pelosi, then the House speaker, scoffed when a reporter asked what part of the Constitution empowered Congress to force Americans to buy health insurance. “Are you serious?” she asked with disdain. “Are you serious?”


I’m no constitutional scholar, but I have taken a class or two on the subject. The first thing that jumps to mind is the phrase “enumerated powers.” While regulating interstate commerce is indeed one of Congress’ enumerated powers, the idea that that authority extends to making people purchase health insurance from private companies is a quantum leap from any previous legislation.

Obamacare was not only supposed to be his signature policy victory, it was supposed to complete the New Deal and Great Society social safety net. It is inconceivable that something so important wasn’t built on a firm constitutional foundation.

Was failure the plan?


Fool me once, won’t get fooled again


David “Spoony” Atkins:

No one is going to save you fools, again

Here we go again.

We now know that the Obama Administration traded away the public option in order to gain support from the hospital industry for the Affordable Care Act. And we know that it traded away, among other things, the importation of cheaper drugs to PhRMA in order to secure their support for the bill.

Some of these details were known long ago, of course. Good policy was scuttled in order to secure industry support. The question is why it was done, and whether it could have been done any other way.

[...]

The Affordable Care Act barely squeaked through with a minimum number of votes as it was. Had either PhRMA or the hospital industry come out against the bill to the tune of hundreds of millions of dollars in ads against those who considered voting for it, it would never have had a prayer of passing. The blessing of PhRMA and the hospitals was a necessary condition for the passage of any bill, which is part of why single-payer was never on the table in the first place.

Replacing Barack Obama with a “stronger progressive” won’t solve this problem, because the problem lies with the system, not with the person in the Oval Office.

The power to defeat PhRMA and the hospitals won’t come from the top down. It will come in two ways: 1) from the bottom up via progressives rolling them over state by state; and more importantly 2) through campaign finance reform that prevents them from threatening the careers of every politician in Washington if they don’t get their way.

[...]

What we do about that is up to us. It’s not entirely clear what the strategies for success will be, but the strategies for failure are obvious: waiting for a progressive savior who will never come because the structures of politics no longer allow it, and assuming that decentralized and disorganized angry people power will magically bring about change.

It’s going to be a long, hard slog. And it’s going to take organizing on a variety of fronts, chief among them campaign finance reform, that don’t seem to immediately impact the problem. But if one wants to cure a disease, it’s important to treat the underlying problems, not just the symptoms. But no one is going to save us from this morass but ourselves.


Been there, done that, Dave.

We organized. We saw the value of the internet and formed online communities. We blogged, we donated, some of us went to Yearly Kos/Netroots. Then one day a small clique of online activists decided they were smarter than everyone else and that democracy was too inefficient to accomplish their goals. They decided that Obama was The One, and that those evil Clintons and their low-information supporters needed to be purged from the Democratic party.

You were one of those online activists, Dave. So was your blog-mate Digby. We were the people you screwed over.

So fuck off, Dave.

Cordially,

The Klown

p.s. You guys sold us out during the heath care reform debate too – you decided that single payer wasn’t doable so you put all your effort into the public option – just like Obama told you to do. He fucked you over the same way you fucked us over.

With a track record like yours, I’d be too embarrassed to be giving anyone advice. Especially to the people who were right all along.



Boo-fricken-hoo

Obamacare


Ben Shapiro:

Obama Warns Supremes: Don’t Overturn Healthcare Reform

The Obama administration warned the Supreme Court this week via papers filed with the Court that if Obamacare is struck down, there will be an “extraordinary disruption” in Medicare. Medicare was not discussed during the Supreme Court arguments, since it was not a Constitutional issue. This is a practical argument, not a legal one; it’s the Obama administration applying pressure to the Supremes.

But that’s what the Obama administration does – they focus on the politics of the situation rather than on the legalities. If they can’t win on the law, they figure, they’ll push the Court to act via “empathy,” President Obama’s favorite legal standard. And if they lose, they’ll blame the Court for destroying Medicare.


Your honor, going to prison would greatly inconvenience my client!

Wow. Just wow. I thought Obama was supposed to be a constitutional scholar.

The issue before the court is whether or not Obamacare is unconstitutional. It doesn’t matter whether or not the justices think it is a good idea. It doesn’t matter if striking it down will cause all kinds of chaos. That’s a problem for the other branches.

Sometimes this administration is so stupid it’s embarrassing.


You can’t game SCOTUS


Obama’s pre-emptive strike on SCOTUS

President Obama today said that he was “confident” that his signature Health care law would be upheld by the Supreme Court but warned that should the court rule the law unconstitutional, it would be an “unprecedented extraordinary event.”

“Ultimately I am confident that the Supreme Court will not take what would be an unprecedented extraordinary step of overturning a law that was passed by a strong majority of a democratically elected Congress,” Obama told reporters today while speaking with Canadian Prime Minister Stephen Harper and Mexican President Felipe Calderon.

Obama reminded reporters that conservative commentators, have complained about “judicial activism or a lack of judicial restraint,” that “an unelected group of people would somehow overturn a duly constituted and passed law.”

“Well, this is a good example and I’m pretty confident that this court will recognize this, and not take that step.” Obama insisted.

“I’m confident that this will be upheld because it should be upheld,” Obama concluded. “That’s not just my opinion, that’s the opinion of a whole lot of constitutional law professors, academics and judges and lawyers who have examined this law, even if their not particularily sympathetic to this piece of legislation or my presidency.”

To say that the bill passed “a strong majority” of a democratically elected Congress, might be a bit of an overstatement, the bill passed the House with a vote of 219-212; a majority of seven votes.

Not one single Republican in the House or Senate voted for Obamacare. Not that it really matters who voted for it or whether it was a bare majority or unanimous.

That’s because when it comes to opinions, there are only nine that matter. If five of them decide the law is unconstitutional, then it is.

That’s Civics 101.

I’ll admit I would not be so gleeful if I supported the legislation. But I believe that Obamacare is a bad law.



Obamacare sucks


The Atlantic:

If Obamacare Is Overturned, Can Democrats Recover?

There’s a reason liberals are freaking out about the Supreme Court this week.

If part or all of the health care reform law is thrown out, a central goal of the progressive project will have been dealt a possibly fatal setback. The dream of universal health care — pursued for decades, frustrated again and again — that seemed finally to have come to fruition in 2010 will have been derailed before it could even be fully implemented. For liberals and their allies, it will be a crushing blow from which there is no easily foreseeable recovery.

“It would be a particularly bitter pill to swallow to get [health care reform] all the way through the legislative process and, because of the partisan leanings of five people who happen to be justices of the Supreme Court, not get universal health care,” said Neera Tanden, president of the Center for American Progress and a former Obama administration adviser who helped see the bill through Congress.

[...]

Opponents of the law agree: This is universal health care’s Waterloo.

“This was their one big shot. They certainly thought so. They pulled out all the stops,” said Douglas Holtz-Eakin, a conservative economist and president of the American Action Forum, which has filed court briefs in opposition to the health care law. Already, he said, the law was on shaky ground. “The vast public rejection of the law, its broad unpopularity, the fact that so many Republicans were elected on it in 2010, the fact that so many states are rejecting it — really, it wasn’t looking strong,” he said.

Through all that, liberals took solace in the fact that at least the legislation was on the books, moving inexorably toward implementation; eventually, they were convinced, Americans would grow used to the new system, come to depend on it, and become unable to imagine life without it.


I really love the idea that Obamacare is the realization of liberal dreams. Liberals wanted single payer. But my favorite part is the idea that people would learn to love it. That was what my step-father said about broccoli.

Forget the legal arguments. Obamacare is the most unpopular legislation ever enacted, and it hasn’t even taken effect yet. Even its supporters wanted something better. If it is upheld it will be an albatross around Democratic necks for a generation. Democrats should be grateful if SCOTUS saves them from themselves.


Judicial review under attack


King Barack’s loyalists are threatening one of the last roadblocks to the absolute right of POTUS. Earlier in his reign they were advising that He should ignore Congress and act as He pleased. Now they are trying to undermine the independence of the Supreme Court.

Jonathan Cohn at The New Republic:

Obamacare Is On Trial. So Is the Supreme Court.

Before this week, the well-being of tens of millions of Americans was at stake in the lawsuits challenging the Affordable Care Act.

Now something else is at stake, too: The legitimacy of the Supreme Court.

Nobody knows how the justices will rule. And nobody can know, not even the justices themselves. On Friday morning, perhaps by the time you read this, they will meet privately to take their first vote. More often than not, this first vote determines the final verdict. But there are exceptions and Anthony Kennedy, on whose decision the outcome presumably depends, has a reputation for long deliberation and changes of heart—particularly in major cases like this one.

That’s good. With the result apparently in doubt—smart money still says the chances of the full law surviving are about 50-50—Kennedy should think long and hard about how he wants the Court to rule. So should Chief Justice John Roberts, who appeared more skeptical of the government’s case during oral arguments but nevertheless indicated that he, like Kennedy, understood the government’s premise—that health care was a special market, perhaps requiring special intervention.

If that concern is not enough to sway the chief justice, than perhaps his frequently professed concern for the court’s respectability will.

Even now, I have trouble wrapping my mind around what I saw in the courtroom this week and what a majority of the justices may be contemplating. Kennedy’s second question, the one that so unnerved supports of the law, was whether the government had “a heavy burden of justification to show authorization under the Constitution.” But the heavy burden in this case is on the justices threatening to strike down health care reform. They have not met it.

Rarely in American history has the Court struck down laws in decisions that would have such quick, widespread impact. In the modern era, only two cases come to mind: Brown v. Board of Education and Roe v. Wade. Both were acts of ambitious, even audacious judicial activism. But, in two key repsects, they were different from a potential ruling against the Affordable Care Act.

Brown was a unanimous, nine-to-zero decision. Roe was a lopsided seven-to-two. These margins mattered: The justices knew that their decisions would be controversial, in part because they were overruling democratically elected majorities—in these cases, state legislators who’d passed laws enforcing segregation and prohibiting abortion. The justices’ authority in these cases derived, in part, from their moral authority. A closely divided bench would have made that impossible.

Virtually everybody agrees that a vote to strike down the Affordable Care Act would be five to four—a bare majority. And it would be a bare partisan majority, with the five Republican appointees overruling the four Democratic appointees. The decision would appear nakedly partisan and utterly devoid of principle. Appearances would not be deceiving.


That’s an interesting idea – requiring super-majority or unanimous decisions before the Supreme Court can rule that something is unconstitutional. Cohn is not alone – the Obot meme of the weak seems to be that SCOTUS is risking its own legitimacy if it dares to declare Obamacare to be unconstitutional.

The Judiciary branch is supposed to be an independent and co-equal branch of government. For good or ill, many SCOTUS decisions through history have been nakedly political. Nonetheless, we consider SCOTUS to be the final arbiter and court of last resort. In the words of the late Justice Robert H. Jackson, “We are not final because we are infallible, but we are infallible only because we are final.

The issue as to whether Obamacare is constitutional is not frivolous.

Marbury v. Madison (my emphasis):

This original and supreme will organizes the government and assigns to different departments their respective powers. It may either stop here or establish certain limits not to be transcended by those departments.

The Government of the United States is of the latter description. The powers of the Legislature are defined and limited; and that those limits may not be mistaken or forgotten, the Constitution is written. To what purpose are powers limited, and to what purpose is that limitation committed to writing, if these limits may at any time be passed by those intended to be restrained? The distinction between a government with limited and unlimited powers is abolished if those limits do not confine the persons on whom they are imposed, and if acts prohibited and acts allowed are of equal obligation. It is a proposition too plain to be contested that the Constitution controls any legislative act repugnant to it, or that the Legislature may alter the Constitution by an ordinary act.

Between these alternatives there is no middle ground. The Constitution is either a superior, paramount law, unchangeable by ordinary means, or it is on a level with ordinary legislative acts, and, like other acts, is alterable when the legislature shall please to alter it.

If the former part of the alternative be true, then a legislative act contrary to the Constitution is not law; if the latter part be true, then written Constitutions are absurd attempts on the part of the people to limit a power in its own nature illimitable.


Those of you who stayed awake in civic class may recall that Marbury v. Madison is that case that established to concept of judicial review in American jurisprudence. There is a reason that federal judges and justices are appointed for life (subject to impeachment) – to remove them from the effects of politics. What King Obama and his minions are trying to do is apply political pressure to the court.

Back in 2000 I was stunned and dismayed by the Supreme Court’s ruling in Bush v. Gore. But at the same time I took pride in the way my country reacted. We peacefully but unhappily accepted the ruling and moved on. How many nations would have seen bloody riots or even civil war in the same situation?

The Supreme Court slowed down but did not stop the New Deal and the Civil Rights Movement. Even now the Democrats are just one vote shy of a 5-4 majority. Do we really want to change a system that has worked so well for so long just for Obamacare?


Two years too late


Occupy Protesters Interrupt Chamber Of Commerce Health Care Event

Protesters disrupted a U.S. Chamber of Commerce event on health care today, interrupting speaker Scott Serota, the CEO of Blue Cross & Blue Shield. Chanting “we are the 99 percent,” the protesters stood at the luncheon event and used a “human microphone” technique to read a statement about how the “the one percent in the health care industry” is only interested in profit “at the expense of human suffering and preventable death.” The protesters decried the influence that the health insurance industry wielded in the debate over the Affordable Care Act, and called for “Medicare for all” or a “single payer health system.”


Wrong forum, wrong date. They should have been protesting in Washington a couple years ago.

Meanwhile:

Supreme Court to Hear Case Challenging Health Law

The Supreme Court on Monday agreed to hear a challenge to the 2010 health care overhaul law, President Obama’s signature legislative achievement. The development set the stage for oral arguments by March and a decision in late June, in the midst of the 2012 presidential campaign.


I’m not going to make any predictions on the outcome, but whichever way it goes will be bad for Obama.

If Obamacare is upheld, it will remind people about the most unpopular piece of legislation since . . . uh, . . . forever. Even Prohibition was popular when it first passed.

On the other hand, if it is struck down it will be a stinging defeat for Obama’s signature policy achievement.

That’s why Obamanation is praying that Mitt Romney is the GOP nominee.


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