Category Archive 'Health Care Reform'
19 Mar 2010

Megan McArdle critiques the Congressional Budget Office’s estimate of the cost of Obamacare.
Thanks to reconciliation instructions, they needed to improve the budget impact by at least $1 billion in the sidecar. They improved it by exactly $1 billion. Which goes back to what I’ve now said several times: the CBO process has now been so thoroughly gamed that it’s useless. …
The proposed changes increase spending dramatically, most heavily concentrated in the out-years. The gross cost of the bill has risen from $875 billion to $940 billion over ten years–but almost $40 billion of that comes in 2019. The net cost has increased even more dramatically, from $624 billion to $794 billion. That’s because the excise tax has been so badly weakened. This is of dual concern: it’s a financing risk, but it also means that the one provision which had a genuine shot at “bending the cost curve” in the broader health care market has at this point, basically been gutted. Moreover, it’s hard not to believe that the reason it has been moved to 2018 is that no one really thinks it’s ever going to take effect. It’s one thing to have a period of adjustment. But a tax that takes effect in eight years is a tax so unpopular that it has little realistic chance of being allowed to stand. …
As I expected, the size of the magic asterisk–the modern equivalent of David Stockman’s infamous “savings to be named later” in the Reagan budgets–has had to be beefed up to offset the new spending. …
[A]re we really going to cut Medicare? If we’re not, this gargantuan new entitlement is going to end up costing us about $200 billion a year next decade, which even in government terms is an awful lot of money. There are offsetting taxes, but they’re either trivial or likely to be unpopular–look forward to a 4% rent increase when your landlord has to stump over the same amount for the new tax on rents. Then look forward to repeal of same.
I think this is a fiscal disaster waiting to happen. But no one on the other side cares, so I’m not sure how much point there is in saying that any more.
19 Mar 2010


Peggy Noonan catches out Obama’s evasive manuevers and efforts to pull rank during an unusual interview this week on Fox News and in her own distinctive Celtic Bard manner produces an early draft of the epitaph for the current presidency.
[The interview Wednesday on Fox News Channel’s “Special Report With Bret Baier was] the most revealing and important broadcast interview of Barack Obama ever. It revealed his primary weakness in speaking of health care, which is a tendency to dodge, obfuscate and mislead. He grows testy when challenged. It revealed what the president doesn’t want revealed, which is that he doesn’t want to reveal much about his plan. This furtiveness is not helpful in a time of high public anxiety. At any rate, the interview was what such interviews rarely are, a public service. That it occurred at a high-stakes time, with so much on the line, only made it more electric. …
[T]he Baier interview was something, and right from the beginning. Mr. Baier’s first question was whether the president supports the so-called Slaughter rule, alternatively known as “deem and pass,” which would avoid a straight up-or-down House vote on the Senate bill. (Tunku Varadarajan in the Daily Beast cleverly notes that it sounds like “demon pass,” which it does. Maybe that’s the juncture we’re at.) Mr. Obama, in his response, made the usual case for ObamaCare. Mr. Baier pressed him. The president said, “The vote that’s taken in the House will be a vote for health-care reform.” We shouldn’t, he added, concern ourselves with “the procedural issues.” …
And so it ends, with a health-care vote expected this weekend. I wonder at what point the administration will realize it wasn’t worth it—worth the discord, worth the diminution in popularity and prestige, worth the deepening of the great divide. What has been lost is so vivid, what has been gained so amorphous, blurry and likely illusory. Memo to future presidents: Never stake your entire survival on the painful passing of a bad bill. Never take the country down the road to Demon Pass.
Read the whole thing.
I must confess that I look forward to the weekend editions of the Wall Street Journal, in which these days Peggy Noonan can be expected to be found, hair disordered, rising threateningly from the mist, to intone, week after week, a new malediction or fatal prophecy aimed directly at Barack Obama.
It was not so very long ago that Peggy Noonan was supporting him. Peggy was one of the commentators on the right most firmly ensconsed in the establishment and, just like David Brooks, she was unable to resist the seductive appeal of Barack Obama’s pretense of dignity and moderation and his gift of gab.
When Obama proceeded to drop the veil of moderation, and revealed himself in practice to be a looting radical leftist determined to ram socialism down America’s throat, Peggy Noonan took the kind of personal offense that the Queen of Elfland might have taken when she discovered that the mortal who had gained her favor really intended to bulldoze her sacred grove and erect a strip mall.
Obama was extremely good at winning over the proudest and most cerebral of the center-right commentariat, and he has proven to be even better at disillusioning them and provoking their wrath.
18 Mar 2010


Some wag at Lucianne.com has added the Obama logo to this famous picture
The famous photograph of the October 22, 1895 wreck of the Granville to Paris Express at the Montparnasse Station is becoming a popular metaphor for the hapless efforts by the Obama Administration and the democrat Congress to ram through a health care bill opposed by a significant national majority of the American people.
Finding he was several minutes late at the Paris conclusion of his 7-hour ten-minute run, Engineer Guillaume-Marie Pellerin decided to approach the Gare Montarnasse at cruising speed in an effort to make up time. He was relying on his auxiliary air-bakes to bring the locomotive safely to a halt, but the air-brakes failed. The locomotive brakes were not sufficient, and the engine proceeded out-of-control right through the buffer stop, jumping the tracks and driving 100 feet across the concourse, passing through the station wall and onto the terrace outside before falling 30 feet down onto the street below.
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Republicans have plans to use parliamentary rules to kill it in the Senate.
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Investor’s Business Daily Poll predicts 45% of physicians will close practices and retire if the health care bill passes.
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Landmark Legal Foundation promises an immediate court challenge if health care bill is passed using the “Slaughter solution.”
17 Mar 2010

Victor Davis Hanson explains who is conducting today’s Revolution in the United States and against whom it is directed.
[T]he present attempt to remake America is the effort of the liberal well-to-do — highly educated at mostly private universities, nursed on three decades of postmodern education, either with inherited wealth or earning top salaries, lifestyles of privilege indistinguishable from those they decry as selfish, and immune from the dictates they impose on others.
Such are basically the profiles of the Obama cabinet and sub-cabinet, the pillars of liberalism in the Congress and state legislatures, the public intellectuals in the universities and foundations, the arts crowd, and the Hollywood elite. Let us be clear about that.
They are all battling on behalf of “them,†the poorer half of America, currently in need of some sort of housing, education, food, or legal subsidy, whom the above mentioned elite, in the way they live, send their children to school, socialize, and vacation so studiously avoid. (The New York Times owners are likely to follow the cut-throat business practices of Wall Street, live in the most refined areas of New York, and assume privileges indistinguishable from other CEOs; the difference is that they so visibly care about those they never see or seek out).
Note well the term “poor.†These are not Dickensian or Joads poor, but largely Americans who by the standards of the 1940s would be considered lucky. Partly because of globalized Chinese consumer goods, and partly redistributive practices of a half-century, our current “underclass†has access to clothes, electronics, entertainment, apartments, cell phones, transportation, etc., undreamed of by the middle class of the recent past. I live in one of the poorest areas of one of the poorest counties in a bankrupt state; and those I see poor are not like those I saw 40 years ago in the same locale.
No, the revolution is not one of the abject poor and starving storming the Bastille, but of the angry and self-righteous well-off— angry as hell that the less well-off are living lives quite differently from the very well-off. (A trodden down poor person today flies standby from San Francisco to LAX; a very rich person gets into his $50 million Gulfstream — but note modernism’s paradox: the poor person’s United Airlines pilots are as good, he gets there as safely and in some comfort, and not much later as well.)
Some of the revolutionaries are guided by genuine noblesse oblige. Others act out of guilt and can justify their own consumption if they “care†for a distant poorer other. Still more explain their own privilege through using government to redistribute income. A few are driven by genuine hatred — stemming from the fact that the highly educated academic or artist makes far less than the doctor, lawyer, CEO, or — heaven forbid — tire store owner, family orthodontist, or owner of a half dozen Little Caesar pizza franchises.
16 Mar 2010

How do you pass a wildly unpopular bill as your voting strength erodes and your coalition crumbles?
As the Hill explains, Rep. Louise Slaughter (D- 30 NY), Chairman of the House Rules Committee, has devised a bizarre stratagem, which is being referred to as the “Slaughter solution.” Democrats plan to vote in the Senate that they deem the Senate bill to have passed the House, when it actually has not been voted on by the House.
House Speaker Nancy Pelosi is leaving the door open on using a controversial procedure to move healthcare through the House.
The process would allow the House to “deem†the Senate bill passed when it votes on a package of changes to that legislation, perhaps as early as this weekend.
The procedure involves crafting a rule allowing for consideration of a reconciliation “fixers†bill that deems the Senate bill already approved by the House. Aides to the Speaker said the option is “under consideration.â€
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The only problem with all this is that it is flagrantly and outrageously unconstitutional.
Michael W. McConnell, a Constitutional Law professor at Stanford, explains the problem.
[The Slaughter solution] may be clever, but it is not constitutional. To become law—hence eligible for amendment via reconciliation—the Senate health-care bill must actually be signed into law. The Constitution speaks directly to how that is done. According to Article I, Section 7, in order for a “Bill” to “become a Law,” it “shall have passed the House of Representatives and the Senate” and be “presented to the President of the United States” for signature or veto. Unless a bill actually has “passed” both Houses, it cannot be presented to the president and cannot become a law.
To be sure, each House of Congress has power to “determine the Rules of its Proceedings.” Each house can thus determine how much debate to permit, whether to allow amendments from the floor, and even to require supermajority votes for some types of proceeding. But House and Senate rules cannot dispense with the bare-bones requirements of the Constitution. Under Article I, Section 7, passage of one bill cannot be deemed to be enactment of another.
The Slaughter solution attempts to allow the House to pass the Senate bill, plus a bill amending it, with a single vote. The senators would then vote only on the amendatory bill. But this means that no single bill will have passed both houses in the same form. As the Supreme Court wrote in Clinton v. City of New York (1998), a bill containing the “exact text” must be approved by one house; the other house must approve “precisely the same text.”
These constitutional rules set forth in Article I are not mere exercises in formalism. They ensure the democratic accountability of our representatives. Under Section 7, no bill can become law unless it is put up for public vote by both houses of Congress, and under Section 5 “the Yeas and Nays of the Members of either House on any question . . . shall be entered on the Journal.” These requirements enable the people to evaluate whether their representatives are promoting their interests and the public good. Democratic leaders have not announced whether they will pursue the Slaughter solution. But the very purpose of it is to enable members of the House to vote for something without appearing to do so. The Constitution was drafted to prevent that.
The final obstacle to democrat passage of the Health Care Bill may yet prove to be the Supreme Court.
If Obamacare is enacted via deeming as the Slaughter solution proposes, avoiding an actual vote on the Senate bill in the House, and Barack Obama goes ahead, signs it, and claims that it is now the law of the land, Republicans can walk right over to the Supreme Court and ask for a ruling on the constitutionality of deeming instead of voting. Any bets on how that is going to turn out?
16 Mar 2010


Dick Armey thinks the democrats will succeed in ramming through a health care bill somehow, by hook or by crook, and he tells us that Americans are wrong about Nancy Pelosi.
Former Republican House Majority Leader and current Tea Party leader Dick Armey said today that House Speaker Nancy Pelosi is “inept” but that Congress would likely still pass health care reform.
“What has probably surprised me more than anything else about Speaker Pelosi is her ineptness,” Armey said at luncheon at the National Press Club in Washington, DC. “I didn’t realize anyone could rise to the position of Speaker and be that inept.”
Despite his harsh criticism of the Speaker, Armey said that he personally liked Pelosi and he defended her from people who say she’s mean.
“She’s more inept than I thought she was, but she’s not as mean as people think she is,” Armey said.
But even with Pelosi’s “inept” leadership, Armey says Democrats will most likely pass health care reform legislation that has been debated for the last year and is expected to come to a vote this week.
“They’ll probably force this through,” he said. “But you can’t discount the number of people who can be moved by a ruthless and powerful political leader or group of political leaders.”
The Freedom Works chairman also had harsh word for the rest of Congress – the “self-serving” people he suggests are equally to blame for the passage of health care legislation.
“The average member Congress – House and Senate – is first and foremost only a self-serving inconvenience-minimizer who doesn’t have a lot of principle they stand on the first place,” he said. “It doesn’t take much to move a jellied spine, so they’ll probably get their votes.”
Asked if Democrats will get a bounce in poll numbers if they pass health care reform, Armey said Democrats “will get politically bounced” from office. Armey is confident that Harry Reid will lose his Senate seat in November and that Republicans will regain a majority in both houses of Congress either this election cycle or the next.
16 Mar 2010

Everybody, even Lindsey Graham, recognizes the insane futility of what House democrats are about to do.
Republican Sen. Lindsey Graham (R-S.C.) on Monday used language that compared House Democrats’ efforts to pass healthcare reform legislation to a Japanese kamikaze mission.
“Nancy Pelosi, I think, has got them all liquored up on sake and you know, they’re making a suicide run here,” Graham said on the Keven Cohen Show on WVOC radio in Columbia, S.C.
15 Mar 2010


Peter Beinart describes very accurately what has happened to the democrats.
Barack Obama is a representative of the younger, more ideologically-committed, much more naive generation of left-wing democrats, typical of that party’s radical base. He’s the type of democrat who is too young to have seen George McGovern lose 49 states or see Jimmy Carter shredded by Ronald Reagan.
[A] generation of Democrats, which includes Al From, Mark Penn, Joe Lieberman, William Galston, Elaine Kamarck, Dick Morris, Ed Koch, Jane Harman, Evan Bayh, and to some extent Bill and Hillary Clinton, being a liberal is like walking past a bear. Move cautiously and reassuringly and the bear will purr contentedly. But make any sudden or threatening gestures, and you’ll be mauled because, fundamentally, the bear distrusts liberals. As Galston and Kamarck wrote in their famed 1989 essay “The Politics of Evasionâ€â€”a document that helped define the “don’t scare the bear†wing of the party—Democrats can pass liberal programs “but these programs must be shaped and defended within an inhospitable ideological climate.†To pretend that the American people are liberal at heart is to evade political reality, with devastating results.
By the late 1990s, “don’t scare the bear†Democrats pretty much dominated Washington. But in the Bush years, a new faction began to emerge. These Democrats were mostly newer to politics. They had never seen a McGovern or Mondale mauled for being too far to the left. What they had seen was the post-1994 Bill Clinton, who shied away from ambitious liberal reform. And they had seen the Iraq War, which DLC types largely supported, partly out of fear that opposing it would allow Republicans to paint Democrats as soft on defense.
By 2003, this new group of Democrats was angry as hell. The Iraq War, which party elders had mostly backed, was proving a disaster, and to make matters worse, Republicans were clobbering Democrats as weak anyway. So these Democrats began fashioning a different theory: Perhaps the problem wasn’t that Democrats looked weak because they were too liberal, perhaps the problem was that Democrats looked weak because they didn’t stand up for what they really believed. In 2005, the historian Rick Pearlstein—who became something of a hero to these folks—published a book entitled The Stock Ticker and the Super Jumbo. Republicans, he argued, were like Boeing: a company that persevered in building a super jumbo airplane even when the market was bad, and thus built a dominant brand. Democrats were like the stock ticker, constantly shifting with the public mood and thus winning momentary victories but failing to build a brand people could identify with.
To change, Perlstein argued, “Democrats need to make commitments, or a network of commitments, that do not waver from election to election.†They must stick with them “even if they don’t succeed†at any given moment because doing unpopular things because you believe in them convinces Americans that you have core beliefs, which in the long term strengthens your brand. …
When Scott Brown won his Senate seat, he made Obama choose. On the one hand, he handed the White House an excuse to abandon comprehensive reform and return to the incremental, small-bore approach that Clinton pursued after 1994. The Brown victory, in fact, seemed to illustrate the “don’t scare the bear†theory perfectly. Obama had passed the stimulus and bailed out the banks and taken over part of the auto industry and for the American people, it was too much liberal activism too fast. Polls not only showed Americans turning against Obama’s health care bill, they showed them turning against big government more generally. Continuing to pursue comprehensive reform in this inhospitable environment, warned former Carter pollster Patrick Caddell and former Clinton pollster Douglas Schoen, in language that echoed “the Politics of Evasion,†would bring political calamity. “Wishing, praying or pretending†that the American people support health care reform more than they do, they insisted, “will not change these outcomes.â€
Superjumbo Democrats, by contrast, argued that the public wasn’t so much anti-reform as they were anti-the legislative process that had produced reform. But more fundamentally, they argued that the American people would respect Democrats for not backing down in the face of adversity. The party might still lose seats this fall, but over time health care reform would prove popular, and the party’s willingness to fight for it would strengthen the Democratic brand.
Why exactly Obama—advised by David Axelrod, Rahm Emmanuel and Valerie Jarrett—decided to double down on health care remains unclear. But it’s a good bet that President Hillary Clinton—advised by Mark Penn—would have acted differently. And in acting the way he did, Obama has turned himself into a superjumbo Democrat. For the foreseeable future, he has forfeited any chance of bridging the red-blue divide. Prominent Republicans have already announced that if Democrats try to pass health care via reconciliation, they will not work across the aisle to pass anything major this year. Conversely, Obama has cemented his bond with the netroots. It doesn’t really matter that the health care reform bill he is fighting for isn’t particularly left-wing. For the netroots, a politicians’ ideological purity has always been less important than his willingness to resist pressure from the other side, which is exactly what Obama has just done.
Whether health care reform passes or not, Obama has embraced polarization over triangulation. He has chosen Karl Rove’s politics of base mobilization over Dick Morris’s politics of crossover appeal, with consequences not merely for how he campaigns for Democrats in 2010, but for he campaigns for himself in 2012. And that’s a disaster for “don’t scare the bear†Democrats whether Obamacare passes or not. The reason is that the DLC wing of the party is much more top-down than the MoveOn wing. It has always wielded influence primarily through elected leaders rather than grassroots activists. But today, Obama is the only leader in the Democratic Party who really matters. As the retirement of Evan Bayh illustrates, there are few nationally prominent DLC-aligned politicians left. (The one person who could have rallied that faction of the party against Obama is now his secretary of state). The DLC wing’s best hope for relevance, therefore, was that Obama himself would restrain the party’s base, that his White House would nurture a new generation of centrist candidates.
That hope is now gone. From top to bottom, Democrats have decided to bet the party’s future on the belief that Americans prefer bold liberals to cautious ones. Now it’s up to the bear.
13 Mar 2010

Stupak’s Anti-Abortion bloc of votes is coming under intense pressure from democrat leadership, and is beginning to fragment.
Fire Dog Lake is counting Health Care Bill votes. Well-informed opinion within the left-side democrat base believes the count is currently 191 Yes votes and 202 No votes with the rest undecided, and is optimistic about picking up a sufficient number for passage.
The raw totals, on the flip:
Definite YES:
191 Democrats.
Definite NO:
177 Republicans.
Definite NO:
25 Democrats.
19 Democrats who voted No in November:
Bobby Bright, Mike McIntyre, Stephanie Herseth Sandlin, Walt Minnick, Artur Davis, Chet Edwards, Frank Kratovil, Mike Ross, Dan Boren, Gene Taylor, Larry Kissell, Dennis Kucinich, Collin Peterson, Ike Skelton, Jim Marshall, Mike McMahon, Charlie Melancon, Tim Holden, Ben Chandler.
6 Democrats & Republicans who voted Yes in November (confirmed Stupak bloc):
Bart Stupak, Marion Berry, Dan Lipinski, Kathy Dahlkemper, Joe Donnelly, Joseph Cao (R).
18 potential Democratic No-Yes flip votes:
15 possible:
Jason Altmire, Bart Gordon, Glenn Nye, Brian Baird, John Tanner, Rick Boucher, Allen Boyd, John Boccieri, Suzanne Kosmas, Betsy Markey, John Adler, Scott Murphy, Lincoln Davis, Jim Matheson, Harry Teague.
3 less possible:
Travis Childers, Heath Shuler (severe lean no), John Barrow.
20 potential Yes-No flip votes:
4 additional Stupak bloc (Stupak-curious):
Steve Driehaus, Brad Ellsworth, Marcy Kaptur, Jerry Costello.
16 other wary Democrats:
Mike Arcuri, Zack Space, Chris Carney, Mike Doyle, Paul Kanjorski, Ann Kirkpatrick, Alan Mollohan, Nick Rahall, Dan Maffei, Bill Owens, Dennis Cardoza, Baron Hill, Solomon Ortiz, Gabrielle Giffords, Earl Pomeroy, Tim Bishop.
Democrats need 25 of a combination of the 18 potential No-Yes flip votes and the 20 potential Yes-No flip votes. So they need 25 out of the remaining uncommitted 38.
Read the whole thing.
09 Mar 2010


Former Congressman Eric Massa
The Politico:
Rep. Eric Massa (D-N.Y.) says the House ethics committee is investigating him for inappropriate comments he made to a male staffer on New Year’s Eve — and that he’s the victim of a power play by Democratic leaders who want him out of Congress because he’s a “no” vote on health care reform.
“Mine is now the deciding vote on the health care bill,” Massa, who on Friday announced his intention to resign, said during a long monologue on radio station WKPQ. “And this administration and this House leadership have said, quote-unquote, they will stop at nothing to pass this health care bill. And now they’ve gotten rid of me, and it will pass. You connect the dots.”
Eric Massa does not like Rahm Emanuel very much and has a lot to say about it in this WKPQ-AM 1:40 interview on Real Clear Politics.
“Rahm Emanuel is son of the devil’s spawn. He is an individual who would sell his mother to get a vote. He would strap his children to the front end of a steam locomotive.”
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Update, March 10:
Eric Massa’s television apearances, WaPO reports, included a number of contradictory statements.
Massa went on television Tuesday night for the first time since the allegations surfaced, but his comments in two cable television interviews contradicted earlier statements, serving only to raise more questions.
The freshman Democrat told Fox News Channel host Glenn Beck that “not only did I grope [a staffer], I tickled him until he couldn’t breathe,” then said hours later on CNN’s “Larry King Live” that “it is not true” that he groped anyone on his staff.
He told Beck that he resigned from the House because he made the mistake of “getting too familiar with my staff” members, but he told King that he left primarily for health reasons. Massa, 50, has survived non-Hodgkin’s lymphoma, but he said he is afraid that he is facing his “third major cancer-recurrence scare.”
On Sunday, Massa said he was set up by powerful Democrats such as White House Chief of Staff Rahm Emanuel and House Speaker Nancy Pelosi (Calif.) as part of an effort to remove opponents of health-care reform legislation. He backed away from that claim Tuesday, telling Beck, “I wasn’t forced out. I forced myself out.”
Glenn Beck wound up apologizing to his views for wasting their time with Massa.
Conservative AM radio commentators were skeptical of Massa yesterday, noting that claims that he was being pushed out for not supporting health care were contradicted by his previous vigorous advocacy of a public option.
Before running for Congress as a democrat, Massa had been a registered Republican.
The way Mr. Massa has been all over the map politically and his propensity to contradict himself reminds me of Andrew Sullivan, so I find it pretty easy to believe the former Congressman is gay.
08 Mar 2010
Excellent 4:50 PJM video.
From Vanderleun via Karen L. Myers.
07 Mar 2010

Cyber vigilantism punishes kitten killing, adultery, and a variety of other things in China these days.
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Essex cockerel and hens victorious when fox invades their coop.
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The LA Times finds that Italians have better political scandals.
Reporting from Rome — The governor made off to a monastery after having affairs with transsexuals, but not before the cops videotaped a tryst, all flesh and white powder, and offered to sell copies to a magazine owned by the prime minister, who, at the time, was rumored to be entangled with an underage Neapolitan model.
Then one of the transsexuals, a Brazilian named Brenda, turned up naked and dead, her laptop computer submerged under a running tap. Oh, yeah, and the drug dealer who supplied cocaine to the governor and Brenda would meet his own demise. It’s an odd coincidence.
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Glenn Reynolds explains why the federal government has come to resemble Schlitz beer.
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Leo Grin, at Big Hollywood has a four part essay on Werner Herzog, Timothy Treadwell, and “Grizzly Man” (2005). Pt1, Pt2, Pt3, Pt4.
Big Hollywood is promising more in-depth reviews of significant conservative films.
Multiple hat tips to Karen L. Myers.
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