So a senior citizen who has been terrified by the right-wing noise machine asks Paul Ryan – remember, he’s supposed to be the responsible, serious, wonky one on the ticket – about “death panels.” And instead of telling the voter frankly that there’s no such thing, Ryan quibbles with the term and then goes on to suggest that the Independent Payment Advisory Board will have the authority to tell his mother she can’t have the medical procedures she needs.

And that leads to the medical question: What’s the coliform count in Paul Ryan’s soul?

[Cross-posted at The Reality-based Community]

Mark Kleiman

Mark Kleiman is a professor of public policy at the New York University Marron Institute.