Rand begins with a feint: "I'm glad to see your health is improving." Note: he's a doctor. In fact, he's an ophthalmologist, but he didn't add, "And by the way, I love your new glasses." No, he proceeded to flay her.
This she was prepared for. All she had to do was endure. His time would run out, and it would be a Democrat's turn, which is to say it would be rest and relaxation time again. Mission accomplished.
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