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Another key factor is consistency

Hes a conspiracy theorist, hes anti-science, hes a crazy person, hes got a brain worm, or the bear story, or the whale story, or the dog story, any of these, and thats what they focus on. Articles about some of these colorful episodes from his past, he believed, were efforts to distract from the substance of his arguments

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.A couple of other minor points: (1) Most VA hospitals have small retail stores where any veteran can shop, though prices tend to be slightly higher [or, at best, no better] than big box stores