NYT

The second bit of predebate news, percolating under the radar, involved the still-unanswered questions about McCain’s health. Back in May, you will recall, the McCain campaign allowed a select group of 20 reporters to spend a mere three hours examining (but not photocopying) 1,173 pages of the candidate’s health records on the Friday of Memorial Day weekend. Conspicuously uninvited was Lawrence Altman, a doctor who covers medicine for The New York Times. Altman instead canvassed melanoma experts to evaluate the sketchy data that did emerge. They found the information too “unclear” to determine McCain’s cancer prognosis.

There was, however, at least one doctor-journalist among those 20 reporters in May, the CNN correspondent Sanjay Gupta. At the time, Gupta told Katie Couric on CBS that the medical records were “pretty comprehensive” and wrote on his CNN blog that he was “pretty convinced there was no ‘smoking gun’ about the senator’s health.” (Physical health, that is; Gupta wrote there was hardly any information on McCain’s mental health.)

That was then. Now McCain is looking increasingly shaky, whether he’s repeating his “Miss Congeniality” joke twice in the same debate or speaking from notecards even when reciting a line for (literally) the 17th time (“The fundamentals of our economy are strong”) or repeatedly confusing proper nouns that begin with S (Sunni, Shia, Sudan, Somalia, Spain). McCain’s “dismaying temperament,” as George Will labeled it, only thickens the concerns. His kamikaze mission into Washington during the bailout crisis seemed crazed. His seething, hostile debate countenance — a replay of Al Gore’s sarcastic sighing in 2000 — didn’t make the deferential Obama look weak (as many Democrats feared) but elevated him into looking like the sole presidential grown-up.

Though CNN and MSNBC wouldn’t run a political ad with doctors questioning McCain’s medical status, Gupta revisited the issue in an interview published last Tuesday by The Huffington Post. While maintaining a pretty upbeat take on the candidate’s health, the doctor-journalist told the reporter Sam Stein that he couldn’t vouch “by any means” for the completeness of the records the campaign showed him four months ago. “The pages weren’t numbered,” Gupta said, “so I had no way of knowing what was missing.” At least in Watergate we knew that the gap on Rose Mary Woods’s tape ran 18 and a half minutes.

It’s against this backdrop that Palin’s public pronouncements, culminating with her debate performance, have been so striking. The standard take has it that she’s either speaking utter ignorant gibberish (as to Couric) or reciting highly polished, campaign-written sound bites that she’s memorized (as at the convention and the debate). But there’s a steady unnerving undertone to Palin’s utterances, a consistent message of hubristic self-confidence and hyper-ambition. She wants to be president, she thinks she can be president, she thinks she will be president. And perhaps soon. She often sounds like someone who sees herself as half-a-heartbeat away from the presidency. Or who is seen that way by her own camp, the hard-right G.O.P. base that never liked McCain anyway and views him as, at best, a White House place holder.