In this clip James Carville uses the same tactics as Obama, ridiculing his critics as mentally ill. That is shameful on two levels. It marginalizes persons with disabilities. If they are mentally ill then (he suggests) it is OK to ignore what they say or what they believe. That is what mental illness is: what psychiatrists do not like or do not believe. Obama and his PR flack Gibbs act like abusive psychiatrists. Secondly it does not respond to the argument or the allegation that death panels can be used to deny care. The Chicago based disability rights group Not Dead Yet fought such abuses for many years. Death panels are like the screeners for assisted suicide. Persons with disabilities are often encouraged by doctors (who wouldn't want to live like that) to end their lives due to costs and emotions on relatives. It shows the lack of awareness and lack of concern for the rights of persons with disabilities, of Obama and his supporters.