Romney's final stumbling block?

Latest polling shows a dirty fight in South Carolina may be all that's holding him back from Obama.

Having squeezed through Iowa by 8 votes and won convincingly in New Hampshire, the road ahead looks pretty clear for the former Massachusetts Governor. He has campaigned pretty much ever since 2007, and now it seems as though Mitt Romney has finally seen off all of his challengers and is focussing his sights on the presidency.

One by one, Republican candidates ranging from former Speaker Gingrich, through Herman Cain the CEO of a pizza chain, Congresswoman Bachmann and Texas Governor Perry to former senator Santorum have each had their own surge (and decline) in the polls as Republicans tried to find someone that is not Mitt Romney. The problem with Romney -- or so think many Republicans -- is that he is not seen to be conservative enough for them. He's a moderate. And so they courted Bachmann, Cain, Gingrich, Paul and Santorum. All the while, Romney's ratings remained fairly constant. That was another criticism: despite having the most money and arguably the most name recognition, Romney was not "energising the base" and there was no groundswell of support for him. It was said he was Mr 25 per cent.

Our Ipsos poll for Reuters of Republicans, released on the day of the New Hampshire primary, had Gov Romney on 30 per cent -- his highest since we began tracking in June 2011. The poll also shows that he has the best chance of defeating Obama in November. In a match up of Romney v Obama, the Republican is just 5 points behind the President. Ron Paul is the next closest but trails Obama by 7 points.

So what does Romney have to do now to seal the nomination? The answer is simple, and the same as it has been for a while: Don't mess up. The fabled "big mo" (momentum) is clearly with him, as is the money which is vital if the race drags on. South Carolina -- the next Primary -- poses a threat in a few ways. First, voters there are more conservative than in New Hampshire and this is a demographic in which Romney suffers. However, South Carolina tends to be more "establishment" in its taste, preferring well-known and established politicians unlike "outsiders", as preferred by Iowa.

Second, campaigns have a history of turning dirty in South Carolina and you can be pretty confident that Gingrich, Santorum and Paul campaigns are preparing attacks to bring down Romney in South Carolina. They'll attack him for "being liberal", flip-flopping on abortion, the similarities of his Massachusetts healthcare plan to that of Obama's controversial reform, and the current popular attack is to highlight his time at Bain where they say his job was to fire people; with high unemployment a big issue in the US that does not look good. It is unlikely, however, that these attacks will do enough to stop his move to becoming the nominee. Losing South Carolina may not even be too damaging to his campaign -- especially as he is financially and organisationally the best equipped for a long race of attrition.

Rick Perry will need to do very well in order to stay in the running. Having almost dropped out after placing fifth in Iowa and focussing his attention on South Carolina -- a state in which the more conservative Texan should feel more comfortable -- his fortunes lay heavily in the results of the next primary. Speaker Gingrich too will need to think long and hard about his chances if he misses out on the top spots. Ron Paul and Rick Santorum are more likely to stay in and make this race last that bit longer before we can call Mitt Romney the Republican Presidential candidate for the 2012 race to the White House.

Tom Mludzinski is Deputy Head of Political Research at Ipsos MORI

Tom Mludzinski (@tom_ComRes) is head of political polling at ComRes

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Wrists, knees, terrible rages – I felt overwhelmed when Barry came to see me

I teach my registrars to be aware how a consultation is making them feel: that can give valuable clues to the patient’s own emotional state.

To begin with, it seemed that Barry’s wrists were the problem. He told me about the pain he was experiencing, the pins and needles that came and went in his hands. I started to examine him. His palms were calloused, his fingers thick and stubby, veterans of the heavy work he’d undertaken throughout his 57 years. Even as I assessed this first problem, he mentioned his knees. I moved on to look at those. Then it was his back. I couldn’t get to grips with one thing before he veered to the next.

I teach my registrars to be aware how a consultation is making them feel: that can give valuable clues to the patient’s own emotional state. Barry was making me feel overwhelmed, the more so as I learned that he’d been experiencing all these problems for years.

“Why are you coming to see me about them now,” I asked, “rather than six months ago – or in six months’ time?”

“I need some time off, doc.”

There was something about the way he wouldn’t meet my gaze. And again, that feeling of being overwhelmed.

“What’s going on at work?” I asked him.

His tone hardened as he told me how he’d lost his temper a couple of days earlier. How one of the others had been winding him up, and something inside him had snapped, and he’d taken a swing at his workmate and landed a punch.

Barry had walked out and hadn’t been back. I tried to find out if he’d heard from his boss about the incident, if he knew what was likely to happen next.

He told me he didn’t care.

We talked some more. I learned that he’d been uncharacteristically short-tempered for months; his partner was fed up with being shouted at. Sleep had gone to pot, and Barry had taken to drinking heavily to knock himself out at night. He was smoking twice his usual amount. Men like Barry often don’t experience depression as classic low mood and tearfulness; they become filled with rage and turn in on themselves, repelling those closest to them in the process.

Depression is a complex condition, with roots that can frequently be traced right back to childhood experiences, but bouts are often precipitated by problems with relationships, work, money, or health. In Barry’s case, the main factor turned out to be his job. He’d been an HGV driver but at the start of the year his company had lost its operator’s licence. To keep the business afloat, his boss had diversified. Barry hated what he now had to do. He was now a “catcher”.

I didn’t know what that meant. Getting up at the crack of dawn, he told me, driving to some factory farm somewhere, entering huge sheds and spending hours catching chickens, thousands upon thousands of them, shoving them into crates, stashing the crates on a lorry, working under relentless pressure to get the sheds cleared and the birds off to the next stage of the food production chain.

“It’s a young man’s game,” he told me. “It’s crippling me, all that bending and catching.”

It wasn’t really his joints, though. Men like Barry can find it hard to talk about difficult emotion, but it was there in his eyes. I had a sudden understanding: Barry, capturing bird after panicking bird, stuffing them into the transport containers, the air full of alarmed clucking and dislodged feathers. Hour after hour of it. It was traumatising him, but he couldn’t admit anything so poncey.

“I just want to get back to driving.”

That would mean landing a new job, and he doubted he would be able to do so, not at his age. He couldn’t take just any old work, either: he had to earn a decent wage to keep up with a still sizeable mortgage.

We talked about how antidepressants might improve his symptoms, and made a plan to tackle the alcohol. I signed him off to give him some respite and a chance to look for new work – the one thing that was going to resolve his depression. But in the meantime, he felt as trapped as the chickens that he cornered, day after soul-destroying day.

Phil Whitaker’s novel “Sister Sebastian’s Library” will be published by Salt in September

This article first appeared in the 21 July 2016 issue of the New Statesman, The English Revolt