Obama will win in 2012 – the real contests are below the headline fight

The more telling outcome will be how 2012 shapes the field of candidates – both Democratic and Repub

Over the past few weeks, potential candidates have been dropping out of the race to be the Republican nominee to challenge President Obama in 2012 – and a few even entered, but in truth ite is almost irrelevant whom the GOP selects to carry the party's standard: Obama will almost certainly win, and it seems that the Republicans know it.

However, that's not to say the race is over, or even that it won't be interesting. But for the real movements you have to look below the headline fight of Obama vs the Republican candidate.

The elections for the Senate and the House of Representatives will shape Obama's second term and will be the difference between him being a lame duck and a President that continues with his agenda and has the ability to make real changes. Since the November 2010 midterm elections, the Republicans have controlled the House of Congress and wiped out the supermajority the Democrats enjoyed in the Senate.

This has meant near deadlock on Obama's legislative agenda and almost brought about the shutdown of the federal government over budget negotiations. Depending on the outcome of House and Senate elections next year, it could be four more years of the same stalemate – or it could see Obama making real progress on his agenda, ensuring his healthcare plans are fully implemented and not repealed.

While the Republican primary race will prove interesting, the more telling outcome will be how 2012 shapes the field of candidates – both Democratic and Republican – for 2016. 2016 will be the true horserace: with no incumbent president and the vice-president not running, four years out and it is difficult to see who the Democratic challengers are likely to be. Eight years of a Democrat in the White House leaves space for a capable Republican to stand a real chance. Looking ahead, Republican candidates will be using the campaign this year and next to launch themselves towards the 2016 nomination.

Mike Huckabee, the former state governor-turned-Fox news pundit, has decided not to run, even though he has been growing a significant base of supporters among Republicans since he came second to John McCain in 2008. Donald Trump, the Lord Sugar of the American Apprentice and populist (if not popular) businessman, has also decided against running after appearing seriously to be considering entering the race, and even pseudo-campaigning for a while.

Haley Barbour, another highly rated governor, also announced that he will not be throwing his hat in the ring – despite building up a campaign team and visiting the early primary states.

Paling attraction

Sarah Palin, perhaps the best-known name in the Republican field, is yet to announce her intentions, but may follow in the footsteps of Huckabee and Trump. Speculation suggests that she is enjoying life outside elected office enough to be relucant to seek out the rigours of a tough campaign unlikely to end in victory.

Newt Gingrich, the former speaker of the House, celebrated for initiating the impeachment hearings against Bill Clinton, has had a poor start since making his announcement. He has been a player in the political field for a long time now, and may not represent the "fresh face" that Republicans will undoubtedly look for. His extramarital affairs won't help among the staunchly conservative Republican base voting in the primaries.

That leaves Tim Pawlenty, Jon Huntsman, Michele Bachmann and Mitt Romney. Romney, the former governor of Massachusetts and businessman, is many people's favourite to win the GOP nomination. The fact that he raised $10m in one day last week is a good example of why.

Do Pawlenty and Huntsman also want him to win? Both are credible candidates: Pawlenty a successful and popular governor in Minnesota; Hunstman a former CEO, governor of Utah and President Obama's ambassador to China for two years. However, neither is particularly well known nationwide (59 per cent of Americans felt neither favourable nor unfavourable towards Pawlenty in Ipsos's March poll) and while that didn't stop Obama in 2008, this is a very different election.

These two relatively young candidates will use this election cycle to build their national profile and grow support bases in the key states. Their next four years will be just as important. They will need to keep whatever momentum they gain this time around. Four years ago, Huckabee was an unknown, but he's now a recognisable face to many and, had he decided to run, he would have been in a very strong position to win the Republican nomination.

View to a killing

Our latest research shows Obama leading all his opponents, which is hardly surprising at this stage. Although the polls also show a small bump for Obama since the killing of Osama Bin Laden, it is unlikely to make much difference in the long run. It does however strengthen his personal position and closes off an avenue of attack from the Republicans.

They will find it far more difficult to accuse him of being weak on terrorism or defence – three in five Americans (59 per cent) give Obama a satisfactory rating on terrorism, up from 43 per cent before the death of Bin Laden.

Obama's electoral fortunes – as those of David Cameron and the Conservatives in Britain – lie in the success or failure of the economy. The most likely obstacle that could prevent Obama staying in the White House would be an economic downturn and increasing unemployment. Current projections suggest this won't happen, but the Republicans could do worse than learn from a little-known governor of Arkansas in 1992.

No one gave Bill Clinton a chance against the incumbent, President George H W Bush, but with the economy sliding and the independent Ross Perot splitting the vote, he forged a victory. You've got to be in it to win it.

Another Democrat provides a warning story for those Republicans looking ahead to 2016. John Edwards believed that coming second to John Kerry in 2004 and becoming Kerry's running mate made him a shoe-in for the 2008 nomination, before the junior senator from Chicago, Barack Obama, stole his momentum.

A repeat of 1992 is unlikely. The Democrats need to concentrate on winning key House and Senate races in order to give the president at least two years in which he can pass the legislation he wants. The Republicans are playing a risky game if they're looking ahead to 2016. However unlikely, every election is winnable and Republican candidates for House and Senate seats will be grateful for a presidential contender who gets the Republican vote out.

Tom Mludzinski is a research executive at Ipsos MORI, the social research institute.

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

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She knew every trick to get a home visit – but this time I had come prepared

 Having been conned into another couple of fruitless house calls, I now parry the proffered symptoms and generally get to the heart of the matter on the phone.

I first came across Verenice a couple of years ago when I was on duty at the out-of-hours service.

“I’m a diabetic,” she told me, “and I’m feeling really poorly.” She detailed a litany of symptoms. I said I’d be round straight away.

What sounded worrying on the phone proved very different in Verenice’s smoke-fugged sitting room. She was comfortable and chatty, she had no fever or sign of illness, and her blood sugar was well controlled. In fact, she looked remarkably well. As I tried to draw the visit to a close, she began to regale me with complaints about her own GP: how he neglected her needs, dismissed her symptoms, refused to take her calls.

It sounded unlikely, but I listened sympathetically and with an open mind. Bit by bit, other professionals were brought into the frame: persecutory social workers, vindictive housing officers, corrupt policemen, and a particularly odious psychiatrist who’d had her locked up in hospital for months and had recently discharged her to live in this new, hateful bungalow.

By the time she had told me about her sit-in at the local newspaper’s offices – to try to force reporters to cover her story – and described her attempts to get arrested so that she could go to court and tell a judge about the whole saga, it was clear Verenice wasn’t interacting with the world in quite the same way as the rest of us.

It’s a delicate path to tread, extricating oneself from such a situation. The mental health issues could safely be left to her usual daytime team to follow up, so my task was to get out of the door without further inflaming the perceptions of neglect and maltreatment. It didn’t go too well to start with. Her voice got louder and louder: was I, too, going to do nothing to help? Couldn’t I see she was really ill? I’d be sorry when she didn’t wake up the next morning.

What worked fantastically was asking her what she actually wanted me to do. Her first stab – to get her rehoused to her old area as an emergency that evening – was so beyond the plausible that even she seemed able to accept my protestations of impotence. When I asked her again, suddenly all the heat went out of her voice. She said she didn’t think she had any food; could I get her something to eat? A swift check revealed a fridge and cupboards stocked with the basics. I gave her some menu suggestions, but drew the line at preparing the meal myself. By then, she seemed meekly willing to allow me to go.

We’ve had many out-of-hours conversations since. For all her strangeness, she is wily, and knows the medical gambits to play in order to trigger a home visit. Having been conned into another couple of fruitless house calls, I now parry the proffered symptoms and generally get to the heart of the matter on the phone. It usually revolves around food. Could I bring some bread and milk? She’s got no phone credit left; could I call the Chinese and order her a home delivery?

She came up on the screen again recently. I rang, and she spoke of excruciating ear pain, discharge and fever. I sighed, accepting defeat: with that story I’d no choice but to go round. Acting on an inkling, though, I popped to the drug cupboard first.

Predictably enough, when I arrived at Verenice’s I found her smiling away and puffing on a Benson, with a normal temperature, pristine ears and perfect blood glucose.

“Well,” I said, “whatever’s causing your ear to hurt is a medical mystery. Take some paracetamol and I’m sure it’ll be fine in the morning.”

There was a flash of triumph in her eyes. “Ah, but doctor, I haven’t got any. Could you –”

Before she could finish, I produced a pack of paracetamol from my pocket and dropped it on her lap. She looked at me with surprise and admiration. She may have suckered me round again, but I’d managed to second-guess her. I was back out of the door in under five minutes. A score-draw. 

Phil Whitaker is a GP and an award-winning author. His fifth novel, “Sister Sebastian’s Library”, will be published by Salt in September

This article first appeared in the 23 June 2016 issue of the New Statesman, Divided Britain