Advantage, Obama as voting begins in the US

The opinion polls have hardened in favour of the President in the last days of the campaign.

The US goes to the polls today with Barack Obama on the brink of an historic re-election. After a brutal campaign in which the Romney and Obama camps have spent an estimated $6bn between them, making this race comfortably the most expensive election in history, the two candidates are separated by just over one per cent in the national opinion polls. However, Obama holds slight leads in most of the key swing states, including the perennial bellwether state of Ohio. Of the states picked up by Obama against John McCain in 2008, Romney holds poll leads in just Indiana and North Carolina, with Florida and Virginia in a dead-heat.

The two candidates have splurged over $700m on television adverts, most of them negative, in the battleground states. Aside from the presidency, the entire House of Representatives, 34 Senators and 11 governors will be decided today. However, after months of intense campaigning, little is expected to change. The Democrats are poised to retain a narrow majority in the Senate, with the Republicans unlikely to pick up the four seats it needs to take control. In Missouri, Republican candidate Todd Aikin, whose comments about "legitimate rape" rarely leading to pregnancy sparked widespread outrage, is However, the huge gains GOP gains on the back of the Tea Party campaign are not expected to be wiped out, with the Democrats set to fall well short of the 25 gains needed to take a majority in the House of Representatives.

The political deadlock that has existed since the Republicans took control of the House in 2010 is set to continue. In truth, US politics is more divided than it has been for a generation. Despite committing a series of media gaffes, the most notorious being a secretly-filmed video of Romney dismissing the "47 per cent of electors who don't pay income tax and won't vote for me", the former Massachusetts governor has remained in contention. In particular, the Romney campaign was energised by a strong performance against a lacklustre Obama in the first Presidential debate on 3 October. However, after recovering in the final two debates. An opinion poll released over the weekend by the Washington Post found that 79 per cent rated Obama's response to Hurricane Sandy, which ripped through north-eastern America last week, as excellent or good. The President has since been bolstered by October's employment statistics showing that 171,000 jobs had been added to the economy.

Even small factors such as the weather - the forecast for Florida promises rain on Tuesday - may come into play as the party machines complete their 'get out the vote' programmes. However, turnout is expected to be up to five per cent lower than the 57 per cent seen in 2008.

Volunteers at the Romney office in St Petersburg maintain an upbeat demeanour, with a chart on the wall showing the numbers from the minority of favourable opinion polls. But the mood is brittle. Canvassers say they are "scared for their country". One lady tells me that "Obama-care forcing everybody to be equal is just wrong", complaining that the new healthcare regime would force Catholic charities to offer abortions and birth control. She says that she and her husband had to sell their home to pay rising medical bills 'but that's how it works" and proudly states that no Congressional Republicans voted for the bill.

The antipathy to their opponents is not reserved to Republicans. Victoria Yeroian, Young Democrats President at Virginia Commonwealth university in Richmond, describes the Tea Party to me as "an organised version of the Ku Klux Klan".

Democrat party operatives in Virginia and Florida have been in full lock-down mode when it comes to speaking to journalists but seem quietly confident amid the bustle of campaigning activity. The opinion polls have hardened in favour of the President in the last few days, and Democrats have been cheered by New York Times's uber-pollster Nate Silver, who projected a comfortable Obama win on Monday night, placing the vital bellwether state of Ohio, along with Florida and Virginia, in the Democrat column. Silver's formula puts a 92 per cent likelihood on Obama being re-elected, estimating that the President will claim between 310-315 electoral college votes.

As ever, attention will focus on the three big swing states - Pennsylvania, Ohio and Florida. No Republican has ever won the keys to the White House without claiming Ohio, but Romney needs to claim the Buckeye State and either Florida or a clutch of smaller swing states. The world is watching as America votes.

Ben Fox is a political reporter for EU Observer.

Barack Obama calls volunteers as he visits a campaign office in Columbus, Ohio. Photograph: Getty Images.
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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear