Barbara Walters

mental hell

How the American health-care system killed a 13-year-old girl.

In Nov. 1991, Merry Scheck admitted her 13-year-old daughter Christy to a psychiatric hospital near their San Diego Home. Once an honor student and gifted athlete, Christy had become suicidal, hiding razor blades and aspirin bottles in her room and telling her friends that life at home was unbearable. The Schecks were a close, religious family. Christy had always maintained healthy relationships with her parents, especially her father, Bob, who coached her sports teams and practiced pitching, throwing and hitting with his daughter every chance he could. But when Christy approached adolescence and her father decided she should no longer play in boys leagues, she was furious, and her behavior became irrational and self-destructive. On the advice of a family therapist, the Schecks checked their daughter into Southwood Psychiatric Hospital. Five months later, she hung herself while on suicide watch.

What the Schecks didn’t know when they admitted Christy to Southwood was that it was one of 70 psychiatric hospitals affiliated with National Medical Enterprises, a $4 billion player in the mental health business. In her new book, “A Wrongful Death: One Child’s Fatal Encounter with Public Health and Private Greed,” reporter León Bing interweaves the Scheck’s haunting personal story with a tale of corporate health care gone horribly awry. Chapter by chapter, the Scheck story unfolds, revealing a picture of a mental health system largely devoid of compassion and competence — and an institutional structure based primarily on profit, where patients with generous insurance policies receive expensive and lengthy hospital stays that often do more harm than good.

Salon recently spoke to Bing about trendy psychological theories, her own experience working at a psychiatric hospital and why, when it comes to health care, insurance is everything.

You worked as a “tech,” someone who ushers kids to and from therapy and chaperones at meals and activities, at a private psychiatric facility in Southern California similar to the one that Christy Scheck was in. Techs have the most contact with kids, but you write that in order to get hired you were interviewed briefly, given a cursory medical exam and two days later you were hired.

Yes, I worked for a facility that is no longer in operation, during the summer of 1985, but I only lasted for three months. I asked too many questions. At the time I was hired, I thought, this is easy enough, this is pretty fast. Techs were part-time, on-call workers, with no benefits, who could be paid almost a minimum wage. So, if you were able to understand directions, and provide answers that showed that you comprehended them, it seemed pretty clear that you’d get hired.

After I left the facility, I wrote a cover story about it for the L.A. Weekly that nearly broke their record for mail received. It seemed that every kid in the L.A. area who had been put in one of those places wrote in. So I kept that in the back of my mind and knew I wanted to write a book about it. And then as more and more atrocities came to the surface, I realized it was the time.

What atrocities?

There was a case in Texas in which a 14-year-old boy was picked up at his house and taken in handcuffs to a private psychiatric hospital for supposed drug abuse. He was kept for five days without being allowed to see or speak to his family; he tested negative for drugs and wasn’t even seen by a psychiatrist until two days after he got there. So a suit was brought against the hospital chain, Psychiatric Institutes of America (PIA), which also ran the hospital that Christy Scheck was placed in.

This book did not start out being about Christy Scheck.

In 1993 I began interviewing kids. One of them, Lynn Duff , was on Barbara Walters a couple of weeks ago talking about how she had been in effect kidnapped by her family and driven to Utah with a hood over her head to a facility there called Rivendell. Her mother put her there because Lynn had told her that she was gay. I interviewed Lynn at great length. She was going to be one of the chapters in the book; I was going to do different chapters on different kids. Then in 1994, I read an article that had to do with a settlement made by National Medical Enterprises (the corporate parent of PIA) to the Scheck family because of the death of their 13-year-old daughter at one of these facilities in a suburb of San Diego.

I called the Scheck’s attorney to ask if I could meet with them, and he said he didn’t think they wanted to talk to a member of the press — which I understood, of course, as a parent, if nothing else. But about a week later Merry Scheck called me. And what started out as a chapter on Christy Scheck ultimately overtook the book. I mean, I had talked with some kids who had riveting accounts, but this overshadowed all of them. Those kids were still alive. Christy was dead.

Did the stories that you heard from the kids you interviewed corroborate and round out what you learned from the Schecks?

I had interviewed all of those kids, and I had worked in one of those facilities. You know when something has a ring of truth, and when you have been there to witness it, well, there is not much problem believing it. And I am not a “believing” person by nature.

Were any of the kids you worked with — or interviewed — helped by the treatment they received in these hospitals?

If the kid gets lucky, they are helped. No matter what the bylaws of the facility are, if they are hooked up with the right shrink they are going to be helped. Or if the kid was open to being there, they might be helped. But unfortunately many of the kids I worked with were lied to by their parents, by their school counselors or by both. My question at staff meetings was, “How are these kids ever going to trust their parents or any authority figure again?”

How do they navigate the adult/authority world, once they get out?

It depends. Remember, they are being sent back to the exact same environment. Same people, same kind of happenings that put them there in the first place. I sat in on one parent-child meeting and it was amazing. The mother did nothing but shriek at the kid for the hour and justify the fact that she had read the girl’s diary and gone through her drawers.

You write about the tactics that these facilities use in order to play on parents’ fears. You call it the “what if” approach.

The ad copy for these hospitals will read something like “It could be growing pains, but what if it’s not?” or “The moods and the roach you found in the back of the car could just be typical teenage behavior, but what if it’s not?”

How can parents make sure they are not getting duped by good PR?

They have to ask questions like, What is the history of the parent company? Are the people at this facility compassionate? Have they sold out to trendy psychological theories? The Schecks clearly tried to make the right choice, and tragically they didn’t.

What are some examples of “trendy psychological theories”?

Examples of trendy theories are recovered memory syndrome and the anger reduction stuff, where a kid is held while insults and abuse are hurled at them. Naturally, the kid freaks out, but they are being held down. I once saw this on a PBS show, and my jaw was hanging. One common theory is that if you have an eating disorder, then you must have been sexually abused by your parents. I find all of these really frightening.

While hospitalized, Christy Scheck accused her father of sexual molestation, a charge that you write she fabricated as a way to become closer with the hospital staff.

She wanted to gain the approval of the staff, but she also wanted to one-up her peers. She made up stories about being in a gang, then that she was kidnapped and raped. When those didn’t create ripples either, she said she was molested. It was guaranteed to draw a collective gasp.

How did the counselors at the hospital facilitate Christy’s charade?

When Ed Dueñez, Christy’s high school guidance counselor, went to spend Thanksgiving with her at the facility three weeks after she was there, he realized something was seriously wrong. She was sitting at the table having dinner with three other kids and she began emulating their rap, their whole street attitude. Dueñez approached one of the counselors and said, “When are you going to confront her with her real life?” The counselors said, “We know what we’re doing.” Which is also what the Schecks got. Obviously they didn’t know what they were doing.

In the book, Merry and Bob Scheck admit that to this day, they don’t know what Christy’s treatment was. Why weren’t the Schecks more aggressive? Why didn’t they yank her out?

I must defend them here. Merry Scheck was on the phone constantly, she tried every way she could to get a handle on the kid’s treatment. She was not concerned with popularity for even an instant. But they had to be careful because the more they tried to get in contact, the more they were kept in the dark. Had there been front line people who were more in touch with the proper treatment, who at least knew what they were doing, who at least didn’t suddenly decide to believe everything the kid said in order “to give her her own credibility,” then I don’t think the Schecks would have been kept so much in the dark.

Still, they knew Christy wasn’t making much progress. Why not take her out?

Well, by the time this was starting to happen, their younger daughter had been taken from their home. (The Scheck’s other daughter, Molly, was taken away from them after the abuse charge was leveled against Bob Scheck.) Christy would then have been moved into a foster home with God knows what results. I know no one ever expected what happened to happen. They felt that at least their child was safe because she was being watched by professionals. They were not told that she had been put on a suicide watch. All of us, especially parents, can say, “How could they have been so passive?” But the fact is that they were blindfolded and hooded, and put into one of those Skinner boxes, as far as their child’s treatment.

Are there any laws that protect a parent’s right to know what is going on when they admit their child to a psychiatric hospital?

I wish I knew. That is a lapse in my own investigative journalism.

Christy Scheck had great insurance coverage because her father had been in the military. How long would she have stayed at Southwood if her coverage wasn’t so comprehensive?

She would have been out of there quickly because they would have wanted to make room for a big payer. I imagine her treatment would have been a bit different because her parents would not have been able to pay out-of-pocket. In the book there is an example of a Medicare patient, whom I called Amber, who ended up in a coma due to an overdose she suffered when she was moved out of the hospital. They moved her before her insurance was even up, to make room for a high payer.

Christy was placed on high doses of sedatives and psychiatric drugs, much higher than what is normally recommended for adolescents. Is it common practice to drug up the kids?

Apparently, it is pretty prevalent. And the charging, the capricious charges are just staggering. In this instance, Christy’s case was not isolated.

In the book you explain a phenomenon called “charting parties.”

Patient charts were in fact changed. At Southwood, pizza was brought in and charts were changed to reflect treatment that was probably not given, but was put down on the patients’ charts so it would be paid for. One memo was sent out saying, don’t say “bright affect,” which means good mood, say “manic episode.” That is an example of creative charting. When I was working at the psychiatric hospital, there were kids, little kids, who had been there for years and would be there as long as the insurance paid for it. They could be there until they were 18. It wasn’t just in California. It was pretty much all over the country.

Insurance companies were completely screwed by these private hospitals. Wasn’t there some kind of system of checks and balances?

Only when cases like the one in Texas began to show up, and state senators started forming panels, did this start bubbling up to the surface — and this wasn’t until the very late ’80s when hearings began.

What has happened to NME, the corporation the Scheck’s brought suit against?

In August, $100 million was paid to settle 700 claims filed by former psychiatric patients at NME hospitals. Most of these patients, at the time of their hospitalizations, were teenagers. Aside from that $100 million, doctors once affiliated with that psychiatric unit agreed to pay an extra $20 million in compensation to their former patients.

As a parent and someone who has done extensive research, what do you think a parent should do before admitting their child to a facility?

A parent must have a split-level view: knowing your child is in crisis, and yet keeping it together in order to thoroughly check out the facility. When a child is at a crisis point, tragically, understandably, most parents will hand over their child to people with at least what looks like some expertise and credentials. It does become a kind of crap shoot, or a slot machine in Vegas. Sometimes you come up with lemons or cherries, or sometimes it is just a blur of light and color, no payoff. At the worst level, it is what happened to Christy Scheck.

Lori Leibovich is a contributing editor at Salon and the former editor of the Life section.

Meet the Assads

Before violence erupted in Syria, Bashar al-Assad and his fashionable wife, Asma, were sometime media darlings VIDEO

Asma al-Assad (Credit: Reuters/Khaled al-Hariri)

Though the news out of Syria has been almost uniformly awful recently — fighting spreading to Damascus and Aleppo, rumors of Russian “anti-terror” troops in the country supporting President Bashar al-Assad, accusations of human rights abuses by some anti-government forces — we have been treated to a fascinating glimpse into the private world of an embattled dictator, thanks to the leak of thousands of Bashar al-Assad’s personal emails. The trove has proved to be perversely comic, with female aides sending the strongman little love notes and at least one unsubstantiated underwear picture. The emails also offer insight into the life of Assad’s wife, Asma, who has continued buying — or attempting to buy — expensive luxury goods while her husband struggles to maintain control of his country. They’re both international pariahs now (except in Moscow), but not long ago, self-pitying Bashar and his fashionable wife, Asma, were two of the Western celebrity media’s favorite autocrats.

Asma al-Assad is British born and, yes, a former banker. She worked at Deutsche Bank and J.P. Morgan before marrying Bashar and moving to Syria to be that country’s first lady-for-life. Because she grew up in secular, liberal Britain, and is worldly and cosmopolitan, lots of people assumed, without much in the way of evidence, that she’d help her husband “modernize” Syria, and push him to support women’s rights and more civil freedoms. Now he’s clinging to power by any means necessary, and thousands of people are dead.

The fact that Asma al-Assad is “one of us” — a native English-speaker with a finance background, the sort of person a globetrotting journalist would probably get along with — led a lot of very bad journalists to assume that the Assads were not actually that bad; “This man is not like Qaddafi,” in the words of Barbara Walters, who vacationed — actually vacationed! — with the Assads in 2008. Here’s Ann Curry’s glowing profile of the glamorous Syrian first lady from the NBC Nightly News back in 2008:

Asma Assad is a revelation — with a competitive edge learned on Wall Street, a light-up-the-room charisma, and a down-to-earth touch. Born and raised in Britain, she is now the modern face of Syria.”

(Ann Curry’s second-best line: “Do you ever pinch yourself, stop and say look, I am the first lady of Syria?”)

Even more embarrassing, somehow, was Vogue’s Asma al-Assad profile, which, unfortunately for Vogue, ran shortly after the bloody crackdown began, at the beginning of last year. The magazine has disappeared the story, but it’s readily available online. Assad’s brutality made the entire thing read like a sick joke — a thousand dead rebels, civilians and children make it much harder to understand why it’s admirable or impressive that the wife of Syria’s autocratic leader is glamorous and modern. (“On Friday, the Muslim day of rest, Asma al-Assad opens the door herself in jeans and old suede stiletto boots, hair in a ponytail, the word happiness spelled out across the back of her T-shirt. At the bottom of the stairs stands the off-duty president in jeans—tall, long-necked, blue-eyed.” All three of the Assad’s children, we also learn, attend Montessori school.)

It turned out, of course, that the Syrian government had contracted with a major American and British P.R. firm to help convince Vogue to run that glamorous photo shoot and soft-focus profile. (The same P.R. firm that reps for MEK. It’s a small world, and one full of so many deplorable people.) It seems weirdly appropriate for such a “modern” dictator that the increasingly isolated Assad relies more and more on the counsel of various young women with P.R. experience.

Well, it turned out that when Asma al-Assad, in Vogue, described her household as “wildly democratic,” she was being not just viciously ironic but also facetious. She described herself, with a particularly poor choice of words in an email to a friend, as “the REAL dictator” in the Assad household, because she makes her actual dictator husband listen to her. Oh, those Assads.

The good news is that the EU has decided to make it marginally more difficult for Asma al-Assad to buy things on the Internet. But the Assads are a useful object lesson for future dictators: Good P.R. and Western elite consumer habits will go a long way to convince certain people that you can’t be that bad.

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Alex Pareene

Alex Pareene writes about politics for Salon and is the author of "The Rude Guide to Mitt." Email him at apareene@salon.com and follow him on Twitter @pareene

Paris Hilton’s reality show may tank, but she won’t

"The World According to Paris" might be a failure for Oxygen and the heiress alike, but her "career" is fine

Paris Hilton catching flack on "The View."

People are taking a schadenfreudian delight in the apparent failure of Paris Hilton’s new reality show, “The World According to Paris.” Low ratings, bad press … the whole spectacle really does need to be put out of its misery. Personally I think it was a branding problem: while Oxygen may be fine for “Tori & Dean,” that’s a program predicated on the idea that Tori Spelling is a mother and wife first, star second. Paris and her unapologetic vapidity belong more in the E! family, along with the Kardashians, Kendra, and “Sex and the City” reruns.

But since I’m not in control of television programming (fingers crossed for next season!), Paris’ future isn’t in my hands. But it’s also not in the hands of her critics, who are gleefully calling Paris “passé,” and the bombing of her latest show the end of her career.

Which begs the question: what career? I’m not being rhetorical, since Paris Hilton’s brand image extends far beyond this one flop. Do you think people will stop buying Paris Hilton perfume because no one tuned in to see Brooke Mueller have an emotional breakdown last week? Do you think her clothing line will magically go away if her show does? Will paparazzi stop following her around? Will her books stop being ghostwritten? Will she no longer be an heiress? Will this even prevent her from getting another reality show in the future? I mean, if “Paris Hilton’s My New BFF” didn’t stop producers from making another show about Paris’ life, I really don’t see it happening next time around.

Paris doesn’t have a career, she has a brand. And a much bigger one than Snooki or the Teen Moms or most of the Kardashians (though she did ride the same sex tape train to fame as Kim). Her ability to get photographers to follow her around isn’t in question here, nor the number of Twitter followers she has, nor her family’s money. So what if Barbara Walters yelled at her on “The View”? Think about it this way: it would be weirder if Barbara hadn’t.

Paris is an irresponsible, vain rich girl who will never have to lift a finger in her life. That may not make for good television right now, when the country is more into Jersey girls and teenage pregnancy and bridalplasty, but as far as her “career” goes, you have to be of the mind that either she’ll still have it post-show, or she never had one in the first place. Both choices lead to the same conclusion: While losing a show might be a blow to Paris’ brand, it’s far from a fatal one. She’s already lost several other reality shows, hasn’t she?

The worse Paris acts, the more attention the media will pay to her. (See also: Lindsay, Britney, the Olsens.) She’s not going anywhere, unless she has a personality transplant and suddenly decides she hates the spotlight.

Sorry, everyone.

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Drew Grant is a staff writer for Salon. Follow her on Twitter at @videodrew.

Barbara Walters to have heart valve surgery

TV news legend and host of "The View" will take the summer off to recover

Barbara Walters said she will have surgery later this week to replace a faulty heart valve and take the summer off from “The View” to recuperate.

The television legend made the announcement on the air Monday. She said she’s known about her condition for a while, and decided with her doctors that this is the best time to have the surgery.

“Since the summer is coming up,” she said, “I can take a nice vacation.”

Walters, 80, is one of the best-known personalities in television news. She began on the “Today” show, was the first woman to anchor a network evening news program, then was one of the toughest competitors in the fierce game of landing sought-after interviews.

At a time others would be slowing down, she created “The View” in 1997, and the daily talk show with a woman’s round-table is a staple on daytime TV.

She said her condition would be a surprise to many friends. “But I thought it best not to talk about it too far in advance.”

Walters said she had not felt any symptoms from the narrowing of the heart valve, which can worsen and restrict the flow of blood to the heart.

Whoopi Goldberg, her co-host on ABC’s “The View,” asked Walters if she is scared.

“Look, nobody wants to have this kind of surgery,” Walters said, but added that it has become more commonplace and done safely.

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ABC is owned by The Walt Disney Co.

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On the Net:

ABC: http://theview.abc.go.com/

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Lady Gaga likes ladies. So?

Barbara Walters cross-examines the pop star about her sex life

U.S. singer Lady Gaga looks on during the German TV show "Wetten dass...?" (Bet it...?) in Braunschweig, November 7, 2009. REUTERS/Axel Heimken/Pool (GERMANY ENTERTAINMENT)(Credit: Reuters)

A straight-faced Barbara Walters uttering the words “bluffin’ with my muffin”? Now that’s what I call must-see TV. This delightfully awkward moment (video below) came during last night’s ABC special, “10 Most Fascinating People of 2009,” during which Walters interviewed Lady Gaga, the pop star behind those infamous lyrics.

Now, B-Dub isn’t one to throw around sexually explicit phrases for no good reason: She brought the line up as a segue to talking about Gaga’s sexuality.”So, people thought you were saying that you were bisexual,” she said. “Are you bisexual?” Gaga responded, “Um, well, I do like women.” No surprise there — she’s long been open about her attraction to women (and these NSFW photos spoke for themselves.) But she pressed on: ”Do you like men, too?” Yes, Gaga said, and she has only ever “been in love with men.” Walters quickly followed up, giving me flashbacks of the cross-examination of Bill Clinton: “Have you had sex with women?” This, dear readers, prompted the most shocking moment of the interview. Lady Gaga, that outrageous, in-your-face performer, seemed suddenly modest and bashful: “Um, uh, well, I … my goodness.”

My goodness, indeed. You sit down with Walters and expect to have an intense discussion about artistic expression or to participate in an excavation of family history meant to induce tears — and then she’s all “poker face,” “muffin bluffin’” and “have you had sex with women?” Whoah, Nellie! But Gaga quickly recovered from her surprise and neutralized the almost accusatory line of questioning with a straightforward response: “I’ve certainly had sexual relationships with women, yes.” You go, Gaga.

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Tracy Clark-Flory

Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter.

How the election ate daytime television

Why talk shows like "The View" are showcasing some of the most sophisticated (and mind-numbingly stupid) conversations about the presidential race.

Eight minutes before the first and only vice-presidential debate, MSNBC’s “Countdown” host, Keith Olbermann, and Newsweek’s Howard Fineman were talking about “The View.”

The opinionated, loud and very male Olbermann was making a point about how low Sarah Palin had sunk in America’s estimation by playing a video clip of the daytime talk show’s resident conservative Elisabeth Hasselbeck. Admitting that Palin’s inability to name a single Supreme Court case besides Roe v. Wade was perhaps worrisome, Hasselbeck conceded, “That was a moment where she should have had some [examples] lined up.”

Olbermann and Fineman chuckled at the possibility that, as goes Elisabeth Hasselbeck, so goes the country. “This is not my usual turf,” said Fineman.

It sure isn’t. But this isn’t anybody’s usual campaign, and what the (still mostly male) political pundits are coming to grips with is that the election cycle is not just playing out on their news shows and their 24-hour networks but also in the traditionally feminine — and therefore traditionally marginalized — world of daytime television.

Credit Sarah Palin, or Hillary Clinton, or unprecedented excitement over the historic candidacy of Barack Obama and appreciation for his exceptionally appealing wife. Maybe it’s the panic about the financial crisis, outrage at the mishandling of the war, fury over gas prices, worries about the environment — all of which are so powerful that they’re causing the election to seep into unexpected cultural corners, like Us Weekly and porn. Whatever the reason, daytime talk shows have showcased some of the most sophisticated (as well as some of the most mind-numbingly stupid) conversations about what’s happening on the political stage this season.

For example, when you hear people on television these days discussing the Wall Street crisis and someone makes the incisive point that when the Feds give money to Wall Street executives, it’s called “a bailout,” but when they give it to regular citizens, “they call it socialism,” you might not be listening to Maddow and Buchanan or Hannity and Colmes but to Whoopi Goldberg and Joy Behar, who conducted just this conversation — along with “View” co-hosts Hasselbeck, Barbara Walters and Sherri Shepherd — in early October. And all before smoothly segueing into an interview “with the fabulous Alec Baldwin.”

And when somebody tosses a political zinger, it might just be Sherri Shepherd, who used to have the least to say politically on the show but is now letting loose like she did on Oct. 6, when Goldberg commented on Obama’s graying hair, and Shepherd quipped, “Every little bit of white helps.”

Strange as it may seem, daytime has historically provided some of the most progressive television in the nation. Long before prime-time TV made room for meaty female characters, soap operas were spinning out stories in which women were central characters. Soaps also provided many of television’s groundbreaking story lines — Erica Kane’s 1973 abortion on “All My Children,” the introduction of a gay character, Hank Elliott, on “As the World Turns” in 1988, “General Hospital’s” Stone battling AIDS in the 1990s — made more powerful by the narrative intimacy afforded by the daily serial format.

But it wasn’t just soaps that pushed the envelope. Phil Donahue’s daily talk show, which ran from 1970 to 1996, focused on topics from atheism to sexuality to Soviet-American relations during the Cold War. Married to “That Girl” feminist icon Marlo Thomas, Donahue focused on the women’s movement. Donahue once told the L.A. Times that he owes his success to the fact that he “discovered early on that the usual idea of women’s programming was a narrow, sexist view. We found that women were interested in a lot more than covered dishes and needlepoint.”

Post-Donahue, there was a devolution in the level of political discourse on daytime; in its place was a spate of shows devoted to personal drama. Hosts like Sally Jessy Raphael, Ricki Lake and, most famously, Jerry Springer populated the airwaves with battling couples, faked paternity tests, revelations of cheating partners, a lot of hair pulling and, on Springer’s show especially, some lusty throwing of chairs. But whatever else there is to say about this genre, it did what little else on television or the movies was doing: It gave a voice and a face and a stage to portions of the American population who otherwise had no outlet for expression — the poor and the working class, as well as gay and transgendered people, transsexuals and other sexual nonconformists.

And, of course, for decades daytime has been the home of culture-changing Oprah Winfrey, who made blackness, and black womanhood, not only visible in the lily-white mainstream media — not only acceptable, not only likable — but also deeply and powerfully relatable. Were it not for Oprah Winfrey, we might not have Barack Obama as our Democratic candidate for president, both because of her early endorsement of his candidacy and also because of her presence and power in American culture.

This makes it all the more fascinating that, as the daytime airwaves flash with political conversation, Winfrey is comparatively silent. In the past, she has invited candidates from both parties on her show, but because of her early and open support of Obama, she has decided not to host any of the presidential candidates. As she told reporters, “At the beginning of this presidential campaign, when I decided that I was going to take my first public stance in support of a candidate, I made the decision not to use my show as a platform for any of the candidates.” This has created an odd dynamic in which one of Obama’s most powerful supporters is unwilling to use her considerable forum to show her support, even at the height of election season.

 

But the Oprah vacuum has created more room for other daytime hosts to get in on the electoral act, not to mention more incentive for candidates to visit shows besides Winfrey’s if they want to reach daytime audiences. Barack Obama, Hillary Clinton and John McCain have all been guests on Ellen DeGeneres’ talk show; McCain and Bill Clinton have taken their lumps on “The View,” while Michelle Obama made her first post-primary splash there in June, and in April, during Obama’s appearance, Barabara Walters told him he was “very sexy-looking.” Then again, McCain practically received a massage when he showed up with his wife, Cindy, to cook ribs with Rachael Ray, when the 30-minute chef and presidential candidate even made the dubious pronouncement that he buys his ribs at Costco — just like you!

There seems to be an added incentive for candidates to show up and shill on daytime this year, in part because Clinton’s candidacy and all it entailed made clear that the women’s vote, and women’s views, were in fact going to matter to the outcome of this election. It doesn’t hurt that, between TiVo and the Internet, the daytime audience (after years of contracting) has grown exponentially in recent years, if not for entire episodes of programming then for choice moments. News sites, fashion sites, feminist sites, humor sites — they can now all posts clips from talk shows so that those with day jobs can catch what they missed while they were gone from home. The shows need to up their game in order to increase Internet visibility and play to a broader audience.

But it’s not simply the audience demographics of daytime that have changed. It’s also the face of daytime hosts. Ellen DeGeneres, unceremoniously bounced from prime time after her emergence from the closet, found a home on daytime in 2003 and an audience that loved her, gay or straight. And at “The View,” the wild ride of Rosie O’Donnell’s year-long tenure helped to tune an audience ear to the sound of loud and left-leaning political commentary. The show, thanks to its founder, Barbara Walters, and original moderator, Meredith Vieira, always had a newsy bent. But during Rosie’s time there, “The View” became a forum for shouting matches, often about controversial topics and vociferously voiced partisan opinion. Rosie, of course, was replaced by Whoopi Goldberg — a less divisive but almost as bolshy presence.

It is still relatively safe for guests, and political candidates, to expect the friendly, kid-glove, recipe-heavy/policy-light treatment that McCain received when he appeared on Rachael Ray, when the host asked him about making American diets healthier before allowing him to crow about his proficiency on a barbecue (or the treatment Obama received from the moony ladies at “The View,” or on “Ellen,” when DeGeneres gave him a light dance-and-chat). But it has recently become more common to see politicians, especially John McCain, made uncomfortable by the directness of the conversation on daytime television, a directness that isn’t often found in the more traditional news media.

DeGeneres, who keeps most of her show politically benign (and for the first few years didn’t often mention her lesbianism), has of late made much more of her sexuality, broadcasting video this summer of her wedding to actress Portia de Rossi. Last May, DeGeneres subjected McCain to one of his most uncomfortable interviews, using her upcoming nuptials as a platform on which to grill the candidate about the issue of gay marriage. It should be noted that DeGeneres also questioned Hillary Clinton about her feelings about gay marriage, and that McCain’s willingness to appear on DeGeneres’ show at all was notable, given his attempts at the time to court the conservative base of his party.

“Let’s talk about the big elephant in the room,” DeGeneres said, explaining that she had already been planning to have a commitment ceremony but that, because of the California decision to legalize gay unions, “it just so happens that I legally now can get married, like everyone should.” Her audience clapped as she asked McCain for his thoughts on the topic.

“I think that people should be able to enter into legal agreements and I think that is something we should encourage, particularly in the case of insurance,” said McCain. “I just believe in the unique status of marriage between man and woman. And I know we have a respectful disagreement on that issue.”

Here DeGeneres persisted: “We are all the same people. You’re no different than I am. Our love is the same … When someone says, ‘You’ll have a contract, and you’ll still have insurance … it feels like someone saying, ‘You can sit here, you just can’t sit there.’”

McCain was left to say only, “I’ve heard you articulate that position in a very eloquent fashion. We just have a disagreement and I, along with many many others, wish you every happiness.”

It was a glimpse at what the daytime format makes possible: a breezy, casual, personal exchange as vehicle for a larger social conversation. The moment packs a wallop in part because the heft of the encounter is a surprise, and in part because it is delivered by a host, like DeGeneres, whom viewers feel they know intimately and trust. Instead of watching a political pundit conduct an inside-baseball transaction with a candidate, an audience can feel as if a friend has just asked the questions.

Since her McCain interview, DeGeneres has stuck to her bipartisan good cheer, using what influential cultural power she wields to get people to register to vote. On Oct. 2, the last day before many voter registration deadlines, she welcomed Leonardo DiCaprio to preview a public service announcement they’d made together (along with Dustin Hoffman, Sarah Silverman, Ashton Kutcher, Forest Whittaker and others) encouraging people to register. And she’s been hawking “Laugh. Dance. Vote.” T-shirts and boxers on her show.

If there is any remaining doubt about which candidate might mirror DeGeneres’ political positions (on gay marriage and animal protection, another passion) and which candidate’s prospects might benefit from increased voter turnout, DeGeneres has also tipped her hand (subtly) by allowing some of her more partisan guests to get their digs in. “It’s like they scoured America for a woman,” said reality star Sharon Osbourne on a September episode, in reference to Sarah Palin, “and the last stop before you fell off America was Alaska, and there she was, iced, waiting … It’s like she was a last resort … They want women to vote for her, but women aren’t that stupid.”

This last line provoked wild cheering as DeGeneres nodded, “Uh-huh, uh-huh.”

And however easy Rachael Ray was on McCain, it’s only fair to point out that she also fluffed Michelle and Barack Obama, telling them in early August, “I just wanted to say it is such an exciting, wonderful time to be an American, and I think your campaign really has created this great wave, this great fervor.” In the ensuing interview with Michelle, Ray asked innocuous questions about whether the couple gets date nights (they do) and what “their song” is (Nat King Cole’s “Unforgettable” and Stevie Wonder’s “You and I”).

But none of this holds a candle to what has been going on at “The View,” where ringleader and show creator Barbara Walters has, as reported by Jacques Steinberg in the New York Times, been making “a conscious effort to insert their daytime talk show forcefully into the nation’s political conversation this fall.”

It’s worked.

Consider John McCain’s much-discussed Sept. 12 appearance on the program, which began as he settled comfortably and confidently into the couch. By the time the interview ended, he had conceded that he did not want to reenslave black people and weathered sharp questions about how many earmarks Sarah Palin had put in for as Alaska governor. As his wife, Cindy, later complained to a rally, the daytime hostesses with the mostest had “picked our bones clean.” Indeed, it was the finest and most direct questioning John McCain has received during his campaign, or on the issues, from anyone in the mainstream media.

The conversation with McCain was powerful enough to prompt former President Bill Clinton to get himself booked on the show. And while the women treated him with a bit more reverence, they did stick him with some honkingly direct questions — about whether he or his wife had wanted Hillary to be Obama’s running mate, about what Clinton thought of Palin — that were controversial enough for Clinton to make news by answering them (with his current tone-deaf ambivalence about the election).

But most mornings on “The View,” neither presidential candidates, nor their spouses, are on the couch. Most days, the first 10 minutes are devoted to frequently high-pitched arguments about the day’s headlines, the election and the financial crisis in which everyone is involved — including Sherri Shepherd, who once admitted that she had never voted before. These are conversations that often prove the hosts to be well-informed and opinionated. These ladies are a regular “McNeil-Lehrer News Hour” for the late-morning set, with Hasselbeck as the benighted Republican bugaboo.

On an early October episode, Goldberg kicked things off by suggesting that, “If we were gonna be surging anywhere, we should have surged our behinds into Afghanistan!” and chiding McCain for relying too heavily on the success of the surge as a talking point.

Soon Hasselbeck was yelling words like “Rezko! Ayers!”

“No, excuse me,” interjected Shepherd, who seems increasingly radicalized, especially in response to Hasselbeck’s conservatism. “McCain was involved in the Keating Five.”

Behar shouted, “You go, Sherri!”

When Behar, whose investment in this election has landed her repeatedly on “Larry King Live” and who was (somewhat depressingly) dubbed by the New York Times’ Frank Rich as “the new Edward R. Murrow” after the McCain interview, brought up the clip of CNN’s Campbell Brown lighting into the “sexist” McCain campaign for keeping the media away from Sarah Palin, Walters said, “I don’t think it’s because she’s a woman. I think it’s that they fear she may make a mistake because she’s uninformed.”

Behar countered, “If she were an uninformed male, would they allow her to speak to the press?”

Walters replied, “If it were an uninformed man they might have the same barrier.” And then, Rachel Maddow-style, to some unseen McCain campaign entity: “We would like to say, once more, that we would like to have Mrs. Palin on the program.”

Best of luck with that request, ladies!

After last week’s vice-presidential debate, Hasselbeck had (unsurprisingly) recovered from her moment of doubt about Palin’s capabilities. She asserted that the Alaskan governor had done a good job. Shepherd, meanwhile, was dismayed by Palin’s refusal to answer moderator Gwen Ifill’s questions, and Walters found the whole thing utterly unrevelatory, although she was bothered by the fact that Palin brought young Trig onstage so late at night.

When Hasselbeck groused about how, like any mom, Palin probably just wanted her kids around her, Shepherd cut her off: “Barbara didn’t say she was a bad mom!” she corrected. It wasn’t long before Hasselbeck returned to her favorite complaint about Obama: his associations with Weather Underground co-founder Bill Ayers.

“Bill Ayers surrendered,” Goldberg said, explaining gently, for the umpteenth time, to Hasselbeck that “he, like a lot of us in a certain generation, were pissed at the United States of America. Some were more radical than others … he turned himself in. I assume he rehabilitated himself. I don’t recall anyone in 2001 saying, ‘Let’s go get Bill Ayers because he’s a terrorist.’”

Soon came conversation about how people’s pasts are people’s pasts, and that McCain had his own Keating past. “John McCain was cleared of any charges!” said Hasselbeck.

“It was poor judgment,” said Walters.

But Hasselbeck was undeterred. “This is what bothers me truly about Barack Obama,” she said. “He wants to hide all of his radical connections.”

“It’s crap,” said Goldberg.

“It’s not crap,” shot back Hasselbeck.

“It’s crap,” repeated Goldberg, officially, sending the program to commercial while the crowd cheered wildly.

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Rebecca Traister

Rebecca Traister writes for Salon. She is the author of "Big Girls Don't Cry: The Election that Changed Everything for American Women" (Free Press). Follow @rtraister on Twitter.

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