Brain Disease
The psychosis of Rush Limbaugh.
By William Saletan
Posted Friday, Oct. 27, 2006, at 7:49 PM ET

I once had a friend who listened to Rush Limbaugh three hours a day.
He was a Republican operative. He sat in my apartment, wearing
headphones, while I worked. He swore that if I put on the headphones
for 10 minutes, I'd be hooked. So I put them on.

Inside the headphones was another world. Everyone in this world
thought the same way, except liberals, and they were only cartoon
characters, to be defeated as though in a video game. In the real
world, my friend was unemployed and had been staying with me,
rent-free, for two months. But inside the headphones, he could laugh
about welfare bums instead of pounding the pavement.

I thought about that this week when Limbaugh went after his latest
target: Michael J. Fox. Fox, who has Parkinson's disease, has been
appearing in ads for candidates who support government-funded
embryonic stem-cell research. The ads promote this research as a
potential cure for Parkinson's and other ailments.

On Monday, Limbaugh played one of the ads for his audience. "In this
commercial, he is exaggerating the effects of the disease," Limbaugh
said of Fox. "He is moving all around and shaking. And it's purely an
act. This is the only time I have ever seen Michael J. Fox portray any
of the symptoms of the disease he has. ... This is really shameless of
Michael J. Fox. Either he didn't take his medication or he's acting,
one of the two."

Where had Limbaugh seen Fox? "I've seen him on Boston Legal, I've seen
him on a number of stand-up appearances," said Limbaugh. He pointed to
Fox's autobiography. Fox "admits in the book that before a Senate
subcommittee … he did not take his medication, for the purposes of
having the ravages and the horrors of Parkinson's disease illustrated,
which was what he has done in the commercials," Limbaugh charged.

In the book, Fox tells the story of his life in the real world—the
world his body inhabited, as opposed to the make-believe world
Limbaugh saw on television. Fox describes how, during "the years I
spent promoting the fiction that none of this was actually happening
to me," he learned "to titrate medication so that it kicked in before
an appearance or performance … I did everything I could to make sure
the audience didn't know I was sick. This, as much as anything, had,
by 1998, become my 'acting.' " When he came out of the Parkinson's
closet, Fox recalls, he chose "to appear before the subcommittee
without medication. It seemed to me that this occasion demanded that
my testimony about the effects of the disease … be seen as well as
heard."

Here we have two completely different notions of reality. Fox's job
was to portray characters in movies and on television. For him,
Parkinson's was an invasion of the fake world by the real one. The
medication, designed to hide this from the audience, became part of
the fiction. In going off his meds, he was dropping the act.

Limbaugh's life story has gone the other way. His job was to explain
politics, a branch of nonfiction. But for him, the fake world has
overtaken the real one. He thinks reality is what's on Boston Legal.
Anything that doesn't match this must be "acting." If you go off your
meds on purpose, you're not revealing your symptoms. You're
"portraying" them.

Radio, television, and the Internet greased Limbaugh's descent into
fantasy. Years ago, a profile described him "holed up in his New York
apartment with Chinese take-out and a stack of rented movies." In
another profile, he "complained that he has virtually no social life."
Click the video links on his Web site, and you can peer into his
world. He sits in a soundproof studio. He never has to go outside.

In Limbaugh's world, "there never was a surplus" under President
Clinton. AIDS "hasn't made that jump to the heterosexual community,"
and cutting food stamps is harmless because recipients "aren't using
them." Two years ago, Limbaugh said the minimum wage was $6 or $7 an
hour. Last year, he said gas was $1.29 a gallon.

Limbaugh has particular trouble distinguishing reality from
entertainment. The abuse at Abu Ghraib "looks just like anything you'd
see Madonna or Britney Spears do on stage," he told his listeners.
Last month, he defended ABC's 9/11 movie against the document on which
it purported to rely: "The 9-11 Commission report, for example, says,
well, some of these things didn't happen the way they were portrayed
in the movie. How do they know that?"

Last year, Limbaugh, who used a tailbone defect to get out of the
Vietnam draft, accused a Democratic candidate of having served in Iraq
"to pad the resume." He charged several veterans—including former Sen.
Max Cleland, who lost both legs and an arm in Vietnam—with trying "to
hide their liberalism behind a military uniform … pretending to be
something that they are not." When war is just another television
show, a uniform is just another costume. Liberalism is real; losing
your limbs is a pretense.

Which brings us back to stem cells. Limbaugh says Fox's ads dangle a
prospect of imminent cures "that is not reality." He's right. But the
ads convey another reality: a man dying of a disease that might be
cured more quickly if the government dropped its restrictions on
research funding. Limbaugh dismisses this as a "script" being followed
by Fox's "PR people" and "the entertainment media." Script?
Entertainment? This is life and death.

I have another friend. He has Parkinson's. I've seen him on good days
and bad days. That's how I know Fox isn't faking it. My friend doesn't
see the destruction of embryos as a dangerous price to pay for
stem-cell research. I do. But if you worry about the embryos, you had
bloody well better look into the eyes of the people dying of these
diseases. You had better ask yourself whether slowing research that
might save them is an acceptable price for your principles.

If you can't—if all you can see is "acting"—then you need more help
than they do. Fox's disease can only take your body. Limbaugh's can
take your soul.

A version of this article also appears in the Outlook section of the
Sunday Washington Post.

William Saletan is Slate's national correspondent and author of
Bearing Right: How Conservatives Won the Abortion War.