1) Is it a big deal that Palin wrote some notes on her hand? No, not really. Lots of politicians carry notes with them (if not, as in Palin's case, literally on them). If this were Mitt Romney, it wouldn't have been a particularly big story.
This would certainly have done some damage to Romney's reputation of being a hyper-competent executive.
2) Somebody needed to sit down with Palin and consider whether, for a candidate who gets significant leverage out of the sense that she's been persecuted by the mainstream media, becoming a correspondent for one of the mainstream media networks was going to be helpful to her in the long run.
For her followers, FAUX isn't part of the mainstream media, it's part of the conservative opposition.
3) Somebody needed to tell Palin that using the term "death panels" was probably not going to help her personally at a time when she was trying to demonstrate to her critics that she could be credible about policy.
Her followers and many other wingers believe in death panels.
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