He just lies. He knows he’s lying. But he also knows that his audience isn’t up on enough of the topic of the day to know that he’s lying. Case in point: Rush Limbaugh’s recent emergency room visit for chest pains. He survived, and he says this proves that America doesn’t need health care reform. What Limbaugh doesn’t tell you is that Hawaii already instituted many of the reforms that are included in the health care reform bill before Congress. So what Limbaugh is really saying is that health care reform works.