I am reading Bush On The Couch, and its painful observations about Bush color my reading of the following excerpt:

[A]s if the West Wing were suddenly snakebit, his franchise player, senior adviser and deputy chief of staff, Karl Rove, was on the disabled list for part of last week, working from home after being briefly hospitalized with painful kidney stones.

Bush has always said the presidency is about doing big things, and a friend who chatted with him one evening in July said he seemed to be craving a fresh mission even though the one he has pursued in Iraq is far from being on a steady footing. "He was looking for the next really important thing to do," the friend said. "You could hear him almost sorting it out to himself. He just sort of figured it would come."

But when it did, he did not immediately show that he sensed its magnitude. On the Monday that Hurricane Katrina landed and the Crescent City began drowning, Bush was joshing with Senator John McCain on the tarmac of an Air Force base in Arizona, posing with a melting birthday cake. Like a scene out of a Michael Moore mockumentary, he was heading into a long-planned Medicare round table at a local country club, joking that he had "spiced up" his entourage by bringing the First Lady, then noting to the audience that he had phoned Homeland Security Secretary Michael Chertoff from Air Force One. "I said, 'Are you working with the Governor?'" Bush recounted.

"He said, 'You bet we are.'" But the President was not talking about the killer storm. He was talking about immigration, and the Governor was Arizona's. [...]

Bush does not appear to tap sources deep inside his government for information, the way his father or Bill Clinton did, preferring to get reports through channels. A highly screened information chain is fine when everything is going well, but in a crisis it can hinder. Louisiana officials say it took hours for Governor Kathleen Babineaux Blanco to reach Bush (although when she did, he talked to her soothingly, according to White House officials). "His inner circle takes pride in being able to tell him 'everything is under control,' when in this case it was not," said a former aide. "The whole idea that you have to only burden him with things 'that rise to his level' bit them this time."

A related factor, aides and outside allies concede, is what many of them see as the President's increasing isolation. Bush's bubble has grown more hermetic in the second term, they say, with fewer people willing or able to bring him bad news—or tell him when he's wrong. ...

Bush has never been adroit about this. A youngish aide who is a Bush favorite described the perils of correcting the boss. "The first time I told him he was wrong, he started yelling at me," the aide recalled about a session during the first term. "Then I showed him where he was wrong, and he said, 'All right. I understand. Good job.' He patted me on the shoulder. I went and had dry heaves in the bathroom." ... [...]

The result is a kind of echo chamber in which good news can prevail over bad—even when there is a surfeit of evidence to the contrary.

For example, a source tells TIME that four days after Katrina struck, Bush himself briefed his father and former President Clinton in a way that left too rosy an impression of the progress made. "It bore no resemblance to what was actually happening," said someone familiar with the presentation.

Finally, if the Bush team initially missed the significance of a city with a majority of black citizens in peril, it may be because he has organized his presidency around a different segment of the population. ...

"Living Too Much in the Bubble?," Time, September 11, 2005

Other Lisa just sent me this joke. It's apt:

Subject: Roe v Wade

Q: What is George W. Bush's position on Roe vs.. Wade?

A: He really doesn't care how people get out of New Orleans.