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"Sharp medicine" = headsman's axe.
Here in Oklahoma, as well as several other states, there is serious momentum for a state sovereignty law. The Republicans took the state senate in the last election, and now for the first time ever the Republicans control both houses. With a strong Republican governor and attorney general after the 2010 election, Oklahoma will be positioned to begin pushing back.
The goal of the state sovereignty movement is to restrict the federal government to the powers enumerated in the Constitution. The mess in Washington is not a Democrat / Republican or liberal / conservative divide, but a state vs federal issue. The tea parties have shown that the people, working through their STATE parties and elected officials, have the potential to force the federal government to relinquish the powers it has arrogated to itself. With this approach, this "as-yet unidentified Republican" is not nearly as important (but she exists and her initials are SP). It's the "Army of Davids" effect, and it's real.