>> It runs afoul of HIPAA ...
Noem rides the political waves, and capitulates when confronted with the tough decisions. She’s useless.
I don’t think Noem’s a RINO or useless. But she’s morphing into that typical Republican where they offer a veneer of conservatism but still chummy with the Left and look for ways to “conservatize” liberalism, and then when election time rolls around start shooting ads of her shooting guns but not talking about the proper role of government or how the Dems are out-and-out Communists. She’s not standing on principle because SD is a small state and she wants it to be a major player.