During her House campaign last year, Noem attacked then-Rep. Stephanie Herseth Sandlin's use of mailers as inappropriate. Congressional offices enjoy "franking" privileges that allow them to send mass mailings to constituents at taxpayer expense. The longstanding practice has been criticized for giving incumbents an advantage.A medical professional viewed a multitude of videos with interested party. The following is paraphrased from her assessment of South Dakota Representative Kristi Noem (smart-ass comments are mine):
There is evidence of collagen injections, botox, and JUVÉDERM® (at an approximate cost to taxpayers in the five figures).
Absences in committee meetings might be evidence of some surgery: her hairline has been lowered possibly to mask scarring. There is evidence cryosurgery especially around her lips; and, her gums and teeth show some signs of reconstruction.
She presents with symptoms of Histrionic Personality Disorder (now likely treated at taxpayer expense). Lately, her speech is laconic, measured: as if being she is being treated with psychotropics. She is far less confident in her abilities than she was ( likely the outcome of meeting people towering above her intellectual limitations) At times, it seems as if she is going to crack from the stress.
Her sometimes uncorrected shrillness reveals palling insecurities; but, she can quickly rein in her emotions (again likely from the benefit of extensive coaching and/or therapy at taxpayer expense).