The sign-in sheets lend credence to the accusation that the protests are the product of Washington-based "Astroturf" organizations, rather than evidence of a groundswell of popular resistance to health care reform.
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Good investigative reporting to attempt to trace where the disrupters are coming from, which largely supports the astroturf nature of the phenomenon. The republican disruption organizers trying to hide their affiliation also adds to the investigation.
The faux outrage of republican officials and media seems not enough for them, they are trying to create an image of popular outrage by inciting the hoards they have mislead.