To keep her medical license, Dr. Annette Bosworth had to submit to treatment for mental illness. The South Dakota Board of Medical and Osteopathic Examiners outlined Bosworth's mental issues in its Petition for Suspension or Revocation of Medical License, dated May 7, 2012:

excerpt, South Dakota Board of Medical and Osteopathic Examiners, May 7, 2012

Excerpt, South Dakota Board of Medical and Osteopathic Examiners, May 7, 2012. Click to enlarge.

Adjustment disorder with mixed mood. Attention deficit hyperactivity. Personality disorder. Histrionic and narcissistic traits. That all could explain thinking she could get by with selling tickets to a raffle and never being held accountable for not drawing for the prizes.

Jokes about fitting in with Washington politicians aside... Campaign donors, PACs, and political operatives, I ask if those are the qualities in which you want to invest your money, time, and professional reputations.