No matter what you think of George W. Bush, he is staking out his claim as a bona fide Horseman of the Apocalypse.

With his Hand of Hell in Iraq already yielding countless dead, $200 billion wasted and a global war against Islam well on its way to Armageddon, Bush has definitively established his ability to wreak unparalleled disaster on a global scale with zero positive outcome.

By drowning New Orleans and turning its alleged rebuilding plan into a sinkhole of corruption and disarray, he has shown he can lay waste to an entire American city.

And now he is visiting disease and death on tens of millions of our elderly and ill with a botched Medicare/Medicaid drug plan that has plunged the nation's pharmacies into total chaos while driving the states even closer to bankruptcy. As you read this, millions of Americans are without medications that may be life-sustaining because of what Bush has done to "improve" their pharmaceutical plan.

One can only shudder at what might come next.

There have, of course, been lesser catastrophes, or ones whose long-term devastation is primarily political.

Bush's No Child Left Behind program has utterly poisoned our national educational system and gutted state budgets.

Bush's economic programs have taken a national surplus and turned it into a gargantuan debt, almost incalculable in its devastating implications for our future.

Bush's "War on Terror" has in fact been a war on civil rights and liberties, stripping the US of its basic democracy while leaving us more vulnerable than ever to terror attacks on nuclear plants, chemical facilities, our ports and air lanes.

Bush's "Homeland Security" agency is by all accounts a fetid swamp of corruption, mismanagement and ineptitude.

Bush's Patriot Acts I & II have shredded our most sacred document, the Bill of Rights, and opened the door to full-scale dictatorship while defiling everything the men and women who founded this country stood for.

Bush's embrace of torture has cast the US into the role of a sordid, sadistic demon wallowing in the very "cruel and unusual punishment" forbidden by its own Constitution.

Bush's universal spy program has turned a nation founded on reverence for privacy, free speech and due process into a cynical Big Brother with utter contempt for individual rights or liberties.

Bush's theft of two consecutive presidential elections has turned the right to vote into a tragic joke. Team Bush-Rove has gutted the ideal of free and fair elections while giving the GOP a death grip on the nation's electronic voting machines, creating a permanent one-party franchise.

There is, of course, much much more.

This new pharmaceutical crisis has yet again exposed an administration that is amazingly incompetent by any and all non-partisan measures of basic management skills.

One can have an opinion about the war in Iraq. But no one on any side of the issue can argue that the effort has been run with anything but complete arrogance, idiocy and incompetence.

One can have an opinion about New Orleans. But even an administration overtly intent on killing the city could hardly have done a more thorough job.

And now we watch Bush lay utter waste to a Medicaid/Medicare program defined by red tape and inequity, but which has at least delivered pharmaceuticals to people who rely on them.

Bush's "reform" is a gratuitous, greed-based scheme to pour still more billions into drug company coffers. And now millions of poor, sick Americans are being turned away from pharmacies because Bush's plan is incomprehensible, unworkable, and has left them unable to pay for the medicines that are keeping them alive.

To their credit, many states are trying to pick up the slack. But some are not, or cannot.

One could say that this relentless injection of chaos and confusion into the body politic fits a conspiratorial pattern for utterly demoralizing the nation. One could argue that it's a conscious shot at total social deconstruction, provoking the End Times so fervently embraced by the fundamentalist fringe of Franklin Graham and Pat Robertson, the most unChristian men in America.

But at this point, even conservative Republicans are scrambling to distance themselves from the utter, astonishing incompetence of a national leader so obviously unfit to handle the job on the most basic administrative levels.

Nothing could be more indicative of the utter contempt Team Bush harbors for average Americans than the concept, design and execution of this latest catastrophe.

Except for the one that will come next…..