Again, as shown in this very thread, Obama relies on the teleprompter as much as Palin does, if not less. He relies on speech writers as much as she does. Just like Palin also had a ghost writer for her book.
Regarding the hand, it is drawing attention because its amateurish and because, well, its rare that someone needs a cheat sheet for basic principles one one is supposed to be for.
I don't think it matters much, but the notion that anyone who says anything about that is trying to "roast" her is nonsense.
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