Sure it is just some guy, who owns a Pizzeria - but he started a little organization to get more blood donors, so Obama went for a photo op.
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And it might have been planned (I sure we will hear that later). But I like the picture. A big burley Republican Southern who likes the President. We hear a lot about of press about how every white southern man HATES Obama (because that is the story that sells papers and eyeballs). So a picture that there is one that likes him - well there are probably more. And happy pictures make me happier than sad pictures.
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He did tell the Secret Service he was going to do it (no one wants a guy at your head in your own restaurant) - but no one warned the President. It think everyone looks happy.