How else?

Sometimes, you just need to say it, like Harold Meyerson does today (my italics):

How else to explain what's historically distinctive about George W. Bush and his administration save to note that this is the only American presidency that takes its moral guidance from Limbkins, Bumble and kindred Dickensian grotesques? How else to explain a president whose concern for the financial interests of private health insurance companies so greatly exceeds his concern for the health of his nation's children?

...

In other words, if a state wants to insure a chronically ill 2-year-old whose parents' employer has dropped his health coverage, it has to wait until he's a chronically ill 3-year-old.