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The Santos campaign initially loses the Iowa caucus, comes third in the New Hampshire primary and then goes on to win a come-from-behind victory in the California primary.
Santos wins the Texas primary and the final New Jersey primary by a slim margin.
Josh undergoes fourteen hours of surgery and is subsequently put through intensive psychotherapy with psychiatrist Stanley Keyworth after displaying symptoms of post-traumatic stress disorder, including raising his voice to President Bartlet in the Oval Office and breaking a window in his apartment.
Though idealistic like every other member of the Bartlet administration, Josh is perhaps the most willing to resort to less-than-honorable tactics and on occasion suggests solutions and methods that others in the staff would not condone.
The resulting embarrassment to the administration and to the party leads Leo to leave Josh out of key budget negotiations, negotiations which eventually result in a complete shutdown of the federal government.
Josh soon finds himself stripped of much of his political authority, as freelance political advisor Angela Blake takes up many of his duties.
Although Josh thinks his father would have preferred grandchildren to a son in politics, Noah was proud that Josh was working for Bartlet and often bragged about his son to his friends and neighbors.Before working for President Josiah Bartlet, Josh worked as the Chief of Staff for Congressman Earl Brennan, floor manager for the Minority Whip, Josh later became a staffer for then-Senator John Hoynes, the frontrunner for the Democratic nomination for President in 1998.However, Hoynes's tendency to go against Josh's advice, and to prioritize politics over Hoynes' own ideas and convictions, frustrates Josh.He had an elder sister, Joanie, who died when he was a child.
She was babysitting him when a fire broke out in her home and died trying to put out the fire while Josh ran outside - an event which continues to haunt Josh.Carrick tries to secure a promise from the White House that a missile defense system will be built in his home state, but Josh's competitive nature will not allow him to make a compromise.