Here is a photo that ran in the Philadelphia Daily News after the McCain and Palin visit to Media:
Ralph, my beloved older brother who has Down Syndrome, is wearing a dark shirt and has his right hand extended toward Governor Palin; he is above her and to her left. My mother Rose has her hand on Ralph's shoulder and is leaning forward. My older brother Mark is between Rose and Ralph, wearing a white shirt.
Governor Palin greeted Ralph by asking him what his name was; after answering her, she gave him a cheerful "Nice to meetcha, Ralph!" Now, let's let Sarah be Sarah so that we can say that Ralph is on a first name basis with the Vice President of the United States.