I think a lot of people expect her to be a role model because of her exposure, and she certainly is to many people. Now there are going to be some people who look at her and say "look at how she's dressed and check out those skimpy clothes" and complain that she's having a negative impact on kids, encouraging them to dress skimpy also. I don't really think that's the case, although there is certainly an element of shock and awe in order to get attention (that's part of her, and many other pop stars', business model - maybe this is something worth talking about too). In relation to her messages being "sick," I think that's missing the point. I doubt she's encouraging unstable romances, for example. Rather, she's making commentaries on society, with her clothes, lyrics, videos, and maybe even music. She also sends the message that it's ok to go against the grain. Sure, many young people won't get it and they'll take her ideas at face value, but that's not like promoting vodka to kids, is it? Then again maybe there is something inherently "sick" in what she does. Any other ideas?