He selected Rapid City historian Eric Abrahamson as his running mate, but was overwhelmingly defeated in the general election by incumbent Republican Governor Mike Rounds.
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He was awarded his Doctor of Medicine degree in 1964 and began his internship and residency training at St. Francis Hospital in Peoria, Illinois.
Despite the strong performance of Republicans in many of the state elections held that year, including Incumbent Republican Governor Mike Rounds's 62%-36% victory over former state Representative Jack Billion, Herseth was nevertheless reelected.
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