Dear Americans: It doesn't matter if he has dementia, or liver spots, or wears a diaper.
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Dear Americans: It doesn't matter if he has dementia, or liver spots, or wears a diaper. If he does, he can't help it.
What matters is all the utterly vile, not to mention wildly illegal, stuff he does & has always been doing, entirely of his own accord & with extreme malice aforethought.
Sincerely etc.