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Yes, I watched it one more time, more carefully. I've changed my mind. I think Gary Marcus and you are right.

https://www.c-span.org/video/?c5139793/president-trump-jokes-microphone-issues

At 3:00 in the video, he does indeed pantomime oral sex. But I think it's less of dementia, and more of him knowing that absolutely nothing he does can hurt him. No matter how crude and disgusting he and the people around him are, he's confident he'll win. And I don't think that's dementia.

https://www.newsweek.com/donald-trump-new-york-madison-rally-shocking-racist-vulgar-comments-jokes-1975718

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