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Honestly, after his failed 1987 primary challenge, I'm surprised he ever got back on his feet in terms of politics at all.
He plagiarized a speech by a British politician and got caught, he was involved in a scandal involving his law school grades and he lied about his participation in the civil rights movement (or at least greatly exaggerated it).
https://en.wikipedia.org/wiki/Joe_Biden_1988_presidential_campaign#Summer_1987
On top of that, after dropping out, he had two brain aneurysms.
It's pretty amazing he got elected president in 2020.
America is a country where some areas have such high rates of diabetes, people fully expect to lose limbs due to circulation issues.
It seems that you can simply train many people to expect their options to limited.