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He's an aging second generation Kennedy who had a brain worm...
They don't remove those btw, they're usually killed via medications but the worm is in an organ, you can't remove it. Like if a dog has heart worms and gets treated, their health will get worse because their body has to deal with dead worms, and then even after the remains decay, there's holes.
Like, dude probably already put his brain thru enough without a decaying worm, but it shouldn't be surprising he acts illogical like he has a serious mental problem, because he has a serious mental problem. Absolute best case scenario is by now the worm is gone and he "just" has a big hole in his brain that will never heal.