I wouldn't say it was ineffective, quite the contrary, it is very effective. It has people making interpretations and talking about it. That's the purpose of editorial art, to get people to talk about it, examine the issue it brings out. And this cartoon does a damn good job of doing just that.
I also think it amazing noone has talked about the little talk at the bottom saying, "I prescribe you be stretched then, we don't define that as torture."
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I just love people who use the excuse "I use/do this because I LOVE the feeling/joy/happiness it brings me" and expect you to be ok with that as you watch them destroy their life blindly following. My response is, "I like to put forks in an eletrical socket, just LOVE that feeling, can't ever get enough of it, so will you let me put this copper fork in that electric socket?"
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