Yes, this is 21st-century America. Where we have better means to treat mental illness than ever before, but choose to let the insane people decide to get it or not.
Comedians still make fun of Bill's out-of-control appetites, but with Hillary, the mockery is about how she lets nothing be out of control.
Almost all political campaigns involve falsity and playacting.
When my dad was badly weakened by the flu and my mom wanted to call an ambulance to take him to the emergency room, he wouldn't go unless he could shave first and change into a nice shirt and a pair of slacks.