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Not to be pedantic, but even if he hasn't kept up with the licenses to practice medicine he still has a MD or Doctorate of Medicine. Dr. is still an applicable title
As someone descended from old money and southern aristocrats there is a perfectly valid solution to this, disrespect the fuckwad and call em just by his last name no honorifics allowed he lost the privilege. I'd also say that he should wake up in a ditch with a gaping hole in his gut but as I've been informed in the past that's illegal and may constitute a hate crime depending on how many slurs I call him while taking said action.
I'm not fan of the guy, but taking the stance of "I'm descended from slave owners and think we should lynch the guy" is definitely a way to say you really do not like him
Hey it's the only good being descended from those bastards does for me, at least my Northern ancestors mostly fucked over WASPs. But seriously I would enjoy watching him bleed out in a ditch preferably in agonizing pain, it's the least he should suffer given the damage he has inflicted with his bullshit over the years, same goes for Oprah and the rest of her little woo shillers especially Phil McGraw skin that fucker alive.