This is a tobacco smoke enema kit, used from the 1750s to the 1810s to infuse tobacco smoke into a patient’s rectum for various medical purposes. Doubts about the efficacy of tobacco enemas lead to the popular phrase, “blow smoke up one’s ass.”

Resident Barack Obama, however, has reintroduced this procedure for end-of-life counselling. Hey, they’re going to die anyway: Who cares if it works or not, as long as they believe it’s doing some good?

Obamacare end-of-life counselling device unveiled