The cartoon places RFK Jr in full shaman regalia complete with skull staff and feathered headdress while he points accusingly at a small bear lying on its back. A man in a gray suit leans on a blue whale head marked with a white cross and delivers the line that no vaccine would be accepted even if one existed.

The visual ties directly to the November 2024 news of RFK Jr's selection for the top health post in the incoming administration. His past statements on vaccines, fluoride, and various health theories supply the immediate context for the bear and whale props.

Darkow uses the contrast between the elaborate costume and the ordinary business suit to underscore the gap between fringe health claims and standard medical practice. The whale head serves as a blunt symbol of institutional medicine that the central figure rejects outright.