It's the result of scar tissue that formed after she had surgery to remove her conscience.

Noem makes me vomit, saying ICE follows the law. Just how can this POS say this was a domestic terrorist with no investigation and no facts. I wish I could afford a therapist to help me make sense of these sadists.

... Reagan emptied the mental hospitals, I remember seeing some poor kid walking the streets in a foam rubber cowboy hat almost as big as Puppy Killer Noem's headgear. He didn't have any place to live, and didn't know where he was; he'd never been out in the world by himself. He was hit and killed by a car not too long after I saw him.
Reagan was an evil piece of shit. Same goes for every Republican Satan ever defecated.