The Struggalos take on America's Healthcare System with help from Nurse Houlihan. We learn about butt stuff, are butts vacuums, proplapses, STDS, Opitates, we introduce you to Crannies (Crackhead Grannies), BUM PISS. Also, Burt Reynolds gets a mediocre send off. We give out the 2nd Silver Fox Flying Under the Influence Award. Orifices are counted. Chris Rock is confused with Kid Rock. And Introducing the CRICKET