The malignant Dak-ancer has spread to your Cancerlina. The illness stems from exposure to fascist gerrymandering. It’s a fatal prognosis.

I… I can’t even figure what’s wrong with it even though I know it’s so very, very wrong. My brain hurts.

I genuinely didn’t get the joke until I read the hover text and even then I just assumed he put extra lines in to troll the Americans.