This photo has all the hallmarks of "I don't give a fuck! For the next five minutes, we're a happy family! Just shut up and smile for the fucking picture!"
There's already no more black lung here and now - is this heaven meme?
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So long as you only count the white children of wealthy elite families, and don't count the white poors, especially black poors (for whom the test often fails to detect it) and indigenous peoples. :-(