What has the letter got to do with Shamsul or Albert?

Even his face looks like it was smashed against a buffalo's ass.

I sometimes wonder how these politician manage their blood pressure, with so much stressful situations almost on daily basis. Even Trump, almost daily got so much unwanted shit to deal with. Myself, small issue also can not sleep properly and can feel neck all tensed up.

Pumped up with anti-depressants or or maybe they are wired differently?