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Transcription: crude line drawing of a young goofy person sitting in a school chair. They have mid-length straight red hair, messy and needing a trim. They are wearing a hoodie of GIR from the cartoon show Invader Zim. That character is a pet-coded green alien dog with a goofy long tongue. Dialogue: off screen character saying "She has Aspergers" main character thinking: "ha ha ha ass burger" Thought bubble of a very crudely drawn pair of butt cheeks and a hamburger. End transcription.
Asperger's is pretty ableist, albeit not popularly known as ableist. It was pretty much the term for the autism that Nazis saw as a superior subgroup of people, from the name of a Nazi doctor. While being autistic could get you killed by the Nazis, being diagnosed with Asperger's would have been a good thing. It's essentially saying that you have good autism and not bad autism.
Not saying anything bad about the meme because most people don't know the origin of the term and who doesn't love the ass burger thing. But I'm never gonna see the use of a Nazi doctor's name for this sort of thing as normal and will educate people at any opportunity. It would be like saying conjoined twins have Mengele syndrome. Yeah he started a bunch of research on conjoined twins, but he usually just brutally murdered them.