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That's a golf tee in his mouth, not a joint. Actually, the book, without appendices and acknowledgements, is only 148 pages long. This is the guy who carried the "nuclear football", so his accounts are skewed more in the direction of him being lax with codes, rather than about broader national security issues.
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Kind of reminded me of when that ridiculous underground scandal video came out... this book may as well have offered a subtitle: "Republican Presidents are Better". An interesting, inside look at the Secret Service... if you can take the politically biased perspective with a grain of salt.