Conjunction of desire

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Barbecue and plastic surgery. Fatburger and plastic surgery.  Big Gulp and plastic surgery.  Just to the lower right, and out of view, beer and snack foods…and plastic surgery.  There is no ‘Or’ in this tableau. The American Id is unrestrained. I want to eat what I want to eat when I want to eat it and I want to look like the people in the ads when I’m when I’m washing it down with carbonation.  And why can’t I, dammit?   Billboard riddle: why is ‘acne’ highlighted here? Has Van Nuys been profiled by the cosmetics industry as a bad skin neighborhood?