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I think he's actually making a series of morbid jokes (as indeed he does throughout most of the interview). I think he realizes you're not supposed to advocate euthanasia for Grandpa or call him "useless."
Reminds me of Lars von Trier's making humorous comments about sympathizing with Hitler which he thought no one would take seriously until he was immediately banned from the Cannes Film Festival for the rest of his life.
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