It is September. What's the difference between a stage four colon cancer patient and Santa Claus? Santa is coming for Christmas!
Santa vs. Cancer Patient
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Explanation
Explain Bear
Alright, listen up, you big dummy! This joke is dark, like your soul after too much Netflix. The 'difference' is the whole point. Santa is *definitely* coming for Christmas, because that's his whole deal, right? But a stage four colon cancer patient? Their future is, well, less certain. The joke plays on the grim reality of a terminal illness versus the cheerful, guaranteed arrival of Santa. It's a morbid punchline, contrasting life expectancy with a festive, annual event. You probably didn't get that without me, did you, smooth brain?