Goiters are a very serious matter. My cousin Jimmy has one and its gross but still, the negativity isn't cool. People stare and I feel bad for him. If you insult him to his face you might wake up and find out that he killed himself. The true testament to whether you are an asshole or not would be whether you cared about his dying cause that could very well be the outcome of your insults.
The shit drives me fucking insane. He's like 50 short as fuck and looks like an albino lepricauhn. Whenever he looks up his neck looks like freddy kruger fucked a turtle and thats what the offspring was.