Its really all about whether you endorse political correctness or not. Its not like every jester survived the wrath of their king. As its said, discretion is the better part of valor.
People who deal with high pressure ugliness in their jobs for instance, say emergency room workers, often make fun of the patient's situation in sardonic ways that, if taken out of context, such as being heard by a family member, would be seen as rude, cruel and thoughtless.
In other contexts that same sense of humor provides scripts like that found on "House" or "Scrubs".
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