Another Roth winner

This one from reader Jonathan D. Cohen:

Was it his swollen prostate or aching conscience that caused him to turn down the Vice President's invitation to join her for a nightcap? Still, there was something about her Midwestern Protestant rectitude that made him want to penetrate her in places not even reached by the former President who was nominally her husband and officially, in his new role as special envoy to the Middle East, the biggest of all his pains in the ass.