Stonetoss is a greatly skilled propagandist, no matter how you feel about his politics. His work crops up constantly and always creates strong reactions,and has inspired entire communities online dedicated to opposing it,often autistically and ineptly.
This comic is perfect summation of anxiety over changing gender and sexual mores, but in his usual provocateur fashion stonetoss has implied that pedophilia is included in this process, but he's done it in a vague way where you could argue he's making a BLACKED joke. Thankfully the freakish left tendency to push pedo acceptance died out almost entirely in the 70s, fuck Ginsburg and others who triedto push that poison.
You can consider anyone mentally ill you want, but people should be free to live how they see fit if they're not hurting anyone. It's all just a labels game.