Maybe that's because he became a doctor over 60 years ago, and is now 85 years old. For the last fifty years he has been a politician. Oh yeah, and he was an ob-gyn - aka one of the simpler bits of medicine (in those days, given that they didn't even 3d scan the freaking clitoris until like 1999); he was basically a baby catcher.

So 'Doctor' Paul was a doctor from 61-71, including two years with United States Air National Guard before starting a private gyno practice. He described as "He went on to say that being drafted was a burden to him and his family, but it was a worthwhile experience in the end."

Then he went into politics. Fifty years ago.

Forgive me if I don't rely on the medical advice of a fanny doc who hasn't practiced in half a century.