He is comparing two people with Asperger's: Greta Thunberg scolding people for 10 years about global warming & Elon Musk who believes our democracy is bad. I think that less harm is being done by Greta and Musk just wants to be King of the World after he destroys our democracy. He's out of touch.
He wasn't joking. He thought he could scold the world for Paying heed to the concerns of the next generation. While thinking He was so charismatic that the world doesn't smell what a shit show he walked through before entering the building.
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He has admitted he doesn’t have a medical diagnosis.
I note that Musk would claim Asperger’s, but never to be on the Autism spectrum or even ADHD — though those are all pieces of the same pie.