Politically speaking, a dead man walking.
This guy will flip to the GOP, perhaps helping them retain control of the Senate. But he will not be trusted by his new party, will not be given any money or good committee assignments, and will not be welcome in the Keystone State again.
Fettermans mind is gone, and the rest of him should go too ...
In the past century the Rockefeller Family spent millions to eradicate diseases such as hookworm and yellow fever in the US and elsewhere. After Heroin Bob's efforts are stopped in 2029, it will take a similar monetary effort to re-assemble the level of healthcare necessary to make this country what it once was--a place where many common illnesses and diseases were not present...