How did this not come to light before now?

No one remembered the blackface and KKK garb?

A conservative activist first shared this at 2:15pm, but in a useful bit of fact checking by 4:30pm, “the Virginian-Pilot obtained a copy… from the Eastern Virginia Medical School library.” https://t.co/mIm5Q5gBOh

— Steve Inskeep (@NPRinskeep) February 1, 2019