Nah that's on the roof

This political ad disguized as a meme is just a joke, dude can just shoot the shelf and the books will fall down. Checkmate democr*ts 😉

But the key is that you have to push the stool over to the desk and get the flag, which you can use to unscrew the shelf, dropping the books to the floor, and then you just have to read all those books, use that knowledge to get into a college guild, complete years of education, then find a professional sponsor, and then they'll give you access to a medicine cabinet, after waiting a three month probationary period of course...

Healthcare in america is real bitch of a fromsoft puzzle.