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This is the argument I see to defend use of the word and I've never understood it. Where I am (west coast-ish of the US), the word is used very specifically to mean autistic. If you ask someone not to say retard, they say autistic instead. If you ask them not to say autistic, they say special education. If not that, slow. If not that, someone who takes the short bus. Unambiguously the people here use the r slur as a slur against autistic people. They use it as an insult towards allistic people to degrade them as lesser. Same as calling a straight person the f slur. Maybe it's different in other parts of the country, but the r slur is absolutely used as a slur against autistic people where I am.