“They know I’m going to the doctor a lot, and they know I’m sick, but I’ve always been in a bad mood, so I joke with Hank.. he should just tell them I got hit by a car. It’d be easier to deal with than saying goodbye.”
Ahhh, the old looming threat of being replaced, that static humming fear inside all of us. This episode has Betty and her health scare, Roger vs. Pete, the generation gap with Don and a Rolling Stones groupie, and Peggy with new hire Michael Ginsberg.
Apparently, so much of Betty’s past energy was expended pushing and pulling at Don’s inexorable mystery that when she lets go of that rope.. she really lets it all go to hell. And though she may look different from season 4 (mainly to work around January Jones’ pregnancy), she’s still herself; habitually negative, insecure, and indelibly myopic. She’s just as unhappy and unfulfilled with her housewife life, even though she’s married to faithful Henry. Don’t forget that emotionally, Don let Betty stay a little girl; he let her have her temper tantrums and get her way, since he was getting his way too. It’ll take some time for her to acclimatise and work through those literal years of garbage treatment.
On the quest for diet pills, she has a legit health scare; some sort of node on her thyroid that could be cancer, and everything in her world understandably screeches to a halt. What would happen to the kids? How would they remember her? God forbid her dinosaur mother in law and ‘teenager’ Megan raise them.. ay yi yi, Bets.
I know everyone reacts differently when they’re faced with something frightening, but she’s still so threatened by Megan that she refers to her as Don’s girlfriend instead of his wife.. not a good look. And it ends up that Don is the one to remind her of how the kids might react to the news. The fact that Don is her first call is pretty telling; she knows he’ll tell her what she wants (and needs) to hear, that everything is going to be OK.
It’s not all bad, and she does come back down to earth for a bit; the way Betty cuddles with Gene as she and Henry look on at Bobby and Sally running around with sparklers is a very Norman Rockwell moment in time.

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When she heads to another doctor for a biopsy, she runs into an old friend on her way out; turns out she’s going through cancer treatments, and Betty is morbidly curious about what it’s really like to be that sick.
“I’m sorry, but I have to ask you.. what is it like?”
“Well, it’s like you’re way out in the ocean, alone, and you’re paddling.. and you see people on the shore, but they’re getting farther and farther away. And you struggle because it’s natural. Then your mind wanders back to everything normal.. What am I gonna fix for dinner? Did I lock the back door? And then you just get so tired, you just give in and hope you go straight down.”
“.. That’s horrible..”
“No one’s ever asked.”
Pretty terrifying, honesty. How’s that for some light fucking afternoon tea conversation?

image courtesy of MadMenWiki
But even when Betty receives the good news that she’s out of the woods with a clean bill of health, she manages to twist it into putting herself down as “just fat” .. instead of being clear of fucking cancer. And here’s Henry, intensely relieved that he will get more time with his wife; he truly loves that difficult woman. Time to gain a little more perspective, Bets.
When it comes to Roger, he’s pretty much already been replaced by Pete in most ways (save for the name in the lobby). Despite that reality, he still resents Pete.. and Pete’s Mohawk Airlines lobby antics don’t help that shit. Roger has the inherent natural charms of an account man, whereas it’s a little obvious that Pete has to work a lot harder for it. Just a little kick in the teeth there.

image courtesy of Screenrant
And let’s face it, Roger practically coaxed Pete to step up because he became so goddamned complacent in the first place with Lucky Strike.
“Your plate is full, and, frankly, Mohawk is going to insist on a regular copywriter. Someone with a penis.”
“..I’ll work on that.”
In a similar vein, Roger pushes Pegs to hire the whacked out Michael Ginsberg (whom Stan prophesies will surpass her in the talent department) mostly due to the fact that he’s a guy, which suits Mohawk’s oldtimey copywriter needs. Though Roger knows that the times are changing, he doesn’t necessarily dig it.
Back in the 1960-set pilot, it was a joke to Roger that the agency might have a Jewish person in a meaningful role– and now in 1966, he acknowledges to Peggy that having a guy like Ginsberg on board “makes the agency more modern”. Ginzo himself is a transitional figure as well, more adapted to the current times; for example, Michael is leagues apart from Rachel Menken’s immigrant father, or even his own father, who reacts to news of his new job by reciting a blessing in Hebrew.
(And suggesting they get hookers, but that’s beside the point..)
No matter which way you slice it, Ginsberg is a talented guy, and Peggy feels good about hiring him because she wants to work with talented people; shit’s inspirational. She saw a little beyond his encyclopedic eccentricities, and his portfolio is one of the only solid ones that were sent in. Mentioning The Letter to Don certainly didn’t hurt his chances at the job.

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Turns out Don is much more at home charming an older lady like Heinz guy’s wife than he is at chatting with Bonnie backstage waiting for the Rolling Stones; but Don also zeroes in and hits a nerve in a way that she feels the need to step away from him for a moment, transparently asking to give his business card a whirl on the bouncer. At the end of their interaction, you can tell that the new generation doesn’t necessarily understand the people they will eventually replace either. She complains that older guys like Don don’t want her to have fun “just because you never did”, to which he quips, “No. We’re worried about you”.
The way Don handles Megan re:Betty being sick is pretty fascinating as well. Apparently, at the age of 26 she can’t understand how death works, and what that would mean to him? Try again, Don. He wields it when he’s conveniently too consumed by the idea of meeting up with Megan’s friends and she sees through it immediately; a different gal than Betty, for sure.
“You know, back in Pittsburgh, everybody is pretty much who you expect them to be.”