Just saw this on Twitter.
What does "use a ramp" mean?
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The relevant definition of the ramp is this:
a sloping surface joining two different levels, as at the entrance or between floors of a building.
The context is this:
After a public speech, Trump was walking down the ramp with the help of an officer. He moved with quite a care and hesitation as if he had difficulty to walk by himself. After the event, people started to suspect that he had a health problem. But Trump immediately denied.
The person wants to make fun of Trump with the fact that he could not walk down the ramp properly.
Check this youtub to watch how he descended the ramp.