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Because he didn’t traffic children.
If you look at the charges of Greenberg and that essentially nobody once ever referred to Gaetz as a suspect but rather “subject of” or “involved in” it becomes pretty clear what happened.
Greenberg was running a blackmail ring, or at least managing it, Matt Gaetz was the target of it. He started getting suspicious and went to the FBI.
The anal fissure is what causes that pain. The lifts are merely just an inconvenience.