There’s a clear campaign against the mentally ill with the global rise of fascism. Lots of it shows up in anti homeless rhetoric, but you can see it in the MAHA and anti vaccination movements.
There’s no reason to use the word “r-tarded” to describe someone. As someone who’s worked with the intellectually challenged, it’s an insult to them to compare them with people who are willfully ignorant.
I think it’s naive to think that at those times in the past the people who used clinical terms as insults weren’t doing something bad so that we shouldn’t worry about it happening today.