Bush is shown in his office. On the wall behind him are pictures representing key episodes from his presidency: the waterboarding scandal, Hurricance Katrina, and the 'Mission Accomplished' speech. There's also a photo of Bush with Tony Blair, Bush's closest ally in the Iraq War. The shoe on the right is a reminder of the incident in which an Iraqi journalist threw two shoes at Bush during a press conference.
Bush is telling us, "Don't forget to buy my new book 'Derision Points'". The use of the word 'derision' instead of 'decision' is a typical Bushism, but the cartoonist is also making a comment on the various disasters and controversies which occured during Bush's time in office, and which he doesn't seem to regret.
If you treat someone or something with derision, you express contempt for them, or subject them to mockery and ridicule. • Lord Phillips of Sudbury has become the target of media derision for remarks in the House of Commons regarding the 'legality' of Zionist regime.