The article focuses on Facebook, but I think the popularity of image macros on Facebook is a relatively new development. This girl's photo has been around for a while and used in ableist memes in communities like 4chan and reddit.
insomniasexx: I've seen it numerous times randomly on reddit and I have unsubscribed to all the default subreddits. They're everywhere. I don't know how you would stop it.I never considered that there is a person behind the macro, or that they might see it.