He's very obviously bringing this up because he's been having conversations with one of his thirty Rasputin wannabees. He can't help but repeat the conversations he's been having. This obviously started when he rode the ambulance, wore the hand makeup, and started talking about getting into heaven. Now he's been informed he's dying of something, and he's progressed to coping about Super-Ivermectin with RFK and whoever else.
Obviously anything is possible but this sequence of events has a near 100% certainty
He has lately been convinced that he will go to hell.
Good. At the very least he can have that in his mind as a tiny spec of justice compared to what he deserves.