For this, we don't ACTUALLY have to solve for r and s.
Let us first expand (r-2)(s-2):
$r\cdot{s}+r\cdot{-2}+{-2}\cdot{s}+{-2}\cdot{-2}=rs-2r-2s+4$
if r and s are the roots of y^2 - 19y + 9, then:
$y^2 - 19y + 9 = (y-r)(y-s) = y^2 - (r + s)y + rs$
so r+s=19 and rs=9
going back to the original equation, we have
$rs-2r-2s+4=9-2(r+s)+4=9-38+4=\boxed{-25}$
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