I always try to judge politicians solely by their policy preferences.

On health care, Trump is a disaster. He wants to destroy that which exists without a replacement plan. That is a path to less availability for psychiatry and pregnancy care, two areas needed for societal health.

On guns, Trump is a disaster. He wants to reduce requirements for gun ownership and he denies that any new restrictive laws could be of benefit. He is a mouthpiece of the NRA.

On taxes, Trump is a disaster. His proposals are a road to benefit the top one percenters.

On the environment, Trump is a disaster. He is all for big coal in the midwest, a horrible pollutant.

On ethnic relations, Trump is a disaster. He advertises his policies with a loud singling out of criminals who are Hispanic or Muslim or foreigner or immigrant, while never singling out white folks.

He is the worst president of the past century based on policy. Anything diagnostic related to his brain, that's just bad icing on a bad cake.

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