Trump took his advice from junk science quacks, he
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Trump is on the record stating that he wanted to 'downplay the pandemic so as not to panic us'. He did not get behind the vaxxes publicly until earlier this year.
He screwed up every way one could. He was afraid he would lose his reelection. And his inactions led to exactly that result.
One as heedless of the facts as you are should not be calling others 'deranged'.
It smacks of projection.