Is Something Neurologically Wrong With Donald Trump?

It is best not to diagnose the president from afar, which is why the federal government needs a system to evaluate him up close.

.. Is Something Neurologically Wrong With Donald Trump?

.. Viewers of Trump’s recent speeches have begun noticing minor abnormalities in his movements. In November, he used his free hand to steady a small Fiji bottle as he brought it to his mouth. Onlookers described the movement as “awkward” and made jokes about hand size. Some called out Trump for doing the exact thing he had mocked Senator Marco Rubio for during the presidential primary—conspicuously drinking water during a speech.

.. Then in December, speaking about his national-security plan in Washington, D.C., Trump reached under his podium and grabbed a glass with both hands. This time he kept them on the glass the entire time he drank, and as he put the glass down. This drew even more attention.

.. the alarming absence of a system to evaluate elected officials’ fitness for office—to reassure concerned citizens that the “leader of the free world” is not cognitively impaired, and on a path of continuous decline.

.. For most of America’s history, it was not possible for the commander in chief to unilaterally destroy a continent, or the entire planet, with one quick decision.

.. the country’s missileers—whose job is to sit in bunkers and await a signal—are tested three times per month on their ability to execute protocols. They are required to score at least 90 percent.

.. The lack of a system to evaluate presidential fitness only stands to become more consequential as the average age of leaders increases.

.. In 2016 the top three presidential candidates turned 69, 70, and 75. By the time of the 2021 inauguration, a President Joe Biden would be 78.

.. After age 40, the brain decreases in volume by about 5 percent every decade. The most noticeable loss is in the frontal lobes.

.. Even if the country’s psychiatrists were to make a unanimous statement regarding the president’s mental health, their words may be written off as partisan in today’s political environment

.. ould there be any way of convincing Americans that these doctors weren’t simply lying, treasonous “liberals”—globalist snowflakes who got triggered?

.. Instead of a traditional wheelchair, he used an inconspicuous dining chair with wheels attached. According to the FDR Presidential Library, “The Secret Service was assigned to purposely interfere with anyone who tried to snap a photo of FDR in a ‘disabled or weak’ state.”

.. America’s most famous Upper Manhattan gastroenterologist, whose initial doctor’s note described the 71-year-old Trump as “the healthiest individual ever elected to the presidency.”

.. The phrasing was so peculiar for a medical record that some suggested that Trump had written or dictated the letter himself.

.. Trump was once a more articulate person who sometimes told stories that had beginnings, middles, and ends, whereas he now leaps from thought to thought.

.. He has come to rely on a small stable of adjectives, often involving superlatives.

An improbably high proportion of what he describes is either the greatest or the worst he’s ever seen; absolutely terrible or the best; tiny or huge.

.. Donald Trump’s fluency has regressed and his vocabulary contracted.

.. Compare that with the meandering, staccato bursts of today. From an interview with the Associated Press:

People want the border wall. My base definitely wants the border wall, my base really wants it—you’ve been to many of the rallies. Okay, the thing they want more than anything is the wall. My base, which is a big base; I think my base is 45 percent. You know, it’s funny. The Democrats, they have a big advantage in the Electoral College. Big, big, big advantage … The Electoral College is very difficult for a Republican to win, and I will tell you, the people want to see it. They want to see the wall.

.. If Trump’s limited and hyperbolic speech were simply a calculated political move—he repeated the phrase “no collusion” 16 times in the Times interview, which some pundits deemed an advertising technique—then we would also expect an occasional glimpse behind the curtain

.. these are the sorts of changes that appear in early stages of Alzheimer’s.

.. But it generally assumed that the president would be willing to undergo diagnostic testing and be forthcoming about any limitations.

This may not happen with a person who has come to be known for denying any hint of weakness or inability.

Nor would it happen if a president had a psychiatric disorder that impaired judgment—especially if it was one defined by grandiosity, obsession with status, and intense aversion to being perceived as weak.

.. John Gartner, told me last year that in his 35 years of practicing and teaching, “This is absolutely the worst case of malignant narcissism I’ve ever seen.”

.. A personality disorder is “only a disorder when it causes extreme distress, suffering, and impairment,”

.. A presidential-fitness committee—of the sort that Carter and others propose, consisting of nonpartisan medical and psychological experts—could exist in a capacity similar to the Congressional Budget Office. It could regularly assess the president’s neurologic status and give a battery of cognitive tests to assess judgment, recall, decision-making, attention

.. Acting on that information—or ignoring or disparaging it—would be up to the people and their elected officials.

Everyone in Trumpworld Knows He’s an Idiot

It’s not Trump’s motives that are scary; Wolff reports that Ivanka Trump and Jared Kushner were “increasingly panicked” and “frenzied” about what Comey would find if he looked into the family finances, which is incriminating but unsurprising. The terrifying part is how, in Wolff’s telling, Trump sneaked around his aides, some of whom thought they’d contained him.

.. “In presidential annals, the firing of F.B.I. director James Comey may be the most consequential move ever made by a modern president acting entirely on his own.” Now imagine Trump taking the same approach toward ordering the bombing of North Korea.

.. We learn that the administration holds special animus for what it calls “D.O.J. women,”

.. most of all, the book confirms what is already widely understood — not just that Trump is entirely unfit for the presidency, but that everyone around him knows it.

.. One thread running through “Fire and Fury” is the way relatives, opportunists and officials try to manipulate and manage the president, and how they often fail.

.. the people around Trump, “all — 100 percent — came to believe he was incapable of functioning in his job.”

.. According to Wolff, Treasury Secretary Steven Mnuchin and Reince Priebus, the former chief of staff, called Trump an “idiot.” (So did the media mogul Rupert Murdoch, owner of Fox News, though he used an obscenity first.)

.. Trump’s chief economic adviser, Gary Cohn, compares his boss’s intelligence to excrement. The national security adviser, H. R. McMaster, thinks he’s a “dope.” It has already been reported that Secretary of State Rex Tillerson called Trump a “moron,” which he has pointedly refused to deny.

.. Wolff takes a few stabs at the motives of Trump insiders. Ivanka Trump apparently nurtured the ghastly dream of following her father into the presidency. Others, Wolff writes, told themselves that they could help protect America from the president they serve

.. Some of the military men trying to steady American foreign policy amid Trump’s whims and tantrums might be doing something quietly decent, sacrificing their reputations for the greater good.

.. But most members of Trump’s campaign and administration are simply traitors. They are willing, out of some complex mix of ambition, resentment, cynicism and rationalization, to endanger all of our lives — all of our children’s lives — by refusing to tell the country what they know about the senescent fool who boasts of the size of his “nuclear button” on Twitter.

.. Maybe, at the moment, people in the Trump orbit feel complacent because a year has passed without any epic disaster, unless you count an estimated 1,000 or so deaths in Puerto Rico

.. A guy falls from a 50-story building. As he flies by the 25th floor, someone asks how it’s going. “So far, so good!” he says.

Eventually, we’ll hit the ground, and assuming America survives, there should be a reckoning to dwarf the defenestration of Harvey Weinstein and his fellow ogres.

.. His enablers have no such excuse.

The Meaning of Bannon vs. Trump

Two quick thoughts on the Steve Bannon-President Trump feud:

One, it’s a sign of the apparent seriousness of the Russia investigation for Trump’s family and inner circle. The insults got the attention, but the more significant part of Bannon’s remarks may be the “logical, cold-eyed recognition” that prosecutors are building a powerful case, notes Errol Louis at CNN.

.. Two, the feud is a reminder that Bannon has failed to accomplish his biggest ambition: Expanding the Republican coalition to include many more middle-class and working-class voters. “Steve Bannon had a chance to be a genuinely significant figure in American politics and he blew it,” my colleague Ross Douthat wrote on Twitter.

.. In his interview with The Times last week, President Trump spoke admiringly of obviously autocratic tactics, such as using law enforcement as a raw exercise of power. “The president,” as Jonathan Chait points out, “explained his belief that the Department of Justice on principle ought to cover up crimes by the president and his administration.” Trump clearly believes that he deserves to be above the rule of law.

.. The first and most important line of defense, they say, is Trump’s own party. In other countries, would-be authoritarians have often been stopped (or further empowered) by their own party.

..Most Republican leaders seem to know that Trump is grossly unfit for office,

.. Yet “few Republicans have been willing to state publicly what most of them surely know: the Emperor has no clothes. Fear and opportunism have prevailed over the defense of our country and its democratic institutions.”

..  Try to build broader coalitions in defense of democracy. To ensure democracy’s survival, we must build alliances that extend beyond traditional party lines. For liberals, this means forging perhaps uncomfortable alliances — with right-of-center businesspeople, evangelical Christians, and dissident conservatives, among others. A blue-state coalition is simply not enough.

Roy Moore is unfit to serve

electing Mr. Moore would be a sure way to worsen Washington’s problems. His unapologetic extremism would pour gasoline on the already raging fire of partisanship and dysfunction.

.. If you think the Senate has failed to attend to the country’s real problems, just wait until he gets there. Mr. Moore spins up “facts” to serve his worldview, as when he claimed that

..  once a federal court had made a decision on the matter, he should have complied. Instead he refused, leading to his removal from the bench. After eventually making his way back into black robes, he was sidelined a second time after again refusing to obey federal court rulings.

.. Mr. Moore’s mockery of his judicial oath is only one indication of questionable moral fitness. Another is how he profited from his charity.