Just recently, after the fiasco of the first presidential debate, I got an email from an old friend of mine whom I had not heard from in years. In it, he gently chided me for ‘Trump bashing’ (his words). It is not that he is a Trump supporter. His reason is different and because it was so thoughtful and raised an important question, I am bringing it up here for discussion.

My friend wrote:

I don’t think that all the Trump bashing is warranted. It’s pretty obvious that he has a mental disorder. It’s not fair nor reasonable to have a go at the behavior of a person whose behaviour is due to a mental condition. Will anyone criticize the behaviour of a person who is suffering from Alzheimer’s, dementia or even a person who is bipolar?

I am no psychiatrist but I think Trump suffers from a form of Narcissistic Personality Disorder.

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It appears that Trump has decided that he is just fine and that he can go about his normal activities. But both he and his doctors have been cagey and inconsistent about the status of Trump’s illness and it is not clear if the doctors are being dictated to by Trump about how he should be treated and what they should tell the media. Dan Froomkin writes that there are whole host of questions that need to be asked from the doctors and the White House spokespersons that they need to provide answers for.
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It is of course no secret that the wealthy get treated differently from the rest of us and the world of medical care is no exception. Doctors often stray from standard treatments when their patient is seen a an important figure, sometimes in an effort to impress the patient that they are doing as much as they can, and sometimes because the patient demands it. This can happen even when the patient is a friend or relative or a fellow doctor. As we have seen, Trump got all manner of treatments that ordinary people would never have received. This phenomenon even has a name, the ‘VIP syndrome’. But it is not clear that this is a good thing even from the patient’s point of view, because it can result in overly-aggressive treatment that can have unwanted side-effects.
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This election and the extreme nature of the Trump presidency has resulted in the breaking of all manner of precedents. In particular, scientific organization which normally stay out of explicit involvement have decided to make endorsements. Scientific American magazine, for the first time in its history, weighed in with extremely strong language on why it was important to vote for Joe Biden.
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Calvin Coolidge, who presented a “quiet, boring, dour” image to the public, became president in 1923 when president Warren G. Harding died of heart attack. He was elected to the presidency in 1924 and practiced what might be called a minimalist style of governing and personal behavior. He would sleep for about 11 hours a night and also manage to get in a nap during the day lasting from two to four hours. He would speak as little as possible, advising his successor Herbert Hoover that he “could rid himself of long-winded visitors by simply sitting still and in silence until the visitor stopped talking.”
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