Puerto Rico gov: We are 'requesting the support that any of our fellow citizens would receive'

[Hortensis]

6. Unlikely to be insane. Really. Those around him want tax dollars sent upward

to big donors -- as promised, and his personality disorder makes him a natural, if difficult to control, tool for service of the wealthy.

Of course racial and ethic bias is a big part of this, which we could only wish was insanity instead of a common evil.

And then, there're probably the massive spite and vengeance trump is famous for when people don't give him the adoration he craves, or otherwise cross him. He also just arranged to destroy the ACA by himself, which will hurt those who voted for him badly, but, hey! Alabama Republicans elected the other guy. That's just one reason he's probably in the middle of one of the "rages" common to cluster B personality disordesr. The satisfaction he gets from hurting others is evidence that he is aware that they are being hurt, and by him.

So not psychotic. And that's a shame, because mere evil is too subjective and common to be considered obvious cause for removal from office but psychosis is an objectively diagnosable condition and is.