Thomas Edsall in the NYT:
The
damage President Trump has inflicted on the United States and the world
is so enormous and wide-ranging that it is hard to grasp.
It runs the gamut from public and private institutions to core
democratic customs and traditions, from the legal system to
universities, from innocent targets of fraud to those duped into
believing vaccines do more harm than good.
One
way to bring home the depth of Trump’s callousness is to look at a
specific case. In May 2025, Anjee Davis, the chief executive of Fight
Colorectal Cancer, a patient advocacy group, told CBS News:
We have a member who is being treated for Stage IV colorectal
cancer. She had just qualified to enter a clinical trial that was going
to be her last-chance effort to slow the spread of her cancer.
Her trial was about to start when N.I.H. funding was pulled
overnight, and the trial was canceled.
Davis replied to my inquiry about the case by email. “This patient has
since passed away without receiving the clinical trial she was counting
on,” she wrote.
“What we will never know,” Davis added, “is whether that trial could
have given her more time with her children.”
I have described in earlier columns bits and pieces of Trump’s destructiveness, but the list grows daily.
Projections
suggest there will be millions of dead men, women and children as a
result of his budget cuts, which were made without direct congressional
approval.
A study published in The
Lancet, the London-based medical journal, found that Trump
administration cuts in U.S.A.I.D. funding “would result in approximately
1,776,539 all-age deaths and 689,900 deaths in children younger than 5
years” in 2025 alone.
“Over the remainder of the period,” the study continues, “the complete
defunding of U.S.A.I.D. would cause an estimated 2,450,000 all-age
deaths annually, leading to a total of 14,051,750 excess all-age deaths
and 4,537,157 excess under-5 deaths by 2030.”
There
are the fraud victims who will never get court-ordered restitution
because Trump pardoned the guilty. In a June 2025 report, Democrats on
the House Judiciary Committee found that “Trump’s pardons cheat victims
out of an astounding $1.3 billion in restitution and fines, allowing
fraudsters, tax evaders, drug traffickers to keep ill-gotten gains.”
It doesn’t stop there. America can thank the president for environmental
deregulation that could sicken and kill people by the tens or even
hundreds of thousands.
Everything happens in
such a rapid and scattershot way with Trump that it is easy to forget
what happened as recently as last year.
An
Associated Press investigation published in 2025 found that Trump’s
Environmental Protection Agency was seeking to eliminate or weaken “at
least 30 major rules that seek to protect air and water and reduce
emissions that cause climate change.”
If successful, the E.P.A. would gut pollution rules that were estimated,
according to The Associated Press, to save “more than 30,000 lives
annually.”
At the same time, the administration
has been canceling funding for lifesaving scientific and medical
research. In November, JAMA Internal Medicine published “Clinical Trials
Affected by Research Grant Terminations at the National Institutes of
Health.”
It said that “in the first half of 2025, the N.I.H. terminated grants
supporting 383 unique clinical trials, affecting 74,311 individuals.”
In an accompanying commentary, two researchers, Dr. Teva D. Brender and Dr. Cary P. Gross, wrote about the JAMA study:
There
is a more direct and sobering impact of premature and scientifically
unjustifiable trial terminations: the violation of foundational ethical
principles of human participant research.
First and foremost, it is betrayal of the fundamental principles of
informed consent for research” and “participants who have been exposed
to an intervention in the context of a trial may be harmed by its
premature withdrawal or inadequate follow-up and monitoring for adverse
effects.
In the October 2025 issue
of Nature Medicine, Marianne Guenot reported that “at least 148
clinical trials have been impacted, with over 138,000 patients due to be
enrolled or already enrolled,” as a result of cancellations.
The word “impacted” falls far short of what’s needed to describe the plight of those 138,000 patients.
In
their steadfast disregard for scientific study, Trump and his
appointees have purposely elevated unfounded fears of vaccines,
effectively guaranteeing more childhood illness and infection
epidemics.
In addition to policies inducing
sickness and death, Trump has undermined America’s ability to compete
with China on clean energy.
In September,
CarbonCredits.com, an energy news platform, published “The A.I. Energy
War: How China’s Solar and Nuclear Outshine the U.S.,” summing up the
problem nicely.
“China is on track for 1,400 GW, while the U.S. will reach only about 350 GW.”
“China plans to add 212 gigawatts of solar and 51 GW of wind, compared to less than 100 GW combined” in the United States.
“Offshore wind: China already has 42.7 gigawatts installed, compared
with the U.S.’s Empire Wind project (816 megawatts in Phase 1, with a
potential expansion to 2.1 gigawatts).”
Trump makes no secret of his disdain for renewable energy and the
concept of climate change. In a speech in September to the U.N. General
Assembly, the president said climate change is “the greatest con job
ever perpetrated on the world.” He added:
All
of these predictions made by the United Nations and many others, often
for bad reasons, were wrong. They were made by stupid people that have
cost their country’s fortunes and given those same countries no chance
for success.
Trump’s threats to
pull out of NATO and his tariffs, not to mention his endless carping
against and routine faulting of European leaders, have alienated allies
who have stood with us for more than seven decades.
Over
the Trump years, European views of America have nose-dived.
On April 8, Politico published the results of a survey under the
headline “More Europeans See U.S. as Threat Than China.” The survey
found:
Only 12 percent of those
polled in March in Poland, Spain, Belgium, France, Germany and Italy saw
America as a close ally while 36 percent saw it as a threat. By
contrast, China was seen as a threat by 29 percent of those polled
across the six countries.
Trump
has assaulted the integrity of the presidency, turning the White House
into a corrupt enterprise, pardoning donors as his family’s companies
receive millions through cryptocurrency purchases from foreign companies
and crypto operators subject to U.S. regulation.
Trump’s
agenda reaches far into the private sector.
Trump and his regulatory appointees cleared the way for his conservative
allies Larry Ellison and Ellison’s son, David, to acquire CBS,
Paramount Pictures, MTV, Comedy Central and Nickelodeon, along with the
streaming service Paramount+.
If, as expected,
Trump regulators approve their acquisition of Warner Bros. Discovery,
the Ellison media empire will grow further to include HBO Max, CNN and
Warner Bros.
From the comments
1213
B
Brett
NC
The only possible silver lining in all this is that Trump is poking a
sleeping bear. Hopefully that bear will wake up and enact sweeping,
permanent change. We need another New Deal and we need another Great
Society. Incrementalism is not going to cut it any more. The next wave
of Democrats elected to office had better deliver on that or America
really will be a failed nation.
Read 5 replies
I asked Donald Kettl, a professor emeritus and former dean of the School
of Public Policy at the University of Maryland and the author of “The
Right-Wing Idea Factory: From Traditionalism to Trumpism,” which will be
published in May, to assess — without regard to merit — how
consequential the Trump presidency will be.
On this measure he placed Trump in the Top 5 of American presidents,
alongside George Washington, Abraham Lincoln, Franklin Roosevelt and
Lyndon Johnson, noting, however, that “Trump’s consequences have been aggressive efforts to unravel the ideas of the other four presidents.”
Kettl listed some of the same permanent or semi-permanent Trump legacies that I already described, but he added a few:
He’s
driven a deep divide into the country: between the states, between
migrants and many others, between classes and between the intellectual
elite and the rest of the country.
He’s slashed the size of the federal bureaucracy and made federal
jobs much less attractive. It will be a very, very long time until
college students will trust the federal government with their careers.
He’s fundamentally undermined the idea of an annual budget process
and the concept of a balanced federal budget. These ideas were teetering
before his presidency, but the Trump administration gave up on any
pretense of seeking balance or an annual spending plan.
Michael
Bailey, a political scientist at Georgetown, prefaced his assessment of
Trump’s consequentiality by pointedly noting that he would rank Trump
“as easily the worst president in U.S. history.
The
corruption and damage to long-term U.S. institutions and reputation are
far beyond anything we’ve seen before,” including Andrew Johnson, James
Buchanan and Rutherford Hayes.
As for being
consequential, Bailey continued, Trump has been “highly consequential in
an overwhelmingly negative way. He will leave a lasting negative
legacy.”
Bailey listed three of these legacies: “The erosion of trust in the U.S.
by European and Asian allies; the erosion of U.S. dominance of higher
education; and huge budget deficits (not only due to Trump, but
exacerbated by him).”
Kate Shaw, a
constitutional law scholar at the University of Pennsylvania, cited
“Trump’s violation of numerous statutes passed by Congress” to note:
It’s
not that particular decisions to violate statutes can’t be undone or
reversed; many, perhaps even most, can. But the combination of the
president’s numerous and flagrant statutory violations and Congress’s
failure to challenge those violations has created a permission structure
for future presidents to disregard statutes any time they find those
statutes inconvenient.
Gary
Jacobson, a professor emeritus of political science at the University of
California-San Diego, expanded the case against Trump:
He
has done serious damage to many aspects of American government and
politics that will be difficult and costly and, in some cases,
impossible to undo.
The mass firing of dedicated and experienced civil servants has made
government dumber and weaker and will make it harder to attract
talented replacements even if the next administration wants to make it
smarter and more effective.
The damage to scientific and medical research, the environment,
relations with allies and trading partners, disaster preparedness,
consumer safety, higher education, military leadership, civil rights,
etc. will take years to repair even in cases where that is possible.
It
is already clear, Jacobson continued, that “Trump is among the most
consequential presidents in U.S. history, and not in a good way.”
In
an email replying to my questions, Barbara Walter, a professor of
international affairs at the School of Global Policy and Strategy at the
University of California-San Diego, wrote:
To
flag one thing that belongs on your permanent list that likely won’t
show up in the obvious places: norms.
American democracy remained strong for so long because both its
political parties and its presidents respected a set of unwritten
rules.
Adding that while formal
checks “were essential, the oil that would grease the wheels of
democracy would be norms,” Walter continued. Trump “has shown that you
can violate them and survive politically. He’s torn down the invisible
wall that kept the worst impulses of political life in check, and once
that’s torn down, a new, ugly world emerges.”
Yphtach Lelkes, a professor at Penn’s Annenberg School for Communication, shares Walter’s concerns, writing by email:
I’m less confident about which specific policies or institutions
belong on which list than I am about the broader effect on norms. My
guess is that this is where Trump’s longest shadow will fall.
Norms take a long time to develop because they rest on habits of
restraint and on the expectation that violations will be punished. But
they can disappear quickly once it becomes clear that punishment is not
coming.
As
a result, Lelkes wrote, “Trump’s most consequential legacy may be less
any single policy than the lesson he taught politicians: Norms can be
broken, repeatedly and openly, without necessarily paying much of a
price.”
While Trump’s norm violations amount to
a major assault on American democracy, I am less convinced than Walter
or Lelkes of the long-lasting damage.
In 2028, the Democratic presidential nominee and Democratic
congressional candidates will all run on repudiating Trump, and even if a
Democratic president is tempted to resort to arbitrary, Trump-like
exercises of power, Democratic members of the House and Senate will be
under strong pressure to put a halt to it.
From
the comments
1213
C
Chester
New Orleans
All true but the most consequential impact has been the stunning
acceptance by Congress of the actions by Trump making him the clear
choice for worst president ever. I cannot overstate the historical
judgement that will forever taint the current Congress. 100 years from
now future generations will puzzle over the question: “Why, back in
2026, did Congress allow this?”
Read 4 replies
Even Republicans in Congress, who have been spineless under Trump, would
rise in fury if a Democratic president followed Trump’s example.
That doesn’t, however, mean that all will be well. The problem created
by norm violations is less that they will become permanently accepted
and more that it will take time — years and years — to restore the trust
in government that Trump squandered.
Donald
Moynihan, a professor of public policy at the University of Michigan‘s
Ford School, addressed just this point in an email:
Trump
might be an empowered executive, but the effect is to weaken American
government in any situation where people are asked to place trust in the
long-term credibility of U.S. government commitments. This applies to
private businesses, government employees and international allies.
As Trump has created an environment where private businesses,
universities or civil society can be threatened by the president, such
organizations can assume that traditional norms of equal-handed
application of the law, due process and fair treatment that they once
took for granted no longer hold.
For example, if the president says “My executive order allows me to
fire civil servants for whatever reason I please,” how much does it
matter if another president reverses it, because in the long-run
potential civil servants know they no longer have job stability?
The Supreme Court has been complicit in the undermining of trust, Moynihan argued:
By
allowing Trump to claim these powers, the Supreme Court is weakening
the ability of a future president or Congress to repair the damage he is
doing today. If the court goes all in on unitary executive theory, it
weakens the ability of Congress to bind the president from doing bad
things.
By eroding America's
government credibility and soft power, Moynihan concluded, “Trump can be
both a hugely consequential president and a deeply damaging one.”
All of which points to one more indelible bequeathal: the stain on America left by the record.
Voters in this country twice elected a president with no ethics, no empathy and no end to his narcissism.
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