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Trump probably in principle agrees with it on any given day, but to go through with it, someone has to jingle keys in front of him for long enough before his dementia-addled brain gets distracted over the next gripe someone has to sell him. Like what happened in January with the Gordie Howe bridge.
It depends on when he has last had his dementia shot. He goes in and out of clear thinking.
"Clear" is also still very relative
The only existing dementia treatment has barely any effect (it slows progression by a small amount, that's it). Even that's only just statistically significant.
So they're probably just dosing him with amphetamines before big speeches. That would explain the marathon gabbling, though you'd think the slurring wouldn't be so bad if they did that.