He cost lives by playing down the seriousness of the virus for several weeks. He had people going about their daily lives by lying it was under control. He demonized information sources who represented the true danger. The US will end up being the worst hit because of him.
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When the leader of your country pretends everything's fine. Announces those saying it isn't are perpetuating a hoax and doesn't follow the guidelines himself. Then you aren't being led but misled. This is a national crisis and your national leader is taking no responsibility.
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