Cause is actually very well known: It's clinical narcissism and Borderline Personality Disorder propped up and perpetuated by a craven GOP that refuses to defend the Constitution.
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With a soupçon of neurological syphilis

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The cause is known.
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Because the
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71 years of getting everything you want and never experiencing consequences will do that to you.
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Oh, he's had consequences, it's just that other people paid for them.
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Because the Republican Party allows it.
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Maybe because the republicans in Congress enable him. The question is why do they allow it? Exactly how are they profiting from their treasonous behavior?
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Because he's doing what they've wanted done for decades.
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