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The US population is unhealthy and there is a strong relationship between covid mortality and obesity. So some of the susceptibility cannot be blamed on a single sitting president. That said, his lying in February and March cost a lot of lives up front and that's where he could have made the strongest impact by showing leadership and preparedness (like getting masks so HCW wouldn't have to wear the same N95 for a month). He used an Obama-era system to boost the development of the vaccine (moderna at least). And then he bitched about lockdowns, which should have been managed dynamically based on the local healthcare system resources/capacity. But the most telling thing was, the moment he LOST the election, he abandoned the vaccine deployment efforts, so Americans lost 2 months in the rollout.