The world’s 200+ sovereign nations have that precise number of leaders, and it’s impossible to say how many of them are totally lucid–or completely senile–or anywhere in between.  It is possible that important decisions around the globe are being made by underlings, acting behind the scenes?  Of course.

If Donald Trump is losing his mental faculties, that’s not good, but far worse is his lack of honesty and integrity, and his compulsion to act purely and only in his own personal interest, regardless of the dictates of law.