You’re Getting Discombobulated (and You’re Getting Ebola)

Making America great again, fifty-two deranged social media posts at a time: what does it say about America’s alleged greatness that seventy-seven million Americans voted for this exercise of “executive time”? ||||| trr


President Donald Trump spent much of Saturday flooding Truth Social with a torrent of memes, AI slop, political attacks, and fan-made tributes.

The six-hour posting marathon unfolded on a day when the only item listed on the president’s public schedule was “Executive Time.”

Beginning at noon, Trump shared or reposted more than 50 pieces of content ranging from patriotic fantasy art and self-congratulatory graphics to crime memes, military imagery, celebrity tributes, and attacks on political rivals.

Among the more unusual posts were separate images showing Trump riding horseback beside George Washington on a dirt road next to a NASCAR race.

Another showed Trump looming over Greenland beneath the words “Hello, Greenland!”

Trump has repeatedly argued that having Greenland as U.S. territory is vital for national security, though both Greenlandic and Danish leaders have forcefully rejected any suggestion that the territory could be acquired by the United States.

One particularly strange image showed Trump dressed as a military commander as fighter jets exploded across the sky behind him, beneath the caption: “YOU’RE GETTING DISCOMBOBULATED.”

The post appeared to reference Trump’s claim that a secret U.S. weapon he dubbed a “discombobulator” helped capture Venezuelan leader Nicolás Maduro.

Trump also revived one of his longest-running grudges, sharing a meme depicting five photos of Rosie O’Donnell as the stages of “Trump Derangement Syndrome.”

The jab was the latest installment in a feud that stretches back nearly 20 years and has survived multiple presidential campaigns, two administrations, and countless social media broadsides.

Former President Barack Obama was also a recurring target.

Trump shared multiple memes attacking Obama, including one depicting the Obama Presidential Library as a giant trash can and another blaming Obama and former President Joe Biden for problems at the Lincoln Memorial Reflecting Pool.

The feed also featured a barrage of side-by-side graphics contrasting “Biden’s solution” to problems such as theft, shoplifting, squatting, fentanyl use, and illegal immigration with what supporters portrayed as Trump’s tougher approach, which typically involved arrests, imprisonment, or deportation.

At other points during the spree, Trump shared multiple images of Chinese President Xi Jinping, including one showing the pair shaking hands beneath a caption lamenting Democratic opposition to his long-desired White House ballroom.

Trump pointed to Beijing’s sprawling Great Hall of the People as an example of the kind of grand venue he believes the White House should have.

Construction is already underway on the site of the White House’s East Wing as part of the $400 million project, which Trump has described as “a gift to the United States of America.”

Trump now also claims the ballroom would conceal a vast underground bunker complex containing a military hospital, meeting rooms, and top-secret research facilities.

Another image shared on Saturday appeared to nod to those ambitions, depicting a futuristic “DronePort” perched atop the White House roof as aircraft buzzed overhead.

Taken together, the posts offered a remarkably unfiltered look at the subjects occupying Trump’s attention on a quiet Saturday: Greenland, Rosie O’Donnell, military power, drones, and himself.

By the end of the six-hour barrage, the president’s feed looked less like a communications strategy and more like a running stream of consciousness.

Source: Olivia Ralph, “Trump, 79, Spirals into Fantasy-Fueled Meme Bender,” The Daily Beast, 31 May 2026


DOCTORS AROUND THE COUNTRY are baffled, disturbed, and in some cases aghast at the Trump administration’s plan for Americans who get Ebola overseas—in particular, the decision not to bring these patients back home, to one of the facilities that the federal government created precisely for this purpose.

And if you want to know why these medical professionals are upset, ask infectious disease physician Tara Palmore.

Palmore knows better than most what Ebola care looks like in the American facilities, because she provided it during the 2014 outbreak. Although most of the cases were in West Africa, nearly a dozen infected Americans got treatment in the United States, including one who ended up at a facility inside the National Institutes of Health Clinical Center in Bethesda, Maryland.

That is where Palmore was working at the time. And in a phone interview on Thursday, she described the unit to me—how the surfaces are all nonporous, lest they absorb infected bodily fluids that can’t be fully wiped away, and how there’s extra space for medical equipment, because staff have to bring machines to the patient rather than the other way around.

Another distinguishing feature of the unit, Palmore said, is the sealing of every wall, door, and window seam. It’s part of a system to maintain negative pressure, so that air is circulated only through special filters—a system that patients and staff cannot see but can sometimes hear, because of the high-powered fans. “It can be a little loud in there,” Palmore said.

For her and her colleagues, though, a bigger issue was learning how to effectively administer care for patients with such an aggressive, awful disease while protecting themselves and others from infection.

It took years of regularly scheduled training, plus more intensive sessions that had started months before they actually got a patient in October 2014. She and her colleagues practiced feeling for injection points while wearing two layers of gloves. They went over why it’s important to scrub the wheels of scanning devices and, when appropriate, to decontaminate equipment or rooms with hydrogen peroxide vapor.

“I was part of drilling and simulations all summer, because we saw this epidemic growing,” Palmore said. “It was working with the chest x-ray guy to get his system down, making sure the nurses involved knew how to put in a line, making sure the intensivists figured out how they were going to put someone on dialysis or intubate them for a ventilator. We drilled with dummies, we drilled with people.”

The work paid off: Nine of the Ebola patients in American facilities survived, the only two deaths coming from people who arrived in advanced stages of the disease. And no facility staff got sick.

But while the United States now has thirteen fully stocked, fully staffed facilities capable of providing such care, the Trump administration has no plans to make use of them. Instead, the administration has decided to transfer Americans who are exposed or infected abroad to a quickly constructed field hospital in Kenya, and then—when necessary for more serious cases—to specialized facilities in Europe.

Supposedly this is all for the sake of the patients, given that it will be easier to get American patients infected in Africa to Kenya or Europe than all the way back to the United States. “These decisions were made to make sure we provide the best care,” a senior administration official told reporters during a White House background briefing this past week, to “optimize what can be done for our American citizens who are overseas.”

It’s possible the administration’s plan will accomplish that, just as it’s possible Trump and his lieutenants truly made this decision with patient well-being foremost in their minds. But infectious disease physicians I interviewed over the last few days were highly skeptical, and it’s not hard to see why.

THE MOST IMMEDIATE QUESTION about the administration’s scheme—at least as of this writing—is whether it will even go forward.

The plan had been to open the Kenya facility in stages, starting with a fifty-bed unit on Friday following an agreement with the Kenyan government. But that was before the Kenyan union representing health care workers objected and threatened a nationwide strike—and before a Kenyan judge temporarily blocked the facility, arguing that the country’s government had not shown that it had taken the necessary precautions to protect its citizens.

The U.S. State Department late Friday acknowledged the ruling, announcing via tweet that “We are in touch with Kenyan authorities and are optimistic we can resolve objections.” CNN on Saturday reported that the American health officers had arrived, and that Kenya’s government intended to allow the plan to proceed, despite the court order. By the time you read this, the facility could be operating.

But there are plenty of other questions that officials have yet to answer definitively. At the very top of the list is what level of care the field hospital will be expected to provide, and whether it will be able to do so.

It was hard to tell from the guidance senior officials gave to reporters in that White House background call this week. At times, they described the Kenya facility almost as if it were a triage center for watching people in quarantine, unless and until they test positive and show symptoms, at which point they would get transport to tertiary care in Europe. But officials also mentioned the advanced care available, and said several times staff on site would make decisions about when a patient’s status warranted transfer. That made it sound more like a place for treatment.

The distinction is crucial, and has implications for the facility’s basic design. Patients sick with Ebola would ideally have their own bathrooms as well as their own bedrooms, Boston University infectious disease specialist Nahid Bhadelia told me in a phone interview, because it’s through exposure to bodily fluids that the disease spreads. And because Ebola can cause multiple organ failure, Bhadelia said, facilities need both ECMO devices (which act as artificial hearts and lungs) and dialysis machines (which function as surrogate kidneys).

But the personnel may matter even more than supplies, Bhadelia said, especially because this latest outbreak comes from the rarer Bundibugyo version of the virus. It has no approved treatments, unlike the more common Zaire version. That could leave clinicians relying more on the traditional approach: managing the various complications in the hopes of keeping patients alive until their bodies’ defenses can finally get rid of the disease.

“Ebola is a very labor-intensive disease to treat,” said Bhadelia, who has treated Ebola overseas and managed a biocontainment facility here in the United States. “You have patients who are losing a lot of fluids, so you have to deal with fluid replacement, and then beyond that you have to provide multi-organ support including potentially renal support, ventilatory support. It’s not just about the stuff. It’s making sure you have the right ratio of human resources to patients.”

Administration officials said they have dispatched roughly thirty commissioned public health officers to supplement staff already in central Africa, with a possibility of adding more. The physicians I interviewed said it was impossible to know whether that number would be enough, just as they said they weren’t sure whether the workers would have the proper training.

But they were nervous, they said, given that administration officials have been telling reporters that the newly dispatched health workers had three days of instruction and drilling. That doesn’t sound like the kind of preparation that staff at the specialized American facilities have gotten—or that Brown University public health professor Craig Spencer recalls seeing as a patient in 2014, when he was one of the Americans who got Ebola and received treatment at the special unit in New York City’s Bellevue Hospital.

“They were so well-practiced and well-prepared,” Spencer told me in a phone interview. He added: “Whether I needed an x-ray, whether I needed dialysis, they had thought about how they were going to make those things happen—who was going to be responsible for doing that, how they would get them into the room, how they would keep them safe. These are all protocols that exist beforehand and, quite frankly, can’t be taught over a three-day weekend at a training.”

Palmore noted that staff at the existing facilities “have been preparing for years, drilling and training, and some of them have taken care of people with other hemorrhagic fever viruses.” She went on from there: “The idea that a few days of training and, like, some kind of modular hospital is going to create any sort of equivalent care setting for people with Ebola infection, which requires incredibly complex care, just does not seem realistic to me.”

And in such an ad hoc medical setting, Bhadelia pointed out, “the chances of potential staff exposures go up. It reduces the quality of care for the patient, but also makes it a more dangerous equation for the health care workers themselves.”

As for the possibility the Trump administration truly plans to move sicker patients to tertiary hospitals in Europe, that comes with its own set of uncertainties, starting with the issue of where. Administration officials haven’t specified which countries have agreed to take Americans. And transporting Ebola patients gets a lot more difficult as the disease progresses, Spencer said, putting a lot of pressure on the medical staff.

“The reality is, you get them out as quickly as possible or you’re not going to be able to get them out at all,” said Spencer, who had contracted the disease while treating patients in Guinea as part of the Doctors Without Borders team. “We’ve seen this before, getting people on a plane who are acutely ill with the worst parts of Ebola—vomiting, fever, diarrhea. It doesn’t go well.”

HOWEVER COMPLICATED, the administration’s plan is consistent with the broader approach it has taken ever since this outbreak started—a focus on “insulating the United States rather than on stopping what already is a disaster from becoming much, much worse,” as Helen Branswell of STAT News wrote in a poignant essay last week.

And it’s not like the administration has been especially subtle about this motivation. “We cannot and will not allow any cases of Ebola to enter the United States,” Secretary of State Marco Rubio declared at a cabinet meeting Wednesday.

That instinct is easy enough to understand, even outside of MAGA circles. And there are circumstances when it’s not hard to defend. Sometimes protecting Americans from biological threats requires taking difficult measures. But scientists I interviewed said the record from 2014, in which there was no Ebola transmission once patients were under proper care, suggests there’s little risk of repatriation leading to an outbreak here.

If anything, the administration’s strategy might backfire in two separate ways that are not mutually exclusive: by discouraging health professionals and relief workers from going to Africa, and by giving anybody exposed to Ebola incentive to return without reporting it. The former would increase the chances of more cases there, the latter more cases here.

Lurking behind all of this are moral and legal issues that come with effectively blocking American citizens from returning to the United States, although it’s not clear any of that matters to Trump—who in 2014, before he was president, made his thoughts pretty clear. “The U.S. cannot allow EBOLA infected people back,” he tweeted. “People that go to far away places to help out are great-but must suffer the consequences!” Now he’s putting that impulse into action, evidently oblivious to what those consequences might turn out to be—or who might ultimately feel them.

Source: Jonathan Cohn, “Ebola Veterans Are Aghast at Trump’s Plan for the Outbreak,” The Bulwark, 31 May 2026

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