Is US President Donald Trump insane? Are those who believe Trump’s artificially fabricated world insane? Are they making the rest of us insane? 

I still come across people who believe Trump won the 2020 US presidential election, that the attack on the US Capitol on January 6, 2021, was an act of patriotism, that Trump’s subsequent indictments and felonies were Joe Biden’s work, that most immigrants are criminals.

That Democrats are evil, that Jews are trying to replace white Christians born in America, that Muslims can’t be trusted, that a significant amount of voting is fraudulent, that the US is winning the war against Iran.

That the economy has never been as good, that climate change is a hoax, that Canada poses a threat to the US and it’s only fair for Lake Ontario to be renamed Lake America.

To label these people “deluded” is to overlook an entire world created by Trump and his assistants, cabinet secretaries, “spokespeople”, other political appointees, Republican enablers in the US Congress and state legislatures, and billionaire accomplices in the media (Elon Musk, Rupert Murdoch, Sundar Pichai, Bjeff Bezos, Mark Zuckerberg, the Ellisons) — all of whom have reinforced Trump’s “artificially fabricated insanity”, as the philosopher Hannah Arendt once termed the technique of totalitarian tyrants.

Google, for example, just updated its Maps application to rename Lake Ontario “Lake America”. (It already re-labelled the Gulf of Mexico the “Gulf of America”.)

Totalitarian movements, Arendt wrote, succeed not by convincing people of a specific lie but by creating a consistent, logical fictional world that defies ordinary common sense and human experience.

Which raises the questions that a growing number of Americans are asking: “Is Trump insane? Are those who believe Trump’s artificially fabricated world insane? Are they making the rest of us insane?”

I remember during the Biden administration when a panel of medical experts – the US Preventive Services Task Force – recommended that doctors screen all adult patients under 65 for depression and “anxiety disorders”.

The advisory group said the guidance was intended to deal with a rise in mental health disorders that were going undetected and untreated.

The advice highlighted the extraordinary stress levels that have plagued Americans in recent years, especially since Trump and his enablers and accomplices have come to power.

Lori Pbert, a clinical psychologist and professor at the University of Massachusetts’ Chan Medical School, who served on the task force, called mental health disorders “a crisis in this country”.

But maybe we need to stop thinking about anxiety and depression as “disorders” and start regarding them as rational responses to a society that’s become ever more disordered under Trump, and to an economy that’s been leaving so many behind.

Sane Americans are outraged by Trump’s continuous lies, terrified by his attacks on our democracy, upset by his arbitrary renaming and rearranging of our reality, angry about his brutality toward immigrants in our communities, and furious at his encouragement of homophobia, transphobia, and racism.

They’re also concerned about the soaring costs of living and growing insecurity of jobs.

Let me be clear: Trump is out of his gourd. He’s losing all connection to reality. His lies are becoming more brazen. His statements about Canada, his war in Iran, the economy, and immigrants, all increasingly bizarre.

But his MAGA movement is just about over. His polls are in the cellar. Many of his followers now see through his lies.

“It is in the moment of defeat that the inherent weakness of totalitarian propaganda becomes visible,” Arendt wrote.

At such point, the followers of tyrants “quietly give up the movement as a bad bet”.

Yes, of course, we need better access to mental heath-care. We also need better wages, more job security, and stronger safety nets.

Perhaps even more important to the mental wellbeing of most Americans, we need an administration and media that don’t promote artificially fabricated insanity, but that consistently and reliably tell Americans the whole truth.