His brain is melted
By 
And no this isn’t “a distraction from the Epstein files.” He’s just basically gone mentally:
Every day it gets worse.
Well that’s not really true because that’s not how dementia works. It’s up and down, but the trend is always down.
. . . commenter Cereal characterizes what’s going on very accurately in my view:
It’s both. He was always like this but now he’s just incredibly more like this. My mom had the same kind of prefrontal dementia thing. It’s weirdly hard to spot because they just get more like the worst parts of themselves.
“Donald Trump but more so” is a truly horrifying diagnosis, given that the worst parts of Donald Trump are essentially all of them.