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Indirectly, it’s a strong indictment of Trump’s mental health. A politician’s strongest weapon (and a conman’s, which he also is) is their image, and Trump knows it. If he’s letting himself go to the extent that his odor deserves note, then you can be assured that he’s let go of everything else that he considers less important than his image (i.e. everything else that exists) at least as much as he’s let go of his hygiene, probably more.
The Donald J. Trump that debated Biden was a bad choice for a set of reasons that did not include becoming incapable of caring for the most important thing in his life. The current DJT has added that reason to the list.
I think it’s more indicative that he doesn’t listen to or care about the opinions or feelings of anybody around him, which is a bad quality in a leader unless you want your country run by a despot. Mao never brushed his teeth and reportedly had breath that could raise the dead.