I'm guessing that once he realized for sure that he'd ruined America's
response to the virus, his mind started to deploy its familiar defense mechanisms, one of which is to retroactively justify why the disastrous outcome he's brought into being is actually "right" and "successful" and, though he'd never admit it, he probably thinks we deserve this as punishment for how we've mistreated him (one of his favorite themes) and for our lack of gratitude and appreciation (another of his favorite themes). He's imagining all of his "enemies" and critics getting sick and dying and leaving out the part about his supporters dying too.
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