Inappropriate speech is a common symptom of Alzheimer's dementia.

[delisen]

69. His words are also consistent with his

his own logic, his belief system and his main focus on himself and his performance

1. He is measuring disasters according to how many people were killed. Katrina was a real disaster due to the number of lives lost. In Puerto Rico he was counting only 16 lives lost (an undercount). Therefore he considers Katrina a "real" disaster, and Puerto Rico not so much.

This type of measuring is a reflection of his "size" obsession-a life-long obsession.

2. He considers that Puerto Ricans are lazy, and that the aid they are going to receive is a windfall. They will be getting a lot of "free stuff." He believes that will take what is given and have a good time.
Throwing the paper towels at the crowd was to him a symbol of the free stuff they they will be getting from the federal government

This is a Trump projection. It is reportedly what he did when he vastly inflated damage to his home in Florida in filing his 75 million property loss claim.

3. The "miracle" of Las Vegas comment was just another Trump attempt to avoid being held accountable for the results of his actions.
He has been an outspoken advocate of NRA policies. In order to avoid blame he immediately states that it was a miracle that the disaster was not even worse and injects "god" into the situation. (God works in mysterious ways, he decided to save some people. It's a miracle)!

This is all consistent with a personality who has over decades denigrated, dehumanized and blamed others, gotten free stuff by lying and not paying people for their work, and refusing to take responsibility.

Projection is probably Trump's most glaring personality feature or "bug."

Alheimer's-whether he has it or not, is not needed to explain his recent performance. He is who he has always been.

I suspect he would be quite willing to use Alzheimer's as a defense to avoid accountability in either an impeachment process or a state legal action. If so, it will be just another con.