CEO President

This is what happens when you "run the gubmint like a bidness."  The boss doesn't really have any idea what the company does.  He has people to tell him what's good and what's bad.

Even as he thrust himself and the trappings of his office into selling the health-care bill, Trump peppered his aides again and again with the same concern, usually after watching cable news reports chronicling the setbacks, according to two of his advisers: “Is this really a good bill?”

We've seen this a bunch of times before.  Not sure how many Reagans, Nagins, and GW Bushes we need to burn through before people figure it out. 

Update: Here's Adrastos with a more elaborated look at this.