It's just pure, unvarnished incompetence, and the harm might fall even more heavily on Trump's own supporters. Ventilators & ICUs aren't like corn or firearms, they're a distinctly urban phenomenon. 94% of ICU beds are in metropolitan areas. Let's take a look. /1
Merge these two together and you get a political map of COVID-19 treatment capacity (third pic). Everywhere that's orange is a county that voted for Trump and has zero ICU beds. Pink counties voted for Trump and don't even have hospitals. The numbers per capita are bad too. /2 
Even if we focus on just a few swing states and on just the biggest counties, the Clinton-voting counties typically have more than 1 ICU bed per 1,000 residents aged 60+. The Trump-voting counties rarely do. Some big Trump-voting counties in Michigan have no ICU beds at all. /3
Whether this makes it into Trump voters' heads, who knows. They've rejected a lot of indisputable information. Either way, their communities aren't prepared for COVID-19, and Trump isn't helping them.
Source for ICU data khn.org/news/as-corona…
Also see sccm.org/Blog/March-202…
Source for ICU data khn.org/news/as-corona…
Also see sccm.org/Blog/March-202…
