Much has been written about the Trump effect – Trump’s impact on civility, ethics and morality. Certainly, the impact has been serious. It has led to rifts among friends and families. It has led to more conflicts based on race and religion. And it has led to a diminished respect for our democratic institutions, including traditional news media, the FBI, the CIA and our judicial system.

In addition, Trump’s disregard for the truth, his extramarital affairs with porn stars and the numerous credible accusations of sexual assault victims have set a horrific example for children.

But the administration is having a much more onerous impact on our nation and, indeed, the entire world.

For example, the Trump administration recently ousted the head of global health security and cut the agency’s budget the same week it was announced that there is a new Ebola outbreak in Africa. As a result, it is now unclear who in the administration will be charged with reacting to an international pandemic. But that’s only a potential disaster in the making. Millions of lives have already been put at risk by The Donald and his troupe of ideological and unqualified sycophants. By pandering to racists and neo-Nazis, Trump unleashed a flurry of attacks on minorities.

Trump’s decision to block refugees, deport undocumented immigrants, and undermine DACA represents a mass murder in slow motion. Within 3 weeks of his deportation, a high school dreamer from Iowa who was brought to the US at age 3 died as a result of gang violence in Mexico – likely due to misidentification. (He and a friend were in the wrong place at the wrong time.) And that young man is but a single example of the administration’s turning a cold shoulder to women and children seeking refuge in the US from violence – violence often caused by US policies! Further, it has been revealed that the administration is ripping families apart and taking children as young as 18 months away from mothers and fathers who are seeking refuge. The impact on those young lives will be devastating and lasting.

In Puerto Rico, the Trump administration made the Bush-era response to Hurricane Katrina look like a model of efficiency. According to a recent Harvard study, more than 4,600 Puerto Ricans have died as a result of Trump ineptitude. That’s more than twice as many Americans who died as a result of Hurricane Katrina!

The piece-by-piece dismantling of the Affordable Care Act will result in millions losing access to health care and thousands of preventable deaths. The administration has threatened to cut CHIP (Children’s Health Insurance Program) which now provides health care funding for 9 million children and pregnant women. Similarly, it has plans to make deep cuts in Medicaid which provides health care to disabled, elderly and poor Americans. And the Medicare program for seniors is also in the administration’s crosshairs.

Not satisfied with those draconian cuts, Trump and the GOP have plans to cut benefits to Social Security recipients. And they have plans to cut $150 billion from SNAP (Supplemental Nutrition Assistance Program) which could leave millions hungry.

To be clear, all of these cuts are planned to help pay for the administration’s tax cuts for corporations and the wealthy.

In addition, there will be thousands of deaths caused by the continued indifference of Trump and the GOP toward gun violence. Already this year there have been more than 100 mass shootings in the US and hundreds of deaths. And the year is only half over.

And when you consider the consequences of Trump’s foreign policies, things look even more bleak!

By moving the US embassy to Jerusalem, the administration ignited a powder keg in Gaza and the Middle East. Ensuing protests along the Palestinian/Israeli border resulted in the deaths of hundreds of Palestinians, including children and aid workers. And, by announcing its withdrawal from the Iran nuclear agreement, the administration has released Iran to restart its efforts to create nuclear weapons and has encouraged Iran to increase its support of terrorist groups in the Middle East.

If the agreement with North Korea fails, as it is likely to, Trump will almost certainly return to his game of brinksmanship with a nuclear nation (brinksmanship and bullying are the only forms of negotiation Trump knows). A potential war on the Korean peninsula would result in millions of deaths of Koreans and Americans. It could also cause China and Russia to enter into war with the US.

Trump’s refusal to condemn Russian meddling in the elections of western countries, including the US, and his burgeoning trade war with allies weakens NATO and long-time alliances, destabilizes the West, and makes it easier for Putin to invade countries beyond the Ukraine.

Finally, there is the devastating impact of the administration on the environment. By pursuing oil drilling in sensitive areas preserved for wildlife and by failing to protect endangered species, the administration threatens the entire ecosystem. And by withdrawing US support for the Paris climate agreement, the US is now the only nation in the world that is not part of the agreement to curb carbon emissions. If the world’s climate scientists are correct – and, so far, their estimates of destruction have proven to be conservative – Trump’s decision puts millions of future lives at risk.

So, instead of snickering at the latest revelations of Trump’s philandering; instead of being outraged at his insensitive and immature statements on Twitter; instead of decrying the coarseness of his language and his repugnant treatment of the press; consider the real damage his administration is doing. And VOTE!