The only response I can genuinely give for Trump not being the literal antithesis to "harm reduction" is:
Even if FQ's linked insanity isn't followed by Trump, we're still not dealing with Round 1 Trump where he's mostly just in it for clout and garnering favor. He was spurned, hard and repeatedly, and has been continuously embarrassed for the last 3 years and change.
Round 2 Trump, as the idiot himself has made clear, is Vengeful Baby Trump. He can, and will, burn down literally anything he can get his hands on out of pure vindictive spite. He will, 100%, take every single opportunity that presents itself to target the state of New York. He will gleefully genocide people internally
and externally. He
will continue to suck up to other wannabe dictators, Putin in particular; Ukraine is fucked. He's made many anti-NATO comments, lord only knows what will happen if push comes to shove on that front.
The US withdrew from the Iran nuclear deal under Trump. We withdrew from the Paris Climate Accord under/because of Trump. This is me flailing my arms in a ridiculous manner over the entirety of how the US handled the COVID-19 pandemic under Trump. Harm reduction, even through "incompetence," is literal fucking insanity. A child's fantasy. It's fucking hysterical.
These allegedly progressive people allegedly buying into this shit should just be more honest with themselves if you ask me. Which, hey, if Trump is re-elected - I probably won't have to deal with the fallout nearly as long as the rest of the world does.