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No thought whatsoever as to what comes out. As you say: pathologically incapable."

I teach public speaking and in such courses I used to tell students that Clinton was the first president who didn't read a speech. He did read them, but he would often interject his own thoughts here and there throughout the speech. This drove his speech writers crazy! I cannot, however, think of a time when Clinton's off the cuff interjections caused any serious problems for the U.S. If any posters can, please speak up.

My point, however, is that traditionally presidential speeches are read and from which the president rarely deviates. There is an important reason for this, and what you see trump doing is exactly why presidents are dissuaded from speaking extemporaneously.