Maybe I'm clutching my pearls here, but I don't want my president to "joke" about my life. Also this "joke" is in pretty poor spirit if 20+ people needed medical attention and he's not going to help them at all
If there is a person in your life and every other single person you meet says that there's a problem with that person and your gut reaction is to explain away those problems or to excuse that person from responsibility for the problems that are alleged against them, you are currently running interference for a person who has unaddressed problems.
That is codependent enabling behavior, and is a sign that you yourself may have some issues that need to be addressed.
Just because I think the guy is absolutely horrible doesn't mean that I'm going to pretend he wasn't joking when he clearly was. Yes, he also doesn't actually care about them, but that doesn't change the fact that he was joking.