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Home » Geopolitics, Iran and the World: Jeffrey Sachs with Karim Bettache & Peter Beattie (Transcript)

Geopolitics, Iran and the World: Jeffrey Sachs with Karim Bettache & Peter Beattie (Transcript)

Read the full transcript of Jeffrey Sachs in dialogue with Karim Bettache & Peter Beattie on “Geopolitics, Iran and the World”, April 1, 2026.

EDITOR’S NOTE: In this compelling dialogue, economist Jeffrey Sachs sits down with Karim Bettache and Peter Beattie to dissect the escalating geopolitical crisis involving Iran, the United States, and Israel. Sachs delivers a sharp critique of U.S. foreign policy under President Trump, warning of unchecked presidential power, the risk of nuclear escalation, and the deeper systemic failures driving endless conflicts. Join them for a candid exploration of why the current moment may be the most dangerous since World War II—and what paths remain for de-escalation.

INTRODUCTION

KARIM BETTACHE: Please welcome him, Professor Sachs.

Opening Remarks: Comparing Iraq and Iran

PETER BEATTIE: Now to get into much more depressing topics. This time reminds me a lot of the early 2000s. I don’t know if you probably were living in New York City at the time as well.

JEFFREY SACHS: And we remember Boston and 9/11.

PETER BEATTIE: Oh, okay. But around that time, at any rate, that was the last time our government committed the ultimate international crime, which the Nuremberg Tribunal called the crime of aggression, because it contains within it all other war crimes themselves. Back then, we saw a concerted propaganda campaign to try to get the US public on board with the war on Iraq. This time we haven’t seen that. There really hasn’t been any campaign. And I wonder why that is. It could be changes in the media system. They could have done focus group testing and found that nothing worked to get people in the US to buy into this war. I don’t know. The majority of people in the US are opposed to this war from the very beginning, quite unlike the war on Iraq. So I’m just wondering, what can we learn, do you think, from the similarities and dissimilarities between this war of aggression on Iran and the earlier one against Iraq? And besides betting as much as one can on oil to push the price up to put pressure on Trump, what can people, US citizens and people from outside of the US, do to try to help bring this war to a conclusion?

Trump’s Psychology and the Broken American Political System

JEFFREY SACHS: Yeah, well, thanks very much, and thanks for the chance to have a discussion about what is going on.

First of all, things are opaque, as is obvious, because we don’t have a word of honesty from the United States government or from the Israeli government. Everything is propaganda morning till night. Also, any statement by Donald Trump contradicts itself before the end of the sentence. So he’s absolutely impossible to even understand on his own terms, much less on geopolitical terms.

So the situation is very strange, very dangerous. I think probably the most dangerous moment in the world since World War II, probably even including the Cuban Missile Crisis. I say that with two psychologists here. I’ll say it. You’re not responsible for me — maybe you’ll regret that you invited me. But I think Donald Trump is literally mentally ill to a very serious extent.

He is, from a personality point of view, a malignant narcissist, I think, is the right definition. Or if you want a more classical diagnosis, a dark triad personality, which means that he is personally narcissistic. He is Machiavellian, which means, in psychological terms, that he is manipulative, untrustworthy, deceitful. And he is psychopathic, meaning that there is no empathy for how many people he kills or how much damage is done. The malignant narcissist definition adds paranoia and confabulation to this list.

So I personally think we’re dealing with a psychologically deeply debilitated individual who happens to have a lot of power. And according to one psychologist I was listening to yesterday, that I thought made a lot of sense, there’s an element of frontotemporal dementia added to this, which you see through the incoherence of the sentences, the drift of thought, and even the confusion of words, so that the words don’t even end as they begin.

There’s real signs of dementia on top of what is a lifetime of antisocial personality disorder. A man like this should not be president. This is the most basic point. He is president because of much deeper problems in the American political system. So he is a symptom as well as a cause. You don’t elect a person like this in a healthy political system.

The American political system is deeply corrupted. The ability of a man like this to have the power that he does to order a war is a profoundly broken political order. It has nothing to do with our constitutional system, where only Congress has the ability to declare war. We’re so pathetic right now in our politics that the only thing Congress does is vote repeatedly that they don’t want to have anything to do with overseeing this war. It’s not a choice that they have under the Constitution — it’s a complete abnegation of responsibility. How can the Senate say now, in three votes, “don’t ask us, it’s none of our business, that’s just Mr. Trump’s business”? That’s exactly what the U.S. Senate has said.

So I think there are very particular circumstances right now. My own feeling is that Trump has actually — again, now I’m completely an amateur psychologist — but he seems to have deteriorated and lost any kind of self-control in the last three or four months. So there’s a degree of impulsivity which is absolutely beyond anything that I’ve seen before.

By the way, this is the second time in a row that we have had a president suffering from dementia. And what’s interesting also is that with Biden, who had dementia for the last two years at least of his administration, it was all covered up until he stood there gaping in front of a camera, drooling, to all of the American people watching in a debate, and no one could hide it on camera.