What parts of the first-world would Trump consider to be substandard ?

What parts of the first-world would Trump consider to be substandard ?
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I’ve taken to referring to supporters of President Shithole as shithole-Americans. His support is strongest in shitholes with economies based on disability checks, meth, and opioids. So, to answer the question, all the red portions on a county-by-county map of the 2016 election results.
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