In his altered mental state - at times he seemed “to verge on mental instability, if not insanity’’ - Wilson actively buried any hope of a compromise on the League while ignoring all other affairs of state even as the economy plunged into recession, racial violence spread in the cities, and political repression reached fever pitch. This was by far the worst crisis of presidential incapacity in American history. It was a tragedy for Wilson himself, but even more so for the nation, and for the world.