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i don't think the issue is that he's calling countries shitholes that are, objectively, shitholes. i've lived in some shitholes and can definitely say that they exist: bad infrastructure, corruption, endemic disease, etc. as i see it, the issue is that he's impugning everyone who comes from those shitholes, purely because they come from shitholes (which is the very definition of prejudice). the problem is the countries, not the people.
It takes people to create problems. It takes people to solve problems. It takes people to let problems linger. Ergo, it takes people to create shitholes. Countries have no agency without people. I thought it was clear that Trump was impugning an immigration strategy of randomly gathering from human cultural failure.
Edit: As I think about it, nature can create problems, too. However, my interpretation of "shithole" was the importance of the man-made component of the problems.