He has a higher body count than any serial killer who has ever lived with DOGE alone. He may or may not be clinically diagnosable, but he's a monster either way
While I share your opinion on his character, the first part of what you say is also true for almost everyone who wielded the kinds and scales power that was given to him via DOGE: Every battleship is a hospital not built, etc.
It's sad that this is believed when it's most often the opposite. Especially in this case we have a literal historical example. You'll never guess what Henry Kaiser built before creating Kaiser, the largest set of hospitals in CA.
I can't imagine why you think that's a good example.
The money spent on the ships* could not be double-spent on hospitals. The workers whose manual labour was dedicated to those later ships could not be simultaneously dedicated to more hospitals. The crew of a battleship cannot be simultaneously working in a hospital, the maintenance teams repairing it cannot be simultaneously repairing a hospital.
Every resource-management game demonstrates this principle, even if they're all gross simplifications.