Now we know what Paul Ryan meant

So we now know what Paul Ryan meant that day, the day of the appalling White House back garden cluster smooch of Trump's flabby ass,
 what he meant when he said the wonderful tax bill was only possible because of Trump's "exquisite leadership."

When you're in a doctor's office or a hospital, and they're trying to diagnose your situation they ask "How bad is the pain, from one to ten?"
 
When you get past 8, to 9 or 10, the pain is what they call: "exquisite"
meaning unbearable, intolerable, too painful to stand for one more moment, etc.

And Mr. Shithole's leadership really is "Exquisite" in that sense.

Sidenote -- that night some late night comic was mocking Trump's claim that the Dems were making America a laughingstock, saying no, it was Trump who was making America a laughingstock --- not really, not any longer -- that was last year...

Now Trump is making America the object of worldwide contempt.