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"In doing so, she must have treated hundreds of patients when she was unqualified to do so, potentially putting those patients at risk."

Sheinbaum has defended the revamped process, saying that only “a very small percentage” of candidates appear unqualified.

Cooley, for his part, told The Times in 2013 that when Robles unsuccessfully ran against him in 2008, he was “probably the most unqualified candidate ever” because of his political past.

It said references to open-air recreation were "open-ended and unqualified" and "naturally includes camping".

By appointing unqualified people, Trump has undermined confidence in his leadership.