Voters are very much “what have you done for me lately”. And the last 8 months of covid has placed it at the forefront of everyone’s mind. The President’s inability to educate Americans that the President has no official role because of Federalism may cost him IMHO. Those duties and responsibilities not included in the Constitution revert to the States.
I honestly believe that President, after he got COVID, and came out and talked about his experience and failed to show empathy to the American people that got COVID, the families who lost someone due to COVID. Instead he chose to be bravado about it all. Talked about how it didn’t beat him, the excellent care he received, the medicine he received that most Americans couldn’t get. IMHO he could have stilled portrayed hope but at the same time being more humble that he understood the toll it has taken on people, etc.