the president dont run things now when ronald reagan got Alzheimer's  george herbert walker bush was president. when bush sr was president bill kristol was the policy maker. when bill clinton was president his wife was really the policy maker. when bush jr was president DICK CHENEY was the real president foreign policy maker. WHEN OBAMA WAS PRESIDENT VALERY JERRET AND HILLARY CLINTON WERE THE POLICY MAKERS. WITH THE DONALD PRESIDENT DONALD TRUMP  HIS DAUGHTER AND SON IN LAW IS THE POLICY MAKERS.