Every day across the country, in organizations large and small, public and private, Americans make hiring decisions. Most look carefully for the right person, especially when the responsibilities of the job are heavy. Resumes are examined, interviews conducted, references contacted. The performance of the company or agency turns on such choices.

And then there is the Trump White House, where the president has made some good hires, such as James Mattis for defense secretary, yet much more often has advanced selections that reinforce the impression of his own unfitness for the office.

The latest is Ronny Jackson, admiral and longtime White House physician tapped to lead the Department of Veterans Affairs. The nomination appeared fueled by a personal rapport between patient and doctor. A kind of benefit of the doubt applied: Give Jackson a chance to show he could rise to a task for which he appears unqualified. Then, the many revelations came — from within the military, about a hostile work environment, loosely providing medicine, drinking on the job, passed out in a hotel room, crashing a government vehicle.

On Thursday, Jackson withdrew his nomination. It is clear the Jackson nomination received little examination at the White House before the president acted. The absence of a consistent vetting process amounts to disdain for the responsibilities of the presidency.

The Veterans Affairs position does not carry the highest profile in the Cabinet. It is crucially important, serving 9 million veterans, with an annual budget of $185 billion and roughly 375,000 employees. The agency has pressing needs, from modernizing its record-keeping to sorting through its relationship with private medicine. This is another moment for the president to keep his frequently made campaign pledge to hire “the best and most serious people.”

Not to mention his promise, also made often, to outdo recent presidents in his concern and attention for veterans.

Yet neither has been the case, and the neglect fits into a disturbing pattern.

Ben Carson, a gifted brain surgeon, hardly has the record and skills to serve effectively as the secretary of housing and urban development. The same goes for Betsy DeVos as education secretary. Include on the list of problematic hires the ethically challenged Tom Price (since resigned) and Scott Pruitt, the latter at odds with the mission of the Environmental Protection Agency. Add Michael Flynn and Rob Porter, each with flaws that meant they had no business serving in the White House.

All presidents, Democrats and Republicans, make hiring errors. Striking about the Trump team is the uncommonly large number of departures, positions still unfilled or occupied by those without the appropriate knowledge and experience. That goes for the Office of Presidential Personnel, which has the job of vetting political appointees. The Washington Post reported recently that the office is much understaffed and a dumping ground for political hires who appear more prone to partying than performing well.

Donald Trump arrived as an outsider, a factor that won many supporters. So, in many respects, his obligation to form a competent staff and administration was greater than usual, requiring him to build bridges to those who could help. Again, he rightly pledged the “best and most serious.” So far, he has shown disinterest in a basic requirement of the job.