Trump has told advisers that he believes wearing one would “send the wrong message,” according to one administration and two campaign officials not authorized to publicly discuss private conversations. The president said doing so would make it seem like he is preoccupied with health instead of focused on reopening the nation’s economy — which his aides believe is the key to his reelection chances in November.

Moreover, Trump, who is known to be especially cognizant of his appearance on television, has also told confidants that he fears he would look ridiculous in a mask and the image would appear in negative ads, according to one of the officials.

“It’s a vanity thing, I guess, with him,” House Speaker Nancy Pelosi said of Trump on MSNBC. “You’d think, as the president of the United States, you would have the confidence to honor the guidance he’s giving the country.”