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I'm not saying all schizophrenics are prone to be Nazis, don't put words in my mouth. I'm well aware of what the Nazis did.
I'm saying that West's schizophrenia is likely making him prone to Nazi sympathies, evidenced by his apparent lack of those sympathies when he is on his meds. In his case these two are very strongly correlated. Schizophrenia is a very complex mental disease that manifests differently in different people. We don't know exactly what goes on in his head, but we know he isn't sound of mind. Hitler is theorized to have had a form of paranoid schizophrenia too. West specifically seems to believe that black people are "the real jews" and that Hitler was therefore right to kill the "imposters" or something stupid. The reasoning he presents does fit with paranoid schizophrenia.
To be clear, schizophrenia is a disease that we know how to manage, and most schizophrenics do so just fine. West in particular is an idiot for not taking his meds. And of course his diagnosis doesn't absolve him from the responsibility of his actions. But they are clearly related in his case.
He is also egotistical and seems to have some kind of messiah-complex. That does appear to just be him being a piece of shit.