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Abruptly stopping it could lead to clots forming, so you have to lower the dose over time. But at Trump's age it's either he dies from a clot or a hemorrhage and I guess his doctors decided that a hemorrhage is the lower risk.
Also there's still ongoing research but apparently according to some studies aspirin may not even do anything for cardiovascular prevention.
Could be that Trump had a heart attack or stroke already, which could have happened before he was president, and they are using it for secondary prevention.
IMO, he had a couple of mini-strokes. He had that look and mouth droop. They covered his mouth with a microphone once in a video, it was fucking hilarious. It moved with his mouth like it was trying to force itself on him. He looks fine now though.
It's inaccurate that it doesn't do anything. What you posted doesn't say that, it says the risks outweigh the benefits - not that the benefits don't exist.
Aspirin absolutely lowers the effort exerted by your cardiovascular system, specifically your myocardial tissue, by preventing blood platelet aggregation.
But as what you cited noted, that means it also inhibits clotting, the risks of which they've understandably determined outweigh the benefits.
Source: ACLS licensed.
He’s not a „healthy adult“ though.