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Romans 1:18, in context, concerns spiritual salvation, or the lack thereof, and the consequences of sin within a person's life. It concerns one's faith in God, or lack thereof. It is not claiming that one has less faith if they take medications rather than go to a faith healer, it is not stating someone should elect a born again Christian to serve as president/leaders.

If you are trying to use the Scriptures to claim you have some kind of moral authority to help re-elect a godless Marxist to the White House, you have failed.

In context, Romans 1:16 and 17:

For I am not ashamed of the gospel, because it is the power of God that brings salvation to everyone who believes: first to the Jew, then to the Gentile. 17 For in the gospel the righteousness of God is revealed—a righteousness that is by faith from first to last, just as it is written: “The righteous will live by faith."

Romans 1 concerns the sinfulness of humanity and the need for each person to receive Christ as their savior and what results when people deny Him.