President Biden underwent a neurological exam at the White House in January as part of his annual physical, the White House has confirmed. The revelation came amid increased scrutiny of the president’s health and cognitive abilities, particularly following what many perceived as a weak debate performance in late June.
The White House has faced criticism over its handling of information related to Biden’s health. Press Secretary Jean-Pierre initially provided inaccurate information about the January 17 meeting between Dr. Kevin Cannard and Dr. Kevin O’Connor, Biden’s personal physician. She later had to clarify and correct her statements, raising questions about transparency in the administration.
Cognitive testing has become a focal point in discussions about presidential fitness. Biden has resisted calls to take a formal test, stating that he undergoes a “cognitive testing every day” through his presidential duties and interactions. His opponent, Donald Trump, who at 78 would be the second-oldest president if elected, claims to have aced cognitive tests both during and after his presidency.
There are various types of cognitive tests and screenings used to assess brain function. One of the most widely used is the Montreal Cognitive Assessment (MoCA), which evaluates orientation, memory, attention, and other cognitive skills. These tests are typically easy for individuals without cognitive impairment but can be challenging for those experiencing decline. However, medical professionals emphasize that these brief screenings are just one part of a comprehensive cognitive evaluation.
Experts like Dr. Dan Mungas from the University of California’s Davis Alzheimer’s Disease Research Center suggest that a more thorough assessment, including a full medical history and input from close associates, provides a clearer picture of an individual’s cognitive status. They also stress the importance of tracking changes over time, rather than relying on a single assessment.
The American Academy of Neurology recommends cognitive screenings for individuals over 65, as the risk of cognitive impairment increases with age. Dr. Ziad Nasreddine, the creator of the MoCA test, notes that by age 75, approximately 25% of patients will have some form of cognitive disorder. He has observed changes in Biden’s public appearances over the past year, including slower movement and speech, but cautions that it’s difficult to define normal cognitive function for someone of Biden’s age in such a demanding role.
The issue of presidential fitness has also brought attention to the 25th Amendment of the U.S. Constitution, which outlines procedures for removing a president who is unable to discharge their duties. Some Republicans have called for invoking this amendment following Biden’s recent performances, though it has never been used in cases of suspected mental decline.
