Joe Biden declared ‘fit for duty’ as age issue looms in U.S. presidential election

February 29, 2024 08:52 am | Updated 08:52 am IST – BETHESDA, Md.

President Joe Biden “continues to be fit for duty,” his doctor wrote on February 28 after conducting an annual physical that is being closely watched as the 81-year-old seeks re-election in November.

Dr. Kevin O’Connor, Mr. Biden’s physician, wrote that the president is adjusting well to a new device that helps control his sleep apnea and has experienced some hip discomfort but also works out five times per week.

Also Read | U.S. President Joe Biden launches 2024 re-election bid

“President Biden is a healthy, active, robust, 81-year-old male who remains fit to successfully execute the duties of the presidency,” Dr. O’Connor said in a six-page memo on the president’s health, following a physical that took Mr. Biden to Walter Reed National Military Medical Center for more than 2 1/2 hours.

His memo added that Mr. Biden “feels well and this year’s physical identifies no new concerns.”

The oldest president in U.S. history, Mr. Biden would be 86 by the end of a second term, should he win one. His latest physical mirrored one he had in February last year when Dr. O’Connor described Mr. Biden as “healthy, vigorous” and “fit” to handle his White House duties.

Still, voters are approaching this year’s election with misgivings about Mr. Biden’s age, having scrutinised his gaffes, his coughing, his slow walking and even a tumble off his bicycle.

After he returned to the White House on Wednesday, Mr. Biden attended an event on combating crime and suggested that when it came to his health “everything is squared away” and “there is nothing different than last year.”

Also Read | Joe Biden | From being one of the youngest senators to oldest U.S. president

He also joked about his age and people thinking “I look too young.”

Former President Donald Trump, 77, is the favourite to lock up the Republican nomination later this month, which would bring him closer to a November rematch against Mr. Biden. Mr. Trump was 70 when he took office in 2017, which made him the oldest American president to be inaugurated — until Mr. Biden broke his record by being inaugurated at 78 in 2021.

Watch | A quick look at the oldest and youngest U.S. presidents 

Dr. O’Connor’s report said that Mr. Biden’s stiff walking was no worse than last year and was the result of arthritic changes in his spine. He said the president also noted “some increased left hip discomfort.” There were no signs of stroke, multiple sclerosis, Parkinson’s or other similar conditions in what the report called an “extremely detailed neurologic exam.”

Also Read | Trump calls himself a ‘proud political dissident’ in CPAC speech

Mr. Biden, last summer, began using a continuous positive airway pressure, or CPAP, machine at night to help with sleep apnea, and Dr. O’Connor wrote that the president had responded well to that treatment and is “diligently compliant” about using it.

A recent special counsel’s report on the investigation into Mr. Biden’s handling of classified documents repeatedly derided Mr. Biden’s memory, calling it “hazy,” “fuzzy,” “faulty,” “poor” and having “significant limitations.” It also noted that Mr. Biden could not recall defining milestones in his own life such as when his son Beau died or when he served as vice president.

Still, addressing reporters the evening of the report’s release, Mr. Biden said “my memory is fine” and grew visibly angry as he denied forgetting when his son died of brain cancer in 2015 at the age of 46.

White House press secretary Karine Jean-Pierre said that Dr. O’Connor was one of a team of 20 different medical specialists who helped complete the physical.

Asked why Mr. Biden wasn’t undergoing a cognitive test as part of the physical, Ms. Jean-Pierre said that Dr. O’Connor and Mr. Biden’s neurologist “don’t believe he needs one.”

“He passes a cognitive test every day, every day as he moves from one topic to another topic, understanding the granular level of these topics,” Ms. Jean-Pierre said, noting that Mr. Biden tackled such diverse issues as Wednesday’s crime prevention event before his planned trip to the U.S.-Mexico border on Thursday and next week’s State of the Union address.

Also Read | U.S. poised for a potential presidential ‘rematch’ of far-reaching implications

“This is a very rigorous job,” she added.

That picture of the president doesn’t reflect the type of struggles with routine tasks that might indicate the need for further tests, said Dr. Michael Rosenbloom, a neurologist at the University of Washington School of Medicine.

“Constantly questioning older folks who may have an occasional lapse is a form of ageism,” Dr. Rosenbloom said.

From sleep apnea to arthritis, Mr. Biden’s health report “seems pretty run of the mill for an 81-year-old person,” said Dr. Jeffrey A. Linder, chief of general internal medicine at Northwestern University’s Feinberg School of Medicine.

“His doctors are in a unique position to assess his cognitive ability on a daily basis,” Dr. Linder said. “These doctors are able to see how he’s functioning day to day. That’s much more useful” than a cognitive assessment.

Many Americans, including Democrats, have expressed reservations about Mr. Biden seeking a second term during this fall’s election. Only 37% of Democrats say Mr. Biden should pursue re-election, down from 52% before the 2022 midterm elections, according to a poll from The Associated Press-NORC Center for Public Affairs Research.

Mr. Biden counters that his age brings wisdom, and he has begun to criticise Mr. Trump for the former president’s recent public gaffes.

The president joked that his age was classified information and suggested during a taping in New York on Monday of Late Night With Seth Meyers that Mr. Trump mistakenly called his wife Melania, “Mercedes” during a weekend speech at the Conservative Political Action Conference — though the Trump campaign says he was correctly referring to political commentator Mercedes Schlapp.

Mr. Trump has indeed had his share of verbal miscues, mixing up the city and state where he was campaigning, calling Hungarian Prime Minister Viktor Orbán the leader of Turkey and repeatedly mispronouncing the militant group Hamas as “hummus.” More recently, he confused his Republican primary rival Nikki Haley with former Democratic House Speaker Nancy Pelosi.

While he was president, Mr. Trump’s annual physical in 2019 revealed that he had gained weight and was up to 243 pounds. With his 6-foot, 3-inch frame, that meant Mr. Trump’s Body Mass Index was 30.4. An index rating of 30 is the level at which doctors consider someone obese under this commonly used formula.

Wednesday’s report listed Mr. Biden as 6-foot tall and weighing 178 pounds.

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U.S. President Joe Biden launches 2024 re-election bid

U.S. President Joe Biden on April 25 formally announced that he is running for re-election in 2024, asking voters to give him more time to “finish this job” he began when he was sworn into office and to set aside their concerns about extending the run of America’s oldest President for another four years.

Mr. Biden, who would be 86 at the end of a second term, is betting his first-term legislative achievements and more than 50 years of experience in Washington will count for more than concerns over his age. He faces a smooth path to winning his party’s nomination, with no serious Democratic rivals. But he’s still set for a hard-fought struggle to retain the presidency in a bitterly divided nation.

The announcement, in a three-minute video, comes on the four-year anniversary of the day Mr. Biden declared for the White House in 2019, promising to heal the “soul of the nation” amid the turbulent presidency of Donald Trump — a goal that has remained elusive.

Also read | Joe Biden says U.S. is ‘unbowed, unbroken’ in State of Union address

“I said we are in a battle for the soul of America, and we still are,” Mr. Biden said. “The question we are facing is whether in the years ahead we have more freedom or less freedom. More rights or fewer.”

While the prospect of seeking re-election has been a given for most modern Presidents, that’s not always been the case for Mr. Biden. A notable swath of Democratic voters have indicated they would prefer he not run, in part because of his age, a concern Mr. Biden has called “totally legitimate” but did not address head-on in the launch video.

Yet, few things have unified Democratic voters like the prospect of Mr. Trump returning to power. And Mr. Biden’s political standing within his party has stabilised after the Democrats notched a stronger-than-expected performance in last year’s mid-term elections. The President is set to run again on the same themes that buoyed his party last fall, particularly on preserving access to abortion.

“Freedom. Personal freedom is fundamental to who we are as Americans. There’s nothing more important. Nothing more sacred,” Mr. Biden said in the launch video, depicting Republican extremists as trying to roll back access to abortion, cut social security, limit voting rights and ban books they disagree with. “Around the country, MAGA extremists are lining up to take those bedrock freedoms away,” he said.

“This is not a time to be complacent,” Mr. Biden added. “That’s why I’m running for re-election.”

As the contours of the campaign begin to take shape, Mr. Biden plans to campaign on the basis of his record. He spent his first two years as President combating the coronavirus pandemic and pushing major bills through, such as the bipartisan infrastructure package and the legislation to promote high-tech manufacturing and climate measures. With Republicans now in control of the House, Mr. Biden has shifted his focus to implementing those massive laws and making sure voters credit him for the improvements.

The President also has multiple policy goals and unmet promises from his first campaign that he’s asking voters to give him another chance to fulfil.

“Let’s finish this job. I know we can,” Mr. Biden said in the video, repeating a mantra he had uttered a dozen times during his State of the Union address in February, listing everything from passing a ban on assault-style weapons and lowering the cost of prescription drugs to codifying a national right to abortion after the Supreme Court’s ruling last year overturning Roe v. Wade.

Buoyed by the mid-term results, Mr. Biden plans to continue to criticise Republicans for embracing what he calls “ultra-MAGA” politics, a reference to Mr. Trump’s “Make America Great Again” slogan, regardless of whether his predecessor ends up on the 2024 ballot or not.

In the video, Mr. Biden speaks over brief clips and photographs of key moments in his presidency, snapshots of diverse Americans, and flashes of outspoken Republican foes, including Mr. Trump, Florida Governor Ron DeSantis, and Rep. Marjorie Taylor Greene of Georgia. He exhorts supporters, saying, “This is our moment [to] defend democracy. Stand up for our personal freedoms. Stand up for the right to vote and our civil rights.”

Mr. Biden also plans to point to his work over the past two years shoring up American alliances, leading a global coalition to support Ukraine’s defences against Russia’s invasion and returning the U.S. to the Paris climate accord. However, public support in the U.S. for Ukraine has softened in recent months, and some voters question the tens of billions of dollars in military and economic assistance flowing to Kyiv.

The President faces lingering criticism over his administration’s chaotic 2021 withdrawal from Afghanistan after nearly 20 years of war, which undercut the image of competence he aimed to portray, and is the target of GOP attacks over his immigration and economic policies.

As a candidate in 2020, Mr. Biden had pitched to voters on his familiarity with the halls of power in Washington and his relationships around the world. But even back then, he was acutely aware of voters’ concerns about his age.

“Look, I view myself as a bridge, not as anything else,” Mr. Biden said in March 2020, as he campaigned in Michigan with younger Democrats, including now Vice President Kamala Harris, Senator Cory Booker of New Jersey and Michigan Gov. Gretchen Whitmer. “There’s an entire generation of leaders you saw stand behind me. They are the future of this country.”

Three years later, the President now 80, Mr. Biden’s allies say his time in office has demonstrated that he saw himself as more of a transformational than a transitional leader.

Still, many Democrats would prefer that Mr. Biden didn’t run again. A recent poll from The Associated Press-NORC Center for Public Affairs Research shows just 47% of Democrats say they want him to seek a second term, up from 37% in February. And Mr. Biden’s verbal and occasional physical stumbles have become fodder for critics trying to cast him as being unfit for office.

Mr. Biden, on multiple occasions, has brushed aside concerns about his age, saying simply, “Watch me.”

During a routine physical examination in February, his physician, Dr. Kevin O’Connor, declared him “healthy, vigorous” and “fit” to handle his White House responsibilities.

Aides acknowledge that while some Democratic party members might prefer an alternative to Mr. Biden, there is anything but consensus within their diverse coalition on who that might be. And they insist that compared with whomever the GOP nominates, Democrats and independents will rally around Mr. Biden.

For now, the 76-year-old Mr. Trump is the favourite to emerge as the Republican nominee, creating the potential of a historic sequel to the bitterly fought 2020 campaign. But Mr. Trump faces significant hurdles of his own, including the designation of being the first former President to face criminal charges. The remaining GOP field is volatile, with DeSantis emerging as an early alternative to Mr. Trump. DeSantis’ stature is also in question, however, amid questions about his readiness to campaign outside his increasingly Republican-leaning state.

To prevail once again, Mr. Biden will need the alliance of young voters and Black voters — particularly women — along with blue-collar Midwesterners, moderates and disaffected Republicans who helped him win in 2020. He’ll have to once again carry the so-called “blue wall” in the Upper Midwest, whilst protecting his position in Georgia and Arizona, longtime GOP strongholds he narrowly won last time.

Mr. Biden’s re-election bid comes as the nation weathers uncertain economic crosscurrents. Inflation is ticking down after hitting the highest rate in a generation, but unemployment is at a 50-year low, and the economy is showing signs of resilience despite Federal Reserve interest rate hikes.

“If voters let Mr. Biden ‘finish the job,’ inflation will continue to skyrocket, crime rates will rise, more fentanyl will cross our open borders, children will continue to be left behind, and American families will be worse off,” Republican National Committee Chair Ronna McDaniel said in a statement.

Presidents typically try to delay their re-election announcements to maintain the advantages of incumbency and skate above the political fray for as long as possible while their rivals trade jabs. But the leg-up offered by being in the White House can be rickety — three of the last seven Presidents have lost the re-election, most recently Mr. Trump in 2020.

Mr. Biden’s announcement is roughly consistent with the timeline followed by erstwhile President Barack Obama, who waited until April 2011 to declare for a second term and didn’t hold a re-election rally until May 2012. Mr. Trump launched his re-election bid on the day he was sworn in in 2017.

Mr. Biden is not expected to dramatically alter his day-to-day schedule as a candidate — at least not immediately — with aides believing his strongest political asset is showing the American people that he is governing. And if he follows the Obama playbook, he may not hold any formal campaign rallies until well into 2024.

On Tuesday, Mr. Biden named White House adviser Julie Chávez Rodríguez to serve as campaign manager and Quentin Fulks, who ran Sen. Raphael Warnock’s re-election campaign in Georgia last year, to serve as principal deputy campaign manager. The campaign co-chairs will be Reps. Lisa Blunt-Rochester, Jim Clyburn and Veronica Escobar; Sens. Chris Coons and Tammy Duckworth; entertainment mogul and Democratic mega-donor Jeffrey Katzenberg; and Whitmer.

On the heels of the announcement on Tuesday, Mr. Biden was set to deliver remarks to union members before hosting South Korean President Yoon Suk Yeol for a state visit at the White House. He plans to meet with party donors in Washington later this week.

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