More than half of Americans say Donald Trump has noticeably declined mentally in the past year, according to recent polls, as the president prepares for his annual medical physical at Walter Reed Medical Center. The concerns mirror those previously held about Joe Biden during his presidency.
Trump's 'The Weave' and Cognitive Tests
Trump's rallies and Oval Office events have increasingly featured tangents and nonsensical asides, which he calls "The Weave." He often boasts about acing cognitive tests on the campaign trail, but his test results have not convinced a majority of Americans. A Reuters/Ipsos poll in April found that 51 percent believe his mental faculties declined over 2025 and early 2026.
Physical Health Concerns
Trump received a CT scan last year for cardiovascular issues. His physical health has long been a topic of debate, with allies like Health Secretary Robert F. Kennedy Jr. joking about his fast food and Diet Coke habits. Trump will turn 80 in June, making him the oldest person to assume the presidency upon his return in 2025.
Erratic Behavior and Policy Implications
Trump's tendency to wander off-topic was evident in a March Oval Office event where he criticized California Governor Gavin Newsom and claimed his own cognitive test was difficult, featuring "tough mathematical equations." A Washington Post/Ipsos poll found only four in ten Americans believe Trump has the mental sharpness for the presidency, a seven-point drop.
Democrats have called for invoking the 25th Amendment after Trump's threat to "end" Iranian civilization on Truth Social. The ongoing conflict in Iran has stretched for months, with a shaky ceasefire in place.
Lack of Trust in White House Physician
Former White House doctor Jeffrey Kuhlman expressed low expectations for transparency, citing a history of "delusion, deceit, denial or delay." A cardiologist who served Dick Cheney noted the White House's reluctance to acknowledge physical ailments in an aging president.



