Presidential medical disclosures are always political documents. They are tightly managed, selectively released, and historically unreliable. Under Donald Trump, that credibility problem is even worse: we have a documented pattern of exaggerated claims and outright fabrication around his health, including a doctor admitting that Trump dictated his own glowing 2015–16 letter about being the “healthiest individual ever elected.” doctorzebra.com
So when MedPage Today offers a reassuring “year in review” of Trump’s health, it’s not just summarizing neutral facts. It’s amplifying a narrative built on partial, politically filtered information.
This post looks at what the MedPage piece says, and then compares it with what’s actually visible in public and in the broader reporting.
What MedPage Says
The MedPage Today article essentially makes these points:
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Trump, nearly 80, has had two workups at Walter Reed this year (including an MRI), but nothing “concerning” was found.
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He’s been diagnosed with chronic venous insufficiency (CVI), a common vein condition that causes leg swelling, and his hand bruising is attributed to frequent handshakes and long-term aspirin use. Reuters
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His annual physical reportedly shows well-controlled hypertension and otherwise “excellent health.”
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He has taken the Montreal Cognitive Assessment (MoCA) three times (2018 and twice this year) and claims perfect scores every time.
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Two geriatric experts quoted by MedPage say that:
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His fatigue and occasional dozing off are normal for someone his age with a heavy schedule.
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His energy and ability to “run things on the fly” suggest preserved cognitive function.
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They see “no evidence” of dementia based on public appearances.
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One expert explicitly contrasts Trump favorably with Joe Biden, arguing that Biden has shown clearer attention and focus problems, while Trump has “always” been bombastic, so his behavior doesn’t look like a change.
In short: the article portrays Trump as an unusually vigorous near-octogenarian whose visible issues are routine aging, not signs of serious decline.
Problem #1: This White House Has Lied About His Health Before
The foundation is already cracked. We know Trump’s camp has falsified health information in the past:
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Trump’s longtime physician Harold Bornstein later admitted that Trump himself dictated the famously over-the-top 2015 letter about his “astonishingly excellent” health and “extraordinary” lab results. doctorzebra.com
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Recent White House and physician statements continue the same pattern: he is in “excellent” or “exceptional” health, with golf victories cited as evidence, and every cognitive test characterized as “perfect.” New York Post
When your baseline is fabricated press-release medicine, any article that simply builds on those releases without visible skepticism is starting from a compromised record.
Problem #2: Chronic Venous Insufficiency Is Common – But the Spin Matters
MedPage and other outlets correctly note that chronic venous insufficiency is common in older adults and often manageable with compression, leg elevation, and activity. PBS
Fair enough.
But then the White House repeatedly uses that benign diagnosis to explain away visible signs (leg swelling, bruises) while insisting Trump is otherwise in “excellent health” and not in discomfort. Reuters
Independent medical sources point out important nuances that get glossed over:
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CVI is indeed common, but it is progressive and can lead to serious complications (ulcers, skin breakdown) if not managed well. Scientific American
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Bruising on the hands is not a typical symptom of CVI. Experts note that it is more plausibly related to long-term high-dose aspirin and fragile skin. Scientific American
That doesn’t mean Trump is secretly dying. It does mean the “nothing to see here” tone is unwarranted, especially in light of his long-term, self-directed aspirin regimen that a cardiologist openly called “medically unsound” for someone his age. New York Post
Problem #3: Cognitive Tests as Political Theater
MedPage leans on Trump’s repeated MoCA tests and self-reported perfect scores as reassurance.
But several facts undercut that comfort:
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The MoCA is a screening tool for cognitive impairment, not an IQ test or a demonstration of superior intellect. It’s designed to catch obvious problems, not subtle decline.
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Trump himself routinely misrepresents it as a “very hard IQ test” in public, bragging about “acing” it and challenging critics to take it, which neurologists and reporters have repeatedly noted is a misunderstanding of what the test is. People.com
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Repeating the same or similar cognitive screening multiple times and boasting about it is unusual behavior in itself, especially when weaponized as a political talking point.
The key point: a clean MoCA does not mean “no issues.” It just means he cleared a fairly coarse screen at the time he took it.
Problem #4: “He Looks Fine on TV” Is Not a Diagnosis
MedPage’s quoted experts are working only from public appearances. They explicitly have no access to Trump’s actual medical record or a direct exam. That already limits what they can say.
Meanwhile, a growing body of public evidence is at least concerning:
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Trump’s speeches have drawn mainstream coverage for rambling, looping thought patterns and difficulty staying on a coherent track, with PBS noting that his rhetoric has raised serious questions about possible mental decline. PBS
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There are multiple documented episodes of slurred speech (famously at the 2017 Jerusalem speech closing line, among others), which the White House has alternately attributed to “dry mouth” or dental issues. Quartz/ABC News
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High-visibility gaffes (“Yo-Semites” for Yosemite, struggles with common words like “acetaminophen,” etc.) have been widely reported and analyzed, not just mocked. The Economic Times
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In 2025 alone, major outlets have chronicled a pattern of Trump nodding off in meetings and public events, and a visible tightening of his schedule—fewer public appearances, shorter days—framed explicitly as a response to concerns about his stamina. Vanity Fair/Politico
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One recent computational linguistics study found a notable shift in Trump’s language patterns after the 2024 shooting, suggesting a measurable cognitive change, even if not diagnostic by itself. PsyPost - Psychology News
Again: none of this proves dementia. But it absolutely contradicts the idea that there is “no evidence” of any cognitive change. There is evidence. The debate is over what it means.
At minimum, the reality is contested enough that categorical reassurance is not justified.
Problem #5: Activity Level ≠ Cognitive Health
MedPage’s experts repeatedly point to Trump’s “remarkable schedule,” travel, and ability to crash into meetings and run them as evidence that he cannot have dementia.
That is a very low bar.
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Many people with early cognitive decline can remain highly functional in familiar routines, especially with staff support, teleprompters, and curated events.
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Conversely, people with serious underlying conditions sometimes maintain outward productivity until they suddenly don’t. History is full of leaders whose health was far worse than the public realized while they kept up demanding schedules.
When a White House also admits it has shortened his days and reduced his visibility, “he keeps a busy schedule” becomes even weaker as a reassurance. Politico
Problem #6: The Asymmetry with Biden Coverage
One of the more striking parts of the MedPage piece is the favorable comparison to Joe Biden: Biden’s visible lapses and the disastrous debate are cited as worrisome, while Trump is portrayed as essentially unchanged.
It’s true that serious reporting has now documented a sustained and systemic effort to downplay Biden’s decline, and that his debate performance in 2024 was a genuine turning point. New York Post
But that’s exactly why Trump’s situation deserves at least the same level of scrutiny:
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If Biden’s team’s spin on his health was rightly called out, Trump’s team’s spin—backed by an even longer record of embellished and fabricated health claims—must be interrogated just as aggressively. TIME
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Treating Trump’s MoCA brags and glowing Walter Reed summaries as more trustworthy, when we already know some past health letters were literally dictated by him, is indefensible.
You don’t fix one partisan health cover-up by accepting a different partisan health narrative at face value.
So What Do We Actually Know?
Putting it all together:
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Trump has a real, common condition (chronic venous insufficiency) that explains some visible leg swelling but not all of his symptoms. PBS/Scientific American
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He has a long-term, unusually high-dose aspirin habit likely contributing to bruising, which experts have criticized as bad practice for a man his age. New York Post
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He has repeatedly taken a basic cognitive screen and uses it as a political prop, while mischaracterizing what it measures. New York Post
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There is abundant public footage and reporting of slurred speech, odd phrasing, confusion, and dozing, as well as a visible tightening of his schedule—enough to make concern reasonable, even if we can’t diagnose him from afar. TIME/PBS/Quartz
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His health disclosures come from a political operation with a proven track record of exaggeration and dishonesty around his medical status. doctorzebra.com/The Guardian
Given that, the cautious, reality-based conclusion is:
We do not have enough reliable information to say Trump is either “fine” or “failing.” What we do have is enough contradictory evidence, and enough reason to distrust official spin, that reassuring profiles like MedPage’s should be read as glosses on a political narrative — not as medical truth.
If the press has finally learned to be skeptical of sanitized health stories about one president, it has to apply that lesson consistently. The public deserves honest, critical coverage of Trump’s health too, not just another round of “perfect exam, perfect test” headlines that we’ve seen before and already know we cannot simply take at face value.
Since we cannot go off of officially supplied medical information about our president, we have to look at it in the face of publicly available observation and information.
Since we cannot rely on officially supplied medical information about our president—given its history of political filtering, exaggeration, and selective disclosure—we are left to assess his health through publicly observable behavior, credible reporting, and independently verifiable information.
That does not mean diagnosing from afar; it means refusing to accept curated narratives at face value and acknowledging that transparency, accountability, and honesty matter when a head of state’s capacity to serve is at stake.
When we step back and look only at what has been plainly visible — Trump’s repeated slurred speech, erratic and looping delivery, moments of confusion, physical stiffness and swelling, public episodes of fatigue, and his own fixation on constantly “proving” his cognitive strength — the picture is not reassuring.
Without assigning a diagnosis or predicting outcomes, a reasonable conclusion is unavoidable: his health is not the picture of effortless vigor his team insists it is, and there are legitimate signs of decline that deserve honest scrutiny rather than spin.
In a democracy, the public has the right to clear, truthful information about the condition of the person seeking to wield extraordinary power, and the gap between Trump’s rhetoric and observable reality remains deeply concerning.
Cheers! Sláinte! Na zdravie!








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