Biden, Joseph R Jr

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      I Was a White House Doctor. Presidents Should Have to Take Cognitive Tests.

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      The job of president is physically and mentally demanding. I witnessed this firsthand as a White House physician for three presidents, including as the designated physician to the president for Barack Obama during his first term. My presidential patients often worked 12-hour days seven days a week. The leader of the free world travels constantly, and participates in or leads briefings in which he must retain huge amounts of information.Health scares can happen at any moment. My role as White House physician was to keep the president healthy and performing optimally, and to provide the public with a candid medical assessment of his ability to carry out the duties of his office.I participated in tabletop exercises in the Situation Room to go over how to follow Section 3 of the 25th Amendment, which deals with succession in the event the president is disabled or incapacitated. Typically, the 25th Amendment came into play when a president was going under general anesthesia for a colonoscopy or scheduled surgical procedure.It is widely assumed that the physician to the president will gather and provide pertinent medical information to those contemplating whether the amendment needs to be invoked. This is not stipulated, but most in the medical community agree that the appropriate role for a physician is to offer a medical opinion, based on facts, that is then weighed by the patient — in this case the president — and those around him.The debates around the fitness of Joe Biden and Donald Trump in the last several weeks have created new pressure to start having serious conversations about exactly how the White House medical team should evaluate presidents and determine their fitness for duty — cognitively as well as physically. This has been the subject of decades of discussion within the White House medical team as well as with the broader medical community.Many Americans may want the White House medical team to take a more active role in declaring the president fit for duty. Many would probably like to see the same standard apply to candidates running for president as well. For those things to happen, these medical teams will need access to more data about these individuals than they now collect. And perhaps even more important, we should seriously consider the need for an age limit for those running for president, given the high stakes of the office and the realities of cognitive decline with aging.Many cognitive abilities decrease with ageWhile we retain much of our vocabulary as we get older, cognitive abilities such as speed and reasoning tend to decline more rapidly after age 60. More

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      Democratic Elites Were Slow to See What Voters Already Knew

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      President Biden and Representative Alexandria Ocasio-Cortez agree on this much: It is the elites who are trying to take Biden down, ignoring the sentiments of legions of Democratic voters. But when I started arguing in February that his age would mortally wound his candidacy, it didn’t feel that way to me. I saw the elites propping him up, ignoring the sentiments of legions of Democratic voters.Who’s right?Maybe we both are. In any system, elites are most visible when they are fractured and factions are acting against each other. In July 2023 — before the primaries, before last month’s debate — a Times/Siena poll found that Democratic primary voters, by 50 to 45 percent, preferred that the party nominate someone other than Biden in 2024.But the Democratic Party’s elites were in lock step around Biden. They refused to listen to what their voters were saying. The fact that he was barely campaigning or giving unscripted interviews was rationalized rather than criticized. No major Democrats decided to challenge him for the nomination. Representative Dean Phillips’s effort to draft alternative candidates was rebuffed and his subsequent primary challenge ignored. Some of this reflected confidence in the president. Some of it reflected the consequences of challenging him.The White House and the Democratic Party apparatus it controls are powerful. Congressional Democrats will not get their bills prioritized or their amendments attached if they are too critical of the party leadership. Nonprofit leaders will stop getting their calls returned. Loyal party donors will abandon you if you’re branded a heretic. “I would be crucified by them if I spoke out of line,” an anonymous Democratic state party chair told NBC News early this month. “I know when you get out of line, they all of a sudden have a shift of priorities, and your races, your state is no longer on the map.” That was far truer a year ago, when Biden’s position in the party was unchallenged.These actions, decisions and calculations by Democratic Party elites were neither unusual nor conspiratorial. This is simply how parties work. But it meant that Democratic voters were given neither a real choice of candidates nor a demonstration of Biden’s fitness for the campaign. What they were given instead was signal after signal that every power broker in the party was behind Biden and confident in his ability to win re-election. Who were they to argue? Biden won the primary contest in a landslide.In February, after Biden skipped the Super Bowl interview and flubbed the news conference intended to defend his memory, I published a series of columns and interviews arguing that he should step aside and Democrats should choose a new ticket at the convention. My argument was that his age had become an insuperable problem — visible in every poll and appearance, omnipresent when you spoke to ordinary voters — and the way his team was insulating him from unscripted interviews reflected a recognition of his diminishment. Biden was trailing Donald Trump even then. He was not showing himself capable of the kind of campaign needed to close the gap. And the risk of frailty or illness causing a catastrophe across the long months of the campaign seemed unbearably high.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      One of the Republican Convention’s Weirdest Lies

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      I watched hour upon hour of the Republican National Convention, something I’ve done every four years since I was a young political nerd in 1984. I was even a Mitt Romney delegate at the Republican convention in 2012, and this was the first that was centered entirely around a fundamentally false premise: that in our troubled time, Donald Trump would be a source of order and stability.To bolster their case, Republicans misled America. Speaker after speaker repeated the claim that America was safer and the world was more secure when Trump was president. But we can look at Trump’s record and see the truth. America was more dangerous and the world was quite chaotic during Trump’s term. Our enemies were not intimidated by Trump. In fact, Russia improved its strategic position during his time in office.If past performance is any indicator of future results, Americans should brace themselves for more chaos if Trump wins.The most egregious example of Republican deception centered around crime. The theme of the second night of the convention was “Make America Safe Again.” Yet the public mustn’t forget that the murder rate skyrocketed under Trump. According to the Pew Research Center, “The year-over-year increase in the U.S. murder rate in 2020 was the largest since at least 1905 — and possibly ever.”That’s a human catastrophe, and it’s one that occurred on Trump’s watch. Republicans want to erase 2020 from the American mind, but we judge presidents on how they handle crises. Trump shouldn’t escape accountability for the collapse in public safety at the height of the pandemic. And while we can’t blame Trump for the riots that erupted in American cities over the summer of 2020, it’s hard to claim he’s the candidate of calm when he instigated a riot of his own on Jan. 6.It’s particularly rich for Trump to claim to be the candidate of order when the crime rate rose during his presidency and is plunging during Joe Biden’s. In 2023, there was a record decrease in the murder rate, and violent crime, ABC News reported, “plummeted to one of the lowest levels in 50 years.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Aaron Sorkin: How I Would Script This Moment for Biden and the Democrats

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      The Paley Center for Media just opened an exhibition celebrating the 25th anniversary of “The West Wing,” the NBC series I wrote from 1999 to 2003. Some of the show’s story points have become outdated in the last quarter-century (the first five minutes of the first episode depended entirely on the audience being unfamiliar with the acronym POTUS), while others turned out to be — well, not prescient, but sadly coincidental.Gunmen tried to shoot a character after an event with President Bartlet at the end of Season 1. And at the end of the second season, in an episode called “Two Cathedrals,” a serious illness that Bartlet had been concealing from the public had come to light, and the president, hobbled, faced the question of whether to run for re-election. “Yeah,” he said in the third season opener. “And I’m going to win.”Which is exactly what President Biden has been signaling since the day after his bad night.Because I needed the “West Wing” audience to find President Bartlet’s intransigence heroic, I didn’t really dramatize any downward pull that his illness was having on his re-election chances. And much more important, I didn’t dramatize any danger posed by Bartlet’s opponent winning.But what if the show had gone another way?What if, as a result of Bartlet revealing his illness, polling showed him losing to his likely opponent? And what if that opponent, rather than being simply unexceptional, had been a dump truck of ignorance and bad intentions? What if Bartlet’s opponent had been a dangerous imbecile with an observable psychiatric disorder who related to his supporters on a fourth-grade level and treated the law as something for suckers and poor people? And was a hero to white supremacists?We’d have had Bartlet drop out of the race and endorse whoever had the best chance of beating the guy.The problem in the real world is that there isn’t a Democrat who is polling significantly better than Mr. Biden. And quitting, as heroic as it may be in this case, doesn’t really put a lump in our throats.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      A Week After Shooting, Trump Leaves Unity Behind and Returns to Insults and Election Denial

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      At his first campaign rally since he survived an assassination attempt last week, former President Donald J. Trump on Saturday launched a litany of attacks that suggested his call for national unity in the wake of the shooting had faded entirely into the background.Over the course of an almost two-hour speech in Grand Rapids, Mich., Mr. Trump insulted President Biden’s intelligence repeatedly, calling him “stupid” more than once. He said Vice President Kamala Harris was “crazy” and gleefully jeered the Democratic Party’s infighting over Mr. Biden’s political future.Even as Mr. Trump made numerous false claims accusing his political opponents of widespread election fraud, he presented the continuing push by some Democrats to replace Mr. Biden on their ticket as an anti-democratic effort.By contrast, Mr. Trump — who falsely insisted he won the 2020 election and whose effort to overturn it spurred a violent attack on the Capitol that threatened the peaceful transfer of power — presented himself as an almost martyr trying to protect the United States from its downfall.“They keep saying, ‘He’s a threat to democracy,’” Mr. Trump told the crowd of thousands inside the Van Andel Arena. “I’m saying, ‘What the hell did I do with democracy’? Last week, I took a bullet for democracy.”The line — one of the few additions to a speech that culled from Mr. Trump’s standard rally repertoire — came as Mr. Trump was trying to rebut Democrats’ claims that he was an extremist and distance himself from Project 2025, a set of conservative policy proposals for a potential second term that would overhaul the federal government.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Biden and Trump Have Succeeded in Breaking Reality

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      Four years ago the Republican convention was a bizarre spectacle, a cross between a Napoleonic fantasy and a Leni Riefenstahl movie. The dominant image was of an imperial dynasty laying claim to forever rule. I expected more of the same when I tuned in on Monday night to watch this year’s convention, but amped up even further by the weekend’s terrifying near-miss assassination attempt.What I saw instead was an even-toned, inclusive performance that seemed designed to resemble conventions of a more, well, conventional era, or perhaps just entertainment-world award shows. The lineup of speakers offered racial, gender and even ideological diversity — including the Teamsters’ president, Sean O’Brien, who announced from the main stage that his organization was “not beholden to anyone or any party.”You don’t have to agree with Donald Trump on everything was a consistent talking point. As for the shooting, it had been instantly mythologized as a miracle of survival: Speaker after speaker, including Trump himself, credited the Almighty with saving the former president so he could save America. There was no reference to the speculation, multiplying across the internet, that the deep state was behind the assassination attempt. Even Donald Trump was, by his standards, cogent and calm.While one half of the electorate was being served this bland spectacle, the other half struggled to follow a dispiriting and confusing story in which the stakes in the presidential election are existential — and the only man who can save American democracy is President Biden. Even as more and more funders, political operatives and ordinary Democratic voters said that he should withdraw his candidacy, the campaign told them to put their faith in a frail, diminished man — worse than that, it insisted that he was neither frail nor diminished.In the interview with Lester Holt that was broadcast on the first night of the Republican convention, Biden’s most energetic moment came when he lashed out at the press for criticizing him rather than his opponent — a favorite tactic of demagogues everywhere. If the media criticize him, then the media are bad. If the polls show a lack of support for his candidacy, then the polls are wrong. If his allies are trying to save him from himself, then they are no longer his allies. The president and his campaign have adopted the habits of the monster they promise to save us from.The week felt like an emotional reprise of the early months (or was it years?) of the Trump presidency. Every day, it seemed, brought news that felt like it would change history. We assimilated it and moved on, getting up in the morning, going about our business, pausing to express shock at another piece of news, and starting the cycle over again. We developed the ability to feel simultaneously shaken and bored, dismayed and indifferent. As media outlets engaged with Trump’s lies — some enthusiastically and others because it could not be avoided — we grew accustomed to an ever growing gap between reality as we experienced it and the ways in which it was reflected back to us by politicians and journalists.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Lord Almighty, Joe, Let It Go!

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      Everyone wants Joe Biden gone.Even the people who don’t want him gone really want him gone.“Everyone’s waiting for Joe,” said one top Democrat. “And he’s sitting at home, stewing and saying, ‘What if? What if? What if?’ We’re doing things the Democratic way. We’re botching it.”I have many happy memories of Rehoboth Beach. I went there growing up and have Proustian recollections of crispy French fries with vinegar sold on the Boardwalk. But now my gladdening images have been replaced by a maddening one: President Biden hunkered down in his house there, recovering from Covid, resisting talking to anyone who will tell him the truth, hoarsely yelling, “Get off my beach!” at the growing list of Democratic lawmakers and donors trying to warn him that he is pulling down his party and the country.It makes me sad that Biden doesn’t see what’s inescapable: If he doesn’t walk away gracefully right now, he will likely go down as a pariah and ruin his legacy.The race for the Oval today is between two delusional, selfish, stubborn old guys, and that’s a depressing state of affairs.As for those D.C. careerists surrounding Biden who a) hid his true condition; b) gaslighted the press for focusing on what they called a nonexistent age issue; c) shielded the president from the truth about his cratering chances of winning; and d) seem to have put their self-interest first?One way or the other, they’ll probably be out of their jobs soon.Shockingly, even as the Republicans roar out of Milwaukee, vibrating with joy, Biden’s brain trust continues to run a lousy campaign, as though nothing has changed. Jennifer O’Malley Dillon, Biden’s campaign chair, went on “Morning Joe” Friday to say that the polls aren’t as bad as they are, that Biden is “more committed than ever” to running and that, when 100,000 homes got a knock on the door this past week, 76 percent of the respondents “are with Joe Biden.” Then, as Alex Thompson reported for Axios, Dillon went from cable news to a rah-rah call telling staffers not to pay attention to cable news because “the people in our country are not watching cable news.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Nancy Pelosi Endorsed ‘Open’ Nomination Process if Biden Drops Out

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      Representative Nancy Pelosi of California, the former speaker, recently told her colleagues in the California delegation that if President Biden were to end his campaign she would favor the “competitive” process of an open primary rather than an anointment of Vice President Kamala Harris as the new Democratic presidential nominee.In one of the delegation’s weekly closed-door meetings earlier this month, a small group of members were discussing the party’s stressful state of affairs, in which Mr. Biden appears defiant in the face of concerns from lawmakers and leaders in his own party who want him to step aside.Ms. Pelosi, who arrived late to the meeting, spoke up in response to questions from members. When asked about Mr. Biden, she said she did not think he could win, citing polling data, an assessment that she has shared privately with the president himself. Ms. Pelosi said that if he stayed on the ticket, Democrats would lose any shot they might have of winning back control of the House, according to three people familiar with the confidential conversation who insisted on anonymity to describe it. Lawmakers in attendance then pressed her on what the landscape would look like if Mr. Biden ultimately decided to step aside under pressure. Ms Pelosi told them she favored a competitive process. Ms. Pelosi, according to a source familiar with her thinking, is a friend and fan of Ms. Harris, a former senator from California. But she believes even Ms. Harris would be strengthened to win the general election by going through a competitive process at the convention.A second person briefed on Ms. Pelosi’s views, who also declined to be named discussing private conversations, said her desire for an open primary process is driven by polling data about who can win the election, and that she believes the Democratic Party has a deep bench of talent to draw from, including governors and senators in competitive states. Ms. Pelosi’s comments at the meeting regarding her preference for an open primary were first reported by Politico.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More