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      How Much Do Voters Really Care About Biden’s Age?

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      The evidence suggests it may end up mattering less to voters than their responses to polls indicate.Many Americans say they do not want President Biden to run for re-election, and his age is a big reason. In an NBC News poll released last weekend, 70 percent of adults said Mr. Biden, who is 80, should not run again. Asked if age was a factor, 69 percent of them said yes. Other recent surveys detect a similar lack of enthusiasm, with many voters — including around half of Democrats — calling him too old to seek the White House again.Taken at face value, it’s easy to imagine that his age could undermine the re-election campaign he formally announced on Tuesday. Mr. Biden, already the oldest president in U.S. history, would be 86 at the end of his second term. Republicans have amplified video of his verbal miscues — he also has a stutter — and suggested they reflect cognitive decline. Mr. Biden’s age is a frequent punchline on late-night television.But a review of the polling and academic research paints a surprisingly mixed picture. With the obvious caveat that a serious age-related gaffe or health crisis could change things, there are good reasons to think that Biden’s age may matter less than some polls suggest.1. Theory vs. practiceAmericans often express concern about aging leaders, but that hasn’t stopped them from voting for older candidates.In a recent USA Today/Suffolk University survey, half of Americans said that the ideal age for a president was between 51 and 65. Another quarter said they preferred candidates to be 50 or younger. But five of the last eight presidential nominees, including Mr. Biden in 2020 and Donald J. Trump (twice), have been well over 65. In several cases, voters chose them over much younger primary opponents. And dozens of senators or representatives over 80 have been elected in the past century.Concerns over age are also more nuanced than they may first appear. While most voters favor age limits for politicians, they disagree over what that limit should be. Many voters also say older lawmakers bring valuable experience and shouldn’t be barred from serving if they remain in good health.That doesn’t mean Americans who say they’re concerned about age are lying. Their voting choices may reflect the available options. “There’s nothing inconsistent about people saying no one in their 80s should be president and then voting for someone in their 80s if that’s the only choice they’re given,” said Whit Ayres, a Republican pollster.It’s also not clear that age is a disadvantage for older candidates. Older leaders tend to have lower approval ratings than younger ones, according to a 2022 study co-authored by Damon Roberts, a doctoral candidate in political science at the University of Colorado Boulder. But in his research, voters expressed relatively equal openness to supporting hypothetical candidates who were 23, 50 or 77.There are also just a lot of old politicians in office these days. “I don’t think that Biden in particular looks super out of place in the political scene right now,” Mr. Roberts said.Still, no one Mr. Biden’s age has ever sought re-election to the presidency, and other experts doubt he will blend in so easily. “The presidency is fundamentally different,” Mr. Ayres said. “The visibility is so much greater.”2. Party above allPolls do suggest that voters discern bigger issues for Mr. Biden than past older candidates (although pollsters seem to have asked about past candidates’ ages less often). But in a polarized era, party loyalty is far likelier to determine voters’ choice.“In the final analysis, we’re going to vote for the ‘D’ or the ‘R,’ ” said Karlyn Bowman, an emeritus fellow at the American Enterprise Institute who studies public opinion polling. “Partisan loyalty is so strong at this point that that will trump the other concerns.”Perceptions of Mr. Biden’s fitness also track with partisanship. Republicans — who are unlikely to back any Democratic candidate, no matter how spry — are the most apt to say that Mr. Biden is too old to run. His age also hasn’t stopped the vast majority of Democrats from deeming his presidency a success (though younger Democrats have expressed less eagerness to see Mr. Biden run again).“People are thinking about the election through the lens of other things,” said Margie Omero, a principal at GBAO, a Democratic polling firm. “Biden’s record, Trump’s record, what they see as the future of the country, legislative accomplishments, the fight for abortion rights.”Mr. Biden’s age may ultimately matter most to swing voters who are open to backing either party, giving them outsize clout to pick the winner. “It’s a very small slice of the population now, but still, it’s a very consequential one,” Ms. Bowman said.3. Just a numberThat brings us to whether Mr. Biden will be able to influence voters’ views about his fitness for office. In February, Ms. Omero and her colleagues at Navigator Research, a Democratic polling firm, recruited a small group of swing voters to watch Mr. Biden’s State of the Union address. Before the speech, just 35 percent of them described him as “up for the job of president.” After the address — which featured an impromptu back-and-forth with congressional Republicans over Social Security and Medicare — 55 percent rated him that way.Mr. Biden could also try to dodge the issue by continuing to limit his public appearances. Mr. Ayres worked on the 1996 Senate re-election campaign for Strom Thurmond of South Carolina, then 93, at a time when he was reportedly experiencing cognitive decline. “We tried to keep him as invisible as possible,” Mr. Ayres said.Past presidents, including Dwight Eisenhower and Mr. Reagan, have overcome questions about their age to win re-election decisively.But Mr. Biden is older than they were during their re-election campaigns. “The issue is not so much what he is like today,” Mr. Ayres said. “The issue is what he would be like in 2028.” The president may have to bank on voters overlooking any longer-term concerns about his age.4. The Trump factorMr. Trump, who will be 78 on Election Day, appears best positioned to win the 2024 Republican primary. He leads his closest potential competitor — Gov. Ron DeSantis of Florida, 44 — in national polls and endorsements from other Republicans.Though the similar ages of Mr. Biden and Mr. Trump could make the issue a wash, for now voters say they’re more concerned about Mr. Biden’s age. And if Mr. Trump aggressively attacks Mr. Biden’s fitness, he may draw more scrutiny to it than a younger but more restrained challenger could.But it’s also a message Mr. Trump has used before (see: 2020’s “Sleepy Joe”) in a matchup he didn’t win. At some point, all the talk about Mr. Biden’s age may start to feel to voters like old hat. More

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      Biden Wants to Be President Into His 80s. How Might Age Affect His Health?

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      Experts weigh in on octogenarian health.President Biden has announced his plans to run for re-election in 2024. If he wins, he will be 82 when he takes office and 86 when his term ends — which would establish him, for a second time, as the oldest person to assume the U.S. presidency. (Donald Trump is not far behind; he will be 78 during the 2024 election and would enter octogenarian territory during another presidential term.)President Biden is “a healthy, vigorous 80-year-old male,” according to a February report from the White House physician, Dr. Kevin C. O’Connor. Although he was recently treated for basal cell carcinoma, a common and slow-growing skin cancer, Mr. Biden has no major medical problems, doesn’t smoke or drink and exercises at least five days a week.“The spectrum of health at older ages varies so widely,” said Dr. Holly Holmes, a professor and the chair in gerontology at the University of Texas Health Science Center at Houston. “As we get older, we are more and more unlike our peers, and it becomes harder to generalize what a ‘typical’ 80-year-old would be like.”Dr. R. Sean Morrison, a professor and the chair in geriatrics at the Icahn School of Medicine at Mount Sinai in New York, added that the changes that occur during aging happen to different people at different times. Some 85-year-olds have healthier bodies than some 65-year-olds, and much of the variation comes down to genes and a person’s lifestyle before the age of 60.Yet, as people enter their 80s, and even their mid-to-late 70s, some standard age-related shifts tend to occur, like muscle loss and a drop in bone strength, that make people more prone to disease and injury.Here’s a head-to-toe snapshot of the body and mind of an octogenarian and the potential problems doctors look out for.BrainMost healthy people in their 80s don’t have trouble performing complex cognitive tasks such as problem-solving and planning, Dr. Morrison said, but they may find it harder to multitask and learn new things. Some may struggle to remember words. Reaction time can also slow, but usually only slightly — on the order of fractions of a millisecond, Dr. Morrison said.Scientists don’t know exactly why these changes happen, but the brain does get slightly smaller with age because of brain cell loss, so that could be playing a role, said Dr. Scott Kaiser, director of geriatric cognitive health at Pacific Neuroscience Institute in Santa Monica, Calif. Interestingly, certain cognitive skills — such as vocabulary and abstract reasoning — may stay constant or even improve with age, also for unknown reasons, he said.Dementia does become more common with age, but it still only affects a minority of adults in their 80s. According to the National Health and Aging Trends Study, 10.9 percent of adults ages 80 to 84, and 18.7 percent of adults ages 85 to 89, dealt with dementia in 2019. “These conditions are not a normal or inevitable part of aging,” Dr. Kaiser said.Eyes and earsVision tends to worsen over time. Octogenarians often need reading glasses and become more sensitive to glare, Dr. Morrison said. Nearly 70 percent of adults over 80 have cataracts, a clouding of the lens of the eye, but the condition can be treated effectively with surgery, he said.Age-related hearing loss is another common problem. First, people lose the ability to hear high-frequency sounds such as bird chirps and alarm clocks; this can start early, even in a person’s 30s or 40s. Low-frequency changes, affecting the ability to hear men’s voices and bass sounds in music, come later. Hearing loss can be treated with hearing aids — now available over the counter — or other devices, and it’s crucial to do so: “We have increasing data now that suggests that people who go longer with untreated hearing loss and don’t get hearing correction are more likely to develop dementia or diseases like Alzheimer’s disease,” Dr. Morrison said.Heart and lungsAs a person ages, heart rate slows slightly, and the heart can’t beat as fast during physical activity, which can make aerobic exercise more challenging. That said, an aging healthy heart typically “functions quite well,” said Dr. Lona Mody, a geriatrician at Michigan Medicine.Doctors monitor for heart disease in their octogenarian patients. “Blood vessels become stiffer with age, and this leads to higher blood pressure,” Dr. Mody said, which can increase the risk of hypertension and heart disease. According to the American Heart Association, 83 percent of men and 87 percent of women age 80 and older have heart disease, sometimes requiring the use of medications or surgery. Mr. Biden has asymptomatic atrial fibrillation — an irregular heartbeat — and takes apixaban (Eliquis), an anticoagulant drug that is often prescribed to help prevent blood clots and strokes. He also takes rosuvastatin (Crestor) to lower his cholesterol.Lung capacity often slightly drops with age because of changes in the strength and elasticity of the lung tissue and diaphragm, which can make breathing a bit harder, Dr. Mody said. One disease doctors look out for is chronic obstructive pulmonary disease, an inflammatory lung disease seen in just under 11 percent of people 65 and over.Digestive systemPeople in their 80s tend to eat less than they used to, in part because “food doesn’t taste quite the same,” Dr. Morrison said. Over time, people lose taste buds and their sense of smell, he said, both of which affect how much they enjoy eating. This helps to explain why older adults have an increased risk of nutritional deficiencies.But seniors also need fewer calories than younger people because of losses in lean muscle mass and slowing metabolism. According to the government’s Dietary Guidelines for Americans, women age 60 and older should consume a minimum of 1,600 calories a day, and men age 60 and older a minimum of 2,000 calories a day (as opposed to a minimum of 1,800 for women and 2,400 for men ages 19 to 30).Older people are at greater risk for heartburn and gastrointestinal reflux. Mr. Biden’s occasional coughing and throat-clearing are tied to gastroesophageal reflux, and he takes famotidine (Pepcid) as needed to treat his symptoms.Octogenarians digest food more slowly, too. Research suggests that 34 percent of women and 26 percent of men age 84 or older experience constipation.Bones and jointsBones become more brittle with age. The body starts to reabsorb the minerals that strengthen them, such as calcium and phosphate, in part because the intestines can’t absorb what is needed from food as effectively as they used to. For women, this degeneration is accelerated by the drop in estrogen after menopause, which reduces bone density.Decreased bone density puts older people at an increased risk for bone fractures and osteoporosis. In 2020, when Mr. Biden was the president-elect, he had a hairline fracture in his foot, requiring him to wear a walking boot as he healed. The bone injuries that doctors worry about most are hip fractures, which hospitalize more than 300,000 Americans over the age of 65 every year. “Hip fractures are one of the most common reasons for hospitalization among people 85 and over,” said Dr. Susan Wehry, a geriatrician at the University of New England. Recovery is often difficult because of complications such as infections, sometimes picked up at the hospital, and internal bleeding, or because conditions such as heart disease slow healing.Joints can also become more painful because the bones and cartilage that make up the joints start to wear down. According to the Centers for Disease Control and Prevention, nearly half of all Americans over 65 have been diagnosed with osteoarthritis, which causes joint pain and stiffness. President Biden has been diagnosed with osteoarthritis of the spine, which has stiffened his gait.SkinThe risk of skin cancer increases as people get older. The average age at which Americans are diagnosed with melanoma, a potentially deadly skin cancer, is 65. Men are at higher risk for melanoma than women. Dr. Holmes recommends that people in their 80s see a doctor or dermatologist once a year for a skin check.Non-melanoma forms of skin cancer, such as basal cell carcinoma and squamous cell carcinoma, affect more than three million Americans a year. These cancers grow slower than melanomas and are highly treatable when detected and removed early. In February, President Biden, who has said he spent a lot of time in the sun during his youth, had a basal cell carcinoma removed from his chest. He also had several other non-melanoma skin cancers removed before his presidency.Strength and balanceMost healthy people in their mid-80s can and should engage in physical activity, and many remain strong and agile, Dr. Holmes said. She encourages patients to participate in aerobic exercise and weight training a couple of days a week and to stretch at least once a week, but sometimes recommends modifications for patients with pain, orthopedic problems or cardiac issues.Adults “start to lose muscle mass and start to gain fat” as they get older, Dr. Morrison said. Between 42 and 62 percent of people in their mid-80s have sarcopenia, a disease characterized by loss of muscle mass and strength. Common symptoms include difficulty walking, ascending stairs and holding shopping bags.In addition, the spaces between the spinal vertebrae dry and compress, causing people to lean forward, which can affect their balance, Dr. Morrison said. People in their 80s tend to walk slowly and have a short gait, which also worsens balance, he added.In some older adults, the insulating layer that surrounds nerves and helps them communicate with one another, called myelin, starts to break down. This can slow reflexes and make people clumsy, Dr. Kaiser said.“One important consequence of these age-related changes to the brain and overall nervous system — along with changes to other systems and a broad range of other factors — is an increased risk of falls,” Dr. Kaiser said, which in turn can become more dangerous because bones are weaker and break more easily.Stress, stamina and sleepPeople in their mid-80s tend to have lower energy than younger people, so they fatigue more easily, Dr. Morrison said.Dr. Mody added that stress and changes to routine can be “harder to bounce back from” because older people’s tissues and organs take a longer time to recover after stresses or injuries. People may also take longer to recover from colds, Covid-19 and other infections, as the immune system becomes less responsive with age.Many older adults don’t sleep well, in part because they spend less time in deep slow-wave sleep, which makes them more prone to middle-of-the-night wake-ups. “Eighty-year-olds tend to sleep about an hour less than younger adults,” Dr. Morrison said.Still, it’s important to remember that everybody ages differently, and that age does not define a person’s health. Many people in their 80s are healthier than people 20 years younger, Dr. Mody said, and the choices they make late in life matter, too: Research suggests that adopting healthy behaviors even in the ninth decade can extend one’s life.Many octogenarians, Dr. Holmes said, are “quite resilient.” More

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      Biden Should Take Voters’ Concerns About Age Seriously

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      Only 47 percent of Democrats want to see Joe Biden on the ballot in 2024, according to the latest Associated Press poll. That’s not because they think he’s done a bad job in office. Democrats tend to like President Biden and continue to give him good marks on handling the economy and foreign policy.But many Democrats, particularly younger ones, are worried that he will simply be too old to be effective in a second term, which would end when he is 86. “My problem with him running in 2024 is that he’s just so old,” one Democrat told pollsters.That may be deeply unfair — people age at different rates — and in Mr. Biden’s case, it’s impossible to deny that politics and conspiracy theories, rather than facts, fuel at least some of the concern. But candidates shouldn’t pretend, as Mr. Biden often does, that advanced age isn’t an issue. Mr. Biden is 80 now, the oldest American to serve as president, and even supporters, including the political strategist David Axelrod, have expressed deep worries that his age will be both a political liability in 2024 and a barrier to a successful second term. If Mr. Biden runs again, as he recently said he intends to, questions will persist about his age until he does more to assure voters that he is up to the job.Mr. Biden’s age makes him an outlier even in an era when the nation’s political leadership is getting older. The current Senate, where the average age is 63.9 years, is the second oldest since 1789. The House, where the average age is 57.5 years, is the third oldest. By comparison, the average age in the United States is 38.8 years.Concerns about age — both in terms of fitness for office and being out of touch with the moment — are legitimate, as Mr. Biden acknowledged in an interview in February with ABC News. His standard line, repeated in that interview, is: “The only thing I can say is, ‘Watch me.’”But Mr. Biden has given voters very few chances to do just that — to watch him — and his refusal to engage with the public regularly raises questions about his age and health.The usual White House method of demonstrating a president’s mastery is to take tough questions in front of cameras, but Mr. Biden has not taken advantage of that opportunity, as The Times reported on Friday. He has held fewer news conferences and media interviews than most of his modern predecessors. Since 1923, only Richard Nixon and Ronald Reagan took fewer questions per month from reporters, and neither represents a model of presidential openness that Mr. Biden should want to emulate. His reticence has created an opening for critics and skeptics.The president also needs to talk about his health openly and without embarrassment, and to end the pretense that it doesn’t matter. Those who are watching him with an open mind have seen a strong performance this year. His State of the Union address on Feb. 7 shattered the Republican attempts to portray him as doddering. With a passion rarely seen at one of these speeches — let alone in his political history — Mr. Biden presented a remarkably effective defense of his presidency and gave a preview of what is likely to be an imminent re-election campaign.The Times reported last summer that Mr. Biden’s overall energy level has declined, and he continues to stumble over words in his public appearances. But those flaws alone don’t signal a politician who is too old to run again. His first term, in fact, is already full of accomplishment: The economy has added 12.6 million jobs since he took office, inflation is cooling, and he has signed significant legislation to fight climate change, improve access to health care, and make investments in manufacturing and infrastructure. He has stood up to Russia’s destructive campaign in Ukraine, and rallied the West to Ukraine’s side.Nonetheless, as Mr. Biden nears his actuarial life expectancy, concerns about his ability to handle the demands of campaigning and a potential second term are unlikely to disappear. Only a combination of performance and complete candor will change the minds of skeptical voters. Old age remains a sensitive topic, and many people, particularly men, are reluctant to discuss personal infirmities for fear of demonstrating weakness or being pushed aside by impatient younger generations. There is good reason for the federal government’s prohibition of age discrimination in employment — a protection that begins at age 40. Ageism is real.That law, however, doesn’t apply to people who are running for office. Voters have every right to ask questions about the medical condition of a candidate who wants their support. In 2016 both Donald Trump and Hillary Clinton gave the public very few details about their health. (Mr. Trump released a particularly preposterous doctor’s letter claiming he would be “the healthiest individual ever elected to the presidency.”)Mr. Biden acknowledged during the lead-up to the 2020 campaign that he was “chronologically” old but said it was up to voters to decide whether that was important. In that election, against an opponent who was only four years younger, the answer was clearly no. In November 2021, he released a medical report that said he was a “healthy, vigorous 78-year-old” and noted nothing more serious than a stiffened gait due to spinal changes and some acid reflux that caused him to cough.His most recent health summary, released on Feb. 16, said much the same thing, describing him as a “healthy, vigorous 80-year-old male who is fit to successfully execute the duties of the presidency.” But his cognitive abilities went unmentioned. That’s something he should discuss publicly and also demonstrate to the voters, who expect the president to reflect the nation’s strength.If he runs again, Mr. Biden will need to provide explicit reassurance to voters; many of them have seen family members decline rapidly in their 80s. Americans are watching what Mr. Biden says and does, just as he has asked them to do.Source photograph by Azure-Dragon, via Getty Images.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More

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      What Older Voters Say About Biden 2024: From ‘He’s Fine’ to ‘Oh, God’

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      In interviews, dozens of left-leaning older Americans wrestled with the prospect of a president in his mid-80s, reflecting on their own abilities and changes to their lives — and even their mortality.Over the last three decades, Americans have chosen presidents who felt their pain and channeled their anger, who shattered historical barriers or seemed like enjoyable beer-drinking companions.But if voters often desire leaders who reflect themselves and their struggles, President Biden’s potential bid for a second term, which he would conclude at the age of 86, is prompting exceptionally complicated feelings among one highly engaged constituency: his generational peers.Three years after older voters helped propel Mr. Biden to the Democratic presidential nomination, embracing his deep experience and perceived general-election appeal, his age is his biggest political liability as he moves toward another presidential run, which he could announce as soon as Tuesday. It is a source of mockery and sometimes misinformation on the right — though the now-indicted Donald J. Trump, the Republican presidential poll leader who faces a morass of legal troubles, is just a few years younger — and one of widespread anxiety among Democrats.The issue is particularly personal, however, for older voters who are inclined to like Mr. Biden, but often view his age through the prism of their own experiences.They are aging. He is aging. They are not the president of the United States.Dr. Ruth Westheimer, the sex therapist, encouraged Mr. Biden to run again. But, she said, “one has to know one’s limitations.” Gabby Jones for The New York TimesIn interviews with about three dozen voters, political veterans and prominent Americans between 67 and 98 years old, broaching Mr. Biden’s age prompted not only electoral analysis, but also wide-ranging discussions of their own abilities and adjustments to their lives. Some bluntly wrestled with questions of mortality, and others veered into grandparent mode, admonishing the president to take care of himself.“I’m 72 and I’m a young whippersnapper here in The Villages,” said Diane Foley, the president of The Villages Democratic Club at the Republican-tilted mega-retirement community in Florida, who encouraged Mr. Biden to run again. “There are incredibly energetic, active people well into their 80s, and some 90s.”“One has to know one’s limitations,” advised Dr. Ruth K. Westheimer, 94, the famed sex therapist. She keeps busy these days with a project on the grandparent-grandchild relationship, but prefers to take meetings from home.“I would say the president should run again, but he should also not run up to a podium,” she added. “I don’t want him to fall.”And former Representative Charles B. Rangel of New York, who at 92 has a dark sense of humor about his future — “at my age, I don’t buy green bananas” — signaled that he would support a Biden run. But he is eager for a new generation of leaders.“Maybe I’m feeling so strongly because I’m leaving relatively soon and I want to see what’s going to follow,” Mr. Rangel said in an interview. “I truly believe that we should have more candidates, more than two old white men.”Former Representative Charles B. Rangel of New York, who is 92, said he wanted to see a younger generation step into political leadership. Johnny Milano for The New York TimesParty leaders overwhelmingly plan to support Mr. Biden if he runs. But recent polling has shown that while many Democratic voters rate him favorably, they also have reservations about another bid. An Associated Press/NORC poll released Friday found that poll respondents were concerned about his age.Other surveys found that older Democratic voters were more likely to favor another Biden run than younger Democrats, even as roughly 30 to 50 percent of Democrats over 60 preferred that he step aside.“I can’t go on television and say, ‘Let’s not talk about this, let’s pivot to the real issues,’ because people think age is a real issue,” James Carville, 78, the Democratic strategist, said last month.It was top of mind for several people who milled around a community center recently as a canasta game ended in Plantation, Fla.Doreen W., 78, a Democrat who declined to share her last name on the record, citing fear of causing problems for her husband at work, said she hoped Mr. Biden would run again. But she worried about whether he was up to it.“I know how tiring it is for me, and I’m not doing anything but retire,” she said. “I’m aware of his age and I’m concerned about that.”Informed that Mr. Biden was not 78, as she had thought, but 80, she groaned, “Oh, God.”“If I could just keep him at age 80 and active the way he is, I’d be more than happy,” she said.Nursing a canasta defeat nearby, Jacque Deuser, 67, said the way Mr. Biden sometimes walked reminded her of her late husband, who had dementia.“It kind of looks like he’s going to fall down,” said Ms. Deuser, who voted for Mr. Trump in 2016, backed Mr. Biden in 2020 and is inclined to support him again if Mr. Trump or Gov. Ron DeSantis of Florida win the Republican nomination.Mr. Biden’s doctor recently reported that he was a “healthy, vigorous 80-year-old” fit to serve, while acknowledging that Mr. Biden had a “stiffened gait,” citing factors including arthritis. But the doctor said there were no findings “consistent with any cerebellar or other central neurological disorder.”Mr. Biden works out at least five days a week and does not drink or smoke, and his recent travel, including a covert trip to Ukraine, impressed some of his peers.Mr. Biden made a long trip to Ukraine in February, meeting with President Volodymyr Zelensky in Kyiv.Daniel Berehulak/The New York Times“I don’t know if I could have been on my feet going to Ukraine and taking a 10-hour train ride,” said Peggy Grove, 80, the vice chair of the Pennsylvania Democratic Party. But his public appearances have been uneven. While Mr. Biden has long been gaffe-prone, he has made several striking misstatements as president, and he can sound halting. Moments like a stumble on a stairway or a fall off a bike have attracted attention.“I enjoyed working with him. I watch him from a distance now and I get concerned,” said former Senator Judd Gregg of New Hampshire, a 76-year-old self-described “not a Trumpian” Republican. “He’s lost a little of his sharpness.”The White House did not directly respond to Mr. Gregg.Several voters said Mr. Biden’s running mate would be important — and many Democrats have privately expressed concerns about Vice President Kamala Harris.But while health is unpredictable, some aging experts have said there are signs Mr. Biden could be a “super-ager.”Dr. John W. Rowe, a former president of the International Association of Gerontology and Geriatrics and a professor of health policy and aging at Columbia, said “super-agers” tend to live more of their lives without functional impairment. Dr. Rowe also said age could bring unexpected benefits.Older people, he said, are often better at resolving disputes, and “are less likely to do something imprudent.”“If you have, on the one hand, a super-ager, with no obvious evidence of something bad happening right now, and they bring along these other characteristics, I would feel pretty comfortable for the next four years,” he said, adding that he did not know Mr. Biden.Dr. Rowe, 78, a former head of Aetna, said he, too, had encountered occasional questions about retirement.“I do not feel that I’m functioning any less well than I was a couple years ago,” he said.He stressed that unlike 30-year-olds, older people vary greatly in their abilities.Some Democrats pointed to the differences in aging between Presidents Ronald Reagan and Jimmy Carter.Mr. Reagan, who announced in 1994 that he had Alzheimer’s disease and died a decade later at 93, long faced questions about his cognitive functioning. Mr. Carter — now in hospice care at 98 — remained active until recently.“I just try to always look at the individual, factor in age as one of many considerations,” said Gloria Steinem, the women’s rights activist, 89. “For myself, retrieval time is longer, but the choice of what to retrieve is richer.”As for Mr. Biden, she said, “I feel fine about re-electing President Biden, depending on both the alternatives and his health.”Mr. Biden and his allies stress his legislative accomplishments, including on issues affecting older Americans.Andrew Bates, a White House spokesman, said Mr. Biden had inherited and helped the country overcome “the worst crises in decades,” and was “now bringing manufacturing back from overseas, rebuilding our infrastructure, empowering Medicare to lower drug prices and standing up for the rights and dignity of every American.” He emphasized Mr. Biden’s experience, judgment and values in office.A recent gathering of the Broward Democratic Senior Caucus at a pub in Plantation, Fla. Many attendees said they were unworried about Mr. Biden’s age.Melanie Metz for The New York TimesAt a recent gathering of the Broward Democratic Senior Caucus at a pub in Plantation, attendees dismissed concerns about Mr. Biden’s age.“If his head is working, he’s fine,” Muriel Kirschner, 94, pointedly told a reporter. “My head is still working, honey.”Patti Lynn, who will turn 80 this year, retired after having a heart attack, deciding it was “time to have some fun.” But Ms. Lynn, whose phone background was a picture of herself with Mr. Biden, did not think he should do the same just yet.“Does he stumble and forget and have to get his words? I understand that perfectly,” she laughed. “Been there, done that. Oh well, I’m having a senior moment. But he’s respected worldwide, he is stable.”“How do you put him down — because he is old?” she added. “He worked hard to get that old. Me too. I worked hard to get this old.” More

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      The Iran Hostages, and a Plot to Thwart Carter

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      More from our inbox:Why the U.S. Invaded Iraq: Theories AboundWhite Supremacy PropagandaCare at the End of Life“History needs to know that this happened,” Ben Barnes now says of his trip to the Middle East in 1980.Christopher Lee for The New York TimesTo the Editor:Re “43-Year Secret of Sabotage: Mission to Subvert Carter Is Revealed” (front page, March 19), about an effort to delay release of the American hostages in Iran to weaken Jimmy Carter’s re-election campaign:By way of apology to Mr. Carter, Ben Barnes details the mission to ensure that the 52 Americans held hostage by Iran were not released on Mr. Carter’s watch. Mr. Barnes’s candor, though overdue, is welcome, but his apology is somewhat misdirected.While Jimmy Carter might rightly claim that he suffered defeat in 1980 because Ronald Reagan’s campaign engaged in a contemptible plot, he was nevertheless a “second tier” victim.More than 50 Americans were held in terror for 444 days, not knowing whether they would live or die. If, as Mr. Barnes implies, his mission resulted in extending the hostages’ captivity, they stand at the front of the line of those to whom he should apologize.Mark SteinbergLos AngelesTo the Editor:How would President Jimmy Carter have responded to this news that, according to Ben Barnes, the G.O.P. was involved in an effort to thwart Mr. Carter’s efforts to win the American hostages’ release?I was on Air Force One accompanying Mr. Carter in the days leading up to the 1980 election. All efforts were focused on getting those Americans home.Our last hope came when news reached Mr. Carter at 2 a.m., Chicago time, on the Sunday before the election. Learning that the Iranian mullahs had modified their demands, the president put off campaigning and raced back to Washington. Unfortunately, Mr. Carter realized that obstacles remained.Imagine if he’d just learned that a Republican ally of President Reagan had been spreading the word in Arab capitals that Iran should keep the 52 hostages until after he had taken office? Imagine if Mr. Carter had gotten this story just before his final debate with Ronald Reagan? It would have put the G.O.P. challenger on the defensive.Imagine if …Chris MatthewsChevy Chase, Md.The writer, the former longtime host of the MSNBC show “Hardball,” was a speechwriter for President Carter.To the Editor:Ben Barnes’s revelations that political operatives met with overseas governments before the 1980 presidential election didn’t surprise me. The release of American hostages from Iranian captivity a few minutes after Ronald Reagan was inaugurated in 1981 was too much of a coincidence.This unwarranted interference in American foreign affairs by private citizens reminded me of Richard Nixon’s intrigues to entice the South Vietnamese government to stall the Paris peace talks in an effort to derail a Democratic victory in the 1968 presidential election.Shame on all those involved for risking American lives to benefit their political ambitions.Paul L. NewmanMerion Station, Pa.To the Editor:Thanks for an important and credible addition to the narrative of the Iran hostage crisis.An addendum: John Connally and Ben Barnes would almost certainly have received a chilly response to their scheme from President Anwar el-Sadat of Egypt, who was close to President Carter and loyal to him.Moreover, at the time of the trip, Sadat had welcomed his friend, the recently deposed shah of Iran, to Egypt, and the shah died there in July. Thus there is little chance Sadat conveyed the Connally-Barnes message to Tehran, though other Middle Eastern heads of state might have done so.Jonathan AlterMontclair, N.J.The writer is the author of “His Very Best: Jimmy Carter, a Life.”Why the U.S. Invaded Iraq: Theories AboundOnly a statue of Saddam Hussein remained standing at an Iraqi communications center that was the target of a bombing attack by American forces in 2003.Tyler Hicks/The New York TimesTo the Editor:“Two Decades Later, a Question Remains: Why Did the U.S. Invade?,” by Max Fisher (The Interpreter, March 19), suggests that the triggering motive for the 2003 invasion of Iraq will remain unknown.The article says “a critical mass of senior officials all came to the table wanting to topple” Saddam Hussein, the Iraqi leader, “for their own reasons, and then talked one another into believing the most readily available justification”: weapons of mass destruction.The clear goal was to topple Mr. Hussein. Recall that President George W. Bush desired revenge on Mr. Hussein for an attempt on his father’s life and that he was reportedly advised that only wartime presidents become great.The missing piece of the puzzle is that neoconservative advisers, with an array of reasons for toppling Mr. Hussein, were able to play on President Bush’s personal aspirations to get the go-ahead for the invasion.Richard ReillyOlean, N.Y.To the Editor:“Two Decades Later, a Question Remains: Why Did the U.S. Invade?” gives plausible answers. Another possible explanation was foretold by President Dwight D. Eisenhower, in his 1961 farewell address.He warned of “the unwarranted influence” of the “military-industrial complex,” telling us, in effect, that those who make money from war and those whose careers benefit from these actions have both influence and a shared interest in military interventions.His words are still worth heeding.Barbara H. ChasinIthaca, N.Y.The writer is emerita professor of sociology at Montclair State University and the author of “Inequality and Violence in the United States: Casualties of Capitalism.”White Supremacy Propaganda Michael Dwyer/Associated PressTo the Editor:Re “White Supremacist Propaganda Soared Last Year, Report Finds” (news article, March 10):The alarming rise of white nationalist vandalism and propaganda, the majority of which is being spread by Patriot Front, is more than offensive — it is often a criminal offense. Legislators, prosecutors and law enforcement should recognize the dangers these attempts to intimidate, recruit and inspire violence pose to American communities.White nationalist activities are occurring nationwide, are coordinated and are often evading accountability in local jurisdictions. The arrest of 31 Patriot Front members preparing to disrupt an L.G.B.T.Q.+ Pride celebration in Idaho last summer should have been the notice federal authorities needed. After the mass arrest, 17 organizations called on the Department of Justice to open an investigation into Patriot Front.We hope that The Times’s coverage of this disturbing trend adds urgency to the appeal for federal action against these dangerous campaigns of hate. Our local communities — and our democracy — can’t afford to be left to manage this threat alone any longer.Lindsay SchubinerBerkeley, Calif.The writer is the program director for the Western States Center, a nationwide group that works to strengthen inclusive democracy.Care at the End of Life Nadia HafidTo the Editor:Re “Aggressive Care Still Common at Life’s End” (The New Old Age, March 14):As a nurse practitioner in a large hospital, I see this kind of aggressive care all too often.In addition to the physical and emotional stress it places on patients and families, there’s a financial cost, since such care isn’t free.I will never forget an older man who spent his last months in one of our I.C.U.s. His wife not only lost him when he died but also their house, as the cost of medical care made her unable to pay the mortgage.These kinds of nonmedical consequences need to be considered, acknowledged and regularly assessed for. Something else our health care system doesn’t do.Marian GrantReisterstown, Md. More

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      Biden Looks to Bolster Support Among Seniors With a Focus on Health Care

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      In a trip to Las Vegas, President Biden warned that Republicans would endanger popular programs like Social Security and Medicare.LAS VEGAS — One of President Biden’s promises to America’s seniors when he first campaigned for the Oval Office was this: You will pay less for health care.So on Wednesday, with a possible re-election announcement getting closer every day, the president traveled to Las Vegas to boast that millions of older adults would save on their medications thanks to the health care legislation he championed last year.Because of the Inflation Reduction Act, he said, seniors will no longer have to make co-payments for some recommended vaccines like shingles and tetanus, saving them an average of $70 each year in the future.“For seniors on fixed income who often need expensive medications to stay healthy, that constant question is can they take the medications and can they pay the bills without giving up important elements of their life,” Mr. Biden told an audience at the University of Nevada, Las Vegas.“It’s not just your health,” he said. “It’s about your dignity. It’s about your security.”In the 2020 election, Mr. Biden came up short among people 65 and older to former President Donald J. Trump, 48 percent to 52 percent. The president and his advisers are hoping to increase his support among that group in 2024 by arguing that its financial and medical security will be better protected with Mr. Biden in office.The centerpiece of that argument so far has been the fate of the government’s primary retirement programs, Social Security and Medicare. Mr. Biden has been aggressive in seizing on proposals by a handful of Republican politicians to argue that the party would put the popular programs in danger.He said as much on Wednesday, standing in front of a sign at the University of Nevada that said “Lowering Costs for American Families.” The president recounted his State of the Union speech this year, when several Republican lawmakers called him a liar for claiming that they wanted to cut the social safety net programs.“I hope it’s true,” he said, noting that the legislators were being filmed as they denied any interest in doing any damage to Medicare and Social Security. “But I’ll believe it when I see it,” he said.Beyond that issue, however, the administration argues that older Americans will also be grateful for the president’s efforts to keep costs down, especially when it comes to their medications, at a time when prices have been rising sharply.In addition to the $70 average savings on vaccines, White House officials said on Wednesday that seniors across the country would benefit from provisions in the Inflation Reduction Act that penalize drug companies when they increase the cost of a drug faster than inflation..css-1v2n82w{max-width:600px;width:calc(100% – 40px);margin-top:20px;margin-bottom:25px;height:auto;margin-left:auto;margin-right:auto;font-family:nyt-franklin;color:var(–color-content-secondary,#363636);}@media only screen and (max-width:480px){.css-1v2n82w{margin-left:20px;margin-right:20px;}}@media only screen and (min-width:1024px){.css-1v2n82w{width:600px;}}.css-161d8zr{width:40px;margin-bottom:18px;text-align:left;margin-left:0;color:var(–color-content-primary,#121212);border:1px solid var(–color-content-primary,#121212);}@media only screen and (max-width:480px){.css-161d8zr{width:30px;margin-bottom:15px;}}.css-tjtq43{line-height:25px;}@media only screen and (max-width:480px){.css-tjtq43{line-height:24px;}}.css-x1k33h{font-family:nyt-cheltenham;font-size:19px;font-weight:700;line-height:25px;}.css-1hvpcve{font-size:17px;font-weight:300;line-height:25px;}.css-1hvpcve em{font-style:italic;}.css-1hvpcve strong{font-weight:bold;}.css-1hvpcve a{font-weight:500;color:var(–color-content-secondary,#363636);}.css-1c013uz{margin-top:18px;margin-bottom:22px;}@media only screen and (max-width:480px){.css-1c013uz{font-size:14px;margin-top:15px;margin-bottom:20px;}}.css-1c013uz a{color:var(–color-signal-editorial,#326891);-webkit-text-decoration:underline;text-decoration:underline;font-weight:500;font-size:16px;}@media only screen and (max-width:480px){.css-1c013uz a{font-size:13px;}}.css-1c013uz a:hover{-webkit-text-decoration:none;text-decoration:none;}How Times reporters cover politics. We rely on our journalists to be independent observers. So while Times staff members may vote, they are not allowed to endorse or campaign for candidates or political causes. This includes participating in marches or rallies in support of a movement or giving money to, or raising money for, any political candidate or election cause.Learn more about our process.Officials said that 27 specialized drugs recently met that criteria, and that their makers would be required to pay rebates to the federal government for the extra costs. Administration officials said that older Americans might see some savings in the future as drug companies keep prices lower to avoid having to pay the rebates.“Some people with traditional Medicare or managed care Medicare may stand to save starting in just a matter of weeks,” Health and Human Services Secretary Xavier Becerra told reporters before the president’s appearance.Mr. Biden also highlighted the impact that his health care actions have had on the cost of insulin, which is a common — and usually expensive — drug for many seniors who suffer from diabetes.The president’s health care law caps the price of insulin at $35 per month for older adults, and Mr. Biden has succeeded in persuading two of the three biggest drug manufacturers to lower costs for younger people in need of insulin. Eli Lilly announced this month that it would cap out-of-pocket costs for insulin at the same $35. Novo Nordisk said it would cut the cost of its insulin drug by 75 percent.The focus on medical costs for older adults has been part of Mr. Biden’s agenda since before he became president. His campaign website said under the heading “The Biden Plan for Older Americans” that seniors in the United States “deserve to retire with dignity — able to pay for their prescriptions and with access to quality, affordable long-term care.”But his policy ambitions are now part of a political effort to win back some in that demographic who have trended toward Republicans as the average age of people living in the country increases each year.A group of about two-dozen Republican lawmakers is pushing legislation to repeal the Inflation Reduction Act, a move that White House officials and the president have seized on. Mr. Biden wants to make his Republican White House rival — whomever that turns out to be — pay for a repeal effort by suggesting that it will hurt older adults.In a statement last month, the White House said that efforts to repeal the law “would give tens of billions of dollars in subsidies back to Big Pharma, raise seniors’ prescription drug prices and raise taxes on an estimated 14.5 million people — all while increasing the deficit.”Mr. Biden’s visit to Las Vegas comes just weeks before he is expected to announce that he is running for a second term. Nevada is a critical swing state that Democrats need in their column if they want to retain control of the White House for another four years. In 2020, Mr. Biden won the state with 50.06 percent of the vote, to Mr. Trump’s 47.67 percent.Wednesday’s speech took place at the William F. Harrah College of Hospitality, a nod to the service unions that are extremely powerful in Las Vegas and an important Democratic constituency. More

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      Nikki Haley’s Run for the Presidency

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      More from our inbox:Tucker Carlson’s Spin on the Jan. 6 TapesA Descent Into DementiaAgeism and CovidRisk Management Haiyun Jiang/The New York TimesTo the Editor:Re “Run by Haley Is a Tightrope in the G.O.P.” (front page, Feb. 19):Nikki Haley has no choice but to to use her gender to promote her candidacy. It is the only thing that distinguishes her from the pack of hypocritical, unprincipled Republican politicians likely to run for president.She long ago joined the ranks of Lindsey Graham, Ted Cruz, Marco Rubio, etc., who discarded their justifiable contempt for Donald Trump in favor of attaining or retaining elective office. In her singular pursuit of the presidency she’s discarded any integrity she might have once had.Ms. Haley is unqualified to be president not because she is a woman, but because she became “one of the boys” — the boys who sold their souls for power and position.Jay AdolfNew YorkTo the Editor:Re “Could Haley Be Our Next President?” (Opinion, Feb. 19):It’s independents who often swing elections, and not one of the Times Opinion writers discussing Nikki Haley’s chances considered her appeal to these voters. By thinking only of how she does or doesn’t fit within the current Republican Party, they miss her considerable appeal as a non-Trumpian traditional Republican, which will attract swing independents.Thomas B. RobertsSycamore, Ill.To the Editor:As an immigrant from India, a woman and an independent voter who sometimes voted Republican pre-Trump, I was excited when Nikki Haley became governor of South Carolina. But I do not support Ms. Haley’s presidential candidacy.David Brooks nailed it, saying “there was an awful lot of complicity and silence when she served under Trump.” She subverted her independence and her fighting spirit by becoming part of Donald Trump’s establishment.No self-respecting Democrat would ever cross party lines to vote for Ms. Haley even if she miraculously manages to secure the nomination. She would not beat Joe Biden!Mona JhaMontclair, N.J.To the Editor:Nikki Haley kicked off her campaign by suggesting that politicians over 75 should be required to take mental competency tests, implying that Donald Trump and President Biden were too old to be president.She would do well to remember Ronald Reagan’s quip during the 1984 presidential debates with Walter Mondale: “I will not make age an issue of this campaign. I am not going to exploit for political purposes my opponent’s youth and inexperience.”Robert BatyOakland, Calif.To the Editor:Re “The Fox Newsification of Nikki Haley,” by Thomas L. Friedman (column, Feb. 22):Mr. Friedman isn’t taking into account what Nikki Haley must do to win the Republican nomination.Questions about the pandemicCard 1 of 4When will the pandemic end? More

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      When Students With Disabilities Are Removed From the Classroom

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      More from our inbox:Old People in Japan, and in AmericaHow Trump Will Campaign in 2024 Ricardo Nagaoka for The New York TimesTo the Editor:Re “Students With Disabilities Are Secretly Removed From School” (front page, Feb. 10), about “off the book” suspensions of these students:We are all too happy to reprimand school personnel for informal removals, but we fail to recognize the root cause of the issue.First, a classroom with one teacher responsible for about 25 kids does not work for everyone. Many students with disabilities need more support. Even if the practice of informal removals ends, as it should, those kids will still go back to classrooms that are not fit to serve their needs.Second, to create general and special education classrooms that set these students up for success costs money.Schools need more money for special education services, such as aides, behavior interventionists, school psychologists and counselors. Teachers and school personnel need to be paid more, so schools can attract and retain quality educators.Most teachers and principals are doing what they can within the reality of their circumstances. Instead of criticizing the individuals, we need to look at the system.More funding is the only possible solution.Lauren BrauckmannSomerville, Mass.The writer is a former elementary school teacher.To the Editor:The informal removal of students points to insufficient teacher training and cracks in the overburdened school system. Educators are teaching an increasingly neurodiverse student population. According to recent statistics, 89 percent of educators have at least one student with an individualized education plan in their classrooms.Students with disabilities often learn alongside their general education peers. While this is a win for special educators, who have long championed the academic and social benefits of inclusion for both general and special education students, teacher training has not kept up with these increases. All educators need and deserve comprehensive, systemwide training models that support them. We need to foster learning environments in which students feel an authentic sense of belonging.Some of the most effective training models are university-public school partnerships and professional development supports that offer educators the opportunity to learn about how best to support their neurodivergent students from the true experts: those with lived experience.The problem isn’t the student. The problem — and the opportunity for growth — lies in how we’re training and supporting that educator.Kristie K. PattenLauren Hough WilliamsNew YorkDr. Patten is a vice dean and professor at the N.Y.U. Steinhardt School of Culture Education and Human Development. Ms. Hough Williams is the executive director of the university’s Program for Inclusion and Neurodiversity Education.To the Editor:I teach high school science at a public school. Students with disabilities absolutely deserve a free and public education, like everyone else. But when the needs of these students aren’t met in a regular classroom, some can be disruptive or violent, and teaching them alongside regular education students becomes impossible.Why should the educational experience be ruined for 25 kids because one student became disruptive? Why should I be forced to educate all of these kids together when they clearly have different needs, and therefore I can meet none of them? These issues are so severe that teachers are quitting in droves and public schools are failing.In spite of this crisis, The Times chose to publish an article blaming teachers for something we have little control over. As a teacher, all I can do is show up and do my best with what I have and with who is in my classroom. Administrators have the power to remove students or dole out accommodations — not I.Jessica FlemingHoustonTo the Editor:I worked for many years in a private school in Boston that served disabled students. It was one of the best work experiences of my life.Although the students came to the school with cognitive, social and communicative difficulties, their greatest obstacle was clearly a sense of low self-worth. After years of failing both academically and socially in regular school settings, they were finally placed in our program, which met their most fundamental needs and grew their positive self-esteem.Not everyone is verbally and academically gifted. Integrating disabled students in general education is certainly important, but not at the cost of damaging a child’s sense of self-worth.Theodore MarkusStuart, Fla.The writer is a retired speech language pathologist.Old People in Japan, and in AmericaYusuke Narita, wearing his signature eyeglasses with one round and one square lens. He said his comments about mass suicide and the elderly had been “taken out of context.”Bea Oyster for The New York TimesTo the Editor:Re “Scholar Suggests Mass Suicide for Japan’s Old. Does He Mean It?” (front page, Feb. 13):Japan needs to overhaul its laws about how to treat elderly patients who are terminally ill or brain-dead and on life support, so they can die with dignity.At the moment, it may be considered murder if a doctor decides to take a patient off life support (the family cannot make these decisions), and doctors have been prosecuted for doing so. Advanced directives are meaningless since they are not accepted if the outcome of refusal of treatment ends in death.Inherent in Japanese culture is the hierarchical structure of respecting elders and pride in longevity. These societal values are at odds with the practical, medical and emotional needs that the elderly and their families find themselves in when they are faced with situations that offer no recovery.The comments about mass suicide by Yusuke Narita, an assistant professor of economics at Yale, may be extreme, but I believe that he is attempting to initiate a discussion among the Japanese, particularly the legal and political establishments that have been unwilling to resolve the crisis facing the elderly in that country.Shirley KanedaNew YorkTo the Editor:While the comments quoted in your article are extreme, I do believe that older people should have the ability to end their life painlessly and on their own terms.Prove illness, explain your reasons and get help. Do not become someone waiting to die or lying in bed with unremitting pain, no longer enjoying life and taking away from others.I am a healthy, financially stable 80-year-old citizen and would be relieved to know that I would have that option. My family agrees.Myra LevyRockville Centre, N.Y.How Trump Will Campaign in 2024 Damon Winter/The New York TimesTo the Editor:Re “Will Trump and Biden Gang Up on DeSantis?” by Ross Douthat (column, Feb. 12):Mr. Douthat’s preview of Donald Trump’s 2024 campaign strategy argues that he will emphasize his Republican opponents’ unpopular past policy positions when running against them.But this analysis gives far more credit to Mr. Trump than he deserves. While those policy shortcomings and differences clearly exist, when has he ever focused on policy issues?His style is to make personal aspersions and to launch fabricated assaults on his foes and their family members. He’s not about to change that modus operandi, as reflected in his insinuation the other day that Gov. Ron DeSantis of Florida preyed on teenage girls years ago when he was a teacher.Just as leopards don’t change their spots, our former president is not going to be spotted highlighting policy differences when he can take the low road that so naturally suits him.Marshall H. TanickMinneapolis More