Biden advisors opt out of cognitive test in 2024: book claims

 May 5, 2025 
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The dynamic between President Joe Biden's administration and his medical team took center stage as new revelations emerged about internal debates regarding his cognitive abilities.

According to Fox News, a forthcoming book titled "2024: How Trump Retook the White House and the Democrats Lost America" reveals that Biden's advisors decided against having him undergo a cognitive assessment in February 2024, despite their confidence in his potential performance.

The decision came at a crucial time when Biden's team was grappling with mounting public concern about his age and mental acuity. The book, authored by three prominent journalists - Tyler Pager from The New York Times, Josh Dawsey from The Wall Street Journal, and Isaac Arnsdorf from The Washington Post - provides an inside look at the strategic considerations that shaped this pivotal moment in Biden's presidency.

White House medical team stands firm

Dr. Kevin O'Connor, Biden's longtime physician, maintained a clear boundary between medical practice and political considerations. He explicitly informed Biden's staff that political implications would not influence his medical treatment decisions for the 81-year-old president.

The timing of these discussions coincided with Special Counsel Robert Hur's controversial report about Biden's handling of classified documents. Hur's characterization of Biden as "a sympathetic, well-meaning, elderly man with a poor memory" intensified public discourse about the president's cognitive capabilities.

The deliberations about the cognitive test took place just weeks before Biden's scheduled White House physical examination, adding another layer of complexity to the administration's decision-making process.

Internal conflicts surface over age concerns

A notable confrontation detailed in the book occurred between former Biden chief of staff Ron Klain and David Axelrod, a former Obama aide and CNN commentator. The exchange was triggered by Axelrod's public comments about Biden's age.

Klain reportedly called Axelrod following a June 2022 New York Times article that featured Axelrod's stark assessment of Biden's age. According to the book, Klain challenged Axelrod with a direct question about Democratic leadership alternatives.

Ron Klain stated to Axelrod: "There's no Obama out there, Axe. Who's going to do it if he doesn't do it?"

Campaign preparation challenges emerge

The book also sheds light on Biden's debate preparation efforts. Another recently published work by Chris Whipple, "Uncharted: How Trump Beat Biden, Harris, and the Odds in the Wildest Campaign in History," revealed concerning details about Biden's condition during debate preparations.

Whipple's account describes Klain's observations during a preparation session at Aspen Lodge. According to the book, Klain was alarmed by Biden's exhausted state and apparent disconnection from campaign developments.

Chris Whipple wrote:

At his first meeting with Biden in Aspen Lodge, the president's cabin, Klain was startled. He'd never seen him so exhausted and out of it. Biden was unaware of what was happening in his own campaign. Halfway through the session, the president excused himself and went off to sit by the pool.

Behind the decision that shaped the presidency

President Biden's team faced a complex decision regarding cognitive testing in February 2024, weighing potential political ramifications against medical considerations. The choice to forgo the cognitive assessment came amid increasing public scrutiny of the president's age and mental fitness, particularly following Special Counsel Robert Hur's report. While Biden's advisors expressed confidence in his ability to pass such an examination, they ultimately decided that taking the test might amplify rather than alleviate concerns about his cognitive capabilities. The situation highlighted the delicate balance between medical transparency and political strategy in modern presidential politics.

About Victor Winston

Victor is a conservative writer covering American politics and the national news cycle. His work spans elections, governance, culture, media behavior, and foreign affairs. The emphasis is on outcomes, power, and consequences.
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