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New Book Reveals Biden Aides Concealed Decline During Final Term

Excerpts from 'Original Sin' detail internal White House efforts to manage Biden’s health challenges and fallout from his re-election campaign withdrawal.

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Former President Joe Biden makes his first major speech since leaving office, at the Advocates, Counselors, and Representatives for the Disabled (ACRD) conference in Chicago, Illinois, April 15, 2025.
President Joe Biden listens during a campaign event at the Peacock Theater on June 15, 2024, in Los Angeles.

Overview

  • Biden’s aides privately discussed wheelchair use for a potential second term due to his severe physical decline, including spinal arthritis and fall risks.
  • The White House implemented shielding measures, such as rerouting walking paths and adjusting schedules, to obscure Biden’s frailty from staff and the public.
  • Signs of cognitive decline, including forgetting names and blank stares, were reported, with a key incident involving Biden failing to recognize George Clooney at a 2024 fundraiser.
  • Biden’s disastrous debate performance against Donald Trump in June 2024 led to mounting pressure from Democratic leaders, prompting his withdrawal from the race three weeks later.
  • Biden’s team has denied allegations of mental incapacity, attributing his physical changes to age-related spinal wear and maintaining his effectiveness as president.