Recently I completed my annual physical exam with my doctor. A few weeks earlier I had given a blood sample and urine sample for testing, gotten weighed, had my gait and grip strength measured and my blood pressure checked, completed eyesight and hearing tests, and done some of the other preliminaries. In my second visit, my doctor went through all of the test results gathered from the blood and urine samples and performed some of the other checks and probes that are part of this annual ritual.
For a few years now, my annual physical has included memory and cognition tests designed to identify early signs of dementia or other mental issues that are common among aging people. The tests are pretty basic. One involves him giving me five words to remember, then we talk for a few minutes about something else, then he sees if I can repeat the words back for him. Another involves listening to a story and then answering questions about it. Other parts of the test involve answering math questions. It’s become part of the routine.
I thought about this part of my physical when I read about President Biden’s annual physical, which did not include any cognitive or memory tests. His press secretary says he doesn’t need one, because “he passes a cognitive test every day” on the job. Some people disagree and question that omission.
Let’s set aside President Biden, Donald Trump, and politics of the moment. Doesn’t it seem strange that there isn’t agreement on the tests that will be administered and reported on as part of the annual physicals of incumbent Presidents and candidates for the office–and that the check-up will include standard cognition and memory tests given as a matter of course? Serving as President is obviously a difficult, challenging job, and when individuals seek the office voters deserve to have reasonable information about their physical and mental capabilities. To be sure, it intrudes upon their privacy–but anyone who runs for President accepts that, in doing so, they will be giving up some personal privacy in the process.
Part of the problem with the current hyperpolitical atmosphere is that people find it difficult to step back from the individual circumstances of the current candidates and look at the big picture. We’ve admittedly come a long way since the days when President Woodrow Wilson’s stroke and disability were kept secret, but I think there is more to be done in serving the interests of transparency. I’d like to see Congress or a bipartisan commission agree on what physical and mental tests are material to the office of the Presidency and should be included in the annual physicals, and then require every candidate to agree that they will undergo those tests, and to authorize their doctors to release the results of those tests in a standardized report for public inspection.
Regrettably, there will probably always be weird conspiracy theories and wild speculation about presidential candidates, but coming up with a standardized approach to assessment of their physical and mental fitness for the job should help to refute the crazier assertions while also giving voters meaningful information as they make their choices.