Health
Doctors express concern about Biden’s apparent cognitive issues during debate: 'Troubling indicators'
The first presidential debate of 2024 left many Americans and even some traditional Democratic allies wondering about President Biden’s mental fitness for office based on what appeared to be his unclear train of thought at times and his raspy voice on Thursday night.
The White House responded to these concerns, claiming that the president, who is 81, was fighting a cold, but some doctors said they perceive the health issues go beyond the sniffles — with one noting that “it is an issue of fitness, not of age.”
Dr. Brett Osborn, a Florida neurosurgeon who specializes in cognitive function, told Fox News Digital on Friday about his concerns.
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“President Biden’s performance in [Thursday] night’s debate reignited longstanding discussions about his cognitive abilities and his overall leadership capacity,” Osborn told Fox News Digital.
“Throughout the evening, Biden struggled to maintain a coherent narrative, often losing his train of thought mid-sentence, and providing vague, rambling and undecipherable answers to highly critical questions,” said Osborn, expressing his professional opinion.
Joe Biden is shown on Friday, June 28, the day after the debate, at a rally in Raleigh, North Carolina. Dr. Marc Siegel, inset left, and Dr. Brett Osborn, inset right, weighed in on President Biden’s performance during the Thursday night presidential debate, sharing concerns about his health from their point of view. (Fox News; Getty Images; Dr. Brett Osborn)
“His frequent pauses, stumbling over words and reliance on notes underscored concerns about his mental acuity,” Osborn added.
“Biden struggled to maintain a coherent narrative, often losing his train of thought mid-sentence.”
These seeming signs of cognitive decline highlight a “growing inability” to manage the complexities required by the job of the presidency, according to the neurosurgeon.
“His difficulty in articulating clear, concise responses and his apparent disorientation during the debate were seen by many – including his own constituents – as very troubling indicators of his overall health and an obvious decline in his cognitive function,” Osborn said.
Former President Donald Trump and President Joe Biden are shown during the first presidential debate of the 2024 election at CNN’s studios in Atlanta, Georgia, on Thursday, June 27, 2024. (Jabin Botsford/The Washington Post)
“President Biden lacks the mental sharpness required for the highest office in the land … especially amid [today’s] current national and international crises.”
The neurosurgeon, who has not treated Biden personally, also mentioned the 46th president has undergone multiple surgeries for brain aneurysms.
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There is a famous saying in neurosurgery, Osborn noted: “When the air hits your brain, you’re never the same.”
The surgeon surmised, “The odds have been stacked against him for years, long before his presidency.”
Joe Biden reacts as supporters greet him at his debate watch party at Hyatt Regency Atlanta on June 27, 2024, in Atlanta, Georgia. (Derek White/Getty Images for DNC)
Dr. Marc Siegel, physician, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, also spoke with Fox News Digital about concerns from his end.
“The debate is, in a way, a psychiatric or cognitive stress test,” he told Fox News Digital.
Although Biden was able to respond to questions and seemed to be spatially aware, according to Siegel, the president did display “frequent disorientation” and had “problems with spontaneity or redirecting,” the doctor said.
He has not personally examined Biden.
Dr. Marc Siegel, at right, joined “Fox & Friends” on Friday, June 28, to discuss the presidential debate on Thursday evening. (Kevin D. Liles for The Washington Post via Getty Images; Fox News)
Siegel described Biden’s speech as “meandering,” noting that he ended sentences in different places than intended, and “often mixed up ‘trillions’ and ‘billions’ and ‘millions.’”
Siegel confirmed that a physical illness, even with a cold, can bring out cognitive issues “even more.”
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“Even so, it’s hard to believe this is all from a cold,” Siegel told Fox News Digital. “Either way, we need someone who is sharp despite a cold.”
The NYU Langone physician noted that cognitive issues “wax and wane,” so they won’t always present the same way.
President Joe Biden looks over at former President Donald Trump during the first presidential debate of the 2024 election season on June 27, 2024. (Andrew Caballero-Reynolds/AFP via Getty Images)
While the age of both candidates has been raised as a concern, Siegel countered that what’s important is a president’s physical and mental fitness.
“It is an issue of fitness, not of age,” he said. “It is an issue of mental acuity, which is especially important if there is a crisis.”
While Biden is 81 (he turns 82 in November), Trump is 78 years old.
During an appearance on “Fox & Friends” on Friday morning, Siegel also spoke about the possibility of cold medications impacting Biden’s performance.
“It is an issue of fitness, not of age. It is an issue of mental acuity.”
“None of the medications that he would be taking for a cold, except something that might make him drowsy, would be relevant here,” he said.
“And I don’t think they would give him something that would make him drowsy before a debate,” he said.
He added, “We’ve been watching this a long time. This is something progressive.”
Fox News Digital reached out to the Biden campaign and to the White House press office for comment.
Earlier this year, concerns emerged about Biden’s age and memory after the release of a special counsel’s report. (AP Photo/Damian Dovarganes)
Earlier this year, concerns emerged about Biden’s age and memory after the release of a special counsel’s report. The report described the Democrat’s memory as “hazy,” “fuzzy,” “faulty,” “poor” and having “significant limitations,” the Associated Press noted at the time.
The report indicated that Biden could not recall certain milestones in his own life, such as the date his own son Beau died of brain cancer, as Fox News Digital reported at the time. (Beau Biden passed away on May 30, 2015.)
“My memory is fine,” Biden responded afterward from the White House.
“A person with growing problems of memory and judgment is frequently the last to acknowledge it.”
The New York Times editorial board and others have called on Biden to step out of the race after his debate performance.
Vice President Kamala Harris acknowledged that Biden had a “slow start” to the debate, but she defended his performance overall and his record during his time in the White House.
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Said Dr. Siegel in a New York Post opinion piece that ran in the publication on Saturday morning, “This isn’t a question of age. Cognition varies widely with age, and it isn’t fair to say that executive function is automatically impaired at a certain point in life. But it’s a sad medical fact that a person with growing problems of memory and judgment is frequently the last to acknowledge it.”
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Health
Dr Oz warns Medicare scammers are stealing billions — and your personal information could be next
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Washington, D.C. – Medicare fraud is a multibillion-dollar problem that government officials say threatens both taxpayer dollars and Americans’ personal identities.
In a July 6 interview with Fox News Digital at the Great American State Fair in Washington, D.C., Dr. Mehmet Oz warned that every dollar stolen through Medicare fraud is a dollar taxpayers lose – a problem that has worsened since the COVID pandemic.
“If I had to just pick one thing to focus on to make healthcare more affordable in America, I’d go to health fraud and all the waste and abuse that accompanies it,” said Oz, who is the administrator of the Centers for Medicare & Medicaid Services. “And just to put this in perspective, we think it’s about $100 billion a year.”
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Medicare fraud can include billing for services that were never provided, overcharging for medical equipment, using stolen patient or doctor information, or performing unnecessary procedures, according to the U.S. Government Accountability Office.
CMS administrator Dr. Mehmet Oz is pictured on stage at the Great American State Fair in Washington, D.C., on July 6, 2026. (Angelica Stabile/Fox News Digital)
As the Trump administration ramped up efforts to combat fraud, CMS reported $41.9 billion in Medicare program integrity savings in 2025, up 59% from $26.3 billion in 2024.
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Medicare fraud not only harms the federal budget and steals from taxpayers, but exposes seniors to identity theft, unnecessary care, higher premiums and reduced access, Oz cautioned.
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Removing corruption from the healthcare system will have the greatest impact among seniors, since “so much of the fraud is perpetrated against them,” the administrator said.
“I’m talking about people tricking seniors to give up their Medicare beneficiary numbers, which is like a credit card basically,” he said. “These scammers can take those numbers and use them for all kinds of illegitimate purposes.”
“If I had to just pick one thing to focus on to make healthcare more affordable in America, I’d go to health fraud and all the waste and abuse that accompanies it,” said Oz. (Fox News Digital)
“People are stealing from you by pretending to send you drugs you don’t want, wheelchairs you don’t need, [and] services you never asked for or don’t benefit from,” Oz added.
To prevent this, he shared his top advice for seniors: Do not give your Medicare beneficiary number to anybody, do not answer questions on a phone call from an unknown person and do not give away personal information.
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“These scammers are calling seniors, tricking them, and once they have key information, they can steal it,” he said. “And I won’t know it and you won’t know it.”
“We want to protect people who need these programs the most,” Oz went on. “You do that by making sure scoundrels don’t corrupt the systems and steal money out of the till that is designed to help folks in dire straits when they’re vulnerable and in need of services.”
Seniors should never share their Medicare information with unknown people, the administrator advised. (iStock)
Removing fraud could “double the life expectancy of the trust fund that makes all this possible,” Oz predicted.
“If you’re worried about Medicare being there when you’re ready to retire in a couple decades, depending on how old you are, and you’re concerned that it might not last because of all the fraud that’s hitting it … you’ve got a good [reason to] worry,” he said.
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“If we take the fraud out, we could double the life expectancy, which means you, your kids, your kids’ kids … they could all benefit from this beautiful safety net program.”
Health
Common gym supplement could help fight depression, new research suggests
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Creatine, the common muscle-building supplement, may help improve depression symptoms, new research suggests.
A systematic review, published in Genomic Press’ Brain Medicine, found that creatine monohydrate may be beneficial as an add-on treatment for major depressive disorder, although the evidence remains preliminary.
The Canada-based researchers analyzed data from five randomized controlled trials, evaluating the impact of creatine monohydrate intake on mental health.
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Four of the trials studied major depressive disorder, and another looked at bipolar disorder with a current depressive episode.
In one trial of women with depression who took 5 grams of creatine per day, plus the antidepressant escitalopram, there was greater improvement after eight weeks. Another study revealed benefit when creatine was added to cognitive behavioral therapy.
One study saw benefit when creatine was added to cognitive behavioral therapy. (iStock)
Other studies involving teen girls found no benefit from a variety of creatine dosages after eight weeks. The bipolar depression study also found no significant improvements when 6 grams of creatine was added to medication after six weeks.
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In a press release, the researchers said previous studies have found that people with mood disorders process creatine differently in the brain. Because creatine helps produce energy, some scientists believe disruptions in this process may contribute to depression.
Although creatine has also been associated with boosting dopamine and serotonin, which most antidepressants target, the authors stressed that the link between brain creatine and mood “remains correlational,” as depression has “many moving parts.”
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Lead study author Bassam Jeryous Fares, a student in the Faculty of Medicine at the University of Ottawa, commented in a statement that the signal is “interesting, but not a verdict.”
“Two trials pointed one way and three pointed another,” he said. “That is not the kind of evidence on which you change clinical practice. It is the kind that tells you the question is worth further exploration.”
Although creatine has also been associated with boosting dopamine and serotonin, which most antidepressants target, the authors stressed that the link between brain creatine and mood “remains correlational.” (iStock)
Nicholas Fabiano, corresponding author and a psychiatry resident at the University of Ottawa, added in the same press release that creatine “appears to be a safe intervention,” noting that side effects were limited to mild stomach pain.
“We cannot yet reliably say that creatine helps with depressive symptoms or if the findings are generalizable to everyone,” he added as a caveat.
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Dr. Thea Gallagher, psychologist and director of wellness programs at NYU Langone, said that although creatine is best known for supporting muscle performance, it also helps the brain produce and use energy.
“Researchers believe that some people with depression may have alterations in brain energy metabolism, and creatine could help support these energy-producing pathways,” Gallagher, who was not involved in the study, told Fox News Digital. “There is also emerging evidence that it may influence neurotransmitters and reduce oxidative stress and inflammation, although these mechanisms are still being investigated.”
Creatine should be considered a “promising addition” to depression treatments, a doctor said. (iStock)
The research suggests that creatine may be most helpful when combined with established depression treatments rather than as a replacement, Gallagher emphasized.
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“This research is encouraging because it adds to a growing body of evidence suggesting that supporting brain energy metabolism may be another pathway for improving depression symptoms,” she said.
“It’s exciting whenever we identify another potential tool that could complement existing treatments, particularly one that is relatively inexpensive and widely available.”
Limitations and caveats
The new study is a review of prior research rather than a new clinical trial, which can pose a limitation, the researchers acknowledged, adding that “larger, well-controlled trials are still needed.”
Gallagher noted that creatine should be considered as a potentially promising addition to treatment, rather than a substitute for psychotherapy, antidepressant medication, regular exercise or healthy sleep habits.
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“While creatine has a strong safety profile for most healthy adults, it’s still important to talk with your healthcare provider before starting any supplement — particularly if you have kidney disease, are pregnant or have other medical conditions,” she advised.
For those experiencing signs of depression, Gallagher recommends seeking evidence-based mental healthcare.
“While creatine has a strong safety profile for most healthy adults, it’s still important to talk with your healthcare provider before starting any supplement – particularly if you have kidney disease, are pregnant or have other medical conditions,” a doctor advised. (iStock)
The doctor noted that depression is a “highly heterogeneous condition, so we still don’t know which patients are most likely to benefit or what the optimal treatment approach looks like.”
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Gallagher also cautioned that supplements have been known to generate “early enthusiasm” before larger studies have revealed “more modest effects.”
“Right now, I’d describe creatine as promising but not definitive,” she concluded. “It’s an area that deserves continued research, but it’s not something people should view as a standalone treatment for depression.”
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