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How old is too old to be president?

February 18, 2024
Editor, First Opinion

In last week's newsletter, I asked for your help: What did you want to read (or write!) about Donald Trump, Joe Biden, and aging politicians?

The response was fantastic. I received so many thoughtful emails about problems with media coverage, the biology of aging, experts I should reach out to, and more. I cherish the wisdom and curiosity of the First Opinion community.

I'm pleased to say that on Friday, we published an essay that hit many of the themes that readers told me they craved. Lawrence K. Altman, a physician-reporter who has for more than 50 years chronicled the health of U.S. presidents and other political leaders, shares illuminating anecdotes from his many conversations with presidents, candidates, and their physicians. For instance, in 1980, he elicited a startling piece of information from Ronald Reagan: Then 69 and about to become the oldest president in history at that point, Reagan said "his mother had symptoms suggestive of dementia before she died," Altman writes.

Drawing on his extensive body of work, Altman hits points about the unevenness of aging, the difficulty of assessing cognitive health as a non-physician, the need for transparency from politicians, and so much more. This is the article that will help you think through an issue that is sure to grow only more heated as we head into November.

Also in First Opinion this week: Presidents aren't the only public figures navigating the border of necessary transparency and medical privacy. Christina S. Beck writes about King Charles, Defense Secretary Lloyd Austin, and what leaders owe the public (or, in Charles' case, their subjects). Dental care is facing its own staffing crisis, especially when it comes to hygienists and assistants. This piece includes an incredibly alarming detail: "fewer than half of dentists offer their staff health insurance coverage." Daniel E. Troy raises the alarm about a recent court ruling that could hold pharmaceutical companies liable for drugs they don't develop. A year into Humira biosimilars, Juliana M. Reed explains why uptake has been far below what she had hoped for. A polypill to improve cardiac health could be just what the doctor ordered for the U.S. And independent doctors are becoming an endangered species.

Recommendation of the week: The new documentary "They Called Him Mostly Harmless" on Max (RIP, HBO Max) is sprawling, exploring a mysterious death, internet drama between websleuths, genetic genealogy, thru-hiking culture, anonymity, and more. This is the kind of true crime-adjacent content I crave, looking at the big picture rather than exploiting a family's suffering. Watch the trailer.

Adobe

The health care system is ignoring world's most promising approach to preventing cardiovascular disease

The "next breakthrough" to fight hypertension already exists. It's called the polypill. Why isn't the U.S. health care system embracing it?

By Arthur L. Kellermann


Dental care is in crisis. But it's also a moment of opportunity

Other areas of the health care sector have seen a labor rebound while employment at dental offices remains down — at all levels of the field.

By Steve Pollock


STAT+ | A year in, the U.S. is still not taking advantage of lower-cost biosimilars for Humira

Medicare beneficiaries and taxpayers could have saved close to $3 billion if more patients were getting Humira biosimilars.

By Juliana M. Reed



Alex Hogan/STAT

I've reported on the health of every president since Reagan. Here's what I think about Trump and Biden

The recent debate over President Biden's cognitive fitness for office has revived a crucial question: How old is too old for the presidency?

By Lawrence K. Altman


STAT+ | A California court is setting a dangerous precedent over drug development (or lack thereof) liability

A California appeals court is letting a suit against Gilead for not developing an HIV drug proceed. That's a dangerous precedent.

By Dan Troy


Independent doctors like me are becoming an endangered species

Cuts to Medicare reimbursement rates could drive yet more consolidation within the health care market.

By Paul Berggreen


A photo illustration showing a selection of front pages covering the news of King Charles being diagnosed with an unspecified form of cancer.
Ming Yeung/Getty Images

How much personal health information does King Charles owe the public?

King Charles has shared more about his health than other royals, but critics want to know what kind of cancer he has. What is his obligation?

By Christina S. Beck


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