Donald Trump’s latest boast should concern Americans far more than it reassures them.Trump announced on social media that he has passed three cognitive decline tests while mocking former presidents for supposedly never taking one. He framed the tests as proof of his fitness and mental sharpness. In reality, his comments highlight the fact that the United States still has no meaningful standard for evaluating the cognitive fitness of its presidents. For years, I have advocated for routine cognitive testing for all presidential candidates and sitting Presidents. That position was never about Donald Trump specifically, nor Joe Biden, nor any individual politician, but about the presidency itself. The presidency is one of the few jobs in America where advanced age does not require objective evaluation. We require airline pilots, surgeons, and military personnel to undergo cognitive and physical health assessments. Fighter pilots have their executive functioning tested. Yet the President and Commander-in-Chief of the United States, who oversees all military operations and nuclear capabilities, faces no standardized cognitive screening requirement.Public concern is bipartisan and substantial. Polling from Healthcare for Action found overwhelming support for cognitive testing for elected officials,regardless of political affiliation.. Americans recognize that aging affects everyoneCognitive decline is not a moral failing or a partisan issue, but a medical and human reality.I understand how closely cognitive health is tied to physical health. Conditions affecting blood flow, cardiovascular function, and sleep can influence memory, judgment, and processing speed. Cognitive changes often emerge subtly, appearing as repetition, confusion, impulsivity, or difficulty handling stress.When the lifeline of our country depends on one person, the slightest impairment, whether physical or cognitive, matters. One of the most commonly discussed assessments is the Montreal Cognitive Assessment, known as the MoCA. The test evaluates memory, attention, language, and executive function. It is not designed to diagnose dementia on its own, but is a validated screening tool that can identify whether further evaluation is warranted.However, passing a MoCA is not equivalent to proving exceptional cognitive fitness. It’s simply a baseline screen. Bragging about passing one, like President Trump has done, is comparable to boasting that you passed a standard vision exam while renewing your driver’s license. It may be reassuring if concerns exist, but it is hardly definitive evidence of superior functioning. If cognitive testing becomes treated as a performative talking point, we will lose an opportunity to establish a serious public health standard. The goal needs to be transparency and trust, not scoring partisan victories.The American public has spent years watching uncomfortable debates over aging and mental acuity among political leaders. Voters are often asked to ignore what they see with their own eyes. Critics argue that cognitive testing could stigmatize aging, but I disagree. Avoiding evaluation fuels suspicion and misinformation while honest assessment respects both candidates and voters. Others claim voters alone should decide whether a candidate appears mentally fit. But voters already rely on mandatory disclosures in other areas such as financial status.. Transparency strengthens public trust. Cognitive health should not be any different simply because discussing it makes politicians uncomfortable. None of this is about disqualifying older Americans from leadership. Age alone does not determine competence. Some individuals remain extraordinarily sharp well into their 80s, while others experience meaningful decline much earlier. The only responsible approach is objective evaluation. Trump is correct about one thing: cognitive testing is now part of the national conversation. But instead of using the issue as another political taunt, we should finally treat it as a serious institutional question. The presidency demands mental endurance, judgment, and clarity. Voters should never have to guess whether those qualities are intact. They deserve to know.
