After his April 2025 medical checkup, President Trump has been officially declared in “excellent health” by White House doctors. At 78 years old, he cleared comprehensive screenings covering heart, lung, and brain functions. Observers note he appears more active, noticeably slimmer, and boasts improved cholesterol levels—a stark contrast to earlier years.
Yet, despite the glowing medical report, skepticism lingers among critics. Rick Wilson, a prominent Republican strategist and co-founder of the Lincoln Project, voices sharp concerns about Trump’s mental fitness. Citing moments of verbal confusion, scattered thoughts, and marked behavioral changes, Wilson insists, “He’s not the same Trump we saw in 2015, 2020, or even 2024.” He warns that the former president may no longer be equipped to handle the demands of another full term in office.
Wilson and others argue that clean medical tests don’t always capture the complexities of cognitive health—and they see troubling signs in Trump’s recent conduct that medical charts alone can’t explain.

Journalist Timothy O’Brien suggests that President Trump’s drive to run again may be fueled less by ambition and more by a deep-seated fear—haunted by his father’s battle with dementia.
Although the 2025 health report was more comprehensive than previous versions, critics point out a glaring omission: no fresh cognitive test results beyond those from 2018 were disclosed. Many argue that, regardless of official statements, unmistakable signs of aging and mental decline have become increasingly apparent in Trump’s public appearances.