The White House physician concurs with the president’s statement that he is in “excellent health.”

However, a well-known Republican advisor is voicing concerns behind the scenes, saying Donald Trump might be exhibiting mental health issues severe enough to prevent him from serving out another term.

Do you recall all the excitement around Donald Trump’s highly publicised medical examination in April?

Trump exhibits “robust cardiac, pulmonary, neurological, and general physical function,”according to Dr. Sean Barbabella, who also notes that “his active lifestyle continues to contribute significantly to his well-being.”

A neurological screening that examined Trump’s reflexes, motor skills, sensory reactions, mental condition, and even mood markers like anxiety and depression was part of the examination, which encompassed 14 doctors.

Trump, who is 78 years old, is still the oldest person to be sworn in as president. He also abstains from alcohol and tobacco, unlike many politicians. He is 6’3″ and weighs slightly over 220 pounds, according to the source, which indicates that he has lost roughly 25 pounds since his previous tenure in office. The Associated Press reports that his cholesterol has also decreased.

Doctors believe there is nothing to be concerned about, except from some slight sun damage and scarring on his right ear, which serves as a reminder of the assassination attempt during his July 2024 event in Butler, Pennsylvania.

Urging Americans to pay close attention

However, according to Rick Wilson, a co-founder of the Lincoln Project, there are several reasons for caution. Wilson expressed grave concerns about Donald Trump’s health in an exclusive interview with Times Radio, citing recent actions that he feels may indicate cognitive impairment.

He is now calling on Americans to listen more carefully.

“He is incoherent,” Wilson told Times Radio. “His inability to articulate any thought or position without constant asides, constant lapses, the verbal aphasias he is experiencing at various points.”

Since 2015, Wilson has kept a close eye on Trump and thinks the former president is clearly deteriorating.

“I can tell you the man you’re watching today is not the Trump of 2015, nor is he the Trump of 2020,” he continued. “He’s not even the Trump of 2024.”

What about the possibility that Trump will serve out another term? Wilson didn’t mince words:

“Whether he makes it through four years is an open question.”

Wilson is unconvinced, pointing out that test results don’t always accurately represent what’s happening in a person’s daily behaviour, even though recent medical reports have cleared Trump both mentally and physically.

“There are an awful lot of professionals in the world who are looking at the same set of behaviors and saying, ‘This is what we see in early dementia cases’… this is what we see when there is a cognitive decline.”

Raised questions

Wilson further emphasised that a person’s age-related problems do not go away just because they pass a cognitive test:

“The ravages of age and ill health,” he said, could still be catching up with the 78-year-old president.

While some opponents may have been placated by Trump’s health report released in April 2025, others, like Rick Wilson, felt that it left more questions than it solved.

That attitude was shared by veteran journalist Timothy L. O’Brien when he appeared on MSNBC’s The Weekend: Primetime. He disclosed that the idea of Trump going through the same cognitive decline as his father, Fred Trump, in his latter years severely “haunts” him.

O’Brien, who has also been a Trump supporter for decades, claimed that the former president’s latest thoughts about running for a third term are more than simply political rhetoric.

Trump, he said, is driven by “either self-aggrandizement or self-preservation,” and while he might dream about staying in power forever, “I don’t think he’ll actually pursue another term.”