As Donald Trump campaigns for a possible second term, concerns about his health and mental sharpness have resurfaced. Republican strategist Rick Wilson, co-founder of the anti-Trump Lincoln Project, recently claimed that Trump shows signs of cognitive decline. In an interview with Times Radio, Wilson described Trump as increasingly incoherent, pointing to verbal slips, disorganized thoughts, and frequent tangents as evidence. He believes these are not just simple gaffes but indications of diminished mental stamina, suggesting Trump may no longer be capable of handling the pressures of the presidency.

Wilson specifically cited Trump’s “verbal aphasias”—moments when the former president forgets words, speaks out of context, or slurs his speech. These symptoms, according to Wilson, reflect more than aging. He contrasted Trump’s current behavior with his 2016 campaign persona, stating there’s a visible decline in his ability to communicate and focus. This adds to a larger national conversation about age and cognitive health, as President Joe Biden has faced similar scrutiny.

Despite Wilson’s claims, Trump’s most recent medical report from April 2025 paints a much different picture. Conducted by Dr. Sean Barbabella and a team of specialists, the report described Trump as being in “robust” physical and neurological health. He reportedly lost 25 pounds, improved his cholesterol, and passed neurocognitive screenings with no signs of impairment. Trump’s team dismissed the speculation as politically motivated and pointed to his active rally schedule and long speeches as proof of vitality.

This debate echoes broader concerns about aging leaders. Trump would be 79 at the start of a second term, and Biden would be 82. Many voters are now questioning whether either man is fit to serve a full four-year term. Some have even called for regular cognitive testing for presidential candidates, highlighting a growing desire for transparency about leaders’ ability to govern.

Ultimately, the question of Trump’s mental fitness is unresolved and deeply polarized. Critics warn of warning signs, while supporters argue he’s still mentally sharp. But with health and age emerging as central campaign issues in 2024, voters are watching closely—and the outcome could hinge as much on perception of stamina as on policy or party affiliation.