
Longtime aides to former President Biden told The Post on Monday they were alarmed that his stage 4 prostate cancer wasnโt detected before it spread to his bonesโand they worry that concerns over public reaction may have delayed its diagnosis.
โI do believe that they felt like something was going on, and were worried about it and kind of hedged around it for a little bit,โ one White House staffer who worked closely with Biden, 82, told the New York Post.
Unlike what appears to have been a deliberate effort to hide his declining mental fitness, former aides told The Post they believe there was a willful disregard of his physical condition, driven by fears that a cancer diagnosis might have derailed last yearโs election, when Biden refused to step aside and open the field to other Democratic contenders.
The former presidentโs office revealed on Sunday that he only received a diagnosis two days earlier after reporting โincreasing urinary symptoms.โ
โI just donโt know how they just, kind of find this out on a Friday, and itโs this far advanced and serious,โ the Biden White House aide said. โ[If itโs] in the bones, thereโs gotta be a discomfort โฆ I think they just didnโt test.โ
Another longtime Biden aide questioned why his presidential physician, Dr. Kevin OโConnor, did not conduct a Prostate-Specific Antigen (PSA) blood testโone of the most widely used methods for detecting prostate cancer.
The February 2024 physical report, Bidenโs final medical examination while in office, made no mention of the test, The Postย noted.
โI think the likely scenario, knowing Kevin OโConnor pretty well, is that they had a discussion on what a PSA test is, and they decided not to do one because it would likely be elevated and cause a story, since a lot of older men have high PSAs that are false positives,โ that source told the outlet.
โA blood test has a paper trail. They probably just didnโt do the test. I think it would leak if he had a PSA test they tried to bury,โ the source added.
โWhatโs ironic is that if they didnโt give the president a PSA test because of the potential for optics of a possible false positive, that decision is ultimately going to lead to his death because they could have caught it earlier,โ the person noted further.
On Monday, a number of medical experts said Biden likely had prostate cancer for years before it metastasized to his bones.
โHe did not develop it in the last 100, 200 days. He had it while he was president,โ oncologist Dr. Zeke Emanuel, an appointee to Bidenโs COVID-19 advisory board, told MSNBCโs โMorning Joe.โ
โHe probably had it at the start of his presidency in 2021. I donโt think thereโs any disagreement on that,โ he added.
While in office, Biden faced growing concerns about his mental sharpness and visible signs of physical decline. He ultimately ended his re-election campaign on July 21, following a wave of defections from Democratic allies after a widely criticized debate performance against then-GOP frontrunner Donald Trump on June 27.
Biden had argued he was the partyโs best hope to defeat Trump, but critics contend that his insistence on staying in the race ultimately helped clear the path for Trumpโs return to power.
The announcement of Bidenโs cancer diagnosis came just two days ahead of the release of โOriginal Sin,โ a highly anticipated book alleging that his team actively concealed his physical and cognitive deterioration. The book was co-written by CNN host Jake Tapper, who chastised Lara Trump in 2020 when she tried to point out Bidenโs mental decline months before he won the election.
One former White House aide expressed skepticism about the timing of the announcement, suggesting it was intended to preempt a potentially narrative-defining account of Bidenโs decline, said The Post.
Biden did say in July 2022 he had cancer โ in the present tense โ but the White House press office rushed to say he was referring to historical skin cancer.
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