A Republican strategist has raised serious concerns about President Donald Trump’s mental state, suggesting it may be deteriorating to the point where he might not be able to complete his term in office.
Rick Wilson, a co-founder of the anti-Trump Lincoln Project, voiced his alarm during an interview with Times Radio. He described Trump’s recent behavior as “incoherent,” pointing to frequent digressions, verbal stumbles, and lapses in communication as potential signs of cognitive decline.
Wilson, who has monitored Trump’s public presence since 2015, remarked, “The man you see today is not the Trump of 2015—or even 2024.” He questioned whether Trump would be capable of serving a full term, despite having passed previous medical evaluations.
“There are many experts who see similar patterns in early dementia cases,” Wilson said, adding that passing a cognitive test doesn’t eliminate the possibility of age-related mental health issues.
These remarks follow the release of Trump’s April 2025 medical report, which stated that he remains in “excellent” health. The report, signed by Dr. Sean P. Barbabella, included findings from multiple specialists and confirmed a clean neurological exam. It also noted that Trump remains physically active, managing chronic conditions like high cholesterol and rosacea with medication.
Trump, now 78, became the oldest major-party nominee in U.S. history after President Biden exited the race. Since then, his health and fitness for office have been scrutinized more closely.
Despite questions from critics, the official medical reports have consistently emphasized Trump’s strong physical and mental condition. His team has shared these selectively, often timed for political impact—such as a brief note declaring him in “excellent” health on the day Biden turned 81 in 2023.
Trump’s campaign spokespersons have defended his health record, citing assessments from both current and former physicians, including Dr. Ronny Jackson, who treated him following the 2023 assassination attempt and praised his overall fitness.
Still, no cognitive test results have been made public since 2018. And with Trump’s visible public behavior now under renewed scrutiny, the debate over his mental acuity—fueled by Wilson’s blunt observations—has re-entered the political spotlight.
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