Joe Biden’s advisors hid his decline – and the media didn’t dig hard enough
- Written by Matthew Ricketson, Professor of Communication, Deakin University

Last week, President Donald Trump ordered an investigation into “who ran the United States while President Biden was in office”, alleging top aides masked the “cognitive decline” of his predecessor. The announcement referenced revelations in a new book by journalists Jake Tapper (CNN) and Alex Thompson (Axios).
Original Sin made headlines last month for revealing that Biden’s declining physical and cognitive health had been hidden from the public by his closest aides and his loyal but overly protective wife, Jill Biden.
Whatever merit there is in Trump’s order must be seen alongside his bottomless cynicism. He seizes on the two authors’ investigative journalism to continue tarnishing his predecessor’s reputation, while doing everything in his power to bully news companies such as CBS over almost meritless defamation cases and to cut the funding of public media organisations PBS and NPR.
Review: Original Sin – Jake Tapper and Alex Thompson (Hutchinson Heinemann)
In November 2020, Biden was seen by many as a hero. He won the American election and saved the country from Donald Trump, who scholars judged among the worst presidents in the nation’s history, not least because just over 384,500 people died from COVID-19 that year.
Today, just as many see Biden as a villain. He said he would be a “bridge” president. He knew he would have ended his second term aged 86 if he had won and served it, so said he would hand over to a successor well in time for the 2024 election. But he didn’t. Not until three and a half weeks after his wincingly bad performance in a debate with Trump last June.
By then it was too late for his Democratic Party to go through its usual primaries process. Biden anointed his vice president Kamala Harris as his successor, but with only 107 days to campaign before the election, it is more accurate to say he gave her what football commentators call a “hospital pass”.
Donald Trump regained the presidency. Four months into his second term, all but his most loyal supporters (and this time he has made sure to surround himself only with loyal supporters) think it is already much worse than his first.
Whatever Biden achieved in his presidency is being forgotten amid the horror at watching America’s democratic institutions assaulted by an authoritarian leader determined to undo Biden’s policies, especially on climate change.
What on earth happened? How much responsibility does Biden bear? Did the news media subject Biden to sufficient scrutiny before the debate last June? Was everyone except the MAGA base suffering from a new variant of what conservative commentators long ago dubbed “Trump derangement syndrome”?
In short order, the answers are: Biden declined faster and worse than had been anticipated; a lot; the media possibly didn’t scrutinise him enough, but it’s more complicated than that – and, yes, “Trump derangement syndrome” was a factor, though not quite in the way conservative commentators thought.
Clooney’s alarm
Original Sin’s most spectacular revelation was that at a Democrat fundraising event last year, Biden did not appear to recognise George Clooney – who as well as being an actor, is a longtime Democrat supporter and a friend of the president.
Clooney was shocked by Biden’s frail appearance. “Holy shit,” he thought, according to the authors, as he watched Biden enter the room, taking tiny steps with “an aide guiding him by his arm”. The book describes the excruciating moment in detail:
“You know George,” the assisting aide told the president, gently reminding him who was in front of him.“Yeah, yeah,” the president said to one of the most recognizable men in the world, the host of this lucrative fundraiser. “Thank you for being here.”“Hi, Mr. President,” Clooney said.“How are ya?” the president replied.“How was your trip?” Clooney asked.“It was fine,” the president said.It was obvious to many standing there that the president did not know who George Clooney was. […]“George Clooney,” the aide clarified for the president.“Oh, yeah!” Biden said. “Hi, George!”
A Hollywood VIP who witnessed the moment told the authors “it was not okay”, describing it as “uncomfortable”. Clooney felt he had to sound the alarm publicly, which he did in an impassioned opinion piece for The New York Times a few weeks later, on July 10. He wrote about how he loved and respected Biden, but
the one battle he cannot win is the fight against time. None of us can. It’s devastating to say it, but the Joe Biden I was with three weeks ago at the fund-raiser was not the Joe ‘big F-ing deal’ Biden of 2010. He wasn’t even the Joe Biden of 2020. He was the same man we all witnessed at the debate.
Just days after publicity about the book began, news broke that Biden has stage four prostate cancer – and that he had not had a prostate test for more than a decade.
The ‘loyalty police’
Tapper and Thompson’s book derives not only from their day jobs, but from reporting they have done since last November’s election, including interviews with 200 people. Some of them, even now, prefer to speak on background rather than be named.
Through them, they tell a bracing story with three main themes.
First, there is the unblinking loyalty of close aides. Chief strategist Mike Donilon had been with Biden since 1981. Bruce Reed was a speechwriter and longtime political consultant. Steve Ricchetti had been Biden’s chief of staff when he was vice president, and was also a friend who would watch the morning political shows with him. All four of Richetti’s children worked in the Biden administration, the authors write.
Jill Biden’s longtime aides, Annie Tomasini and Anthony Bernal, were fiercely protective of the Bidens as much as the office of the president. “Are you a Biden person?” they would ask, leading other aides to label them the “loyalty police”.
Collectively, the close aides were known as The Politburo. Kamala Harris’ aides called them a “cabal of the unhelpful”. Time and again, they responded to queries about Biden’s health with firm assurances he was doing fine – even though the president needed to be supplied with cue cards when he was meeting his cabinet secretaries.
Biden, like previous presidents, had an annual medical check-up and was given a clean bill of health. But doctors outside the White House noted that his cognitive abilities were not tested. Asked about this, aides – and Biden himself – would say he passed a cognitive test every day of his presidency, which was a superficially plausible but practically meaningless statement.
Some aides genuinely believed in Biden, while others harboured doubts. The latter suppressed those to focus on the task of defeating Trump in 2024. One told Tapper and Thompson: “He just had to win, and then he could disappear for four years – he’d only have to show proof of life every once in a while.” Which sounds pretty much like the plot of the 1989 movie, Weekend at Bernie’s, except the situation was anything but comic.
Biden’s aides admonished journalists, including Alex Thompson, for even raising the issue of the president’s health. Worse, they shielded Biden from what his own pollsters were saying about his dire prospects for re-election.
The oldest presidential candidates
For Biden, work usually began at 9am, included two hours in the afternoon for “POTUS time”, and finished at 4.30pm when he had dinner. Availability for evening events was limited. By 2024, cabinet secretaries in the Biden administration told Tapper and Thompson that Biden could not be relied upon to be available at 2am for the kind of emergency the presidency can require.
Everyone knew, or at least suspected this. In 2020, Biden and Trump were the two oldest people to contest the presidency. When the 78-year-old Biden won, he became the oldest serving president in a country that has no upper age limits in the congress or the senate.
After the Senate Republican Leader Mitch McConnell, born the same year as Biden, froze in public a second time, in 2023, his fellow Republican Nikki Haley said, “The Senate is the most privileged nursing home in the country […] You have to know when to leave.”
When the Democrats did unexpectedly well at the 2022 midterm elections, Biden’s aides took that as a sign he should run again, rather than note the level of protest in the midterm vote, which came soon after the Supreme Court overturned the 1973 Roe v Wade decision on abortion.
The opinion polls, though, were telling. An early November 2022 Ipsos poll had the president’s approval rating at a low 39%, Tapper and Thompson report. Two thirds of those surveyed said they thought the country was on the wrong track. When Ipsos ran a poll after the midterm election, 68% said Biden might not be up for the challenge of running in 2024. Worse, almost half of Democrats agreed.
Biden’s aides may have been right to marvel at what their boss could still do, and to resent the media harping on about Biden’s age while turning a blind eye to his cheeseburger-chomping, Coke-slurping political nemesis, only four years younger. The bitter fact for them is that by 2020 Biden looked and sounded frail while Trump looked and sounded commanding.
Trump may have lied repeatedly during the debate last June, but in a real sense that was not news; Trump lies as easily as he breathes. What was news was watching a mumbling, open-mouthed US president freeze on live television.
Grisly anecdotes and Hunter Biden
Original Sin is replete with grisly anecdotes about Biden’s decrepitude. “The guy can’t form a fucking sentence”, thought one aide attending to him onboard Air Force One. This leads to the second main theme: the tragic circumstances that appear to have accelerated the decline.
It is well known that personal tragedy has scarred – and in crucial ways shaped – Biden’s life and career. He lost his first wife, Neilia, and their one-year-old daughter, Naomi, in a car accident in 1972. Their young sons, Beau and Hunter, were in the car. They survived but Hunter suffered a fractured skull, an injury with lifelong effects, according to Tapper and Thompson.
Beau served as an army officer in the Iraq war. On his return, he was elected attorney-general of Delaware in 2006 and 2010. He planned to run for governor in 2016. But a year earlier, the brain cancer for which he was first treated in 2013 recurred; he died in May 2015. In a worrying precursor to later actions, the Bidens kept Beau’s illness a secret. “Beau’s death aged him significantly,” a longtime Biden confidant told Tapper and Thompson. “His shoulders looked smaller. His face looked more gaunt. In his eyes, you could just see it.”
A year later, Hunter Biden became addicted to crack cocaine. Ashley, Biden’s daughter by his second wife Jill, also struggled with addiction. Both spiralled downwards after Beau’s death, which weighed heavily on their father. As the authors write:
After Beau’s death in 2015, Biden desperately and understandably clung to Hunter. He would privately refer to him as ‘my only living son.’ But Biden aides felt that Hunter manipulated his father’s blind love for his own aims. The president struggled to say no to Hunter. Aides felt that he had tragically become Hunter’s chief enabler.