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article--single article--content "> <section class="zone zone--article zone--article-premium old__zone"> <header class="article__header "> <div class="article__header-wrap"> <ul class="breadcrumb"> <li class="breadcrumb__parent breadcrumb__parent--after js-breadcrumb"> <a class="logo__international logo__international--article" href="https://www.lemonde.fr/en/international/"> World </a> </a> </li> <li class="breadcrumb__child--article js-breadcrumb"> <a class="logo__2024-us-presidential-election logo__2024-us-presidential-election--article" href="https://www.lemonde.fr/en/2024-us-presidential-election/"> 2024 US Elections </a> </li> </ul> <div class="article__heading"> <h1 class="article__title">US presidential election: The health of American leaders is a well-kept secret</h1> <p class="article__desc"> Joe Biden's performance in the first televised debate of the presidential campaign has reopened the question of the president's health, but the silence that has long prevailed on the subject has not been broken. </p> </div> <p class="meta meta__publisher meta__publisher--header" id="js-authors-trigger"> <span class="meta__author meta__author--header" id="js-authors-list"> By <a class="article__author-link" href="/en/signataires/jean-philippe-lefief/">Jean-Philippe Lefief</a> </span> </p> <section class="meta__date-reading"> <span class="meta__date meta__date--header">Published on July 21, 2024, at 3:25 pm (Paris)</span> <p class="meta__reading-time meta__reading-time--header"> <span class="icon__reading-time"></span> <span>9 min read</span> </p> <a class="meta__article-en-fr-url js-lang-switcher" href="/international/article/2024/07/20/presidentielle-americaine-2024-la-sante-des-presidents-des-etats-unis-un-secret-bien-garde_6253217_3210.html" hreflang="fr"> <span class="meta__article-en-fr-url-link">Lire en français</span> </a> </section> <div class="share-btns meta meta__social meta__social--lmi"> <div class="lmd-relative"> <button 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js-article-wrapper article__wrapper--premium"> <article class="article__content old__article-content-single"> <figure class="article__media"> <picture class="article__media"> <source srcset=" https://img.lemde.fr/2024/07/12/0/0/3950/2633/556/0/75/0/5ed8806_1720790450839-889775.jpg 556w, https://img.lemde.fr/2024/07/12/0/0/3950/2633/600/0/75/0/5ed8806_1720790450839-889775.jpg 600w, https://img.lemde.fr/2024/07/12/0/0/3950/2633/664/0/75/0/5ed8806_1720790450839-889775.jpg 664w, https://img.lemde.fr/2024/07/12/0/0/3950/2633/700/0/75/0/5ed8806_1720790450839-889775.jpg 700w, https://img.lemde.fr/2024/07/12/0/0/3950/2633/800/0/75/0/5ed8806_1720790450839-889775.jpg 800w" sizes="(min-width: 1024px) 556px, 100vw" alt="In the audience, a sign asks Joe Biden to "pass the torch" at a rally in Madison, Wisconsin, on July 5, 2024." width="664" height="443"> <img src="https://img.lemde.fr/2024/07/12/0/0/3950/2633/664/0/75/0/5ed8806_1720790450839-889775.jpg" alt="In the audience, a sign asks Joe Biden to "pass the torch" at a rally in Madison, Wisconsin, on July 5, 2024." sizes="(min-width: 1024px) 556px, 100vw" width="664" height="443"> </picture> <noscript> <img src="https://img.lemde.fr/2024/07/12/0/0/3950/2633/664/0/75/0/5ed8806_1720790450839-889775.jpg" alt="In the audience, a sign asks Joe Biden to "pass the torch" at a rally in Madison, Wisconsin, on July 5, 2024."> </noscript> <figcaption class="article__legend" aria-hidden="true">In the audience, a sign asks Joe Biden to "pass the torch" at a rally in Madison, Wisconsin, on July 5, 2024. <span class="article__credit" aria-hidden="true">SCOTT OLSON / GETTY IMAGES / AFP</span> </figcaption> </figure> <p class="article__paragraph ">Joe Biden's political survival is at stake. The 81-year-old president, whose mental fitness was in doubt after his disastrous June 27 debate with Donald Trump, has been forced to put his campaign on hold after <a href="https://www.lemonde.fr/en/international/article/2024/07/17/biden-says-could-quit-race-if-medical-condition-emerged_6687902_4.html">testing positive for Covid-19</a>. The diagnosis could not have come at a worse time, as former president Barack Obama, who is still very influential in the Democratic Party, was quoted in the American press as expressing his reservations on Thursday, July 18.</p> <div id="inread_top" class="dfp-slot dfp__slot dfp__inread dfp-unloaded" data-format="inread_top" aria-hidden="true"></div> <p class="article__paragraph "><a href="https://www.washingtonpost.com/politics/2024/07/18/obama-says-biden-must-consider-viability/" target="_blank" rel="noopener" title="Nouvelle fenêtre" >The <em>Washington Post </em>reported</a> that Obama had told people close to him that he thought his former vice president should "seriously evaluate the viability of his candidacy." Should the information become official, he would be the most prominent Democrat to join the voices urging Biden to step aside. On Thursday, Montana's Jon Tester became the second Democratic senator to publicly call on the incumbent president to step aside. The Democratic candidate's campaign team is trying to put an end to speculation, and Biden repeats that only the "Lord Almighty" could convince him to step down.</p> <p class="article__paragraph ">These doubts have been compounded by the introspection of the press, which admits that it has not questioned the president's state of health enough, as well as the <em>New York Times</em>'<em> </em>revelations about the repeated visits of a Parkinson's disease specialist to the White House and <a href="https://www.nytimes.com/2024/07/02/us/politics/biden-lapses.html" target="_blank" rel="noopener" title="Nouvelle fenêtre" >the indiscretions of his entourage</a>, which deems him to be less and less alert.</p> <p class="reading-mode-only "><strong>You have 88.85% of this article left to read. 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