President Donald Trump on August 27, 2026, at Ellington Field Joint Reserve Base in Houston, Texas (Photo Credit: NASA/John Kraus)
Experts and casual citizens alike have discussed President Donald Trump's apparent decline, raising questions about the 80-year-old president's fitness to service.
Journalist Jim Acosta, formerly of CNN, is the latest to reach this conclusion.
“I think we’re now on earth three, which is what do we do with the president of the United States who is both mentally unstable and in serious decline?" Acosta said on his podcast on Monday. "And it’s just staring us in the face on a regular basis.”
Acosta continued, “The more I think the case becomes crystal clear that we have a 25th Amendment crisis in this country.” The 25th Amendment states that a president who becomes mentally unfit to serve can be forcibly removed from power "whenever the Vice President and a majority of either the principal officers of the executive departments or of such other body as Congress may by law provide, transmit to the President pro tempore of the Senate and the Speaker of the House of Representatives their written declaration that the President is unable to discharge the powers and duties of his office."
If involved against Trump — as a group of leading health professionals urged Congress to do in an open letter in May — the Vice President, JD Vance, would take over.
Psychiatrist Dr. Henry Abraham, leading author of that letter and formerly of Tufts University, told AlterNet in a recent interview that he perceives Trump as being "pathologically hyped up and manic. In fact, the noun for this is maniac. He's a maniac at night, but he's not a maniac during the day, generally. So it's a nocturnal form of mania which remains to be explained."
He continued, "Let's move on, because a lot of this stuff is at night. Another red flag is his inability to control his rage. And this is pretty dangerous stuff. If he's alone at night and he's in one of these rageful states — well, he has sole access to nuclear weapons. He could, on his own, launch a nuclear attack against whatever enemy he chooses, and he has a few, but Iran comes to mind, since he's started a war with Iran. That's a very dangerous thing. In fact, that's probably the most dangerous. That probably goes at the top of my list of abnormalities of mental function which threaten literally hundreds of millions of people."
Not every health expert agrees with Abraham.
"I have no basis for making any assessment at all about cognitive functioning," Dr. Jay Olshansky is a University of Illinois Chicago emeritus professor best known for developing the "biodemographic paradigm" of mortality, told AlterNet in September. "And actually, nor does anyone else, perhaps except his doctors. So, honestly, I don't trust videos that I see. Those can be doctored and altered. I don't trust audio that I hear; those can be doctored and altered. I don't trust opinions of others based on video and audio, because those are often influenced by politics."
He added, "Bottom line is I think very few people have any valid basis for drawing any conclusion about cognitive functioning about the president."
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