Category Archives: Politicians

What Biden’s Neurosurgeon Said vs. What Science Shows*

Recent books, including “Original Sin” by Jake Tapper and Alex Thompson, “Uncharted” by Chris Whipple and “Fight” by Jonathan Allen and Amie Parnes, have reignited discussion about Joe Biden’s mental acuity during his presidency. Specific to this site, these publications bring attention to a significant medical event from Biden’s past.

In February 1988, then-Senator Biden suffered a ruptured brain aneurysm at age 45, followed by discovery of a second unruptured aneurysm. Both required craniotomy surgeries at Walter Reed, with the ruptured aneurysm carrying approximately a 50% survival rate and significant risk of lifelong disability. According to the Cleveland Clinic, a ruptured brain aneurysm can cause a subarachnoid hemorrhage, hemorrhagic stroke, vasospasm, hydrocephalus, seizures, coma and death. However, 34% of those who are affected by such an aneurysm have no permanent brain damage, states the Brain Aneurysm Foundation.

Related to his service to the country, medical research indicates that survivors of brain aneurysms commonly experience cognitive deficits including memory problems, executive function difficulties, language impairment, and personality changes. Despite these risks, Biden returned to the Senate after six months, served as Vice President for eight years, and was elected President. His neurosurgeon, Dr. Neal Kassell, stated in 2019 that Biden suffered no brain damage* and remained cognitively sharp.

Biden has publicly discussed his aneurysms, writing about them in his memoir “Promises to Keep” and occasionally mentioning them in speeches. Unfortunately, following his trauma, he did not seem to be motivatiod to explore new legislation related to brain injury. (While in Congress, Biden proposed one bill specifically related to brain injury: S.3668, Crime Victims with Disabilities Act of 2008. The bill was introduced on October 1, 2008, read twice, and no further action seems to have been taken.)In his new book, Tapper writes, “[Biden’s] not going to be defeated by brain aneurysms, by this tragedy, by that tragedy,” somewhat deceptively implying the aneurysms occurred recently.

* This article is solely factual; do not interpret any statement as opinion.

Big Beautiful Bill Controversy Obscures Opportunity for the Disabled

Self-identified as one of his signature achievements, President Trump’s “One Big Beautiful Bill Act” was signed July 4, 2025. Since this time, H.R. 1 has generated widespread criticism from the news media.  The Atlantic described it as “A Big, Bad, Very Ugly Bill,” while ABC News reported that “two-thirds of the public view the ‘One Big Beautiful Bill’ legislation unfavorably.” While some of this criticism may be legitimate, the bill also offers opportunities for Americans with disabilities despite concerning cuts to social programs.

The legislation reduces SNAP funding by $186 billion through 2034 and implements stricter work requirements and eligibility verification for Medicaid, both of which could potentially affect millions of disabled Americans. However, the bill notably leaves Medicare largely unchanged, preserving this critical healthcare program for seniors and people with disabilities.

The legislation’s most transformative provision dramatically expands ABLE (Achieving a Better Life Experience) savings accounts, allowing people whose disability was diagnosed before age 46 to qualify, up from age 26. This change will enable an estimated 15 million Americans with disabilities to access tax-advantaged savings accounts without jeopardizing government benefits like Medicaid and Social Security.

The bill makes permanent several tax advantages, including 529-to-ABLE rollovers and expanded saver’s credits. As reported by CNBC, Charlie Massimo, a financial advisor and father of two sons with autism, says, “This is a game changer. For the first time, millions of Americans with disabilities will have access to the same kind of tax-advantaged wealth-building accounts most families already have.” Geneva Dickerson, who cares for her disabled brother, sees the potential: “With an account like the ABLE account, he can use those funds to pay for more speech therapy or physical therapy if insurance doesn’t cover it.”

While controversial aspects of the bill deserve scrutiny, the ABLE expansion represents the most significant advancement in disability financial inclusion in over a decade, offering unprecedented opportunities for financial security and independence.

H.R.1 – One Big Beautiful Bill Act: https://www.congress.gov/bill/119th-congress/house-bill/1

ABLE: https://www.ablenrc.org/

Update: Bipartisan Appeal for Reauthorization of TBI Act

On Friday, December 21, 2018, “H.R. 6615, which reauthorizes appropriations for programs and activities relating to the study, prevention, and treatment of traumatic brain injury (TBI),” was signed into law by President Trump.  Officially called the Traumatic Brain Injury Program Reauthorization Act of 2018, the bill previously passed the House with a 353-6 margin and passed the Senate unanimously.  (Reauthorizations were also given to other key health bills, H.R.1222, the Congenital Heart Futures Reauthorization Act of 2017, and H.R. 1318, the Preventing Maternal Deaths Act of 2018.)

Earlier this month, Congressman Pascrell spoke of the bill in House, “Mr. Speaker, I rise to support H.R.6615… I would like to thank Chairman Walden and Ranking Member Pallone for their work to move this important legislation forward.”  Following being signed into law, Chairman Greg Walden (OR) said, “These bipartisan bills… represent a continuation of the hard work [the House Energy and Commerce Committee] has done this Congress to protect and improve the health of all Americans.  From reauthorizing programs so we can better treat and understand congenital heart defects to increasing our understanding of traumatic brain injury, to improving maternal health outcomes… these bipartisan bills will have a profound effect of the lives of children, families, and communities all across the country.”

 

Trump Gives Credit to Caregivers

“Trump donates his presidential paycheck to VA caregivers,” read the headline on The Military Times website yesterday, May 17, 2018.   Specifically, the President’s quarterly paycheck of $100,000 is the first check that the President has donated to the VA (earmarked for the caregivers) and the fifth paycheck that he has donated to various governmental departments.  “President Trump understands the critical role of caregivers,” said Acting VA Secretary Robert Wilkie of this quarter’s donation. Apart from financial support, caregivers support the health and healthcare of dependents and provide much needed social interaction.

Earlier this year, the “Trump tax cut”, H.R. 1, that passed in March, states that, “The [tax] credit [for caregivers]… shall be increased by $500 for each dependent of the taxpayer.”  A dependent is defined as a relative who lives with the caregiver, earns less than $4,050 annually and that the caregiver financially supports.  This is a description that applies to many brain-injured individuals.

Prayers for Senator McCain

As has been widely reported, Senator John McCain was diagnosed with brain cancer on Friday of last week.  As if having to undergo brain surgery to remove what were thought to be benign brain tumors wasn’t enough, now that they are known to be malignant, McCain can look forward to a host of symptoms.  These symptoms can include vision problems, seizures, difficulties with concentration and thinking, difficulties with speech, etc.  In essence, the symptoms of brain cancer largely mirror those of brain injury.  In fact, the National Institute of Health has published the results of a study that shows that there is an, “association between traumatic brain injury and the subsequent risk of brain cancer.”

Despite his medical issue though, McCain has chosen not to stay idle: “Just hours after news broke of McCain’s brain cancer diagnosis, the Arizona senator blasted President Trump amid a report that the administration decided to halt a CIA training program for moderate Syrian rebels fighting Bashar al-Assad’s regime.”  Additionally, his diagnosis has produced an almost unheard-of-now bipartisan show of support, which could perhaps open the door for further cooperation.

Trauma on Trumpcare

 

Update: Today, “President Donald Trump asked Republican senators not to leave town for their August recess without passing a health care reform plan that makes good on seven years of promises to repeal and replace President Barack Obama’s Affordable Care Act.”

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Since 2010, health care has been a top talking point for both general Americans and the American government.  Then, Obamacare, the Affordable Care Act, was enacted without a single Republican vote.  Now, the current iteration of Trumpcare, H.R. 1628, has passed the House and seeks to pass the Senate without the support of a single Democrat Senator.  Increasingly though, it is losing Republican support*, as Senators wrangle with the idea on Medicaid cuts and other issues.  (According to a recent report, the bill would cut Medicaid funding for children by at least $43 billion over 10 years.)

Throughout the country, articles continue to show the need for Medicaid for many Americans, often showcasing the needs of the brain injured.  The website MyCentralJersey.com (part of the USA Today network) highlights a 22-year-old and his mother who spoke to members of Congress about the ongoing trauma that the family deals with, caused by an accident that occurred when the boy was 18.  “Many families… will face major health care challenges.  It is important to protect Medicaid to allow these families to focus on their child’s care and recovery,” said the mother.  An article published on cleveland.com highlights the care of a severely brain injured man who lives in a nursing home, but whose family worries he won’t be able to stay at the facility with the proposed Medicaid cut.  A New York-based newspaper notes a 9-year-old girl who survived a horse-back riding accident with the financial support of Medicaid.

Yesterday, Trump expressed his frustration on Twitter with passing this bill.  “Most Republicans were loyal…,” he wrote, as a criticism of those Republicans who did not express support for the law.  However, this statement appears to show that Trump is looking for support to him and party, when he should be seeking support and loyalty towards the American people.

(Notably, Arizona Senator John McCain underwent surgery yesterday to rid him of blood clots in or near his left eye.  While the specifics of his initial condition and the exact surgical procedure he underwent remains vague, it is concerning.  Because of McCain, the vote on this health care bill has been delayed.  It will be interesting, though, to see if McCain’s ordeal affects his views. )

* Yesterday, “Sens. Mike Lee (Utah) [a staunch conservative] and Jerry Moran (Kan.) issued statements declaring that they would not vote for the revamped measure.  They joined Sens. Rand Paul (Ky.) and Susan Collins (Maine), who also oppose it.”  A significant amount of other Republicans have also not declared their support.

Wait and See

Based on his statements and actions, a Trump presidency with a Republican-controlled Congress may seem to be the worst election outcome possible for disabled Americans.  In a poll cited by CNN, for example, people agree that mocking a reporter with the joint condition arthrogryposi was the most egregious error that Trump made during his campaign.

However, those worries may not entirely be warranted.  Trump is a businessman and a television personality.  He says what will get him a deal, acts in a way to give him an audience and, in the case of the election, promises what will get him votes.  For example, one of the hallmarks of Trump’s campaign was his promise to repeal and replace the Affordable Care Act.  Since winning the election, though, “Trump [has] said he would [at least] like to keep the portions of the law requiring coverage of pre-existing conditions and children living at home under the age of 26.”  From what I can determine, Trump simply wants his name tied to a major legislation.  (He wants to keep some of the principles of Obamacare, but replace the wording with some synonyms, so that people will call it Trumpcare?)

As for the Republican-controlled Congress, it is good to remember that most people, including Senators and Representatives, are related to or have some association with a disabled person.  During the Obama Administration, almost half of the brain injury-related legislation that became law were sponsored by Republicans, specifically 8 of 20.  As I noted in the past, Republicans do care.  While Hillary Clinton may have won the popular vote, it is best not to presume that a Trump presidency will negatively impact those with a brain injury or all of those with a disability.

Tomorrow is Election Day…

In August, I posted an article “The Deciding Vote”, which discussed how gaining the vote of the disabled could effect the results of the tight 2016 Presidential race.  What I did not consider, though, is that some of those with mental disabilities have lost their legal right to vote.  “[It is] believed [that]… more than 30,000 Californians — and an unknown number of others in the U.S. — [have] lost their voting rights under state guardianship laws.”  (“A guardian is a person, institution, or agency appointed by a court to manage the affairs of another individual.”)  Given that the current polls show that this election is within the margin of error, these tens of thousands of votes per state could be of great import.

What constitutes a mental disability varies in each state.  For example, ALA [Alabama] CODE § 38-9C-4(7) states, “Persons with developmental disabilities and traumatic brain injury have the right to vote and participate in the political process, subject to applicable laws.”  About 30 other states, however, restrict the voting rights of those with traumatic brain injury and other neurological disabilities, such as autism and cerebral palsy.  For example, in California, “Five years ago, a judge ruled that a traumatic brain injury disqualified [a man, David Rector, from voting].”  (This year, after a trial in the San Diego Superior Court, David Rector regained his legal right to vote.)

To all those who have a disability that may be restrictive to others with the same disability, but who are legally allowed to vote themselves, I believe it is imperative to do so.  Show that your vote matters!

* Click to view a full list of states that have laws related to voting for the neurologically disabled and a description of these laws.

“Concussion. Oh, oh!” says Trump

Beyond commenting on the “softening” of the NFL, Donald Trump, the Republican candidate for President has essentially ignored those with brain injury during his campaign.  Last week in Florida, though, Donald Trump spoke of brain injury at a rally in Florida when, “a woman who had fainted [during a Trump rally]… returned to the crowd.”  Commenting on her return, Trump said, “That woman was out cold, and now she’s coming back.”  While there is nothing wrong with that statement, he then returned to a topic he spoke of earlier in his campaign: namely, he spoke of the “softening” of the NFL, with its new post-concussion regulations.

Through continual blows to the head, NFL players are prone to CTE (chronic traumatic encephalopathy).  Harry Carson, a former Hall of Fame linebacker for the New York Giants who developed CTE, said in response to Trump’s views, “Once the brain is injured, you [can] never recover… So to make light of it, there’s a certain amount of ignorance that’s there.”  Carson also noted that many children look up to and try to imitate the actions of NFL players, which may lead to concussions and other brain injuries in them.

Political commentators always note when a candidate changes his or her views on a topic.  Trump, however, has stayed consistently pro-neurological disorder on this subject.  This opinion, though, expresses a disregard for Americans, merely for his entertainment.

Disability Knows No Party Line

I have made a point to note Hillary Clinton’s positive actions directed toward American’s ever-increasing disabled population.  However, by doing so, I am not intending to be partisan, as the disabled vote is, “represented fairly equally in both parties.”  Donald Trump seems ignorant of the large disabled voting bloc with his only noted discussion on this topic coming when he mocked the disabled reporter, Serge F. Kovaleski.  As a whole though, Republicans do care about the disabled demographic, both politically and personally.  Today, I will note two of these individuals and what they have done for the disabled.