Joe Biden’s office announced Sunday that the former president has metastatic prostate cancer. The diagnosis is tragic and may have been completely avoidable, but the question now is whether Biden’s medical team was negligent or lied about his cancer. Either way, the American people deserve to know.
Prostate cancer is a “gut punch” diagnosis for any man to receive, and unfortunately, it is becoming more prevalent. Except for skin cancer, it is the most common cancer in men in the U.S. and the second-leading cause of cancer mortality. About 1 in 8 men will get prostate cancer, with two-thirds of these cases in men aged 65 and older.
Early detection is the key to survival, and prostate-specific antigen (PSA) is a vital screening test that millions of men have every year during their annual physical exams. A quick needlestick and a tube of blood sent to the lab with same-day results — it’s that simple. Clinical studies have shown that this type of screening may reduce the risk of prostate cancer death.
As for Biden’s diagnosis, it is a sad postscript to a long life in politics and a presidency fraught with other major health concerns. Many unanswered questions remain, specifically, how did he develop such an aggressive cancer just a little over a year since his last physical exam?
Biden underwent detailed examinations in 2021, 2023, and 2024, performed by the physician to the president, Dr. Kevin O’Connor. And there was no mention of any prostate abnormalities, such as enlargement, nodules, or elevated PSA levels. There was no record of a urology consultation, although evaluations by several other specialists were prominently noted. We know more about Biden’s seasonal allergies and his teeth than his prostate health. This is in sharp contrast to President Donald Trump’s physical examination reports from 2018 and 2025, where PSA levels were specifically called out and reported as normal.
What happened? Prostate cancer tumors are typically slow-growing and do not usually present at the most severe stage, as has happened with Biden. While a PSA level can be normal in a person with advanced prostate cancer, it is not a common occurrence. Was the PSA test intentionally omitted by O’Connor?
Hellbound and Down 