Former President Biden’s office said Sunday that he has been diagnosed with aggressive prostate cancer and is reviewing treatment options with his doctors.
Biden was having increasing urinary symptoms and was seen last week by doctors who found a prostate nodule. On Friday, he was diagnosed with prostate cancer and the cancer cells have spread to the bone, his office said in a statement.
When caught early, prostate cancer is highly survivable, but it is also the second-leading cause of cancer death in men. About 1 in 8 men will be diagnosed over their lifetime with prostate cancer, according to the American Cancer Society.
Here are some things to know about prostate cancer that has spread.
What is the prostate gland?
The prostate is part of the reproductive system in men. It makes fluid for semen. It’s located below the bladder and it wraps around the urethra, the tube that carries urine and semen out through the penis.
How serious is Biden’s cancer?
Biden’s cancer has spread to the bone, his office said. That makes it more serious than localized or early-stage prostate cancer.
Outcomes have improved in recent decades, and patients can expect to live with metastatic prostate cancer for four or five years, said Dr. Matthew Smith of Massachusetts General Brigham Cancer Center.
“It’s very treatable, but not curable,” Smith said.
What are the treatment options?
Prostate cancer can be treated with drugs that lower levels of hormones in the body or stop them from getting into prostate cancer cells. The drugs can slow down the growth of cancer cells.
“Most men in this situation would be treated with drugs and would not be advised to have either surgery or radiation therapy,” Smith said.
What is a Gleason score?
Prostate cancers are graded for aggressiveness using what’s known as a Gleason score. The scores range from 6 to 10, with 8, 9 and 10 prostate cancers behaving more aggressively. Biden’s office said his score was 9, suggesting his cancer is among the most aggressive.
Watch: BBC speaks to former White House physician about Biden’s cancer treatment options
Former US President Joe Biden, 82, has been diagnosed with prostate cancer that has spread to his bones, a statement from his office said on Sunday.
Biden, who left office in January, was diagnosed on Friday after he saw a doctor last week for urinary symptoms.
The cancer is a more aggressive form of the disease, characterised by a Gleason score of 9 out of 10. This means his illness is classified as “high-grade” and the cancer cells could spread quickly, according to Cancer Research UK.
Biden and his family are said to be reviewing treatment options. His office added that the cancer was hormone-sensitive, meaning it could likely be managed.
In Sunday’s statement, Biden’s office said: “Last week, President Joe Biden was seen for a new finding of a prostate nodule after experiencing increasing urinary symptoms.
“On Friday, he was diagnosed with prostate cancer, characterised by a Gleason score of 9 (Grade Group 5) with metastasis to the bone.
“While this represents a more aggressive form of the disease, the cancer appears to be hormone-sensitive which allows for effective management.”
After news broke of his diagnosis, the former president received support from both sides of the aisle.
President Donald Trump wrote on his social media platform Truth Social that he and First Lady Melania Trump “are saddened to hear about Joe Biden’s recent medical diagnosis.”
“We extend our warmest and best wishes to Jill and the family,” he said, referring to former First Lady Jill Biden. “We wish Joe a fast and successful recovery.”
Former Vice-President Kamala Harris, who served under Biden, wrote on X that she and her husband Doug Emhoff are keeping the Biden family in their prayers.
“Joe is a fighter – and I know he will face this challenge with the same strength, resilience, and optimism that have always defined his life and leadership,” Harris said.
In a post on X, Barack Obama – who served as president from 2009 to 2017 with Joe Biden as his deputy – said that he and his wife Michelle were “thinking of the entire Biden family”.
“Nobody has done more to find breakthrough treatments for cancer in all its forms than Joe, and I am certain he will fight this challenge with his trademark resolve and grace. We pray for a fast and full recovery,” Obama said. In 2016, the former president launched a “Cancer Moonshot” programme and announced that Biden would lead it.
The news comes nearly a year after the former president was forced to drop out of the 2024 US presidential election over concerns about his health and age. He is the oldest person to have held the office in US history.
Biden, then the Democratic nominee vying for re-election, faced mounting criticism of his poor performance in a June televised debate against Republican nominee and current president Donald Trump. He was replaced as the Democratic candidate by his vice-president, Kamala Harris.
Prostate cancer is the second most common cancer affecting men, behind skin cancer, according to the Cleveland Clinic. The US Centres for Disease Control and Prevention (CDC) says that 13 out of every 100 men will develop prostate cancer at some point in their lives.
Age is the most common risk factor, the CDC says.
Dr William Dahut, the Chief Scientific Officer at the American Cancer Society and a trained prostate cancer physician, told the BBC that the cancer is more aggressive in nature, based on the publicly-available information on Biden’s diagnosis.
“In general, if cancer has spread to the bones, we don’t think it is considered a curable cancer,” Dr Dahut said.
He noted, however, that most patients tend to respond well to initial treatment, “and people can live many years with the diagnosis”.
Dr Dahut said that someone with the former president’s diagnosis will likely be offered hormonal therapies to mitigate symptoms and to slow the growth of cancerous cells.
Biden had largely retreated from the public eye since leaving the White House and he has made few public appearances.
The former president delivered a keynote speech in April at a Chicago conference held by the Advocates, Counselors, and Representatives for the Disabled, a US-based advocacy group for people with disabilities.
Biden has faced questions about the status of his health in recent months.
In an appearance on The View programme that also took place in May, Biden denied claims that he had been experiencing cognitive decline in his final year at the White House. “There is nothing to sustain that,” he said.
For many years, the president had advocated for cancer research.
In 2022, he and Mrs Biden relaunched the Cancer Moonshot initiative with the goal of mobilising research efforts to prevent more than four million cancer deaths by the year 2047.
Biden himself lost his eldest son, Beau, to brain cancer in 2015.
Doctors discovered the cancer in Joe Biden last week after urinary symptoms and the detection of a prostate nodule.
Former United States President Joe Biden has been diagnosed with “aggressive” prostate cancer, his office has said in a statement.
Biden was seen last week by doctors after urinary symptoms developed and a prostate nodule was found. He was diagnosed with prostate cancer on Friday, with the cancer cells having spread to the bone, the statement released on Sunday said.
“While this represents a more aggressive form of the disease, the cancer appears to be hormone-sensitive, which allows for effective management,” his office said.
“The President and his family are reviewing treatment options with his physicians”, it added.
The health of the 82-year-old Biden was a key concern among US voters during his time as president and became more so during the 2024 campaign.
After a calamitous debate performance in June 2024, Biden abandoned his bid for a second term. Then-Vice President Kamala Harris became the nominee and lost to Donald Trump, who returned to the White House after a four-year hiatus.
Trump, a longtime political opponent, who has lambasted Biden and continues to blame him for wars and economic ills, posted on social media that he was saddened by the news and “we wish Joe a fast and successful recovery”.
Pete Buttigieg, who was Biden’s transportation secretary, called the former president “a man of deep faith and extraordinary resilience”.
Biden, a self-proclaimed Zionist, was heavily criticised in some quarters at home and overseas for his unconditional support for Israel in its punishing Gaza war after the Hamas-led October 7 attack, and for not using Washington’s leverage to rein in US ally Israel, as death and devastation wracked Palestinians in Gaza.
In recent days, Biden rejected concerns about his age despite reporting in the new book Original Sin that aides had shielded the public from the extent of his cognitive decline while he served as president.
Some prominent Democratic politicians have recently acknowledged that it was a mistake to advance Biden as the nominee, one that likely cost them the White House, given the growing concerns among voters about his age, even though Trump was in his late 70s.
A Reuters/Ipsos polls, some time before the debate, showed a majority of Americans, including most Democrats, believed Biden was too old to serve a second term.
“It was a mistake for Democrats to not listen to the voters earlier,” Democratic U.S. Senator Chris Murphy told NBC News’ “Meet the Press” on Sunday morning, before Biden’s diagnosis was announced.
Prostate cancers are given a ranking called a Gleason score that measures, on a scale of 1 to 10, how the cancerous cells look compared with normal cells. Biden’s score of 9 suggests his cancer is among the most aggressive.
When prostate cancer spreads to other parts of the body, it often spreads to the bones. Metastasised cancer is much harder to treat than localised cancer because it can be hard for drugs to reach all the tumours and completely root out the disease.
Biden lost a son, Beau Biden, in 2015, to brain cancer.
WASHINGTON — Former President Biden has been diagnosed with an “aggressive form” of prostate cancer, his office said Sunday.
Biden was seen last week by doctors after urinary symptoms and a prostate nodule was found. He was diagnosed with prostate cancer Friday, with the cancer cells having spread to the bone. His office said he has Stage 9 cancer.
“While this represents a more aggressive form of the disease, the cancer appears to be hormone-sensitive which allows for effective management,” his office said in a statement. “The President and his family are reviewing treatment options with his physicians.”
Prostate cancers are given a rating called a Gleason score that measures, on a scale of 1 to 10, how the cancerous cells look compared with normal cells. Biden’s score of 9 suggests his cancer is among the most aggressive.
When prostate cancer spreads to other parts of the body, it often spreads to the bones. Metastasized cancer is much harder to treat than localized cancer because it can be hard for drugs to reach all the tumors and completely root out the disease.
However, when prostate cancers need hormones to grow, as in Biden’s case, they can be susceptible to treatment that deprives the tumors of hormones.
The health of Biden, 82, was a dominant concern among voters during his time as president. After a calamitous debate performance in June while seeking reelection, Biden abandoned his bid for a second term. Then-Vice President Kamala Harris became the nominee and lost to Republican Donald Trump, who returned to the White House after a four-year hiatus.
But in recent days, Biden rejected concerns about his age despite reporting in a new book, “Original Sin” by Jake Tapper and Alex Thompson, that aides had shielded the public from the extent of his decline while he was serving as president.
In February 2023, Biden had a skin lesion removed from his chest that was a basal cell carcinoma, a common form of skin cancer. And in November 2021, he had a polyp removed from his colon that was a benign but potentially pre-cancerous lesion.
In 2022, Biden made a “cancer moonshot” one of his administration’s priorities with the goal of halving the cancer death rate over the next 25 years. The initiative was a continuation of his work as vice president to address a disease that had killed his older son, Beau.
In March 2024, I wrote a column about President Biden’s State of the Union speech with a confident headline that made perfect sense to me at the time: “Chill out, my fellow Americans. Your president isn’t cognitively impaired.”
Boy was I wrong. For months, critics and supporters had been raising pointed questions about the president’s physical health and intellectual acuity. Had he won the November election, after all, he would have been the oldest president in American history. (Since he lost, that honor goes to the current White House occupant.) But during his hourlong speech to Congress, Biden had sparred repeatedly with Republican hecklers. He was on his game. Democrats were relieved.
Having watched Trump raise spurious questions during the 2016 campaign about Hillary Clinton’s health —particularly after she was visibly ill at a 9/11 ceremony in Manhattan — I thought Republicans were harping on the issue of Biden’s age more as a tactic than anything else. It was a good distraction, considering that his opponent, then-former President Trump, was only a few years younger and given to rambling incoherence himself.
Republicans may have exaggerated Biden’s issues, but they were, as we soon learned, in the main, correct. By the time the president stood slack-jawed and confused on a debate stage with Trump only three months after his triumphant State of the Union address, it was clear that something was very, very wrong. The debate stage can be a cruel place, and with no prepared speech loaded onto a teleprompter, Biden was suddenly naked in the spotlight. It was not a pretty sight, and suddenly, he was no longer a tenable presidential candidate.
But why are we talking about this old news when we have a president flouting every ethical norm of his office, wantonly violating the Constitution and cozying up to murderous dictators such as Mohammed bin Salman, the Saudi crown prince whom the CIA concluded had ordered the 2018 killing and dismemberment of Washington Post columnist and Saudi dissident Jamal Khashoggi?
Biden is back in the news thanks to “Original Sin: President Biden’s Decline, Its Cover-Up, and His Disastrous Choice to Run Again,” by longtime CNN anchor Jake Tapper and Axios White House correspondent Alex Thompson. The book, whose subtitle says it all, has been excerpted in the New Yorker and reviewed by other publications. Its publication date is Tuesday.
I tried to get my hands on a copy, but the publishing house blew me off.
In any case, so much of the book’s insider information has been made available that it is possible to make a convincing case, even from a distance, that Biden’s insistence on running for a second term, despite his promise to be a one-term “bridge,” and his belated decision to drop out, is how we got to where we are today: in the grip of a chaotic, despotic self-dealing president who is turning the Constitution on its head.
Heckuva job, Joe!
I was as surprised as anyone that Biden became the nominee in 2020. I recall watching him stump in Iowa, certain that he was too old for the job. Onstage, he was shouty, his voice rising and falling for no particular reason — “mistaking volume for passion,” as I wrote back then.
And yet, for all his faults, gaffes and frailties, I would still prefer an impaired Biden to the corruptfelon who currently occupies the Oval Office.
Those who have read “Original Sin” say that it does not contain any bombshells. What it offers is a detailed account of the systematic effort by family and advisors to conceal the truth from the American people, and calls out the cowardly Democratic leaders who knew Biden was not up to a second term but were afraid to cross him.
As the Washington Post put it in its review: “The book is a damning account of an elderly, egotistical president shielded from reality by a slavish coterie of loyalists and family members united by a shared, seemingly ironclad sense of denial and a determination to smear anyone who dared to question the president’s fitness for office as a threat to the republic covertly working on behalf of Trump.”
For that, the White House Correspondents’ Assn. awarded him its top honor in April. In his acceptance speech, Thompson was unflinching.
“President Biden’s decline and its cover-up by the people around him is a reminder that every White House, regardless of party, is capable of deception,” he said. “But being truth tellers also means telling the truth about ourselves. We, myself included, missed a lot of this story, and some people trust us less because of it. We bear some responsibility for faith in the media being at such lows. … We should have done better.”
I take his point. We are now living with the consequences of our failures.
Original Sin: President Biden’s Decline, Its Cover-Up, and His Disastrous Choice to Run Again
By Jake Tapper and Alex Thompson Penguin Press: 352 pages, $32 If you buy books linked on our site, The Times may earn a commission from Bookshop.org, whose fees support independent bookstores.
Jake Tapper and Alex Thompson’s superbly reported “Original Sin: President Biden’s Decline, Its Cover-Up, and His Disastrous Choice to Run Again” reads like a Shakespearean drama on steroids. During his latter years as No. 46, Biden is portrayed as a lion in winter — shockingly frail and forgetful with a ferocious pride that blinds him to the fact that it’s time to exit the stage. He was assisted in that delusion, the authors claim, by the mythology his family erected around him — that he was indestructible — and by his zealously protective inner circle, dubbed “the Politburo.”
Though Tapper and Thompson’s mostly anonymous sources (it’s jarring that so few went on the record) suggest that the first disturbing signs of Biden’s diminished capacities emerged as early as 2015, many around him chalked them up to the “Bidenness” of it all: “He was known on the Hill for being congenitally prone to long stories, gaffes, and inappropriate comments,” the authors observe. “Even in tightly choreographed Zoom calls with friendly audiences, Biden could step on a rake.”
That propensity appeared to morph into something more worrisome even before Biden was elected president. An unnamed Democrat who witnessed candidate Biden being prepped for a taping prior to the 2020 convention in Milwaukee was startled by his incoherence, commenting that it “was like watching Grandpa who shouldn’t be driving.” Once in office, the White House staff “treated him as very delicate,” and the pandemic gave aides an excuse to build “barriers” around him so few could gain access. The news media and public were kept at arm’s length, as were many members of the Cabinet and Congress, which led to a “uniquely small and loyal inner circle.” “I’ve never seen a situation like this before, with so few people having so much power,” said one unidentified top official.
That elite quintet consisted of domestic policy advisor Bruce Reed, chief strategist Mike Donilon, legislative affairs guru Steve Ricchetti and chief of staff Ron Klain, each of whom had deep ties to Biden. “Five people were running the country, and Joe Biden was at best a senior member of the board,” offered one person familiar with the dynamic. As time went on and more grew concerned about Biden’s behavior, those who inquired were routinely told that everything was okay. One staffer who didn’t have regular access to Biden during this period said that when they did see him in person, they were “shocked, but the other people around him didn’t seem to be, so I didn’t say anything.”
It wasn’t until around the time Biden broke his one-term pledge to be a “bridge” president and made clear he intended to run again that some began to feel a sense of alarm. For example, in 2023, Congressman Mike Quigley (D-Ill.) was with Biden when he visited Ireland. Biden seemed to gain strength from the crowds that greeted him, but then appeared “sapped and not quite there.” The authors write that Quigley “realized why this all felt so familiar to him … This was how his father, Bill, had been before he died.” Similarly, Minnesota Congressman Dean Phillips was so disturbed by Biden’s reduced “speaking and walking skills” that he pressed Democratic officials as to whether the president was up to the job. Even those who admitted to having concerns offered the “yes, but,” as in, “Yes, Biden is in decline but can you imagine Trump winning?” Phillips could imagine such a scenario, “especially if Biden were the Democratic nominee.” Failing to get anyone to take his worries seriously, he declared his own candidacy. But “the whale who spouts gets harpooned,” Phillips later noted after the “Democratic machine” set out to quash his chances. He reluctantly pulled out of the race and “watched his party sleepwalk toward disaster.”
Alex Thompson, left, and Jake Tapper argue that there was a conspiracy to conceal President Biden’s “cognitive diminishment” from the press, public and top Democrats.
(Elliott O’Donovan)
Though some top Democratic supporters such as Hollywood mogul Ari Emanuel refused to support Biden’s bid for reelection — even shouting at Klain during a “power-player retreat” that, “Joe Biden cannot run for reelection! He needs to drop out!” — most remained in the president’s corner until his disastrous debate performance in late June 2024. Following that, the slow drip of Biden allies calling for him to withdraw became a downpour, with even loyalists like George Clooney remarking publicly in an op-ed that while he “loved” Joe Biden, “the one battle he cannot win is the fight against time.”
Was there a conspiracy to conceal Biden’s symptoms from the press, public and top Democrats? The authors conclude there was. “The original sin of Election 2024,” they write, “was Biden’s decision to run for reelection — followed by aggressive efforts to hide his cognitive diminishment.” The course Biden’s family and inner circle chose was tantamount to “gaslighting the American people.” Many other key Democratic officials and donors simply felt that even a weakened Biden was the best bet against the “existential threat” posed by Trump, until the debate shattered that rationalization. In any case, Biden allies “who voiced fears were flicked away like lint.”
In the end, I’m not convinced there was a coordinated campaign to hide the truth about Biden’s “condition,” but maybe that doesn’t matter. In the book’s final chapter, the authors quote former Watergate special prosecutor and law professor Archibald Cox on what lessons Americans should take away from the Watergate scandal. He observes that “we should be reminded of the corrupt influence of great power. … Perhaps it is inescapable that modern government vests extraordinary power in the President and puts around him a large circle of men and women whose personal status and satisfaction depends entirely on pleasing one man.”
But Biden isn’t Nixon. He is a man who generated intense love and loyalty, whose life has been filled with tragedy as well as opportunity; who adeptly and passionately served his country for decades. “Original Sin” is not a compassionate account of Biden’s last campaign — at times it’s even a painful, if necessary, piece of journalism. A great takeaway from 2024, according to political strategist David Plouffe, is that “never again can we as a party suggest to people that what they’re seeing is not true.” We don’t know if Trump could have been defeated had Biden opted not to run. But in the future, we can’t afford to be in denial.
Haber is a writer, editor and publishing strategist. She was director of Oprah’s Book Club and books editor for O, the Oprah Magazine.
PHOENIX — Former President Biden’s time in office is behind him, but his age and mental acuity have become an issue for the next leaders in his party.
Audio was published Friday from portions of interviews Biden gave to federal prosecutors in 2023, the latest in a stream of reports putting questions about Biden’s health back in the spotlight. Months after former Vice President Kamala Harris lost the presidential election to Donald Trump, a new book alleges that White House aides covered up Biden’s physical and mental decline.
Several potential Democratic contenders for the 2028 nomination have been asked in recent days whether they believe Biden was declining in office or whether he should have sought reelection before a disastrous debate performance led to his withdrawal.
Many Democrats would prefer to focus on President Trump’s second term and his sagging poll numbers. Trump has done his best to prevent that — mentioning Biden’s name an average of six times per day during his first 100 days in office, according to an NBC News analysis — and Republicans have followed his lead, betting that voters frustrated by Trump’s policy moves will still prefer him over memories of another unpopular presidency.
In the race for Virginia governor, one of this year’s highest-profile contests, Republican Winsome Earle-Sears is running a pair of digital ads tying Democratic former Rep. Abigail Spanberger to Biden, with images of the two hugging and the former president calling her a friend.
“The stench of Joe Biden still lingers on the Democratic Party,” Democratic strategist Sawyer Hackett said. “We have to do the hard work of fixing that, and I think that includes telling the truth, frankly, about when we were wrong.”
Democratic Sen. Chris Murphy of Connecticut told Politico this week that “there’s no doubt” that Biden, now 82, experienced cognitive decline as president.
Pete Buttigieg, who was Biden’s Transportation secretary, wasn’t as blunt but stopped short of defending Biden’s initial decision to run for reelection. He responded “maybe” when asked Tuesday whether the Democratic Party would have been better off if Biden hadn’t declared a bid for a second term.
“Right now, with the advantage of hindsight, I think most people would agree that that’s the case,” Buttigieg told reporters during a stop in Iowa.
Illinois Gov. J.B. Pritzker said he didn’t see signs of mental or physical decline in his meetings with Biden.
“I saw him a few times,” he told CNN this week. “I certainly went to the White House whenever there was an opportunity for me to make the case for something for people in my state. And I never had the experience of anything other than a guy who brought to the table a lot of good ideas about how to solve problems.”
The book “Original Sin,” by journalists Jake Tapper of CNN and Alex Thompson of Axios, revives a core controversy of Biden’s presidency: his decision to run for a second term despite voters, including Democrats, telling pollsters that he should not. Biden would have been 86 at the end of a second term had he won in November.
A spokesperson for Biden did not respond to a request for comment.
“We continue to await anything that shows where Joe Biden had to make a presidential decision or where national security was threatened or where he was unable to do his job,” the spokesperson has told many media outlets in response to the book.
Late Friday, Axios published portions from audio recordings of Biden’s six hours of interviews with prosecutors investigating his handling of classified documents after his term as vice president ended in 2017, for which he was not charged.
The Biden administration had already released transcripts of the interviews, but the recordings shed light on special counsel Robert Hur’s characterization of Biden as “a sympathetic, well-meaning, elderly man with a poor memory” and appeared to validate his claim that the then-president struggled to recall key dates, including the year his son Beau died of cancer — 2015.
Biden and his aides fiercely objected to Hur’s report, which they characterized as a partisan hit. Biden at that time — early 2024 — was still planning to run for a second term and fending off accusations that he was too old for another four years in the job.
The recordings released by Axios include Biden’s discussion of his son’s death. His responses to some of the prosecutors’ questions are punctuated by long pauses, and his lawyers at times stepped in to help him recall dates and timelines.
Before he dropped his reelection bid last summer, Biden faced widespread doubts within his own party, even as Democratic leaders dismissed a series of verbal flubs and Republican allegations about his declining acuity.
In January 2022, a year into Biden’s first term, an AP-NORC Center for Public Affairs Research poll found that only 48% of Democrats wanted him to seek reelection. That fell to 37% of Democrats in an AP-NORC poll in February 2023. Three-quarters of Americans — and 69% of Democrats — said in August 2023 that they believed Biden was too old to serve as president for another four-year term.
And shortly after his debate flop, nearly two-thirds of Democrats said Biden should withdraw from the race.
Biden and former First Lady Jill Biden appeared on ABC’s “The View” on May 8 in a preemptive defense of his health and decision-making before the first excerpts of “Original Sin” were published.
The former president said he’s responsible for Trump’s victory but attributed Harris’ loss, at least in part, to sexism and racism. He maintained that he would have won had he remained the Democratic nominee. Both Bidens rejected concerns about his cognitive decline.
Patricia McEnerney, a 74-year-old Democrat in Goodyear, Ariz., said Biden should not have tried to run again.
“I think it’s sad the way it ended,” she said.
She compared him to Douglas MacArthur, the World War II and Korean War general famously dismissed by President Truman.
“I think he needs to stop giving interviews. I think that would help,” McEnerney said. “Like MacArthur said, generals just fade away.”
Janet Stumps, a 66-year-old Democrat also from Goodyear, a Phoenix suburb, had a different view.
“I don’t think it’s going to hurt the Democrats,” Stumps said. “I feel badly that he feels he has to defend himself. I don’t think he has to. Everybody ages. And the fact that he did what he did at his age, I think he should be commended for it.”
Hackett, the Democratic strategist, predicted Biden won’t be a major factor in the 2026 midterms or the 2028 presidential primaries. But he said Democrats who want voters to trust them would be well-served “by telling the truth about the mistakes that our party made in the run-up to 2024.”
“Those mistakes were largely driven by Joe Biden, and I think any Democrat not willing to say that is not really prepared to face the voters, who want the truth and they want authenticity,” Hackett said.
Rick Wilson, a former GOP strategist who co-founded the anti-Trump group the Lincoln Project, said Republicans want to talk about Biden to avoid defending Trump. But he said the strategy is folly.
Besides “political nerds,” he said, “no one else cares.”
Cooper writes for the Associated Press. AP writer Thomas Beaumont in Cedar Rapids, Iowa, contributed to this report.
WASHINGTON — Markets rejoiced this week over news that the Trump administration, after six weeks of maximalist rhetoric, had struck a preliminary deal with China to lower tariff rates between the two countries. Tech stocks led the rally, with investors hopeful that President Trump had finally retreated from plans for a protracted trade war with a vital trading partner.
But the celebration may be premature, industry insiders, foreign diplomats and market experts said, telling The Times that Silicon Valley will face strong headwinds in the months ahead — the makings of a perfect storm of uncertainty that could still tip the U.S. economy into recession.
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Investigation at Commerce
Wall Street reacted with similar exuberance last month on word that tech products, such as smartphones and computers, would be exempt from Trump’s 145% tariffs on China — a figure that was reduced in the deal struck on Monday to 30%, marking a significant reduction, but still far higher than tariffs have ever been on Chinese imports.
And yet the April 12 White House announcement outlining exemptions was widely misunderstood as a walk-back. In fact, those tech products, including the iPhone, are exempted from existing tariff rates only temporarily, because the Commerce Department is conducting an ongoing review of whether to impose separate import duties on the sector over specific national security concerns.
The investigation, under Section 232 of the Trade Expansion Act of 1962, is progressing, with the Commerce Department recently ending its acceptance of public comments. The department, led by Secretary Howard Lutnick, could issue findings anytime in the coming months, alongside a tariff rate of unknown size that may severely affect Silicon Valley companies.
The review is causing uncertainty in its own right. But Lutnick has indicated that action is forthcoming. He has repeatedly advocated for the iPhone to be manufactured in the United States — a process that would require a large, skilled workforce in high-tech manufacturing produced by the very universities being targeted by the Trump administration, and would substantially increase the price of computing products for American households.
Scott Bessent, the Treasury secretary who has earned greater confidence than Lutnick from the business community, is the one leading trade negotiations with China, where many of those products are made. That has Silicon Valley executives questioning which one of them is in charge, and whom they should be speaking with, according to one tech executive, speaking on condition of anonymity because they are not authorized to speak publicly.
“The core issue for Silicon Valley lies in the uncertainty and potential cost disruption these bring to critical technology components, especially semiconductors,” said Subhajyoti Bandyopadhyay, a professor of information systems and operations management at the University of Florida.
“While ostensibly about national security, the application of these investigations can introduce significant volatility into supply chain planning and investment decisions. Companies might hesitate to commit to certain sourcing strategies if there’s a persistent threat,” he added. “All of which is to say that there will be quite a bit of turbulence ahead for strategic planners of Silicon Valley firms.”
Looming battle with Europe
Announcing the reduction in trade tensions with China on Monday, Trump turned his attention to the European Union, another major trading partner, and levied a threat.
“The European Union is in many ways nastier than China,” the president said. “They’ll come down a lot. You watch. We have all the cards. They treat us very unfairly.”
But the Europeans believe they have some cards, as well.
Trump’s focus on trade with Europe has been on tangible goods, such as agricultural products, manufactured items, pharmaceuticals and cars — a grouping of products that on their own would show a significant U.S. trade deficit with the continent. But European officials use different math. They want to account for European use of U.S. digital services to level the playing field.
One European official, granted anonymity to speak candidly, said that the taxation of digital services — such as online advertising, social media platforms and streaming services — is expected to be a “significant” component of the upcoming negotiations.
“Silicon Valley should be very concerned,” said Michael Strain, director of economic policy studies at the American Enterprise Institute. “The U.S. really stands to lose if there are certain tariffs that are brought to services, and I think people in the U.S. understand that, and would try to prevent it from happening.”
Targeting the U.S. digital sector offers Europe potent leverage in negotiations with the Trump administration, not only because it represents such a large portion of the American economy, but also because it applies acute pressure on Trump’s political allies in Silicon Valley — a tactic that could ultimately persuade him to cave.
“Trump blinked on the China tariffs at least in part because China aggressively retaliated,” Strain said. “That will be interesting to watch if other trading partners modify their strategy: learning that punching the bully in the nose is the right thing to do.”
Rates remain high on China
One of Trump’s first calls on Monday morning after announcing his temporary truce with China was to Apple’s chief executive, Tim Cook. “He’s going to be building a lot of plants in the United States for Apple,” Trump said. “We look forward to that.”
Apple can’t build them fast enough. Although it committed $500 billion in investments over the next four years in U.S. production, including new plants and a manufacturing academy, uncertainty in the interim will force the company to make hard decisions on its product lines.
Despite some protection from the exemptions in place as the Commerce investigation proceeds, the California tech giant still faces hurdles from the tariffs that remain high across supply chains — not just in China, where rates remain at 30%, but also elsewhere in Asia, including India and Vietnam, which face 10% import duties. In the most recent earnings call, before the China deal was announced, Cook estimated that Apple could incur a $900-million hit from tariffs.
“For companies like Apple, and indeed much of Silicon Valley, this overall environment isn’t just about weathering a storm; it’s about fundamentally rethinking global operations,” Bandyopadhyay said. “We’re already witnessing the strategic pivots.”
To offset the costs of tariffs, Apple could increase the prices of iPhones in the fall. But the company also has to walk a fine line both politically and financially. The Trump administration has been critical of companies such as Amazon that have considered showing consumers the impact of tariffs.
“This is all sort of a game of poker, and also remember, Tim Cook is 10% politician, 90% CEO,” said Dan Ives, a Wedbush Securities analyst who covers the technology sector.
Ives said the upcoming iPhone 17 could cost $100 more than the current model, but his firm estimates that could reduce demand by 5%, delaying consumers’ purchases of new devices. Other analysts said it is tough to say if prices will increase, with the smartphone maker keeping prices relatively stable in recent years.
The debate over Apple’s fate has proved to be a sensitive point in U.S. negotiations with Beijing. Last month, the Chinese Foreign Ministry recirculated a video from a visit Cook made to China in 2017, in which he explained why Silicon Valley companies find themselves so reliant on the Chinese supply chain.
“The popular conception is that companies come to China because of low labor costs. I am not sure what part of China they go to, but the truth is China stopped being a low-labor-cost country many years ago,” Cook said at the time. “The reason is because of the skill, the quantity of skill in one location, and the type of skill it is.”
“The products we do require really advanced tooling and the precision that you have to have in tooling and working with materials that we do are state-of-the-art,” he added. “If you look at the U.S., you could have a meeting of tooling engineers and I’m not sure we could fill a room. In China, you could fill multiple football fields.”
Times staff writer Queenie Wong in San Francisco contributed to this report.
WASHINGTON — A small nodule was found in the prostate of former President Biden during a routine physical exam, a spokesperson said Tuesday.
A short statement said the finding “necessitated further evaluation,” but it was not clear whether that had already taken place or the outcome of the examination.
The detection of nodules in the prostate generally requires a further exam by a urologist to rule out prostate cancer. These kinds of abnormal growths can be caused by cancer or by less serious conditions, including inflammation or an enlarged prostate.
Biden is 82. His age and concerns about his health were cited by Democratic leaders who pressed him to abandon his reelection bid in 2024 following a disastrous debate performance last June.
But as recently as last week, Biden rejected concerns about his age, saying the broader party didn’t buy into that, and instead blaming the Democratic leadership and “significant contributors.”
President Trump repeatedly raised questions about Biden’s physical and mental capacity during the campaign.
In February 2023, Biden had a skin lesion removed from his chest that was a basal cell carcinoma, a common form of skin cancer. And in November 2021, he had a polyp removed from his colon that was a benign, but potentially pre-cancerous lesion.
