Erin Moriarty, the outspoken and righteous Starlight of “The Boys,” is speaking out about her health, specifically her ongoing battle with an autoimmune disorder.
Moriarty, 30, revealed to her Instagram followers on Friday that she was diagnosed last month with Graves’ disease, an autoimmune disorder in which the thyroid becomes overactive. In the caption of her post, Moriarty expresses the positive effects of treatment but reveals the disorder could have been identified earlier “if I hadn’t chalked it all up to stress and fatigue.”
The “Jessica Jones” and “One Life to Live” actor shared a carousel of photos including text message exchanges with her parents. In one screenshot Moriarty tells her mother “I really need relief” as she details her discomfort. “I can’t live like this forever,” she writes.
“It’s not just fatigue — it’s an ineffable, system wide cry for help and I don’t know how long I can remain in this state,” Moriarty continues in her text to her mother.
Moriarty did not reveal too much about her symptoms, noting in her caption that “autoimmune disease manifests differently in everybody/every body.” According to the Mayo Clinic, symptoms of Graves’ disease can include “feeling nervous or irritable,” slight tremors of the hands or fingers, weight loss, menstrual changes and heart palpitations. Wendy Williams, Daisy Ridley and Missy Elliott have also spoken publicly about living with Graves’ disease.
“Within 24 hours of beginning treatment, I felt the light coming back on,” Moriarty said in her caption. “It’s been increasing in strength ever since.”
She did not reveal the details of her treatment, but Moriarty told her father in a text message, “I already feel a world of a difference” and that she has since been thinking, “‘Damn, this is how I’m supposed to feel? I’ve been missing out!’”
Since “The Boys” premiered on Prime Video in 2019, Moriarty has starred as superhero Annie January, a.k.a. Starlight, who possesses the power to fly and manipulate light. Without spoiling too much about the series, it now seems Moriarty knows what it’s like to lose her spark on- and off-screen — and how to get it back.
She concluded her post by urging followers to listen to their bodies and seek medical attention when something feels off. “If [your light] is dimming, even slightly, go get checked,” she said.
“Don’t ‘suck it up’ and transcend suffering; you deserve to be comfy. S—’s hard enough as is.”
Bill Plaschke, thank you for your very informative column about Parkinson’s disease and your boxing exercise program. I was diagnosed with Parkinson’s about five years ago and joined Rock Steady boxing in Burbank six months ago. We do Tai Chi, dancing, speech, the gym machines and boxing. We also work on stretching and floor exercises. My family has noticed a difference in my gait and my endurance. I hope that everyone with Parkinson’s will take heed and find an exercise program specific to their needs. I never had a right jab before, but I have a good one now.
Sandy Kaufman North Hollywood
I’m often in the mood to punch him after reading one of Plaschke’s columns, but after reading Sunday’s column I wanted nothing more than to give him a hug. It reminds me that everyone is fighting a battle none of us can see. Be kind.
Bill Hokans Santa Ana
Years of using Bill Plaschke’s notoriously incorrect Super Bowl predictions for betting guidance has led me to believe that Bill owes me, as well as his many devoted readers, a significant debt. His brave and inspiring column revealing his ongoing battle with Parkinson’s disease repays that debt, and then some.
Rob Fleishman Placentia
Don’t mind admitting I was in tears reading about Bill Plaschke’s advancing Parkinson’s and the therapy that might slow the “motion-melting nightmare” down. A 78-year-old former rugby player with arthritis and a bum knee, I’m fortunate in not having to face the dreaded Parky (yet?). If it happens, I know where to go.
Rock on, Bill, and your truly inspiring gym mates. Kudos, also, to staff photographer Robert Gauthier … every picture, indeed, tells a story.
John D.B. Grimshaw Lake Forest
I too am living with Parkinson’s disease. Plaschke’s column helped to remind me that I am not alone and this dreaded disease indeed takes no prisoners no matter who you are. I wanted to thank Bill for his column bringing awareness, insight and hope to those of us diagnosed with Parkinson’s. Bill’s humanitarian columns with a tie-in to the world of sports showcase his best writing. Bill, your observations as a Parkinson’s suffer truly hit the mark and deeply resonated with me. I wish you, and all of us afflicted with this condition, the willingness and determination to move forward and to use the power of sport and exercise to combat this devastating disease.
Mike Feix Chino Hills
Champion Bill Plaschke goes toe to toe against challenger “Parky!” Plaschke delivers a vicious uppercut to his opponent. “Down goes Parky, Down goes Parky!”
They pull giant boxing gloves over aging, sometimes shaking hands.
They approach a black punching bag on weary, sometimes wobbly feet.
Then they wail.
Lord, do they wail.
They hit the bag with a left-handed jab, a right-handed reverse, a hook, another hook, an uppercut, another jab, bam, bam, bam.
They end the flurry with kicks, side kicks, thrust kicks, wild kicks, their legs suddenly strong and purposeful and fueled by a strength that once seemed impossible.
Outside of this small gym in a nondescript office park in Monrovia, they are elderly people dealing with the motion-melting nightmare that is Parkinson’s disease.
But inside the walls of Kaizen Martial Arts & Fitness, in a program known as Kaizen Kinetics, they are heavyweight champs.
Ranging in age from 50 to 90, spanning the spectrum of swift strides to wheelchairs, they are the most courageous athletes I’ve met.
They show up here every couple of days hoping that they’ll move enough to keep the evil Parky at bay. They’re trying to punch him out, kick him off, scare him away, and they’ll endure more than an hour of sometimes painful exercise to make this happen.
They are frail women screaming, “Jab!” and shaky men screaming, “Hook!” and everyone counting with clenched teeth through 75 minutes that stretch the shrinking muscles and test the weary optimism.
Bill Plaschke participates in a boxing class for people with Parkinson’s disease at Kaizen Martial Arts Studio.
(Robert Gauthier / Los Angeles Times)
I am in awe of them, perhaps because I am one of them.
I, too, am living with Parkinson’s disease.
The irony, huh? I’ve spent my entire career writing triumphant stories about athletes overcoming illness and adversity, only to reach the home stretch struggling to find a similar triumph in a story about me.
It’s not easy. Now I know what all those subjects of all those feel-good stories understood about the truth behind my positive prose. Degenerative disease sucks beyond any inspirational adjective. Incurable illness stinks beyond any hopeful headline.
I’ve got Parkinson’s, and it hurts to even say it. I’m still mobile, still active, I don’t have the trademark tremors that distinguish the famously afflicted Michael J. Fox or the late Muhammad Ali but, damn it, I’ve got it.
I was diagnosed four years ago after complaining of weakness in my right arm. That weakness has disappeared, but it’s a constant struggle to keep everything else from slowly going to hell.
Every day it feels like I’ve just run a marathon. I move well, my balance is fine, but I’m always tight, always creaking. The amount of medication required to keep me active is so immense, my pills come in gallon jugs and I spend entire Dodger games trying to discreetly swallow them in the press box.
I move slower now. My fiancee Roxana qualifies for sainthood because whenever we go out, she must patiently wait for me to get dressed, which takes forever and is accompanied by the unholy sounds of struggle.
I don’t smile as much now. It’s harder to smile when afflicted with the trademark Parkinson’s masked face. When I FaceTime with my darling Daisy, I worry she won’t see past my dour expression and never know how much her granddaddy loves her.
Until now, my condition has only been known to my family. Not even my bosses knew. I didn’t look like Parky, I didn’t act like Parky, so why should I publicly reveal something so personal and embarrassing?
Yeah, I was embarrassed. I felt humiliated in a way that made no sense and total sense. To me, Parkinson’s implies frailty, Parkinson’s implies weakness.
But let me tell you, a 72-year-old woman pounding the living hell out of a punching bag ain’t weak.
And that’s why I’m writing about this today.
If my boxing classmates can have the strength to sweat through their tremors and wallop through their fears, then I can certainly have the strength to celebrate them without worrying what sort of light it casts on me.
I’m proud to be one of them, and the purpose of this column is to reflect that pride and perhaps make it easier for other folks afflicted with Parkinson’s to come out swinging.
Alan Shankin is assisted by Azusa Pacific University physical therapy student Desiree Alvarado as he participates in a boxing class for people with Parkinson’s disease at Kaizen Martial Arts Studio.
(Robert Gauthier / Los Angeles Times)
Officially, Parkinson’s is a neurodegenerative disease impacting both motor and non-motor systems. Translated, the brain slowly stops producing dopamine, which is crucial for movement, and the loss of this neuro-transmitter affects everything from your stride to your speech.
Roughly one million people in the United States have it, and there’s no cure for it, and it generally gets worse as one gets older. As Michael J. Fox himself once said, it’s the gift that keeps on taking.
You don’t die from it, but it can be hard to live with it, yet there is one thing that unquestionably helps slow its progression.
Exercise. Movement. Pull your achy body off the couch every day and work those quivering muscles, stretch those tight joints, perhaps join one of the many Parkinson’s programs in town that involve everything from dancing to hiking.
“For people living with Parkinson’s disease, regular exercise can reduce symptoms, help treatments work better and potentially even slow the disease progression,” Rachel Dolhun, principal medical advisor at the Michael J. Fox Foundation, wrote in an e-mail. “For some, exercise can look like participating in boxing classes. For others, it’s water aerobics, dancing or playing pickleball. Just remember that any type of and amount of exercise can positively support your journey.”
If you’re like me and you just want to punch Parky in the face, boxing works best. The 83 tough souls who t pay $179 a month to battle in the Kaizen Kinetics program agree.
“I hit the bag really hard like I’m hitting Parkinson’s,” said Rich Pumilia, 66, a lawyer from Monrovia. “Hitting it back for what it’s doing to me.”
I became aware of Jody Hould’s program, which she leads with the help of husband Tom, son Zac and Anthony Rutherford, shortly after I was diagnosed. I kept seeing their pamphlets in doctors offices and rehab centers. At the time, they were part of the popular Parkinson’s-battling Rock Steady Boxing program that has several locations through southern California. By the time I worked up the courage to fully face my illness and call the number on the pamphlet two years ago, Kaizen had become an independent program with a similar focus on boxing.
”Boxing is balancing, posture, turning, pivoting, extension, range of motion, using your core, everything that’s important to fighting the disease,” said Hould, who started the program nine years ago in memory of her late mother, Julie, who died of complications from Parkinson’s. “Plus, it’s fun to punch something.”
Hould and her team run a fast-moving program, barking out a series of punches and kicks while offering gentle reminders to those who hook when they should jab.
“Parkinson’s doesn’t take any vacations, it doesn’t take any days off, we have to be on top of our game, we have to be proactive in our fight,” Hould said. “Not only is it good for the spirit, it’s good for the mind.”
But it can be tough on the ego, as I quickly learned when a frail white-haired woman out-punched me one day while screaming at the bag. Another time an aging man with tremors and shuffled steps pounded the bag so hard it skidded into my feet.
I once showed up with a cut on my left hand and informed Hould that I would not be boxing that day.
“You still have your right hand, don’t you?” she said. “So you box one-handed.”
Bill Plaschke, right, and Paul Tellstrom team up during a boxing class for people with Parkinson’s disease at Kaizen Martial Arts Studio.
(Robert Gauthier / Los Angeles Times)
The 75-minute sessions are hard. Every exercise and maneuver are seemingly designed to do something I now have difficulty doing. Sometimes it hurts. Sometimes you want to be anywhere else.
But it works. It can’t kill Parky, but it can quiet him. Hould never promises a cure, but she sees some relief in those who join the battle. There was one boxer who eventually abandoned her walker. Others have seen a reduction in their tremors. Throughout the windowless gym there is real hope that this disease can be slowed.
Pumilia is convinced his condition has improved after attending classes for eight weeks.
“When I was diagnosed, my doctor said you have five good years left before your life is going to be impacted,” said Pumilia. “Now my doctor is basically saying, ‘I don’t know what you’re doing, but keep doing it.’”
Sharon Michaud, 65, a retired insurance executive who has also come to class for eight years, agrees.
“Without a doubt, it’s helped me,” said Michaud, who is noticeable in the class because she moves like a gymnast. “With Parkinson’s it’s easy to get into a funk and get depressed. You come here and it’s nice to know there are other people like you. I’m amazed more people don’t know there’s places like this out here.”
Maybe this story will shed some light on that. Maybe this story will inform a closeted Parkinson’s patient about programs like Kaizen Kinetics and empower them to pick up the phone and join.
If you decide to come to Monrovia, I’ll be the breathless guy in the back still unable to deliver a knockout punch but continually inspired by fellow fighters to keep trading blows with my hardest of truths.
I leave that gym sweaty and sore but uplifted with the reminder that I am blessed to still lead a wonderful active life filled with family and friends and work and travel and so, so much hope.
I have Parkinson’s. But, by God, it doesn’t have me.
LEOPOLD, Ind. — On the ceiling of Abbie Brockman’s middle school English classroom in Perry County, the fluorescent lights are covered with images of a bright blue sky, a few clouds floating by.
Outside, the real sky isn’t always blue. Sometimes it’s hazy, with pollution drifting from coal-fired power plants in this part of southwest Indiana. Knowing exactly how much, and what it may be doing to the people who live there, is why Brockman got involved with a local environmental organization that’s installing air and water quality monitors in her community.
“Industry and government is very, very, very powerful. It’s more powerful than me. I’m just an English teacher,” Brockman said. But she wants to feel she can make a difference.
In a way, Brockman’s monitoring echoes the reporting that the Environmental Protection Agency began requiring from large polluters more than a decade ago. Emissions from four coal-fired plants in southwest Indiana have dropped 60% since 2010, when the rule took effect.
That rule is now on the chopping block, one of many that President Trump’s EPA argues is costly and burdensome for industry.
But experts say dropping the requirement risks a big increase in emissions if companies are no longer publicly accountable for what they put in the air. And they say losing the data — at the same time the EPA is cutting air quality monitoring elsewhere — would make it tougher to fight climate change.
Rule required big polluters to say how much they are emitting
At stake is the Greenhouse Gas Reporting program, a 2009 rule from President Obama’s administration that affects large carbon polluters like refineries, power plants, wells and landfills. In the years since, they’ve collectively reported a 20% drop in emissions, mostly driven by the closure of coal plants.
And what happens at these big emitters makes a difference. Their declining emissions account for more than three-quarters of the overall, if modest, decline in all U.S. greenhouse gas emissions since 2010.
The registry includes places not usually thought of as big polluters but that have notable greenhouse gas emissions, such as college campuses, breweries and cereal factories. Even Walt Disney World in Florida, where pollution dropped 62% since 2010, has to report along with nearly 10,600 other places.
“We can’t solve climate change without knowing how much pollution major facilities are emitting and how that’s changing over time,” said Jeremy Symons, a former EPA senior climate advisor now at Environmental Protection Network, an organization of ex-EPA officials that monitors environmental policies. The group provided calculations as a part of the Associated Press’ analysis of impacts from proposed rule rollbacks.
Symons said some companies would welcome the end of the registry because it would make it easier to pollute.
Experts see a role for registry in cutting emissions
It’s not clear how much the registry itself has contributed to declining emissions. More targeted regulations on smokestack emissions, as well as coal being crowded out by cheaper and less polluting natural gas, are bigger factors.
But the registry “does put pressure on companies to … document what they’ve done or at least to provide a baseline for what they’ve done,” said Stanford University climate scientist Rob Jackson, who heads Global Carbon Project, a group of scientists that tally national carbon emissions yearly.
Gina McCarthy, a former EPA administrator under Obama, said the registry makes clear how power plants are doing against each other, and that’s an inducement to lower emissions.
“It is money for those companies. It’s costs. It’s reputation. It’s been, I think, a wonderful success story and I hope it continues.”
The potential end of the reporting requirement comes as experts say much of the country’s air goes unmonitored. Nelson Arley Roque, a Penn State professor who co-authored a study in April on these “monitoring deserts,” said about 40% of U.S. lands are unmonitored. That often includes poor and rural neighborhoods.
“The air matters to all of us, but apparently 50 million people can’t know or will never know’’ how bad the air is, Roque said.
EPA seeks to cancel money to fund some air monitoring
The EPA is also trying to claw back money that had been earmarked for air monitoring, part of the termination of grants that it has labeled as targeting diversity, equity and inclusion. That includes $500,000 that would have funded 40 air monitors in a low-income and minority community in the Charlotte, N.C., area.
CleaneAIRE NC, a nonprofit that works to improve air quality across the state that was awarded the grant, is suing.
“It’s not diversity, equity and inclusion. It’s human rights,” said Daisha Wall, the group’s community science program manager. “We all deserve a right to clean air.”
Research strongly links poor air quality to diseases like asthma and heart disease, with a slightly less established link to cancer. Near polluting industries, experts say what’s often lacking is either enough data in specific locations or the will to investigate the health toll.
Indiana says it “maintains a robust statewide monitoring and assessment program for air, land and water,” but Brockman and others in this part of the state, including members of Southwestern Indiana Citizens for Quality of Life, aren’t satisfied. They’re installing their own air and water quality monitors. It’s a full-time job to keep the network of monitors up and running, fighting spotty Wi-Fi and connectivity issues.
Fighting industry is a sensitive subject, Brockman added. Many families depend on jobs at coal-fired power plants, and poverty is real. She keeps snacks in her desk for the kids who haven’t eaten breakfast.
“But you also don’t want to hear of another student that has a rare cancer,” she said.
Walling, Borenstein, Bickel and Wildeman write for the Associated Press. AP writer Matthew Daly contributed to this report from Washington.
Billy Joel has canceled all upcoming concerts, revealing he has been diagnosed with a brain disorder that causes physical and mental issues.
Joel, 76, has normal pressure hydrocephalus, or NPH, according to a statement posted Friday on the piano man’s social media. “This condition has been exacerbated by recent concert performances, leading to problems with hearing, vision and balance,” the statement said.
“Under his doctor’s instructions, Billy is undergoing specific physical therapy and has been advised to refrain from performing during this recovery period.”
Symptoms of NPH — in which cerebrospinal fluid accumulates in the ventricles of the brain but pressure doesn’t increase — include difficulty walking, according to the Alzheimer’s Assn. Sufferers walk with a wide stance and their bodies leaning forward, as if they were trying to maintain balance on a boat.
The association’s website says that another symptom is cognitive decline, including slowed thinking, loss of interest in daily activities, forgetfulness, short-term memory loss and difficulty completing ordinary tasks. Later in the disease, bladder control can become an issue.
NPH is one of the few causes of dementia or cognitive decline that can be controlled or reversed with treatment, the association’s website says. Surgical treatment usually involves placement of a shunt. The condition is often misdiagnosed as Alzheimer’s or Parkinson’s disease.
Danny Bonaduce of “The Partridge Family,” radio and wrestling fame was diagnosed with NPH in 2023. The 65-year-old said in a 2024 interview that he initially thought he’d had a stroke, while doctors thought it was early-onset dementia or Alzheimer’s. It took “the better part of a year” for him to get a correct diagnosis, he said.
Bonaduce’s memory loss appears to have been serious: He showed the interviewer a photo of himself in a wheelchair checking out the house where he and his wife now live. He said he has no memory of visiting the place multiple times before moving there.
Billy Joel’s message Friday follows his mid-March announcement that he would postpone his upcoming tour to manage his health after surgery for an unspecified condition. At the time, the singer expected a full recovery after physical therapy.
Now, the statement said, Joel is “thankful for the excellent care he is receiving and is fully committed to prioritizing his health” and “looks forward to the day when he can once again take the stage.”
“I’m sincerely sorry to disappoint our audience, and thank you for understanding,” Joel said in Friday’s statement.
In late February, the “Just the Way You Are” singer fell after performing “It’s Still Rock and Roll to Me” in Connecticut. He quickly recovered; it’s unclear whether that incident was a symptom of the disease or simply coincidental.
Times staff writer Alexandra Del Rosario contributed to this report.
Once more we’re litigating Joe Biden’s catatonic debate performance, his lumbering gait, his moth-eaten memory and his selfish delusion he deserved a second term in the White House while shuffling through his ninth decade on earth.
“Original Sin,” a book by journalists Jake Tapper and Alex Thompson, published this week, is chock-full of anecdotes illustrating the lengths to which Biden’s family and palace guard worked to shield his mental and physical lapses from voters.
John Robert Greene is not at all surprised.
“It’s old news, hiding presidential illness,” said Greene, who’s written a shelf full of books on presidents and the presidency. “I can’t think of too many … who’ve been the picture of health.”
Before we go further, let’s state for the record this in no way condones the actions of Biden and his political enablers. To be clear, let’s repeat it in capital letters: WHAT BIDEN AND HIS HANDLERS DID WAS WRONG.
But, as Greene states, it was not unprecedented or terribly unusual. History abounds with examples of presidential maladies being minimized, or kept secret.
Grover Cleveland underwent surgery for oral cancer on a yacht in New York Harbor to keep his condition from being widely known. Woodrow Wilson suffered a debilitating stroke, a fact covered up by his wife and confidants, who exercised extraordinary power in his stead.
Franklin D. Roosevelt and John F. Kennedy both suffered serious, chronic ailments that were kept well away from the public eye.
Those surrounding Ronald Reagan downplayed his injuries after a 1981 assassination attempt, and the Trump administration misled the public about the seriousness of the president’s condition after he was diagnosed with COVID-19 a month before the 2020 election.
The capacity to misdirect, in Biden’s case, or mislead, as happened under Trump, illustrates one of the magical features of the White House: the ability of a president to conceal himself in plain sight.
“When you’re in the presidency, there is nothing that you can’t hide for awhile,” Greene, an emeritus history professor at Cazenovia College, said from his home in upstate New York. “You’ve got everything at your disposal to live a completely hidden double life, if you want. Everything from the Secret Service to the bubble of the White House.”
Greene likened the Neoclassical mansion at 1600 Pennsylvania Ave. to a giant fish bowl — one that is painted from the inside. It’s highly visible, but you can’t really see what’s happening in the interior.
That deflates the notion there was some grand media conspiracy to prop Biden up. (Sorry, haters.)
Yes, detractors will say it was plain as the dawning day that Biden was demented, diminished and obviously not up to the job of the presidency. Today, Trump’s critics say the same sort of thing about him; from their armchairs, they even deliver quite specific diagnoses: He suffers dementia, or Alzheimer’s or Parkinson’s disease.
That doesn’t make it so.
“It’s a very politicized process. People see what they want to see,” said Jacob Appel, a professor of psychiatry and medical education at the Icahn School of Medicine in New York City, who’s writing a book on presidential health.
“You can watch videotapes of Ronald Reagan in 1987,” Appel said, “and, depending on your view of him. you can see him as sharp and funny as ever, or being on the cusp of dementia.” (Five years after leaving the White House, Reagan — then 83 — announced he was in the early stages of Alzheimer’s disease.)
To an uncomfortable degree, those covering the White House — and, by extension, the public they serve — are forced to rely on whatever the White House chooses to reveal.
“I don’t have subpoena power,” Tapper told The Times’ Stephen Battaglio, saying he would have eagerly published the details contained in his new book had sources been willing to come forth while Biden was still in power. “We were just lied to over and over again.”
It hasn’t always been that way.
In September 1955, during his first term, President Dwight D. Eisenhower suffered a heart attack while on a golf vacation in Denver. “”It was sudden,” said Jim Newton, an Eisenhower biographer. “One minute he’s fine and the next minute he was flat on his back, quite literally.”
The details surrounding Eisenhower’s immediate treatment remain a mystery, though Newton suggests that may have had more do with protecting his personal physician, who misdiagnosed the heart attack as a bout of indigestion, than a purposeful attempt to mislead the public.
From then on, the White House was forthcoming — offering daily reports on what Eisenhower ate, his blood pressure, the results of various tests — to a point that it embarrassed the president. (Among the information released was an accounting of Ike’s bowel movements.)
“They were self-consciously transparent,” Newton said. “The White House looked to the Wilson example as something not to emulate.”
Less than 14 months later, Eisenhower had sufficiently recovered — and voters had enough faith in his well-being — that he won his second term in a landslide.
But that 70-year-old example is a notable exception.
As long as there are White House staffers, campaign advisers, political strategists and family members, presidents will be surrounded by people with an incentive to downplay, minimize or obfuscate any physical or mental maladies they face while in office.
All we can do is wait — years, decades — for the truth to come out. And, in the meantime, hope for the best.
WASHINGTON — The revelation that former President Biden has advanced prostate cancer generated more questions than answers on Monday, prompting debate among experts in the oncology community over the likely progression of his disease and resurfacing concerns in Washington over his decision last year to run for reelection.
Biden’s private office said Sunday afternoon that he had been diagnosed earlier in the week with an “aggressive form” of the cancer that had already spread to his bones, after urinary symptoms led to the discovery of a nodule on his prostate.
But it was not made clear whether Biden, 82, had been testing his prostate-specific antigens, known as PSA levels, during his presidency — and if so whether those results had indicated an elevated risk of cancer while he was still in office or during his campaign for reelection.
Biden’s diagnosis comes at a difficult time for the former president, as scrutiny grows over his decision to run for a second term last year — and whether it cost the Democrats the White House. Biden ultimately dropped out of the race after a devastating debate performance with Donald Trump laid bare widespread concerns over his age and health, leaving his successor on the Democratic ticket — Vice President Kamala Harris — little time to run her own campaign.
A book set to publish this week titled “Original Sin,” by journalists Jake Tapper and Alex Thompson, details efforts by Biden’s aides to shield the effects of his aging from the public and the press. The cancer diagnosis only intensified scrutiny over Biden’s health and questions as to whether he and his team were honest about it with the public.
“I think those conversations are going to happen,” said David Axelrod, a former senior advisor to President Obama.
President Trump, asked about Biden’s diagnosis during an Oval Office event Monday, said it was “a very, very sad situation” and that he felt “badly about it.”
But he also questioned why the cancer wasn’t caught earlier, and why the public wasn’t notified earlier, tying the situation to questions he has long raised about Biden’s mental fitness to serve as president.
PSA tests are not typically recommended for men over 70 due to the risk of false positive results or of associated treatments causing more harm than good to older patients, who are more likely to die of other causes first.
But annual physicals for sitting presidents — especially of Biden’s age — are more comprehensive than those for private citizens. And a failure to test for elevated PSA levels could have missed the progression of the disease.
A letter from Biden’s White House physician from February of last year made no mention of PSA testing, unlike the most recent letter detailing the results of Trump’s latest physical, which references a normal measurement. Biden’s current aides did not respond to requests for comment on whether his office would further detail his diagnostic testing history.
Even if his doctors had tested for PSA levels at the time, results may not have picked up an aggressive form of the cancer, experts said.
Some specialists in the field said it was possible, if rare, for Biden’s cancer to emerge and spread since his last physical in the White House. Roughly 10% of patients who are newly diagnosed with prostate cancer are found with an advanced form of the disease that has metastasized to other parts of the body.
Dr. Mark Litwin, the chair of UCLA Urology, said it is in the nature of aggressive prostate cancers to grow quickly. “So it is likely that this tumor began more recently,” he said.
Litwin said he does not doubt that Biden would have been screened for elevated PSA levels. But, he said, he could be among those patients whose cancers do not produce elevated PSA levels or whose more aggressive cancers rapidly grow and metastasize within a matter of months.
“The fact that he has metastatic disease at diagnosis, to me, as an expert in the area and as a clinician taking care of guys with prostate cancer all the time, just says that he is unfortunate,” Litwin said.
Litwin and other experts in prostate cancer from USC, Stanford, Johns Hopkins, Cedars-Sinai and the Dana-Farber Cancer Institute all told The Times that Biden’s diagnosis — at least based on publicly available information — was not incredibly unusual, and similar to diagnoses received by older American men all the time.
They said he and his doctors absolutely would have discussed testing his PSA levels, given his high level of care as president. But they also said it would have been well within medical best practices for him to decide with those doctors to stop getting tested given his age.
Dr. Howard Sandler, chair of the Department of Radiation Oncology at Cedars-Sinai, said he sees three potential explanations for Biden’s diagnosis.
One is that Biden and his doctors made a decision “to not screen any longer, which would be well within the standard of care” given Biden’s age, he said.
A second is that Biden’s was tested, and his PSA level “was elevated, maybe not dramatically but a little bit elevated, but they said, ‘Well, we’re not gonna really investigate it,’” again because of Biden’s age, Sandler said.
The third, which Sandler said was “less likely,” is that Biden’s PSA was checked “and was fine, but he ended up with an aggressive prostate cancer that doesn’t produce much PSA” and so wasn’t captured.
Zeke Emanuel, an oncologist serving as vice provost for global initiatives at the University of Pennsylvania and a former health policy official in the Biden administration, told MSNBC that Biden has likely had cancer for “more than several years.”
“He did not develop it in the last 100, 200 days. He had it while he was president. He probably had it at the start of his presidency, in 2021,” Emanuel said.
But Litwin, who said he is a friend of Emanuel’s, said most men in their 70s or 80s have some kind of prostate cancer, even if it is just “smoldering along” — there but not particularly aggressive or quickly spreading — and unlikely to be the cause of their death.
Cancer touches us all. Like so many of you, Jill and I have learned that we are strongest in the broken places. Thank you for lifting us up with love and support. pic.twitter.com/oSS1vGIiwU
He said Biden may well have had some similar form of cancer in his prostate for a long time, but that he did not believe that the aggressive form that has metastasized would have been around for as long as Emanuel seemed to suggest.
Departing Rome aboard Air Force Two, Vice President JD Vance told reporters he was sending his best wishes to the former president, but expressed concern that his recent diagnosis underscored concerns over Biden’s condition that dogged his presidency.
“Whether the right time to have this conversation is now or in the future, we really do need to be honest about whether the former president was capable of doing the job,” Vance said. “I don’t think that he was in good enough health. In some ways, I blame him less than I blame the people around him.”
Trump’s medical team has also faced questions of transparency.
When Trump was diagnosed with COVID-19 during his first term, at the height of the pandemic, he was closer to death than his White House acknowledged at the time. And his doctors and aides regularly use superlatives to describe the health of the 78-year-old president, with Karoline Leavitt, his White House press secretary, referring to him as “perfect” on Monday.
“Cancer touches us all,” Biden posted on social media alongside a photo with his wife, Jill Biden, in his first remarks on his diagnosis.
“Like so many of you, Jill and I have learned that we are strongest in the broken places,” he added. “Thank you for lifting us up with love and support.”
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.
