As Biden Prepares to Address the Nation, More Than 6 in 10 US Adults Doubt His Mental Capability 

United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)
United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)
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As Biden Prepares to Address the Nation, More Than 6 in 10 US Adults Doubt His Mental Capability 

United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)
United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)

A poll finds that a growing share of US adults doubt that 81-year-old President Joe Biden has the memory and acuity for the job, turning his coming State of the Union address into something of a real-time audition for a second term.

Roughly 6 in 10 say they're not very or not at all confident in Biden's mental capability to serve effectively as president, according to a new survey by The Associated Press-NORC Center for Public Affairs Research. That's a slight increase from January 2022, when about half of those polled expressed similar concerns.

By the same token, nearly 6 in 10 also say they lack confidence in the mental capability of former President Donald Trump, the 77-year-old Republican front-runner.

For many voters, this year's election looks like a showdown for the world's toughest job between two men who are well beyond the standard retirement age. The next president will probably need to steer through global conflicts, fix domestic emergencies and work with a dysfunctional Congress.

Biden is likely to address those challenges and more in his State of the Union address on Thursday as he tries to convince Americans that he deserves another term.

Going into the big event, just 38% of US adults approve of how Biden is handling his job as president, while 61% disapprove. Democrats (74%) are much likelier than independents (20%) and Republicans (6%) to favor his performance. But there’s broad discontent on the way Biden is handling a variety of issues, including the economy, immigration and foreign policy.

About 4 in 10 Americans approve of the way Biden is handling each of these issues: health care, climate change, abortion policy and the conflict between Russia and Ukraine. But people are less satisfied by Biden’s handling of immigration (29%), the conflict between the Israelis and the Palestinians (31%) and the economy (34%) — all of which are likely to come up in the speech before a joint session of Congress.

Nearly 6 in 10 (57%) Americans think the national economy is somewhat or much worse off than before Biden took office in 2021. Only 3 in 10 adults say it’s better under his leadership. Still, people are more optimistic about the state of their own bank accounts: 54% say their personal finances are good.

Many respondents to the survey were deeply pessimistic about their likely choices in November because of age and the risk of cognitive decline.

Paul Miller, himself 84, said Biden is just too old — and so is Trump.

“He doesn’t seem to have the mental whatever to be a president,” Miller said of Biden. He added that Trump is “too old, too, and half crazy.”

The retiree from Carlisle, Pennsylvania, said he voted for Trump in 2020 but he wouldn’t do so again.

“I don’t think I’m going to vote for either one of them,” he said. “I hope somebody else is available.”

The president faces added pressure about his age after unflattering descriptions of him contained in a special counsel’s report that did not recommend criminal prosecution of Biden for his mishandling of classified records, unlike Trump who was indicted for keeping classified material in his Florida home. The report said that Biden's memory was “hazy,” “fuzzy,” “faulty,” “poor” and had “significant limitations."

Biden has tried to deflect concerns by joking about his age and taking jabs at Trump's own gaffes. Yet the president's age is a liability that has overshadowed his policy achievements on infrastructure, manufacturing and addressing climate change.

About one-third of Democrats said they're not very or not at all confident in Biden's mental capability in the new survey, up from 14% in January 2022. Only 40% of Democrats said they're extremely or very confident in Biden's mental abilities, with approximately 3 in 10 saying they're “somewhat” confident.

And in a major risk for Biden, independents are much more likely to say that they lack confidence in his mental abilities (80%) compared with Trump's (56%).

Republicans are generally more comfortable with Trump’s mental capabilities than Democrats are with Biden’s. In the survey, 59% of Republicans are extremely or very confident that Trump has the mental abilities to be president. An additional 20% are somewhat confident, and 20% are not very or not at all confident.

But if there is one thing Democrats and Republicans can agree upon, it's that the other party's likely nominee is not mentally up to the task. About 9 in 10 Republicans say Biden lacks the mental capability to serve as president, while a similar share of Democrats say that about Trump.

Part of Biden's problem is that his policies have yet to break through the daily clutter of life.

Sharon Gallagher, 66, worries about inflation. She voted for Biden in 2020, but believes he has not done enough for the economy. She also feels Trump is a bit too quick to anger. The Sarasota, Florida, resident said she doesn't have the bandwidth to really judge their policies.

“I don’t pay enough attention to politics to even know,” Gallagher said. “I have grandchildren living with me and I have children’s shows on all day.”

Justin Tjernlund, 40, from Grand Rapids, Michigan, said Biden “seems like he's mostly still there,” but even if he was in decline he has “a whole army of people to help him do the job.” Trjenlund said he voted for Trump in 2020 and plans to do so again because the Republican is “interesting” and “refreshing.”

Still, because of both candidates' ages, Greg Olivo, 62, said he plans to focus on Vice President Kamala Harris and whomever Trump, if he's the nominee, picks for a running mate.

“Keep a close eye on the vice president,” said the machinist from Valley City, Ohio, who voted for Biden in 2020 and would do so again. “Because that person will probably be the president in four years, one way or another.”



3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)
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3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)

The UN health agency and partners are launching a campaign starting Sunday to vaccinate 640,000 Palestinian children in Gaza against polio, an ambitious effort amid a devastating war that has destroyed the territory's healthcare system.

The campaign comes after the first polio case was reported in Gaza in 25 years — a 10-month-old boy, now paralyzed in the leg. The World Health Organization says the presence of a paralysis case indicates there could be hundreds more who have been infected but aren’t showing symptoms.

Most people who have polio do not experience symptoms, and those who do usually recover in a week or so. But there is no cure, and when polio causes paralysis it is usually permanent. If the paralysis affects breathing muscles, the disease can be fatal.

The vaccination effort will not be easy: Gaza’s roads are largely destroyed, its hospitals badly damaged and its population spread into isolated pockets.

WHO said Thursday that it has reached an agreement with Israel for limited pauses in the fighting to allow for the vaccination campaign to take place. Even so, such a large-scale campaign will pose major difficulties in a territory blanketed in rubble, where 90% of Palestinians are displaced.

How long will it take? The three-day vaccination campaign in central Gaza will begin Sunday, during a “humanitarian pause” lasting from 6 a.m. until 3 p.m., and another day can be added if needed, said Dr. Rik Peeperkorn, WHO’s representative in the Palestinian territories.

In coordination with Israeli authorities, the effort will then move to southern Gaza and northern Gaza during similar pauses, he said during a news conference by video from Deir al-Balah in central Gaza, according to The AP.

Who will receive the vaccine? The vaccination campaign targets 640,000 children under 10, according to WHO. Each child will receive two drops of oral polio vaccine in two rounds, the second to be administered four weeks after the first.

Where are the vaccination sites? The vaccination sites span Gaza, both inside and outside Israeli evacuation zones, from Rafah in the south to the northern reaches of the territory.

The Ramallah-based Health Ministry said Friday that there would be over 400 “fixed” vaccination sites — the most in Khan Younis, where the population density is the highest and there are 239,300 children under 10. Fixed sites include healthcare centers, hospitals, clinics and field hospitals.

Elsewhere in the territory, there will also be around 230 “outreach” sites — community gathering points that are not traditional medical centers — where vaccines will be distributed.

Where are the vaccines now? Around 1.3 million doses of the vaccine traveled through the Kerem Shalom checkpoint and are currently being held in “cold-chain storage” in a warehouse in Deir al-Balah. That means the warehouse is able to maintain the correct temperature so the vaccines do not lose their potency.

Another shipment of 400,000 doses is set to be delivered to Gaza soon.

The vaccines will be trucked to distribution sites by a team of over 2,000 medical volunteers, said Ammar Ammar, a spokesperson for UNICEF.

What challenges lie ahead? Mounting any sort of campaign that requires traversing the Gaza strip and interacting with its medical system is bound to pose difficulties.

The UN estimates that approximately 65% of the total road network in Gaza has been damaged. Nineteen of the strip's 36 hospitals are out of service.

The north of the territory is cut off from the south, and travel between the two areas has been challenging throughout the war because of Israeli military operations. Aid groups have had to suspend trips due to security concerns, after convoys were targeted by the Israeli military.

Peeperkorn said Friday that WHO cannot do house-to-house vaccinations in Gaza, as they have in other polio campaigns. When asked about the viability of the effort, Peeperkorn said WHO thinks “it is feasible if all the pieces of the puzzle are in place. ”

How many doses do children need and what happens if they miss a dose? The World Health Organization says children typically need about three to four doses of oral polio vaccine — two drops per dose — to be protected against polio. If they don’t receive all of the doses, they are vulnerable to infection.

Doctors have previously found that children who are malnourished or who have other illnesses might need more than 10 doses of the oral polio vaccine to be fully protected.

Are there side effects? Yes, but they are very rare.

Billions of doses of the oral vaccine have been given to children worldwide and it is safe and effective. But in about 1 in 2.7 million doses, the live virus in the vaccine can paralyze the child who receives the drops.

How did this outbreak in Gaza start? The polio virus that triggered this latest outbreak is a mutated virus from an oral polio vaccine. The oral polio vaccine contains weakened live virus and in very rare cases, that virus is shed by those who are vaccinated and can evolve into a new form capable of starting new epidemics.