“He has maintained an extremely busy and active campaign schedule unlike any other in political history, whereas Kamala Harris has been unable to keep up with the demands of campaigning.”

The campaign even recirculated the results of Trump’s 2018 cognitive screening from his first term — a document frequently cited by Trump allies when questions about mental sharpness arose.

But from 2018 to 2025, no other cognitive test results were made public. Dr. Jackson, who served under both Obama and Trump, remained one of Trump’s most vocal supporters regarding his health.

The issue isn’t whether Trump can pass a test — it’s whether the test tells the full story. And as Wilson sees it, the real signs of decline are playing out in public view.