By Matt Underwood The Congressional Record of April 30, 2026, Vol. 172, No. 76, Senate, features a deeply concerning statement from a collective of medical professionals regarding the mental fitness of a then-sitting President. This statement, notably, is presented not as a political document but as a medical assessment from individuals across the political spectrum, diverse in background and ideology, united by their professional expertise. Their collective concern stems from extensive experience in diagnosing cognitive disorders and evaluating dangerousness, with many regularly consulted by courts, the criminal justice system, and governments on matters of national security and the psychological profiles of world leaders.
The core of the statement reiterates and expands upon concerns first voiced prior to the 2024 presidential election. At that time, serious signs of cognitive decline were identified, which the professionals believed warranted disqualification from office. Their updated assessment indicates a further deterioration of the President’s mental state since that initial evaluation. This isn’t a light assertion; it’s made in keeping with professional ethics and the humanitarian principles of medicine, compelling them to warn of a President increasingly perceived as a danger to the public.
While acknowledging that a formal diagnosis is not possible without face-to-face examination and that the President is not a patient of any individual signatory, the professionals have meticulously observed his behavior and public statements. They have identified objectively observable signs of serious medical concern. These include a marked deterioration in cognitive functioning, manifesting as disorganized and tangential speech, rambling digressions, factual confusions, and abrupt, unexplained shifts in strategic matters, both domestically and internationally. Furthermore, episodes of apparent somnolence during critical public proceedings are cited as deeply troubling.
Beyond cognitive decline, the statement points to the presence of grandiose and delusional beliefs. This is evidenced by assertions of infallibility, imagery suggesting a divine mission, self-portrayals as a mythical warrior hero, and alarming depictions of himself in combat roles involving harm to civilians. Crucially, the belief that his decision-making authority is unlimited, unconstrained by domestic or international laws and solely bound by his “own morality,” is highlighted as a profound indicator of impaired judgment.
The professionals also detail severely impaired judgment and impulse control, observable in reckless threats of violence and advocacy for lethal force against civilians. This extends to encouragement of extrajudicial actions by armed supporters and repeated threats or actions—judicial, prosecutorial, police, military, and through emergency powers—against political opponents and dissenting voices. The extent of this disinhibition and a concerning inability to disengage from certain thoughts or actions, termed perseveration, is evident in seemingly compulsive, manic-like late-night communications, frequent fixation on perceived enemies, persecutory ideas, and prolonged, disproportionate attacks on individuals and institutions.
The statement climaxes with a grave warning about escalating violence that threatens both national and global stability. As Commander-in-Chief, the President holds control over a vast nuclear arsenal, with the terrifying reality that over 5,000 nuclear warheads are ready for launch solely upon his order, and no current authority exists to countermand him. This chilling fact is juxtaposed with historical parallels, such as the actions taken during President Nixon’s impeachment, where concerns about his mental state led to safeguards being put in place regarding military orders, particularly nuclear ones. The professionals question whether current officials would similarly act to protect against a similarly perceived threat.
Ultimately, their expert opinion is that the President’s behaviors are neither momentary lapses nor political theater, but rather reflect a rapidly worsening, reality-untethered, and increasingly dangerous decline. If called upon to judge his present ability to discharge his duties under the 25th Amendment, they would conclude that he lacks the capacity to do so. The statement emphasizes that he presents a clear and present danger to the country and the world, and therefore, steps to remove him from office must be undertaken with the greatest urgency. They underscore the vital responsibilities that now rest on the shoulders of those in positions of leadership to address this critical situation. The inclusion of this statement in the Congressional Record signifies its profound importance and the hope that it would spur serious consideration and action from those with the power to enact change.