Joe Biden has cancer that has spread “to the bone”

I guess I should preface my comments with the fact that I'm a physician who works in Geriatric Medicine.

We definitely choose interventions based on individual's goals and desired, informed by the risk/benefit of the intervention along with the individual's pre-existing frailty, medical status, and life expectancy. There are healthy and functionally well 80-year olds who absolutely benefit from ongoing preventative medicine. There are severely frail 70 year olds with multimorbidity who would not benefit from the same approach as the above 80 year-old. Age is just a number (to a point).

With the above said - our society and our medical institutions do a terrible job talking about death as a natural part of life. We (the medical system) are also terrible at having hard conversations with families when things are changing. As a result, many older adults spend the last year or two of their life in a pattern of acute decline, incomplete recovery, tenuous stability, and acute decline (again). Many of these individuals are dependent on others (or are institutionalized) with some degree of cognitive decline.

If you look at qualitative data, only a small minority of people wish to extend life at all costs. Most people weigh out quality of life with the net benefit of an intervention and the hardship of going through that intervention, and come up with an answer which usually isn't "do everything doc".

Society also has a poor understanding of how beneficial our interventions actually are in advanced multi-organ disease and our medical system does a terrible job explaining. Many of the tests we do and interventions we choose have marginal clinical benefit.

I guess the TLDR is that I'm not against offering treatment to older adults, and certainly don't suggest people should "give up and die", but I do strongly feel we massively overuse resources (which has a huge negative societal impact) to provide marginal benefits to frail older adults who likely wouldn't choose the above treatment if someone actually sat down with them and had a real discussion.

n.b the dichotomy of "giving up" and "fighting" when it comes to healthcare is commonly used, and I believe a harmful way of looking at care.

This is not a babaganosh thread.

we heard your opinion, several times.

do now stop.

this was as masked as the other Biden grifting and mental decline facts.

this ‘revelation’

its in response to a critical book…

wake up.

you may be a doc, but you are being spun baba.

Death being natural doesn't mean people want to die if there's any way to avoid it.

No one wants to be 99 until they're 98.

You're not suggesting people give up and die you're just suggesting keeping them alive is a waste of resources.

And I say again, when it's your life you will place a very different value on those resources.

To "Trooth" - I've posted twice in this eight page thread prior to your post (three times now). I've also said nothing about vaccine mandates, only that it's pretty ridiculous to blame prostate cancer in an 82 year-old on vaccine mandates.

To Adult - this may shock you, but many people are happy to accept the end of life if the alternative is a marginal increase in a very poor quality of life when you have a real informed conversation about the decision being made. Of course everyone says "yes" when you ask "do you want to treat this". I'm not saying keeping people alive is a waste of resources. I'm saying we are spending a lot of resources providing marginal benefit for people when a large proportion likely wouldn't want it were they properly informed.

This all reflects back to the ex-president and whether he may have made the conscious decision that the risks of screening outweighed the benefits (or maybe he's been on active treatment this whole time, who knows).

There is a cancer in the Democratic Party. It is growing daily and compounding. It is growing geometricaly because it compounds on itself.

Mine matter because they are backed by facts on the ground.

Except nah. I don't know what propaganda news you've been watching, but no, everyone one pissed that Biden continued to run. There was very little support for him running by 2024. From the start the plan was for him to do a single term (his own plan and the people who voted for him) to get the country back on track after the Trump disaster, and then allow the next generation to take over.

When he decided to run again that was a huge slap in the face to everyone. When by early 2024 it became clear he was in serious cognitive decline most people were extremely frustrated that he continued to run regardless of his state. He wanted to be president for 4 more years, few others wanted that, despite the fact that he literally saved the country (at least temporarily, given that what he saved us from is back destroying the nation now). And it's largely on him that the country is in the total mess we are in today, because if he had stuck to the plan, and let primaries take place so someone else could run instead of having to have someone step in at the last minute, we very well could have avoided another 4 years of the deranged criminal traitor dismantling the country.

Anyway, that's sad he has cancer.

I like babaganoush’s well reasoned, if unpopular, point of view here.

However, the rest of what you wrote is true. Democrats reap what the sow. And they sowed. And only a completely disingenuous, partisan fool would be incapable of humility and introspection and truth here.

Prostate Cancer runs in my family, it is a very slow moving and highly detectable disease. If it is as advanced as they claim Biden has had this for years. Maybe going back to 2020. It has also been detected well before now. There is zero chance a common cancer that can be detected with a PSA test was not discovered until now in someone who had access to the world's best healthcare.

That he had this cancer was absolutely known by his team when he ran for re election and hidden from the public. This along with how his mental state was hidden until the debate disaster.

Don’t tell Harambe. You will upset him. It’s akin to telling him an eight Covid booster really isn’t necessary or effective.

I'd agree with everything you wrote. Thanks for taking the time to write it. I've had bladder cancer, the HOLeP surgery to remove my prostate, and my wife has pancreatic cancer so I have some firsthand experience with the issues you describe. It gives you... perspective.

Jimmy Carter transformed his legacy by doing humanitarian work. Joe Biden could do the same if he would dedicate his remaining years (or months) to cancer research. He could support efforts to find cures and ways to detect cancer earlier.

I know that therapy exists for aggressive prostate cancer and Biden theoretically could have years left, but Joe Biden is not a healthy person. His cognitive decline has made the news, but he has other comorbidities. His facial stiffness, slow blink rate, slow movement, shuffling gait, emotional lability, odd hand posture, and hand tremors are signs of Parkinson's or some other neurological disorder, perhaps related to the two brain surgeries he had in 1988. We don't really know and I guess at this point, it doesn't really matter. He has basically been stamped with an expiration date stamp, but the date itself is still unknown.

Regardless, I hope he can find meaning and peace in his remaining days.

I'm seeing a bunch a posts about what a great career this Biden guy had. A quick Google search tells us some of his accomplishments:

He sponsored a bill changing the eligibility for American Legion membership.

He sponsored a bill honoring the 500th anniversary of the birth of Nicholas Copernicus.

Plus, a couple of Post Offices he got named.

What a guy. What a clown. I just wonder if it was Ashley that discovered his prostate cancer . . . while in the shower with him.

What? They knew about it and lied. Joe accidentally admitted to having cancer in interviews. This isn’t something that you randomly stumble on at the stage it is. They covered it up to keep up the facade of him being “in perfect health”

How’s that TDS? Might want to get it checked out.

Another classy liberal. Party of love, eh?

And you realize it started spreading more rapidly after you rats got an experimental vaccine?

This may shock you but people near death consider "marginal benefit" that keeps them alive worthwhile.

Biden hasn't made a conscious decision in at least 4 years.

good riddance.

bad actor

Let me know when he dies so I can go out and have a nice dinner to celebrate.