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What's in the cognitive tests Biden has resisted taking

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Health Care

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The Big Story 

Biden's resistant to taking a cognitive test. Here’s what they are 

President Biden is facing calls to undergo cognitive testing and release the results after his disastrous debate last month, and amid a series of reports about his apparent decline in recent months.

© AP

He has not taken one and has dismissed calls to do so. Trump on Friday reiterated his call for Biden to take a cognitive test, taunting him and saying they should go together.  

 

Trump, who is nearing 80, has often boasted about his own performance on cognitive tests, including a short screening in 2018 called the Mini-Cog. This test involves asking participants to listen and repeat three words listed to them and drawing a clock. 

 

If the results of this screening are abnormal, that would be a sign for a patient to undergo more advanced tests such as the mini mental status examination or the more recently developed Montreal Cognitive Assessment (MoCA).  

 

Trump has previously boasted of passing the MoCA test with a perfect score. Kevin O’Connor, physician to the president, wrote in February that Biden underwent an “extremely detailed neurologic exam” during his annual physical that yielded “reassuring” results. He did not mention if any cognitive tests were involved.   

 

Both tests assess mental impairment by asking questions of patients, evaluating different areas of cognition like language, recall and attention 

 

If a patient scores poorly on the Mini-Cog or the MoCA test, they can be referred for more extensive neurocognitive testing. 

 

Cognitive tests are recommended during Medicare annual wellness visits and, according to Carla Perissinotto, professor in the division of geriatrics at the University of California, San Francisco, having a baseline early on between the ages of 65 and 70 is extremely helpful in tracking signs of cognitive decline.  

 

Changes in memory are not the only indicator of cognitive decline, Perissinotto said. Certain types of dementia can present primarily through behavioral changes. And some changes are simply natural with aging.  

Welcome to The Hill’s Health Care newsletter, we’re Nathaniel Weixel and Joseph Choi — every week we follow the latest moves on how Washington impacts your health.

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The Hill event

Mind the Gap: The Cost of Mental Health Disparities | July 24 in Washington, D.C. | In person & streaming nationally 

 

This July, in honor of Minority Mental Health Awareness Month, please join The Hill as we convene a diverse group of administration officials, lawmakers, medical providers and advocates to discuss the impact of mental health inequities in the United States.

 

Speakers include:

  • Daniel Dawes, founding dean, Meharry School of Global Health
  • Dr. Gary Puckrein, president, National Minority Quality Forum
  • Daniel Gillison, CEO, National Alliance on Mental Illness (NAMI)
  • Dr. Patrice Harris, former AMA president
Click here to RSVP

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