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When Does Concern About Presidential Fitness Become Media Ableism? Justine Barron ([link removed])


Election Focus 2024 The Economist published a cover story ([link removed]) on July 6 with the stark image of a walker, a mobility device typically used by disabled people, with the United States presidential seal on it. “No Way to Run a Country,” the headline stated. Disabled people responded angrily on social media at the implication that mobility aids are disqualifying for office, mentioning former President Franklin Roosevelt, Texas Gov. Greg Abbott and Sen. Tammy Duckworth, all wheelchair users.

Similar visual messages previously appeared on a New Yorker cover (10/2/23 ([link removed]) ) and in a Roll Call magazine political cartoon (9/6/23 ([link removed]) ), both from the fall of 2023. The New Yorker cover showed President Joe Biden, former President Donald Trump, Rep. Nancy Pelosi and Sen. Mitch McConnell using walkers while competing in an athletic race. The joke was that it would be absurd for such elderly people to compete in a race, but the implication was that anyone similarly disabled might not be fit to serve in political office. None of these leaders use walkers in real life.
Economist: No Way to Run a Country

Economist (7/6/24 ([link removed]) )

The Roll Call cartoon showed the US Capitol transformed into the “Senate Assisted Legislating Facility,” with a stairlift and elderly people with walkers. Disability advocates often write about ([link removed]) how the media and others should avoid using disabilities and medical conditions as metaphors ([link removed]) , as it’s usually done to negatively stigmatize them.

The Economist cover appeared during a period of intense media conversation over presidential fitness, which ramped up just after the last presidential debate on June 27, and continued until Biden withdrew from his campaign for re-election on July 21. With Biden and Trump both older than any other presidential candidates in history—and both showing many common signs of age—media have been discussing their capabilities for years.

Ability and age shouldn’t be off the table as media topics during elections, but there are ways to have these conversations without promoting harm. By not interrogating “fitness for office” as a concept, the media has contributed to a culture in which two elderly presidential candidates constantly bragged about their prowess, culminating in the surreal moment ([link removed]) of their competitive discussion of golfing abilities during the debate.

Disability organizations have created style guides ([link removed]) for non-ableist journalism ([link removed]) in general. In terms of covering political campaigns, some common pitfalls to avoid include: stating or implying that all disabilities or conditions are inherent liabilities, even cognitive disabilities; diagnosing candidates without evidence; using illness or disability as a metaphor; conflating age with ability; conflating physical and cognitive health; using stigmatizing language to describe incapacities; and highlighting issues with ability or health without explaining why they are concerning.


** 'Agony to watch'
------------------------------------------------------------
New Yorker cover featuring politicians using walkers

New Yorker (10/2/23)

Biden’s struggles with articulating and completing his thoughts during the last debate prompted a flurry of news stories, including reporting on his tendency to forget people and events (e.g., Wall Street Journal, 6/4/24 ([link removed]) ; New York Times, 7/2/24 ([link removed]) ). Some of the same outlets that had previously defended him against claims of being cognitively impaired (New York, 7/31/23 ([link removed]) ) were suddenly diagnosing him with possible medical conditions and doubting his ability to lead (New York, 7/7/24
([link removed]*178i6e6*_gcl_au*MTkwNzQ1MjY5OC4xNzIxNzk0OTI3*FPAU*MTkwNzQ1MjY5OC4xNzIxNzk0OTI3*_ga*MTg5NTAyNzYwNy4xNzIxNzk0OTMx*_ga_DNE38RK1HX*MTcyMTc5NDkzMC4xLjEuMTcyMTc5NTM1Mi4wLjAuNDAzODYzNDY.*_fplc*VGhoRGNYU1FJNzNVMEdQYktnRXdwc0FGNnVTZDNUZ3dwUGhJN3ZtV3hEM21TaXRaTGx5S0hlY2h6MnZzZzhwU0xjd20wMGFkTVQzMTEwZXdYZmdiVGtrUGdOak5WN2trbnVOMEJiVWdxWUUlMkZybjBuS3FLZmY3YWdocWVwVkElM0QlM0Q.) ).

The Hill (7/20/24 ([link removed]) ) called Biden’s verbal gaffes “embarrassing,” and casually quoted insiders referring to “brain farts” with scorn. “It was agony to watch a befuddled old man struggling to recall words and facts,” the Economist wrote in an editorial (7/4/24 ([link removed]) ), which accompanied the cover image of the walker and called for Biden to drop out. The piece linked to another Economist piece (6/28/24 ([link removed]) ) which argued that Biden had failed to prove he was “mentally fit,” and called on him to stand down and make room for a “younger standard-bearer.”

There are reasonable concerns about the age of candidates, including that our leadership doesn’t represent ([link removed] median age of voting,and 62.4 in the 115th.) the majority of the country demographically and that elderly candidates may not live long. But the Economist made implicit assumptions about age and disability, including that a “younger standard-bearer” would likely be more “mentally fit.” According to scientists ([link removed]) , slower communication and short-term memory loss are associated with aging, but some other cognitive abilities have been shown to strengthen ([link removed]) .

What's more, Biden’s gaffes might have been “embarrassing” to him, or “agony” for him to experience, but characterizing disability or struggle from the outside as embarrassing or unpleasant to observe is a common form of ableism. It’s reasonable to report on his mistakes without editorializing and stigmatizing language.

Neither Trump nor Biden have a record of supporting the needs of disabled people while in office, especially around the Covid-19 pandemic. Still, their disabilities or capacity issues do deserve sensitivity. By insulting memory lapses and mobility issues, even implicitly, the media insults everyone with those conditions.

It seems some part of the media’s panic around the abilities of presidential candidates has more to do with elections than with who is running the country. Biden’s re-election chances fell into jeopardy after the debate. The Washington Post (7/22/24 ([link removed]) ) recently made this clear. “Trump’s age and health under renewed scrutiny after Biden’s exit,” it reported:

After weeks of intense focus on President Biden’s health and age that ended with his withdrawal from the campaign on Sunday, the script has flipped: Former president Donald Trump is now the oldest presidential nominee in history—and one who has been less transparent about his medical condition than his former opponent.

The Post makes it sound as if media are passively reporting on the next inevitable story, and not actively choosing to focus its disability-related concerns around its election concerns.


** Best in show?
------------------------------------------------------------
Roll Call cartoon featuring a stairlift installed on the Capitol steps, with the caption, "There's been a few upgrades at the Capitol over the recess, senator."

Roll Call (9/6/23 ([link removed]) )

The recent Washington Post article (7/22/24 ([link removed]) ) on Trump’s abilities points out that he hasn’t released his medical records since he was president, when he had “had heart disease and was obese.” It also points out his “elevated genetic risk of dementia.”

With the intense focus on medical records and physical tests, the news media often writes about the bodies of presidential candidates as if they were competing for Best in Show, instead of for a job that primarily involves decision-making, leadership and communication—and for which disability might even be an asset in terms of compassion and understanding.

News outlets have reported with concern on how Biden and Trump walk, despite the fact that the majority ([link removed] of the early signs,their apartments and immediate surroundings.) of people in their 80s deal with mobility challenges. (Biden is 81; Trump is 78.) According to the Boston Globe (3/12/24 ([link removed]) ), “Joe Biden needs to explain his slow and cautious walk.” The news article does offer his physician’s explanation of neuropathy but doesn’t seem to accept it.

The article argues that Biden’s silence about his gait was contributing to concerns that he might have an illness like dementia or Parkinson’s. The Globe seemed to take for granted that Parkinson’s would be a problem for voters and not, say, an asset. Many voters have similar conditions and might appreciate the representation. The article then mentions that Biden’s slower walking might be a sign of diminished “mental capacity,” conflating physical and cognitive issues.

In 2020, there were similar articles about Trump showing signs of unsteadiness while walking and drinking from a glass of water, with the implication that difficulties with both might undermine his fitness for office (New York Times, 6/14/20 ([link removed]) ).


** No privacy for presidents?
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Bloomberg: Presidential Candidates Shouldn't Have Health Secrets

Bloomberg (7/3/24 ([link removed]) )

The Americans with Disabilities Act protects disabled people from having to disclose details about their conditions. This is because stigma and bigotry are so widespread that it’s understood such details might be handled with prejudice by employers. Media outlets undermine those principles in their lust for detailed information about the medical records of presidential candidates.

Just after the last presidential debate, Bloomberg (7/3/24 ([link removed]) ) insisted in a headline that “Presidential Candidates Shouldn’t Have Health Secrets.” The article not only demanded clarity on what caused Biden’s “poor performance” in the debate, but also that candidates go through independent medical evaluations, with the full results being released to the public. Implicit in this demand is that pre-existing conditions would be liabilities. Otherwise, why would the public need to know?

“Americans are naturally curious about the health of their president, and any sign of illness or frailty gets subjected to intense public scrutiny,” a follow-up Bloomberg article (7/10/24 ([link removed]) ) insisted. Are Americans curious, or are the media? The article pointed out that the US obsession with presidential health is unusual; in most countries, leaders don’t release their medical records. Still, the article went into intense detail about everything known and speculated about in terms of Biden and Trump’s health, body weight, medications and the like.

The media’s focus on the physical imperfections of presidential candidates is biased not only towards abled people, but towards white men. Women ([link removed]) and people of color ([link removed]) are more likely to have pre-existing medical conditions, and more likely to face stigma as a result of them. The Washington Post (7/22/24 ([link removed]) ) already noted that Kamala Harris hasn’t released her medical records, or responded to questions about it.

During the 2016 campaign for presidency, Democratic candidate Hillary Clinton fainted. Her doctor said she had pneumonia and was overheated. Not surprisingly, right-wing media used it as a chance to portray ([link removed]) her as weak and unfit, but even some liberal outlets (CNN, 9/12/16 ([link removed]) ), decided this was a significant incident worthy of endless commentary, speculation and demands for investigations. Fainting is something many people, especially women ([link removed] the number of presentations,females has a long history.) , experience routinely, as part of illness, heat, exhaustion or just standing for too long. The media worked to denormalize it.


** Obsession with candidate bodies
------------------------------------------------------------
NBC: Biden suggests to allies he might limit evening events to get more sleep

NBC (7/4/24 ([link removed]) )

Overall, media seem to have a unique preoccupation with the bodies of presidential candidates--more than, say, members of Congress, Supreme Court justices or governors. There is a mythology around presidents, which Trump himself played into by recently referring to himself ([link removed]) as a “fine and brilliant young man,” along with celebrating his survival of a recent assassination attempt.

Biden, who has historically portrayed himself as strong, and even claimed to overcome his stutter, finally started to let go of this mythology just before he dropped out of the race. He acknowledged ([link removed]) age, exhaustion and slower speech. He joked about being fine besides his “brain.” And he mentioned that he might need more sleep ([link removed] Joe Biden told Democratic,sources briefed on his comments.) . He was exhibiting another kind of strength through honesty, though it might have been strategic. It turned out to not be the most politically effective approach: Some media outlets highlighted him needing more sleep as headline-worthy and a red flag (NBC, 7/4/24 ([link removed]) ; New York Times,
7/4/24 ([link removed]) ).

The challenges Biden and Trump face in walking and speaking are evident to the public. Questions about underlying health issues are fair, but the implication of all of this “Best in Show” coverage is that people with significant disabilities, or even just a need for regular sleep, might face a hostile, intrusive media if they ran for president. And this discourse trickles down to how people feel permitted to speak about ordinary disabled civilians.

The presidency isn’t a sporting event. If media outlets are going to express concern about a candidate’s physical abilities, they should clarify what assumptions are guiding their concerns. As it stands, most of these articles and images just seem concerned with any signs of disability, which they implicitly associate with not being fit to serve.
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