Improving the transparency of White House Physicians: The lessons of the past and the needs of the future

Volume 10, Issue 1, February 2026     |     PP. 1-24      |     PDF (261 K)    |     Pub. Date: November 3, 2026
DOI: 10.54647/pmh330422    9 Downloads     75 Views  

Author(s)

Gary L. Cohen, Neurology, Gary L. Cohen, MD PC, Fort Collins, CO, United States

Abstract
Every US President has had a personal physician; in 1898 this doctor became a government employee. Later known as the White House Physician, many have provided inadequate medical care, and deliberately hidden evidence of incapacitating illnesses. Presidents Woodrow Wilson and Franklin Roosevelt are two of the most glaring examples: Wilson barely survived an incapacitating stroke, which his physician never disclosed, and Roosevelt’s physician repeatedly denied any serious illness. Future Presidents will likely receive excellent medical care; but transparency when the President is medically incapacitated may remain dangerously inadequate. Due to Constitutional limits, including the Twenty-fifth Amendment, removal of an incapacitated President remains very difficult. Recommendations for future physicians include requiring Senate confirmation, and the submission of regular reports on the President’s health, possibly to the House Judiciary Committee, which is responsible for potential impeachment.

Keywords
Health of Presidents, White House physicians, medical transparency

Cite this paper
Gary L. Cohen, Improving the transparency of White House Physicians: The lessons of the past and the needs of the future , SCIREA Journal of Health. Volume 10, Issue 1, February 2026 | PP. 1-24. 10.54647/pmh330422

References

[ 1 ] J. Kuhlman, Transforming Presidential Healthcare. Ensuring Comprehensive Care for the Commander in Chief Amid 21st Century Threats (Ballast Books 2024), 4-5.
[ 2 ] William Henry Harrison, Report of the Physicians Online by Gerhard Peters and John T. Woolley, The American Presidency Project https://www.presidency.ucsb.edu/node/200514
[ 3 ] J. Ehrhardt, J, J. O’Leary, J and D. Nakayama, D. “Yes, I shot the President, but His Physicians Killed Him.” The Assassination of President Garfield. Am Surg 2018 Nov 1;84(11):1711-1716.
[ 4 ] Ainissa Ramirez, How James Garfield’s Assassination Gave Birth to the American News Cycle. The MIT Reader, December 25, 2025.
[ 5 ] Doris Kearns Goodwin, No Ordinary Time. Franklin and Eleanor Roosevelt; The Home Front in World War II (Simon and Schuster 1994), 435.
[ 6 ] Cary Grayson, Woodrow Wilson: An Intimate Memoir (Holt, Rinehart and Winston 1960), 100
[ 7 ] Edith Wilson, My Memoir (Bobbs-Merrill 1938), 289.
[ 8 ] Gene Smith, When the Cheering Stopped. The Last Years of Woodrow Wilson (William Morrow 1964), 113.
[ 9 ] Herbert Hoover, The Ordeal of Woodrow Wilson (McGraw Hill 1958), 281.
[ 10 ] Kenneth W, Thompson, Edit., Papers on Presidential Disability and The Twenty-Fifth Amendment. Volume III. (University Press of America 1996), 63.
[ 11 ] Ross McIntire, White House Physician G.P. Putnam’s Sons 1946), 56-7.
[ 12 ] H. Bruenn, Clinical Notes on the Illness and Death of President Franklin D. Roosevelt. Ann Int Med 72. (1970) 579-91.
[ 13 ] McIntire, White House Physician, 185-86.
[ 14 ] McIntire, White House Physician, 204.
[ 15 ] C. M.W. Wilson, Churchill Taken from the Diaries of Lord Moran: The Struggle for Survival, 1940-1965 Houghton Mifflin Company 1966, 192.
[ 16 ] McIntire. White House Physician, 216-7.
[ 17 ] McIntire. White House Physician, 242-43.
[ 18 ] The New York Times. August 2, 1923, 1.
[ 19 ] President Suffers ‘Mild Stroke,’ Will Need Several Weeks; Rest; Nixon Denies That He’ll Take Charge. The Associated Press, November 27, 1957.
[ 20 ] Eisenhower Discloses He Considered Resigning After His Stroke in 1957. The New York Times, September 13, 1965, 1.
[ 21 ] Ludwig M. Deppisch, The White House Physician. A History from Washington to George W. Bush McFarland and Company 2007), 126-36.
[ 22 ] Tapper, J and Tompson, A. Original sin. President Biden’s Decline, Its Cover-Up, and his disastrous Choice to Run Again. Penguin Random House 202, 4.
[ 23 ] The Washington Post, October 4, 2020, p.1.
[ 24 ] The New York Times. October 28, 2025, 1.
[ 25 ] E Houghtaling, The New Republic, April 10, 2026.
[ 26 ] R. E. Gilbert, Psychological Pain and the Presidency: The Case of Calvin Coolidge. Political Psychology1988, 9:86, 75.
[ 27 ] House Report Details Biden’s Decline, Claiming He Was Impaired as President. The New York Times, October 8, 2025, 1.
[ 28 ] Feerick, J. I helped Craft the 25th Amendment. It was Never Meant to Oust a President. Politico Magazine. Online May 8, 2026
[ 29 ] Robert Dallek, Nixon and Kissinger. Partners in Power (HarperCollins 2007), 546.
[ 30 ] Robert Joynt and James Toole, J. Presidential Disability: Papers, Discussions and Recommendations on the Twenty-fifth Amendment and Issues of Inability and Disability Among Presidents of the United States Rochester University Press 2001, xxxi..
[ 31 ] United States Secret Service, https//www.secretservice.com>protection, accessed February 1, 2026.
[ 32 ] C. Grayson, Woodrow Wilson; An Intimate Memoir, ix.
[ 33 ] McIntire, dust cover..
[ 34 ] The New York Times, July 9, 2025, 1.
[ 35 ] Sharing Information Related to Mental Health, NIH.gov/ https://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/index.html.
[ 36 ] Dallek, Nixon and Kissinger. Partners in Power, 616.