Trump has been publicly acknowledged to have been diagnosed with chronic veinous insufficiency (CVI). Trump’s CVI diagnosis has been prominently labeled in White House pronouncments, media coverage, and MAGA propaganda as ‘benign‘. But is it?
The absolutely ‘non-benign’ part of Trump’s public diagnosis is this: Venous insufficiency appears to be strongly associated with increased risk of cognitive decline and dementia, likely through mechanisms involving compromised cerebral venous drainage, inflammation, and white matter injury. The evidence is strongest for general cognitive decline and all-cause dementia, with a link to vascular dementia, specifically.
In short, Trump’s diagnosis (especially combined with his increasingly disordered public behavior) speaks volumes about his mental fitness for any office, let alone one as critical to every Americans’ safety as the Presidency. It truly bewilders me that the obvious and science-based connection between Trump’s admitted public diagnosis and his mental state and behavior has not been commented upon more widely in our media.
The evidence just keeps piling up whenever Trump is unscripted in public:
Consider this additional plain and in-public evidence of Trump’s cognitive impairment:
And this evidence presented in Congress:
Is this journalism a reason for Trump’s attack on PBS:
You surely remember all this madness during the campaign:
And, of course, at least one family member of Trump who is in a position both professionally and personally to know about Trump’s mental health is concerned:
The Hidden Dangers: Cognitive Decline from Venous Insufficiency and the Risks of Entrusting Critical Decisions to Impaired Individuals
Modern medical research increasingly reveals how vascular health is deeply interconnected with brain function. For those who suffer from venous insufficiency—a condition where blood flow back to the heart is disrupted, most often in the limbs—this connection carries additional urgency. While venous insufficiency brings highly visible symptoms such as leg swelling, pain, and ulcers, it also harbors invisible risks: impaired venous drainage from the brain, leading to subtle but substantial cognitive decline.
This intersection is not merely a medical curiosity. When a person already battling venous insufficiency begins to struggle with memory, judgment, and executive function—yet remains in a position to make vital decisions for others—the situation can become fraught with danger. The stakes are profound: the health, finances, and even safety of dependents or colleagues may be undermined without anyone recognizing there’s an underlying medical cause for the deteriorating judgment.
Venous Insufficiency and Cognitive Decline: The Medical Link
Venous insufficiency impairs the body’s ability to return blood from the extremities to the heart, causing swelling, pain, and visible vein changes. Less obviously, chronic venous congestion can also compromise cerebral circulation. New research suggests that impaired drainage in the brain’s veins can result in sluggish cerebral blood flow, elevation in pressure, and inflammation—potentially disrupting neural connectivity and promoting the very changes seen in vascular dementia.
White matter lesions and damage from reduced cerebral perfusion are not rare findings in chronic venous disease. When affected veins can no longer efficiently remove metabolic waste or provide adequate oxygenation, the brain’s delicate systems are slowly undermined. Symptoms may manifest first as mild forgetfulness or subtle confusion, but can quietly progress to profound deficits in attention, reasoning, and judgment—impairments that most seriously threaten an individual’s ability to make wise, timely, and ethical decisions.
Manifestations in Public and Private Life
Cognitive decline is insidious. In public, an affected individual may mispeak, forget what they were talking about, miss appointments, forget important names or tasks, or react emotionally and socially inappropriately in stressful situations. In private, family members might observe a once-organized loved one becoming forgetful, irritable, or struggling with everyday tasks. These signs are not mere annoyances; they signal a loss of executive function—the very ability to plan, assess risk, weigh options, and act in the interest of oneself and, critically, others.
I other words, cognitive impairment associated with CVI impairs the very functions that are vital to the job of a President.
The Dangers of Impaired Individuals in Decision-Making Roles
The ethical and practical dangers are clear: When people with cognitive impairment—potentially triggered by circulatory issues—retain authority over government, business, medical, legal, or family decisions, inadvertent harm can follow. They may mismanage finances, overlook or negliect vital tasks and information, place themselves or others in harm’s way (such as ordering reckless airstrikes!), and misjudge situations that can rapidly escalate into crises.
Moreover, cognitive impairment often comes with anosognosia: a lack of insight into one’s own deficits. Such individuals may believe they are functioning as usual, becoming defensive or distrustful if others question their decisions. This denial can breed conflict in families or organizations, sow confusion, and delay desperately needed intervention.
Treatment and Mitigation
While lifestyle modification and medical or surgical interventions for venous insufficiency can reduce physical symptoms, addressing the risk to cognitive and executive function may require even more vigilance. Coordinated medical management, cognitive screening, and early intervention can protect not only the autonomy of the patient but also the safety and well-being of those who rely on them.
Conclusion: Protecting the Public
The dangers of leaving individuals suffering from cognitive decline—compounded by venous and circulatory insufficiency—in charge of critical decisions cannot be overstated. Mistakes are not only possible; they are probable and carry potentially severe consequences for dependents, organizations, and the broader community. Recognizing the early signs, pursuing prompt medical evaluation, and making responsible transitions in authority are the ethical obligations of families, caregivers, and professionals. In so doing, we honor the dignity of the affected individual while upholding the safety and interests of all those in their care.
We are running a grave risk by allowing Trump to remain in charge of anything when he is clearly displaying symptoms of the sort of cognitive decline strongly associated with his publicly admitted and diagnosed CVI condition. The Trump Regime has been forced to acknowledge the truth of Trump’s very visible health condition, but are continuing to deny what is glaringly obvious to everyone who observes Trump or interacts with him: Trump’s CVI is NOT ‘benign’. It is affecting his cognitive health, and has been for some time, now. Allowing him to remain in the Presidency places us all at risk.
Invoke the 25th Amendment, now!
Editor’s Note: This article was researched, written, and illustrated with the assistance of LLM AIs. Please leave feedback about what value, if any, you think this fact adds or detracts from the value of the content. I have included a link to the AI prompt and output so that readers may explore my usage of the LLM for themselves. I would estimate that using an LLM in this single post saved me several hours in research and initial drafting. Despite drafting and research assistance from an AI, all opinions are absolutely my own. -MDB
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