President Joe Biden

President Joe Biden

Right now, we need VP Biden, we need him to step down and drop out so Bernie sanders can save this country from this global crisis just like FDR.

A thread to debate the efficacy of a Joe Biden Presidency in the midst of a global pandemic and impending Great Recession/Depression.

Where is Joe Biden? Can he beat Trump and is he even trying to? What would a Joe Biden Presidency look like in these times? Where is he and why isn't he leading?

20 March 2020 at 09:14 PM
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2176 Replies

i
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normal af, just old af


by ganstaman P

What didn't make sense about your post was the phrase "medium gravity vascular dementia" and the idea that it could be controlled by top doctors and willpower. I also don't know how you have the magic ability to discern Alzheimer's vs vascular dementia when you can't see his brain and only see the snapshots of his life that are shown to us.

Because the onset of physical empairment anticipated the cognitive decline, which doesn't happen with Alzheimer.

Ie he started having problems going up the stairs of the plane properly before he started having significant problems ending phrases, keeping concentration about matters at hand and so on.

The cognitive decline was at steps also. Ie a decline, a plateau for months, another decline, another plateau and so on.

That's far more often associated with vascular dementia than with alzheimer, especially if it's a vascular dementia caused by lots of transient ischaemic attacks, which seems to be the most probable cause for Biden given he was otherwise in over-average health and he is followed by some of the best specialists in the world.

Not sure what's controversial about the "medium gravity", given it's about the extent of the cognitive decline we could perceive at the time.

As for top doctors being able to control the cognitive decline symptoms of vascular dementia when deemed important to do so by the patient (important public participations, say), and more broadly with medication i think it's uncontroversial that's something medicine can do right now.

The memantine RCT proving efficacy for mild symptoms of cognitive decline is from 2002

https://www.ahajournals.org/doi/10.1161/...

I fully expect Biden medical team to have access to the best sector specialists, with one (or maybe even 2) more order of magnitude of time invested on him in tailoring dosage precisely, testing other drugs with an history of efficacy for individual Biden eventual side effects and so on.

In short i am puzzled why you believe having 5-10-20 top in the world specialists fully dedicated on medicating those symptoms wouldn't yield meaningful results for Biden cognitive ability.

As for the willpower part well, science is less clear about that, so i guess it's just about whether you in general believe a personal effort by a patient to be better can yield results or not


by Luciom P

Because the onset of physical empairment anticipated the cognitive decline, which doesn't happen with Alzheimer.

Ie he started having problems going up the stairs of the plane properly before he started having significant problems ending phrases, keeping concentration about matters at hand and so on.

The cognitive decline was at steps also. Ie a decline, a plateau for months, another decline, another plateau and so on.

I don't know that his had any physical impairments that we should attribute to his brain instead of to his joints. Certainly not making that distinction by watching TV.

I also don't know that any of this was stepwise since we only catch glimpses from tv. You're not necessarily wrong, it's just not a conclusion you can be very confident in without a proper exam and access to other information/observations.

by Luciom P

Not sure what's controversial about the "medium gravity", given it's about the extent of the cognitive decline we could perceive at the time.

That's not a phrase I've heard from any English speaker ever. I wasn't sure if you meant "moderate severity" or just something I hadn't thought of. It sounds like a medical term but isn't, in the US at least.

by Luciom P

As for top doctors being able to control the cognitive decline symptoms of vascular dementia when deemed important to do so by the patient (important public participations, say), and more broadly with medication i think it's uncontroversial that's something medicine can do right now.

The memantine RCT proving efficacy for mild symptoms of cognitive decline is from 2002

https://www.ahajournals.org/doi/10.1161/...

I fully

The overall evidence for medications in dementia is rather poor. I'm not aware of any doctor who's really excited about them. We still use them but not with high expectations. When the treatments you propose are no different than what you can find on Wikipedia, it doesn't take a top doctor to implement properly.


Dr. Luciom is in the house.


by Didace P

Dr. Luciom is in the house.

After Dre and Pepper, my most trusted doctor.


As for gravity yes sorry, it's "gravità" for severity in italian, one of the many false friends

The evidence is poor/nonexistent to cure dementia for sure, but to keep the symptoms at bay and /or delay their onset it's decent.

Especially in fairly early stages which is when i presume Biden started being medicated for the condition


I always thought there was a non-zero and "reasonable" chance that if Biden won, he would resign half way and one day into second term to let VP Harris rise to Pres and be able to run as an incumbent without losing her ability to run for 2 terms. However, according to MAGA you can be the pres 45-47 somehow, but I digress. After that debate, Biden looks like 4 years from now is a dog 28 years from now.


did a rally today. looked great.


by Slighted P

he's an old guy with a speech impediment. that's a normal 81 year old. watch the after event where he isn't on a clock. totally normal old guy. no one is saying he's a good candidate.


even if he wasn't normal the weekend at bernie's biden is better than Trump in every possible way.

No, he's in cognitive decline. Neither of my late parents was anything like that at 81, or even at 90. It's not normal. (Trump's not normal either, but that's a personality disorder and he's always had it.)


by 57 On Red P

No, he's in cognitive decline. Neither of my late parents was anything like that at 81, or even at 90. It's not normal. (Trump's not normal either, but that's a personality disorder and he's always had it.)

cool anecdotes.

eta- my father died from dementia at 72. i was with him during his "cognitive decline". so my anecdote counters your anecdote.


by Slighted P

did a rally today. looked great.

They can have their good days and bad days. When you have your bad day on the biggest stage that's not a good look.


It's Joever, y'all.


Folks just take a look at what he was like in the 2020 debate and then see how he was last night. Now imagine what he'll be like even just a year from now.

It's over!


by mongidig P

They can have their good days and bad days. When you have your bad day on the biggest stage that's not a good look.

It’s funny how one bad day is more relevant than being a convict .
Biden just has to have a good second debate and all this will be far in the rear window .

Ps: everyone says biden is in big decline and yet it’s the same guy that actually still today and past months rules this country with no problems at all shrug .

Put newsome at vp to solve any worries into the 6th-8th year in biden presidency and it’s all good .
Better that then lose democracy .


by Slighted P

he's an old guy with a speech impediment. that's a normal 81 year old. watch the after event where he isn't on a clock. totally normal old guy. no one is saying he's a good candidate.


even if he wasn't normal the weekend at bernie's biden is better than Trump in every possible way.

Look at him in 2020. He was an old guy with a speech impediment but he looked infinitely better than he did last night. Lets not forget he looks like that often on the world stage. It wasn't just a bad performance. He is clearly going down hill quickly. I honestly didn't think he would make it to the debate. I'm shocked they allowed him to go on.


by Slighted P

cool anecdotes.

eta- my father died from dementia at 72. i was with him during his "cognitive decline". so my anecdote counters your anecdote.

Might be time to start thinking about unhitching that wagon.


by Montrealcorp P

It’s funny how one bad day is more relevant than being a convict .
Biden just has to have a good second debate and all this will be far in the rear window .

Ps: everyone says biden is in big decline and yet it’s the same guy that actually still today and past months rules this country with no problems at all shrug .

Put newsome at vp to solve any worries into the 6th-8th year in biden presidency and it’s all good .
Better that then lose democra

Trump was terrible last night and the only thing people are talking about today is Biden. The fact we have these two as the candidates doesn't seem real.

Do you really feel like Biden is gonna get it all together in the next debate?


by d2_e4 P

Might be time to start thinking about unhitching that wagon.

It's going to require a lot of copium for anyone to stay on that wagon.


by d2_e4 P

Might be time to start thinking about unhitching that wagon.

my wagon is hitched to the dems. idgaf about biden. i didnt vote for him in a primary.

trump is the worst thing to happen to the country in my lifetime. so i'm voting for the guy that's not trump.


by mongidig P

Look at him in 2020. He was an old guy with a speech impediment but he looked infinitely better than he did last night. Lets not forget he looks like that often on the world stage. It wasn't just a bad performance. He is clearly going down hill quickly. I honestly didn't think he would make it to the debate. I'm shocked they allowed him to go on.

look at him from tonight's NC rally.

debates are the least important thing to the job, but yet somehow we pretend it's a big deal. biden had a terrible night. trump was somehow even more unhinged than most nights and it got overshadowed. which is bad. but if debates were the be all end all chris christie would be the republican front runner because he crushed pretty much everyone that ever stood on a stage with him.


by mongidig P

Trump was terrible last night and the only thing people are talking about today is Biden. The fact we have these two as the candidates doesn't seem real.

Do you really feel like Biden is gonna get it all together in the next debate?

if his fit to be president then he should be.
fwiw the presentation was bad but the content was fine.
imho he just need to not reply to trump attacks but just to answers trump baseless claim with what actually joe did and what trump ask republicans to oppose all the policies and work democrast did post 2020 shrug.

Did u actually hear trump promote any policies at all ?
His got nothing to offer.
that is what joe need to focus on, what he did and what republicans refuse to do for the americans.


by Slighted P

my wagon is hitched to the dems. idgaf about biden. i didnt vote for him in a primary.

trump is the worst thing to happen to the country in my lifetime. so i'm voting for the guy that's not trump.

would you vote de Santis over Biden? Rubio? Haley?


by Luciom P

would you vote de Santis over Biden? Rubio? Haley?

definitely not. those aren't even moderate choices. lol. you could have come with like larry hogan or someone. but still no.

policy is greater than a single person. all their policies are terrible.


Among possible replacements is there some reason why have I have not heard as an obvious possibility the name Al Gore?


by David Sklansky P

Among possible replacements is there some reason why have I have not heard as an obvious possibility the name Al Gore?

i mean he's younger than both trump and biden. bring out some merch about how his election was the one that was REALLY stolen, and have a go.


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