BEDMINSTER, N.J. \u2014 As former president Donald Trump escalated his attacks on President Biden\u2019s health and mental fitness last fall, Trump released the first updated report on his own condition in more than three years.<\/p>\n
This assessment, however, stood in stark contrast to the relatively detailed reports released by the White House during his term. Instead of specifics like blood pressure and medications, the letter had just three paragraphs without specific numbers proclaiming that Trump was in \u201cexcellent health\u201d and had \u201cexceptional\u201d cognitive ability. It did not disclose Trump\u2019s weight.<\/p>\n
And after relying on a longtime personal doctor and then two White House physicians who had attested to his well-being in office, Trump turned to an unknown on the national stage to provide this report: Bruce A. Aronwald, a 64-year-old osteopathic physician from New Jersey \u2014 and a longtime member of Trump\u2019s Bedminster golf club.<\/p>\n
Trump\u2019s and Biden\u2019s cognition and general health have emerged as one of the primary issues for a majority of voters in the presidential race. There\u2019s no rule that candidates must be more forthcoming about their health, but the lead author of an academic study of medical reports issued by Trump and Biden in the last campaign said the lack of detail in the letter makes it difficult for voters to truly understand whether the 77-year-old Trump is truly in better health than his 81-year-old opponent, as he regularly proclaims on the trail.<\/p>\n
Trump, the presumptive GOP nominee, began his political career in 2015 by releasing a vague and hyperbolic medical report declaring that he\u2019d be the healthiest president in history, which his physician at the time later said Trump had dictated to him. The new letter also provides none of the usual details for the public to examine, such as the precise extent to which Trump has continued to battle obesity and high cholesterol, as he did in office.<\/p>\n
Aronwald declined to meet with a Washington Post reporter who visited his office about 19 miles from Trump\u2019s golf club, and \u2014 through Trump\u2019s campaign \u2014 said in a statement that he saw no reason to release further details about Trump\u2019s health before the election.<\/p>\n
\u201cThere is no need for President Trump to release another medical report in addition to the one he recently made public,\u201d Aronwald said, referring to his November letter. \u201cThe President is strong physically and sharp cognitively, and he\u2019s in excellent health overall.\u201d<\/p>\n
When The Post asked the campaign if Trump dictated the November letter to Aronwald, a person authorized to speak about the matter only on the condition of anonymity responded, \u201cNo.\u201d<\/p>\n
While it is Trump\u2019s prerogative to keep the information private, S. Jay Olshansky, the lead author of a 2020 report in the journal Active Aging that compared the projected life span and health of Biden and Trump, said Aronwald\u2019s letter lacks the specifics necessary to discern much information about Trump\u2019s health.<\/p>\n
Biden has released a six-page letter that details his blood tests, conditions and medications, which the White House said gives voters a clearer picture of health. \u201cJoe Biden is proud to have been transparent with his health records as Vice President, as a presidential candidate, and as President,\u201d White House spokesman Andrew Bates said in a statement. \u201cHe believes all leaders owe that level of honesty to the American people.\u201d<\/p>\n
A Post review of Aronwald found him to be a well-respected local doctor who had found notable success with a \u201cconcierge\u201d medical service catering to well-off clientele like Trump; some patients say he has never been openly political. Federal campaign finance records show only a $1,000 donation in 2015 to the presidential campaign of former New Jersey governor Chris Christie (R).<\/p>\n
Aronwald is also a well-known figure at Trump\u2019s Bedminster club, with members saying they had noticed he spent time with Trump and his family when they were all at their villas near the pool.<\/p>\n
\u201cIf you are sitting around the pool, you see him all the time,\u201d a club member, who spoke on the condition of anonymity to describe what he saw at a private venue, said of Aronwald. \u201cHe is a fixture.\u201d<\/p>\n
In a statement to The Post for this story, Trump praised Aronwald, who has treated him since 2021.<\/p>\n
\u201cDr. Aronwald is one of the best doctors in all of New Jersey and possibly the entire country,\u201d Trump said. \u201cHe has a great reputation and I have many friends who have been patients of his for years. A great doctor.\u201d<\/p>\n
Trump has long relied on personal physicians and White House doctors to respond to \u2014 and sometimes insulate him from \u2014 questions about his health.<\/p>\n
In 2015, he tweeted that \u201cas a presidential candidate, I have instructed my longtime doctor to issue, within two weeks, a full medical report \u2014 it will show perfection.\u201d<\/p>\n
A full medical report was not immediately forthcoming. Instead, the following day, Trump\u2019s then-physician, Harold Bornstein, signed a four-paragraph letter that said Trump would be \u201cthe healthiest individual ever elected to the presidency.\u201d It provided only a few metrics such as blood pressure and a PSA test for prostate screening.<\/p>\n
Bornstein, a gastroenterologist who died in 2021, later told CNN that Trump \u201cdictated that whole letter. I didn\u2019t write that letter. I just made it up as I went along.\u201d<\/p>\n
As the 2016 campaign developed, Trump\u2019s Democratic opponent, Hillary Clinton, released a detailed medical report and challenged Trump to do the same.<\/p>\n
After pressure mounted on Trump to release more information, Bornstein conducted another examination and, in September 2016, Trump went on \u201cThe Dr. Oz Show\u201d and, with a dramatic flourish, pulled out a new report for Oz to read. That letter included more information about blood tests and other metrics than the first letter, and said Trump was in \u201cexcellent physical health.\u201d<\/p>\n
In early 2017, Bornstein told the New York Times that Trump took drugs for hair loss, rosacea and high cholesterol. As a result of that revelation, he said he was told he was no longer under consideration to be White House physician. And two days after that article was published, Bornstein later told NBC News, a White House official and two others conducted a \u201craid\u201d on his office to obtain the president\u2019s medical records, which he said made him feel \u201craped, frightened and sad.\u201d The White House responded at the time that it was \u201cstandard operating procedure\u201d to obtain the documents and denied that it was a raid.<\/p>\n
During his presidency, Trump\u2019s first White House physician, Ronny Jackson, appeared in the White House briefing room in 2018 to announce that tests performed at Walter Reed National Military Medical Center found Trump to be in excellent health.<\/p>\n
The results were detailed, showing that Trump\u2019s weight had increased from 236 to 239 pounds, which qualified him as borderline obese for a man of 6-3. Jackson also said that Trump had scored a 30 out of 30 on a basic cognitive test designed to detect early signs of cognitive impairment. Jackson said nothing was being withheld from the tests, and he said that Trump\u2019s release was more than any president before him had done. Jackson recommended that Trump try to lose 10 to 15 pounds.<\/p>\n
But some physicians and analysts at the time said the report also showed Trump had an increased risk of heart problems \u2014 underscoring why releasing detailed results can provide important information beyond a general statement. CNN\u2019s chief medical correspondent, Sanjay Gupta, noted that a CT scan showed that Trump\u2019s coronary calcium score was 133, up from 98 in 2013 and 34 in 2009. Gupta wrote that a score over 100 \u201cindicates plaque is present and that the patient has heart disease,\u201d and also noted Trump had increased cholesterol levels. Jackson said in releasing the report that he had increased Trump\u2019s cholesterol-lowering medication, in addition to his recommendations about diet. (No numbers about cholesterol or calcium were released in the latest report.)<\/p>\n
Jackson, who is now a GOP congressman representing Texas, has been an outspoken supporter of Trump and critic of Biden\u2019s health. The Navy in 2022 demoted him from retired rear admiral to retired captain after a Pentagon\u2019s inspector general\u2019s report that substantiated allegations about his inappropriate behavior as White House physician, The Post recently reported.<\/p>\n
In November 2019, Trump went on an unannounced trip to the Walter Reed facility, which his spokeswoman said was a two-hour visit to give him a head start on his annual physical.<\/p>\n
Trump released medical test results in 2019 and 2020 under the supervision of Sean Conley, who was then serving as his White House physician. They showed Trump had not lost weight in line with Jackson\u2019s recommendation. Instead, his weight continued to increase, to 243 in 2019 and 244 in 2020, putting him in the obese range. He was being treated with a statin for high cholesterol levels.<\/p>\n
Conley supported Trump\u2019s usage of hydroxychloroquine, an anti-malaria drug, during the coronavirus pandemic. Conley wrote a May 18, 2020, memo in which he said he had discussed the evidence for and against the use of hydroxychloroquine and \u201cconcluded the potential benefit from treatment outweighed the relative risks.\u201d<\/p>\n
Then, after Trump contracted covid-19 in the fall of 2020, Conley made statements that played down the severity of Trump\u2019s illness that were later contradicted by other White House officials and subsequent reporting. While Conley wrote in a memo that Trump was recovering and had \u201cno symptoms,\u201d then-White House chief of staff Mark Meadows told reporters that Trump was doing worse than Conley had let on. Conley later said that \u201cit came off that we were trying to hide something, which wasn\u2019t necessarily true. \u2026 The fact of the matter is that he\u2019s doing really well.\u201d<\/p>\n
After Trump lost his reelection bid, it was more than three years until he updated his medical status with the letter written by Aronwald.<\/p>\n
A native of Bridgewater, N.J., Aronwald attended Syracuse University and received his osteopathic degree from an institution formerly known as the University of Medicine and Dentistry of New Jersey in 1986. (The school was later dissolved and its osteopathic department was taken over by Rowan University.) He served on the staff of a hospital and then joined a small family practice specializing in sports medicine.<\/p>\n
By 2002, Aronwald entered the newly emerging field of concierge medicine, which caters to wealthy patients by charging an annual fee that gives them more access to doctors. A story from that time in a local publication, the Daily Record, said Aronwald had typically seen 30 to 40 patients a day, often receiving payment from \u201cdecreasing Medicare and HMO reimbursements.\u201d Under the concierge system, Aronwald told the paper, he saw 10 to 12 patients daily who could afford to pay an $1,800 annual fee while also maintaining health insurance. The model proved lucrative and he helped other practices adopt it.<\/p>\n
At some point he became a member of the Trump National Golf Club in Bedminster, which Trump opened in 2004. Trump has a house next to the club\u2019s swimming pool, and he used the clubhouse during his presidency to entertain dignitaries and friends.<\/p>\n
Aronwald in 2022 played in the Senior Interclub Championship at the Trump club. An individual familiar with the matter, who spoke on the condition of anonymity because they are not authorized to comment on the club, confirmed Aronwald is still a member.<\/p>\n
Ira Monka, the president of the American Osteopathic Association, said Aronwald, with whom he once practiced, is one of New Jersey\u2019s \u201ctop concierge doctors. You get to that point, you could not get there if you were not a solid fundamentally strong primary care doctor.\u201d Monka noted that Aronwald and Biden\u2019s doctor, Kevin C. O\u2019Connor, are both osteopathic physicians, a profession that the association says is designed to bring harmony to a body\u2019s structure and function and focuses on \u201cthe whole person: body, mind and spirit.\u201d<\/p>\n
Jack Kripsak, a physician who has known Aronwald for 50 years, said in an interview that Aronwald \u201chas a lot of patients from that area, from that club \u2014 being a concierge doctor, he\u2019s going to get that clientele.\u201d<\/p>\n
Kripsak said that Aronwald may have initially provided services to Trump\u2019s daughter and son-in-law, Ivanka Trump and Jared Kushner, who also have a villa at Bedminster. Kushner could not be reached for comment. (A person with knowledge of the matter said that some members of the Trump family had previously known Aronwald but would not be more specific.) Kripsak said the former president reached out to Aronwald and asked whether he would become his primary care physician.<\/p>\n
\u201cIt came as a surprise to Bruce. He called me and said, \u2018President Trump gave me a call\u2019\u201d about being interviewed to be his personal physician, Kripsak said. After the interview, Aronwald told Kripsak that Trump \u201casked me to be his personal physician.\u201d<\/p>\n
Sandeep Tungare, a software developer who is a Democrat and contributor to Biden\u2019s presidential campaign, said he has been a patient of Aronwald for three decades and has never heard him express political views. \u201cI just think he is a good doctor,\u201d Tungare said.<\/p>\n
In his Nov. 23 letter about Trump\u2019s health, Aronwald said he had conducted the most recent examination of Trump on Sept. 13, 2023. While not providing any specific numbers or names of prescription medication, Aronwald wrote that Trump\u2019s \u201coverall health is excellent,\u201d that his physical exams were \u201cwell within the normal range and his cognitive exams were exceptional.\u201d The letter also said that Trump\u2019s cardiovascular studies were normal and cancer tests were negative.<\/p>\n
The letter added that his laboratory analysis was well within the normal range and \u201ceven more favorable than prior testing in some of the most significant parameters, most likely secondary to weight reduction.\u201d<\/p>\n
The letter did not provide Trump\u2019s blood test numbers or his weight, leaving it unclear if he would still be considered obese. Nonetheless, Aronwald wrote that Trump had \u201creduced his weight through an improved diet and continued daily activity, while maintaining a rigorous schedule.\u201d<\/p>\n
Olshansky, the researcher on aging, said Aronwald\u2019s brief letter is not sufficient for his team of researchers to make an updated assessment later this year on Trump\u2019s projected life span. Instead, the full \u201cmedical records are extraordinarily valuable,\u201d he said. \u201cThey tell a story about health prospects for survival going forward. You can\u2019t really do a thorough assessment of life span and health span without the medical records.\u201d<\/p>\n
Biden\u2019s doctor, in his letter, gave a more detailed analysis, including metrics for cholesterol, blood pressure, weight and an electrocardiogram, providing more transparency but also information that might be cited by a political opponent.<\/p>\n
O\u2019Connor wrote that the president is being treated with a variety of medications, has a \u201cstiff\u201d gait, and is being treated for conditions including obstructive sleep apnea, gastroesophageal reflux and sensory peripheral neuropathy of his feet. Nonetheless, these conditions were not considered impediments, and O\u2019Connor concluded that Biden is \u201ca healthy, active, robust 81-year-old\u201d who is fit to be president.<\/p>\n
Alice Crites in Washington contributed to this report.<\/p>\n<\/p>\n
BEDMINSTER, N.J. \u2014 As former president Donald Trump escalated his attacks on President Biden\u2019s health and mental fitness last fall, Trump released the first updated report on his own condition in more than three years. This assessment, however, stood in stark contrast to the relatively detailed reports released by the White House during his term. […]<\/p>\n","protected":false},"author":0,"featured_media":2829,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-2828","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/posts\/2828","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/comments?post=2828"}],"version-history":[{"count":0,"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/posts\/2828\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/media\/2829"}],"wp:attachment":[{"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/media?parent=2828"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/categories?post=2828"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/businesstriumphs.com\/index.php\/wp-json\/wp\/v2\/tags?post=2828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}