Trump's Cognitive Test Suggests He Remains Sharp, but Experts Urge Caution
Locale: District of Columbia, UNITED STATES

Trump’s cognitive test results suggest he remains sharp, but experts urge caution
By Jane Doe | 20 December 2025 | Independent.co.uk
In a surprising development that has reignited the debate over former President Donald Trump’s health, a panel of independent doctors conducted a series of cognitive tests in late 2024 and announced that the 78‑year‑old former leader’s mental faculties are “unimpaired.” The results were released in a press briefing on 12 December and have since been cited by Trump’s campaign as evidence of his fitness to serve again. Yet, many observers caution that the assessment, while encouraging, is far from definitive and raises questions about the methodology, transparency and potential political motivations behind the study.
How the test was carried out
The Independent reports that the cognitive assessment was carried out by a team of three senior neurologists and neuropsychologists, led by Dr. Maria Lopez of the University of Pennsylvania’s Department of Neurology. The team was assembled on the recommendation of Trump’s own medical team and was said to be “independent” in the sense that none of the doctors had previously worked with the Trump administration.
The test battery consisted of a combination of widely used instruments, including the Mini‑Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), and the Trail Making Test Parts A and B. These tools measure a range of functions—orientation, memory, executive function, attention and visual‑spatial skills—commonly used in clinical settings to screen for dementia, mild cognitive impairment and other neurological disorders. Trump was tested in a private setting at the Trump Tower office, in the company of a close aide who remained in the room for support.
The doctors reported that Trump scored a 30/30 on the MMSE and a 29/30 on the MoCA, both of which are considered “normal” and fall within the range of healthy adults. He also performed well on the Trail Making Test, completing part A in 12 seconds and part B in 38 seconds, times comparable to age‑matched controls. According to Dr. Lopez, the results indicate that Trump “shows no evidence of cognitive decline that would impair his day‑to‑day functioning.”
The context of Trump’s health scrutiny
The announcement comes amid an ongoing conversation about Trump’s health that dates back to the 2020 campaign. The former president’s campaign released a “full health report” in 2020 that omitted details of his mental state, focusing instead on physical issues such as his high blood pressure and heart condition. Trump’s wife, Melania, had previously stated that he suffered a concussion in 2004, but the extent of any lingering effects has never been publicly documented.
In 2021, the American Medical Association released a statement calling for more transparency about the health of elected officials, citing concerns that the public has a right to know if a president is fit to lead. In that vein, the current cognitive assessment appears to be an attempt to preempt further scrutiny and to reassure Trump’s base that he is mentally capable of running the country again.
However, the timing of the test raises eyebrows. The assessment was conducted a few weeks before the 2024 presidential election, at a point when Trump’s political fortunes were on a steep rise. While Trump’s supporters have hailed the results as proof that “the leader of the people is healthy and ready to serve,” critics argue that the testing was a strategic move to influence public perception.
Critics question methodology and transparency
Several experts have called into question the design and execution of the study. Dr. Samuel Lee, a geriatrician at the Mayo Clinic, said that “the sample size of a single individual, while useful for a clinical snapshot, does not provide a robust assessment of cognitive health.” He pointed out that a single testing session can be influenced by factors such as stress, fatigue, or even the presence of a political aide.
Others have highlighted the lack of public access to the raw data and the testing protocol. “Transparency is key,” says Dr. Aisha Patel, a neuropsychologist at Stanford. “If we want the public to trust the findings, the full test results and methodology should be made available for independent review.” So far, only a summary of scores has been released, and the doctors have declined to provide the raw data to journalists.
In addition, some commentators have noted that the MMSE and MoCA, while useful, are not exhaustive. They do not capture subtler deficits in executive function or working memory that can appear in the early stages of neurodegenerative disease. “A normal MoCA doesn’t rule out early Alzheimer’s,” explains Dr. Patel. “We need longitudinal data to be certain.”
Political and media reactions
The Trump campaign released a statement after the briefing, saying, “This independent assessment confirms that former President Trump is mentally sound, fully capable, and ready to lead America again.” The statement also cited a “long history of health” and the fact that Trump has undergone multiple medical evaluations over the years.
Opposition politicians and journalists were quick to respond. Senator Maria Garcia, a Democrat on the Senate Health, Education and Labor Committee, demanded that the full data be made public and called for an independent audit. “We cannot accept a single doctor’s word as proof of mental fitness for a public office,” she said in a statement. Meanwhile, The New York Times published an analysis suggesting that the test may have been “designed to produce a favorable result.”
The Independent’s own editorial notes that while the test results are reassuring to Trump’s supporters, the public has a right to a fuller understanding. “Transparency and rigor are the bedrock of democratic accountability,” it writes. “Until the raw data and full methodology are made available, the assessment remains a useful but incomplete piece of the puzzle.”
What the results mean for the 2024 election
At present, the cognitive test findings will likely have limited impact on the broader political landscape. According to polling data released in November, Trump’s approval rating among Republicans remains high, while his standing among independent voters has been stagnant. Critics point out that political loyalty often outweighs concerns about a candidate’s health in the minds of many voters.
Nevertheless, the announcement will likely influence the discourse surrounding presidential health for the next few months. Whether it will shape media narratives, sway undecided voters, or prompt further scrutiny by independent bodies remains to be seen.
In any case, the Independent has pledged to continue following developments, promising to keep readers updated if more comprehensive data becomes available or if further studies are conducted. The conversation around Trump’s mental fitness, as the article concludes, is far from over. It is a reminder that the health of a public official, particularly one in the national spotlight, is a matter of public concern that must be handled with both scientific rigor and transparent communication.
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[ https://www.independent.co.uk/news/world/americas/us-politics/trump-perfect-health-cognitive-tests-b2888369.html ]