Joe Biden has mental health problems. The Biden cognitive decline is apparent.  The Biden mental state is one of confusion. Joe Biden Has Lost 50% of His Cognitive Capabilities.  See http://boomerspeaks.com/978282.html .

A stenographer who knew Joe Biden estimated that Joe had suffered a 50 percent decline in his cognitive abilities after serving as Obama's Vice President..
Former WH Stenographer: Joe Biden Has Lost 50% of His Cognitive Capabilities | Neon Nettle at https://neonnettle.com/news/14046-former-wh-stenographer-joe-biden-has-lost-50-of-his-cognitive-capabilities .

A Clinical Evaluation of Joe Biden’s Cognitive-Linguistic Deficits in 2020 showed Joe was in cognitive decline.  JL Johnson, BA, MS, CCC-SLPon noted “The patient is a 78 year and 11-month-old male, who presents with moderate to severe cognitive-linguistic deficits typically associated with a progressive neurological disease.”
Executive Dysfunction: A Clinical Evaluation of Joe Biden’s Cognitive-Linguistic Deficits. | Human Events see https://humanevents.com/2020/10/13/executive-dysfunction-a-clinical-evaluation-of-joe-bidens-cognitive-linguistic-deficits/ .

New Report Inadvertently Highlights Joe Biden's Cognitive Decline (americanlookout.com) at  https://americanlookout.com/new-report-inadvertently-highlights-joe-bidens-cognitive-decline/.
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Biden's Mental State: What the Experts Are Saying | Psychology Today at  https://www.psychologytoday.com/intl/blog/politics-psychiatry-and-psychoanalysis/202009/bidens-mental-state-what-the-experts-are-saying .

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