A top doctor to Presidents Barack Obama and Donald Trump told the Washington Free Beacon that the prognosis for former President Joe Biden’s metastatic prostate cancer is bleak—and that the former commander in chief might die within a year.

Biden’s office shocked the world last month by revealing that what had been termed a “small nodule” was actually Stage 4 prostate cancer that had spread to his bones.

Representative Ronny Jackson (R., Texas), who served as the president’s physician from 2013 to 2018, told the Free Beacon that Biden may not have much time left.

“This is not my area of specialty, but I have spoken to multiple urologists since this came out, and the general consensus is like, you know, it could be 12 to 18 months,” Jackson said. “Hopefully it’s longer than that, and I hope that they’re able to treat this effectively, and, you know, he lives many, many more years. But it’s far advanced.”

Jackson, who regularly checked both Obama and Trump for the disease, believesBiden may have received a diagnosis long before the May announcement.

“Every year I did an exam for President Obama, and every year that I did an exam for President Trump, I checked the [prostate-specific antigen],” he said. “We screened for prostate cancer. I think there’s a probability here that they knew [Biden] had prostate cancer some time ago and just didn’t tell the American people.”

“Treating prostate cancer with radiation or something like that, it doesn’t require you to be an inpatient,” he said. “I mean, people get that done as outpatients all the time. They go in, they spend a couple hours in the doctor’s office, and they’re released the same day. So, it’s absolutely conceivable that he could have been diagnosed and could have been treated without the American people knowing, if his doctor chose not to say anything and family chose not to say anything.”

“That’s definitely justification to follow him closely, and to continue to screen him every single year, aggressively, for prostate cancer,” Jackson told the Free Beacon.

The situation has become so bad that even former President Barack Obama’s former physician is adding to the questions surrounding Biden.

Jeffrey Kuhlman said Biden’s doctor should have offered him a cognitive test during his final year as president because of his age.

The most recent report by White House physician Kevin O’Connor, released in February 2024, included no mention of neuropsychological testing. Biden was 81 at the time.

“Sometimes those closest to the tree miss the forest,” Kuhlman said of O’Connor, who also expressed that such a test would have given voters a clearer picture of whether Biden was up for another 4 years in the Presidency.

“It shouldn’t be just health, it should be fitness,” Kuhlman said. “Fitness is: Do you have that robust mind, body, spirit that you can do this physically, mentally, emotionally demanding job?”

In a book published last month, journalists Jake Tapper and Alex Thompson created a portrait of a well-meaning but wounded president.

The book, which is based on interviews with dozens of Democratic insiders conducted after the 2024 election, depicts somebody who suffers from forgetfulness, incoherence, and exhaustion.

The book also asserts that O’Connor hesitated to administer a cognitive test to Biden, despite his evaluation by a neurologist for conditions like Parkinson’s disease.

Last week, Biden gave a sarcastic response when reporters asked him about his health and the reason for his withdrawal from the 2024 presidential race.

“You can see that I’m mentally incompetent, and I can’t walk, and I can beat the hell out of both of them,” Biden told reporters at a Memorial Day event, apparently referring to Tapper and Thompson.