By now, most of our readers have likely heard the serious news: Former President Joe Biden has been diagnosed with an aggressive form of prostate cancer that has already metastasized to the bone. At 82 years old, Biden is facing a steep medical challenge, and the diagnosis raises understandable questions—what does this mean for his health, and what are his chances of survival?
A High Gleason Score and Bone Metastasis
Reports indicate that Biden’s cancer has a Gleason score of 9, one of the highest possible ratings for prostate cancer severity. This is part of the Grade Group 5 classification, which means the cancer cells are highly abnormal and likely to grow and spread rapidly. Compounding the concern is confirmation that the cancer has spread to his bones—this is known as metastasis, and it dramatically changes the outlook.
The Five-Year Survival Rate
For men with advanced prostate cancer that has spread to distant parts of the body, the five-year survival rate hovers between 30% and 40%. While every case is unique, and treatments have improved in recent years, Biden’s age and the extent of the cancer are significant risk factors. In younger patients, survival rates can be higher due to stronger immune responses and more aggressive treatment plans. But for someone in their 80s, the body doesn’t bounce back as easily.
Typical Treatments and Their Limits
Doctors treating this kind of advanced cancer often turn to hormone therapy to cut off testosterone, which fuels prostate cancer growth. Medications like Lupron and Casodex are common, but they come with side effects—fatigue, weakness, and overall listlessness. Some patients may also undergo radiation therapy targeted at bone lesions or even consider surgical removal of the prostate if deemed safe. However, aggressive chemotherapy is rarely an option for someone in Biden’s age group due to the strain it places on the body.
Early Detection vs. Late Diagnosis
Many are asking how the cancer could be this advanced without being caught earlier—especially given the level of medical care available to a former president. Prostate cancer is often detected through PSA (Prostate-Specific Antigen) testing or physical exams. Experts like Dr. Siegel expressed surprise that such a late-stage condition wasn’t caught sooner, pointing out that most men Biden’s age undergo routine screening. While we won’t speculate on the exact timeline, the severity of this diagnosis suggests it’s been developing for quite some time.
A Note on Timing
While this article focuses on the medical reality, it’s fair to briefly note that the timing of the announcement has raised some questions. Given the political heat surrounding recent controversies—such as the release of the Hur tapes—some observers have speculated about whether this disclosure is also being used to shift the narrative. That said, serious illness should always transcend politics, and here at Steadfast and Loyal, we firmly believe that personal health battles should be approached with compassion.
A Moment for Empathy
Though we have vigorously criticized President Biden’s policies and performance, we draw a hard line when it comes to matters of life and health. No one should face a diagnosis like this alone, and regardless of party or politics, a battle with cancer demands empathy. We sincerely hope that President Biden is surrounded by strength, support, and excellent care as he determines the best course of treatment.
Final Thoughts from the Team
Prostate cancer is the second leading cause of cancer death among men in the United States. While early-stage cases are often treatable, aggressive and metastatic cancers—especially in older patients—remain a daunting diagnosis. We encourage our readers to stay informed about their own health and urge every man over 50 to speak with their doctor about PSA testing and routine screenings.
From all of us at Steadfast and Loyal, our thoughts are with Joe Biden and his family during this difficult time. We pray for his strength, healing, and peace in the days ahead.
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JIMMY
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