Joe Biden aides debated whether he would require wheelchair if re-elected in 2024, bombshell book reveals

The revelation was made in the book 'Original Sin: President Biden’s Decline, Its Cover-Up, and His Disastrous Choice to Run Again'
PUBLISHED MAY 14, 2025
Behind the scenes of former President Joe Biden’s final months in office, his aides were having some tense discussions, including whether he needed a wheelchair (Getty Images)
Behind the scenes of former President Joe Biden’s final months in office, his aides were having some tense discussions, including whether he needed a wheelchair (Getty Images)

WASHINGTON, DC: Behind the scenes of former President Joe Biden’s final months in office, his aides were having some tense discussions — including the possibility of rolling him around in a wheelchair if he managed to secure a second term. 

That’s just one of the eyebrow-raising revelations in 'Original Sin: President Biden’s Decline, Its Cover-Up, and His Disastrous Choice to Run Again,' a bombshell new book dropping May 20 from Axios reporter Alex Thompson and CNN’s Jake Tapper.

According to an excerpt first reported by Axios, Thompson’s home outlet, “Biden’s physical deterioration — most apparent in his halting walk — had become so severe that there were internal discussions about putting the president in a wheelchair, but they couldn’t do so until after the election.”

“Given Biden’s age, [his physician Kevin O’Connor] also privately said that if he had another bad fall, a wheelchair might be necessary for what could be a difficult recovery,” the authors wrote.

WASHINGTON, DC - JANUARY 20: Former U.S. President Joe Biden and former first lady Jill Biden board a helicopter following the inauguration of U.S. President- Donald Trump outside the U.S. Capitol on January 20, 2025 in Washington, DC. Donald Trump takes office for his second term as the 47th president of the United States. (Photo by Chris Kleponis - Pool/Getty Images)
Former President Joe Biden and former first lady Jill Biden board a helicopter following the inauguration of President Donald Trump outside the US Capitol on January 20, 2025, in Washington, DC (Chris Kleponis - Pool/Getty Images)

Book reveals Joe Biden's 10-to-4 window

The book paints an embarrassing picture of Biden’s daily stamina, too. According to Tapper and Thompson, the president had a pretty limited window in which he could operate at full capacity.

The Delaware Democrat reportedly had a six-hour window – from 10 am to 4 pm – during which he was effective. Outside of that window, he became "fatigued" and prone to "verbal miscues."

Behind the scenes, Biden’s doctor was apparently at odds with some of the president’s staff. O’Connor often clashed with aides, pushing them to include more downtime in Biden’s schedule — something they weren’t always keen to accommodate. 

WASHINGTON, DC - AUGUST 26: U.S. President Joe Biden pauses while listening to a question from a rep
Former President Joe Biden abruptly pauses while being pressed by a reporter about the situation in Afghanistan in the East Room of the White House on August 26, 2021, in Washington, DC (Drew Angerer/Getty Images)

But it wouldn’t be the first time a US president used a wheelchair — Franklin Delano Roosevelt did after being paralyzed by polio in 1921. However, FDR made it a mission to keep that detail on the down-low.

Rarely photographed in a wheelchair, Roosevelt worked overtime to shield his condition from the public.

Joe Biden White House always denied his alleged mental health decline

There have been questions about Biden’s age and mental sharpness for years. 

From verbal slip-ups to visible stumbles and bouts of confusion, the whispers grew louder as the 2024 election drew closer. And yet, the Biden camp brushed it all off like lint on a suit.

The White House flatly denied any concealment, assuring Americans the president was in good shape. But critics weren’t buying it — especially after liberal media outlets (including Tapper himself) downplayed concerns about Biden’s physical and mental state, the New York Post reported.

Despite weak polling numbers and increasing alarm over Biden’s performance, the administration and family kept up the appearance of business as usual.

That is, until a widely panned debate performance against Donald Trump on June 27, 2024, shook the Democratic Party to its core.



 

It followed a full-blown internal revolt that forced Biden to drop out of the race on July 21, ultimately throwing his support behind then-Vice President Kamala Harris.

Team Joe Biden gets into damage control mode after book's revelations

Unsurprisingly, Team Biden is calling foul on the book’s claims.

“Yes, there were physical changes as he got older, but evidence of aging is not evidence of mental incapacity,” a Biden spokesperson shot back.

“And so far, we are still waiting for someone, anyone, to point out where Joe Biden had to make a presidential decision or make a presidential address where he was unable to do his job because of mental decline,” the spokesperson continued.

“In fact, the evidence points to the opposite — he was a very effective president.”

U.S. President Joe Biden walks out of the Oval Office to speak about the results of the 2024 election in the Rose Garden on November 07, 2024 in Washington, DC. Former President Donald Trump defeated Democratic candidate Vice President Kamala Harris. Biden pledged to work with the Trump team to ensure a smooth transition and invited the former President for an Oval Office meeting. (Photo by Andrew Harnik/Getty Images)
Joe Biden walks out of the Oval Office to speak about the results of the 2024 election in the Rose Garden on November 7, 2024, in Washington, DC (Andrew Harnik/Getty Images)

'Original Sin' hits the bookshops on May 20.

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