How Age-Based Guidelines Missed the Illness

The reason Joe's routine checkups didn't catch it comes down to a screening guideline most people have never heard of. Physicians reportedly followed American Urological Association recommendations, which advise against routine PSA blood testing for men over 70, since prostate cancer typically grows slowly at that age.

That meant Joe was never given the blood test that might have flagged a problem sooner. Jill later called it "shocking" to learn how far things had progressed given how closely his medical team monitored him.

The turning point came when Jill noticed a severe, recurring disruption during the quietest hours of the night. Joe was getting up seven times a night to use the bathroom. | Source: Getty Images

The turning point came when Jill noticed a severe, recurring disruption during the quietest hours of the night. Joe was getting up seven times a night to use the bathroom. | Source: Getty Images

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The nighttime bathroom trips didn't stop once the Bidens left the White House in January 2025. If anything, they got worse, and this time, Jill wasn't willing to let it slide.

"When it continued when we got out of the White House, I said, 'Joe, we've got to go up to Jeff in Philly — something's wrong,'" she told Ripa, referring to Jefferson Health in Philadelphia. That decision led directly to the tests that finally caught what routine screenings had missed.

Many observers wondered how such a severe condition went undetected during routine White House checkups. Jill clarified that standard medical protocols actually worked against them.Jill Biden attends a White House event in Washington, DC on October 21, 2024 | Source: Getty Images

Many observers wondered how such a severe condition went undetected during routine White House checkups. Jill clarified that standard medical protocols actually worked against them.Jill Biden attends a White House event in Washington, DC on October 21, 2024 | Source: Getty Images

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