On November 7, 2025, President Donald Trump spoke at a business forum in Miami, where he made several factual errors, including confusing South America with South Africa and mischaracterizing his impeachment as an indictment related to Ukraine. His remarks also included inaccurate historical claims about communism and the timeline of the U.S. electricity grid's construction.

During the same event, Trump claimed that the U.S. economy would be in a depression without his tariffs, despite historical evidence suggesting otherwise. He also stated that the U.S. has never lost a war, overlooking significant military engagements such as the Bay of Pigs invasion and the conflicts in Vietnam, Korea, and Afghanistan.

Psychologist Dr. John Gartner has suggested that Trump may be exhibiting signs of cognitive decline, which he associates with a personality disorder characterized by a grandiose sense of self-worth and a lack of empathy. Gartner noted that Trump's recent speeches and public appearances reflect increasing confusion and memory lapses.

The White House has asserted that Trump is in excellent health, citing his active work schedule and achievements. However, questions arose following a medical check-up on October 10, 2025, which included an MRI, a procedure that can indicate serious health issues. The White House has not clarified the necessity of this MRI, leading to speculation about the president's health status.

In a separate incident on the same day, Trump appeared to fall asleep during a press conference at the White House, which focused on agreements with pharmaceutical companies Eli Lilly and Novo Nordisk to reduce the prices of certain GLP-1 weight loss medications. California Governor Gavin Newsom highlighted the incident on social media, sharing a video of Trump seemingly dozing off while Dr. Mehmet Oz spoke about the importance of sleep. The press conference was also marked by an individual fainting behind Trump, prompting him to stand up, although White House aides later confirmed that the individual was unharmed.

Photographs from the event depicted Trump struggling to remain alert, and despite claims from members of his Cabinet, including Attorney General Pam Bondi and Vice President JD Vance, that Trump maintains an intense work schedule with little sleep, his apparent fatigue has raised questions about his health. Visible signs of physical decline, including hand bruises and unsteady walking, have further fueled speculation. Dr. Gartner has noted a significant reduction in Trump's vocabulary and coherence compared to earlier speaking patterns. The White House has not provided clarification regarding Trump's recent medical evaluations, including the MRI and cognitive test conducted in October 2025.