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A dark-haired woman wearing a black suit, in a wheelchair near a car.
Sen. Dianne Feinstein, in a wheelchair as she returns to the Senate after a more than two-month absence, May 10, 2023. AP Photo/J. Scott Applewhite

Feinstein just the latest example of an old problem: Politicians have long been able to evade questions about their ability to serve

California Democratic Sen. Dianne Feinstein recently returned to the Senate after an almost three-month absence that – because she could not vote remotely and the Senate is closely divided – left the Democrats’ agenda in limbo.

Feinstein turns 90 in June and can barely walk on her own, and her mental acuity has been in question for many years. Yet she is holding on to her seat and won’t resign despite fervent pleas from some within her party.

Politicians are vulnerable when they’re accused of almost any impropriety real or imagined, but physical ailments and deteriorated health may be the one topic for which politicians can escape scrutiny.

Health, privacy and how to be trustworthy

Most people expect that their health is a private matter. And for a politician or candidate, such disclosures can be used as political weapons by their opponents. But when voluntarily entering the sphere of public service, does someone have an obligation to inform constituents about how well one is actually able to do the job?

Perhaps Feinstein – or her staff – knows that politicians can evade questions about their health practically with impunity. But politicians who are dodgy about their medical condition can put constituents at a disadvantage.

Ironically, according to my research, if Feinstein would come clean about her impairments, the media and public would probably be far more forgiving. But she seems intent on taking politicians’ all-too-common route of engaging in deceptive evasion. She loses trustworthiness when the public clearly sees her dodging questions. In her most recent interaction with reporters she was politely asked how she’s feeling. She said she’s fine except for a problem with her leg.

The reporter courteously asked what was wrong with her leg. She said “nothing that’s anyone concern but mine.” Then she repeatedly asserted, falsely, “I haven’t been gone” from the Senate, and her office appears to be further stonewalling when asked for follow-up or clarification.

By overtly deflecting reporters’ questions – about her leg and her absences – she is probably causing people to think and obsess even more about her inadequacies as an elected official, based on experiments I have conducted. If Feinstein demonstrated a sincere, pleasant demeanor instead of glaring at reporters, and provided transparent disclosures about her health, she would shift from being perceived as duplicitous to being trustworthy, based on experiments I have run.

Precedent for secrecy

Nonetheless, the default position for public figures – especially politicians – seems to be diversionary maneuvers to evade questions. And the reason may not just be a complicit partisan base that allows politicians to deceive with impunity. The media have long allowed politicians’ poor health to stay hidden.

History is full of examples of the media’s covering up politicians’ medical problems. That, in turn, exacerbates a common perception that reporters are complicit with politicians in concealing important information from the public.

Traditionally, reporters hate cover-ups. But the media seem to make an exception for health concerns. Reporters apparently consider it within the bounds of campaign job interviews to ask a politician whom he is having sex with, what type of underwear he wears, how many ex-girlfriends’ abortions he paid for and precisely how gay he is.

But reporters practically become snooty, high-brow puritans at the thought of asking politicians whether their health will allow them to show up to work.

An older woman with black hair looking out from a desk.
The press did not report for a long time that Sen. Dianne Feinstein, now 89 years old, had lost much of her mental sharpness and her memory. Amanda Andrade-Rhoades/For The Washington Post via Getty Images

Reporters in cahoots

Sen. Strom Thurmond did not retire until he was 100 years old, and reporters largely kept his cognitive ailments hidden. Like Feinstein, Thurmond often showed evidence of cognitive decline when speaking.

An extreme example of this phenomenon of politicians deceiving is provided by serial liar Rep. George Santos. Unlike most politicians who lie about their health to sound as if they are impervious to maladies, the New York lawmaker took the opposite approach while campaigning for Congress. Santos listed all sorts of health problems he suffers from: acute chronic bronchitis, a brain tumor, an immunodeficiency and susceptibility to cancer.

Most of Santos’ claims about his life other than his health have been fact-checked. After he was elected, the media thoroughly investigated and dispelled his claims ranging from saying he was Jewish to saying he had played college volleyball. But Santos’ statements about his own mental or physical abilities seem to have gone unquestioned. Santos was either lying or telling the truth about being unwell.

Either way, the public should have known.

A man in a dark jacket, red tie and white shirt raising his right hand and looking upward.
Despite fact-checking many of Rep. George Santos’ assertions, the press didn’t check out his claims about his health. David Becker/The Washington Post via Getty Images

Fit for office

It may be time to consider a politician’s health – literal, physical fitness for the office – to be fair game for disclosure. Asking politicians whether they have the ability to serve in office should not be off-limits, nor considered evidence of “ableism.”

If civil discussions of mental and physical health impairments can be held – rather than treated like stigmas that must be hidden – democracy would be healthier. The public should be able to expect their representatives to be able to show up to work and honestly serve their constituents. And that means reporters and the general public should ask the necessary questions of their elected officials.

This is an updated version of an article originally published March 3, 2023.

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