President Trump’s latest physical got plenty of headlines—14 specialists checked his reflexes, mood, cognition, heart, lungs, weight, cholesterol. The report? “Excellent health” all around. His physician, Dr. Sean Barbabella, even shared improvements across the board—weight down, cholesterol controlled, no signs of depression or anxiety. It was the most detailed exam we’ve seen in years.

Yet the political chatter didn’t die down. In fact, it got louder. GOP strategist Rick Wilson—someone who’s followed Trump closely since 2015—warned that despite the medical green light, the former president “is incoherent.” He points to speech lapses, rambling moments, verbal slips. For Wilson, that alone raises a serious question: can someone in this condition really finish a full term?

Here’s the strange part: you can’t dismiss either view. Medical tests are important. They can rule out major issues. But they only capture a moment in time. What these tests don’t show is real-world stamina, clarity under stress, or sustained verbal performance. And several doctors have warned exactly that—that checkups don’t catch everything, especially cognitive decline creeping in under pressure.

So while the medical news was designed to calm nerves, Wilson’s warning is the kind of whisper that refuses to go away. Maybe Trump is medically fine. But that alone won’t settle the broader question: will his day-to-day performance convince us he can go the distance?