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Funny you brought up a pope. Do you remember John Paul 2 whose Parkinson's diagnosis was hidden for 12 years? There are just diseases that have linear paths (and most cancers isn't one of those). While I agree that rumors have to be treated like rumors, the thing about leaders with authoritarian tendencies (including Trump) are way more likely to make decisions motivated by personal stuff than those with less authoritarian styles. That's actually one of the key weaknesses of authoritarianism. Not everything makes geopolitical sense.

BTW, Trump probably has MCI compounded by whatever psychiatric condition he has I'm not qualified to diagnose. In fact if it weren't for the "bleach moment" that was purely driven by his psychopathology, he'd still be president. So let's not minimize the conditions leaders may have that impact their ability to lead.