Former President Joe Biden is currently undergoing treatment for an aggressive form of prostate cancer, yet he continues to engage actively in various public duties. Recently, friends and associates have expressed concerns about signs of increased fatigue, which they attribute to the challenges of his illness and medical regimen.
According to Fox News, close contacts have reported to The Washington Post that while Biden remains engaged, there has been a noticeable difference in his energy levels. Some friends shared that conversations with him reveal a sense of tiredness, which they believe is influenced by the toll of his ongoing treatment. In contrast, others have provided a more optimistic outlook, describing him as active and engaged. One individual noted that Biden remains “encouraged and positive about his prognosis given his positive response to treatment.”
Health Status and Ongoing Treatment
Biden’s office disclosed in 2025 that he was diagnosed with stage 4 prostate cancer that had metastasized to the bone. Medical professionals classify this stage of the disease as incurable. At the time of diagnosis, a Gleason score of 9 was assigned, indicating a highly aggressive form of cancer with an increased likelihood of rapid spread.
His treatment plan includes radiation therapy at Penn Medicine Radiation Oncology in Philadelphia, alongside hormone therapy administered in pill form. On October 20, 2025, Biden celebrated the completion of his radiation treatment by ringing a ceremonial bell, a moment described by his daughter, Ashley Biden, as a small celebration in his ongoing battle against the illness.
Despite his diagnosis, Biden has maintained a presence at significant events. In April 2025, he attended the funeral of Pope Francis and later was present at the funeral of former Vice President Dick Cheney. In January 2026, he also paid his respects at the funeral of Tatiana Schlossberg. Friends and aides indicate that the combination of medical treatment and public engagements has led to fluctuations in his energy levels, but they emphasize that he remains committed to his work and upcoming responsibilities.
Future Engagements and Public Appearances
Looking ahead, Biden is scheduled to travel to South Carolina on February 27, 2025, to commemorate the sixth anniversary of his primary victory in the state. His aides have confirmed that he continues to work on various projects, including writing a memoir and preparing for future public appearances.
While concerns about his health persist, the focus remains on Biden’s determination to balance his treatment with his public duties. Friends and associates continue to monitor his condition closely, expressing hope for his recovery as he navigates this challenging period.
