Unanswered Questions Surrounding Joe Biden’s Health and the Auto-Pen Controversy
Unanswered Questions Surrounding Joe Biden’s Health and the Auto-Pen Controversy As Joe Biden Battles Aggressive Prostate Cancer, Who Was Really Running the Show
The recent revelation of former President Joe Biden’s diagnosis with aggressive prostate cancer has sent shockwaves through the political landscape, raising profound questions about leadership, transparency, and the inner workings of the Biden administration during its final months. The diagnosis, detailed in a statement from Biden’s personal office on May 18, 2025, confirmed the cancer had metastasized to the bone, a grim prognosis that adds urgency to an already contentious debate: What did First Lady Jill Biden know about her husband’s condition, and when did she know it? Equally pressing is the mystery surrounding the use of an auto-pen to sign critical documents, including pardons, during Biden’s presidency. Was it Joe Biden, Jill Biden, or an unelected staffer making these decisions? America deserves answers.
The announcement of Biden’s prostate cancer diagnosis came just days after reports surfaced of a small nodule found in his prostate during a routine physical exam on May 13, 2025. According to ABC News, the nodule was initially described as a minor issue, but subsequent tests revealed a far more serious condition. Prostate cancer, known for its lethality and rapid progression, casts a shadow over Biden’s health history, which already includes non-melanoma skin cancers and a cancerous lesion removed in 2023. The metastasis to the bone indicates an advanced stage, complicating treatment and raising questions about Biden’s capacity to govern in his final months as president. TJ Ducklo, a former Biden staffer who has battled cancer himself, offered a message of support on X, stating, “No one in America is stronger than Joe Biden.” Yet, the gravity of the diagnosis cannot be understated, and it fuels speculation about how much was concealed from the public.
This health crisis dovetails with a simmering controversy over the use of an auto-pen to affix Biden’s signature to official documents, including high-profile pardons like that of his son, Hunter Biden. Reports from outlets like Newsweek and The Gateway Pundit suggest that nearly all of Biden’s signatures during his presidency may have been produced by an auto-pen, a device that mechanically replicates a signature. This practice, while not illegal—previous presidents like Harry Truman and Barack Obama used auto-pens for legislation—has sparked outrage among critics who question whether Biden was mentally or physically capable of authorizing these signatures. The New York Post cited an anonymous Biden staffer claiming that a key aide unilaterally decided what to auto-sign, potentially without Biden’s direct knowledge. Names like Steve Bruschetti, Anita Dunn, Mike Donilon, Bob Bauer, and even Jill and Hunter Biden have been floated as possible figures involved, though no concrete evidence has pinned down a single culprit.
The auto-pen issue gained traction in March 2025 when President Donald Trump attempted to nullify Biden’s pardons, arguing they were invalid due to the use of an auto-pen. Trump’s remarks, including a Fox Noticias interview where he dismissed the idea that Jill Biden was the sole “autopen” orchestrator, attributed influence to “radical left lunatics” rather than a single individual. This rhetoric, echoed by posts on X, reflects a broader sentiment among some Americans that unelected operatives may have wielded outsized power in the Biden White House. One X user, @RobinNunya14, demanded that Jill Biden be questioned, alleging she “ABSOLUTELY knew” about Joe’s condition and may have been behind the auto-pen’s use, calling for all auto-signed documents to be rescinded.
Jill Biden’s role in this saga is particularly scrutinized, given her proximity to the former president and her fierce defense of his capabilities. During a May 2025 appearance on ABC’s “The View,” both Joe and Jill pushed back against claims of cognitive decline, with Jill forcefully stating, “The people who wrote those books were not in the White House with us.” Her advocacy for her husband, coupled with her deep involvement in initiatives like the Biden Cancer Moonshot, paints a picture of a first lady who was not only a supportive spouse but also a key political figure. The Cancer Moonshot, reignited in 2022 to halve cancer death rates by 2047, was a personal mission for the Bidens, driven by the loss of their son Beau to brain cancer in 2015. Jill’s visits to cancer research facilities, including a 2023 tour in Atlanta and a 2022 stop at the National Cancer Institute, underscored her commitment. Yet, her silence on Joe’s recent diagnosis raises questions about whether she was aware of his deteriorating health and chose to shield it from public view.
The timeline of Biden’s health disclosures adds fuel to the speculation. In February 2023, a cancerous lesion was removed from his chest, and Jill herself underwent surgery for basal cell carcinoma in January 2023. These incidents, combined with Biden’s history of gaffes and public moments of apparent frailty, fed narratives of cognitive and physical decline, as noted in Newsweek’s coverage of his final years in office. Critics argue that if Biden was incapacitated, someone—possibly Jill or a senior aide—must have assumed de facto control, including over the auto-pen. The Gateway Pundit’s report that Biden expressed confusion to Speaker Mike Johnson about signing an executive order on natural gas sales in January 2025 suggests either cognitive impairment or a lack of awareness about decisions made in his name.
The implications of this controversy are profound. If a staffer or Jill Biden authorized the auto-pen without Joe’s full consent, it raises constitutional questions about the legitimacy of executive actions, including pardons and clemency grants. Biden issued 4,245 acts of clemency, a figure that dwarfs those of his predecessors, and the pardon of Hunter Biden, despite Joe’s public promise not to intervene, has drawn particular scrutiny. Was this a deliberate act by Joe, a decision by Jill to protect her stepson, or the work of a rogue aide? The lack of transparency, coupled with Biden’s cancer diagnosis, leaves a void that invites speculation.
Jill Biden’s personal history with cancer—her parents’ deaths from the disease, her sister’s stem cell transplant, and Beau’s tragic loss—makes her husband’s diagnosis a deeply personal blow. Her advocacy through the Biden Breast Health Initiative and the Cancer Moonshot demonstrates a commitment to fighting the disease, yet her role in the administration’s decision-making remains opaque. Did she know the extent of Joe’s illness and choose to maintain a facade of normalcy? Or was she, like the public, kept in the dark by a tightly controlled inner circle?
As Joe Biden faces this harrowing health battle, the questions linger: Who was truly in charge during his presidency’s twilight? Was the auto-pen a tool of convenience or a symptom of a deeper leadership vacuum? The American people, grappling with the fallout of a tumultuous political era, deserve clarity. Until definitive answers emerge, the shadows surrounding Jill Biden, the auto-pen, and the Biden administration’s final days will continue to loom large.