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Should Lawmakers Pass Cognitive Tests Before Serving in Congress?

Are America’s Lawmakers Too Old to Lead?

The halls of Congress may appear calm on C-SPAN, but behind the cameras, a quiet unease is growing: Are the nation’s elected leaders aging out of their ability to govern effectively? With nearly 120 members of Congress over the age of 70, critics are questioning whether cognitive decline should remain a private matter. What happens if those crafting the nation’s laws can no longer fully comprehend their consequences?

This concern has sparked a controversial proposal: mandatory cognitive testing for members of Congress. If implemented, it could fundamentally reshape American politics — though constitutional hurdles make such a measure far from inevitable.

A Growing Concern

The age of U.S. lawmakers has become impossible to ignore. Representative Marie Gluesenkamp Perez’s recent proposal to require cognitive exams for Congress members drew national attention, even though it ultimately failed to pass.

Supporters argue that testing could restore public confidence in government and ensure that elected officials are capable of fulfilling their duties. Critics, however, warn that such tests could be weaponized for political gain or infringe on personal privacy.

Legally, the challenge is formidable. The Constitution defines who can serve in Congress, and adding new requirements would likely require a constitutional amendment — a historically difficult endeavor. While Congress can discipline or expel members for misconduct, incapacity alone rarely results in removal.

How Other Countries Approach the Issue

Few nations mandate cognitive assessments for elected officials. Singapore’s Constitution requires officeholders to be “of sound mind,” but there is no routine testing;

concerns are addressed only if a medical panel is convened. In Vatican City, mental capacity can disqualify candidates, but formal tests are not standard. Reports suggest that Chinese officials undergo internal health evaluations, though details remain largely opaque.

Would Cognitive Testing Work?

Even if Congress passed a law requiring cognitive exams, choosing an appropriate test would be contentious. Tools like the MMSE (Mini-Mental State Exam) or MoCA (Montreal Cognitive Assessment) are designed for clinical diagnoses, not political eligibility. Scores can be affected by education, language, and cultural background, creating a risk of both false positives and false negatives.

Some experts suggest compromise solutions: administering tests only when credible signs of cognitive decline appear, or improving transparency around officials’ health to allow voters to make informed decisions.

The Democratic Dilemma

Democracy relies on voters to choose their leaders, which makes mandatory testing both legally and politically tricky. Yet as Americans live longer — and politicians serve into their 80s — the public demand for transparency about health and mental fitness is intensifying.

Addressing the issue fully would require a constitutional amendment, a rare and politically fraught process. In the meantime, the responsibility rests largely with voters and the press to scrutinize officials’ capabilities. Public debates over the age and fitness of leaders, fueled by moments like President Biden’s widely noted disorientation during a debate, underscore that this conversation is only beginning.

One thing is clear: the question of age, cognitive capacity, and political power is no longer a peripheral issue — it is central to the future of governance in America.

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