Upon her recent return to Washington after a more-than two-month absence to recover from an illness, Sen. Dianne Feinstein (D-Calif.) explained to reporters that she had not in fact been away at all and had been working the whole time at the Capitol. The answer she provided runs contrary to the evidence; as a result, questioned have been raised about her cognitive abilities and fitness for work. As a physician, I can’t confirm or refute a cognitive decline diagnosis without a formal examination. But the deeper question raised by this seemingly concerning exchange is, how do we determine fitness for duty in public life? In my profession, I must first obtain an unrestricted medical lice
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