By Paul V. DeMarco
Guest Columnist
By some estimates, there are still about a quarter of Americans who haven’t settled on a presidential candidate. I had a recent conversation with one of them. He’s a smart, middle-aged, college-educated man who is somewhat more conservative than me. But he has unplugged from politics for his mental health. When our conversation turned to the election, he parroted the conservative media narrative about Biden being senile.
I admitted to him that I to had been stunned by Special Counsel Hur’s report describing Biden as a “sympathetic, well-meaning, elderly man with a poor memory.” I spend some time with conservative media, which for months had been peddling inaccurate descriptions of Biden as a doddering senior ready for the nursing home. But then I watched the entire State of the Union address and was reassured.
So I asked my friend to watch 15 minutes of the SOTU. I knew he wouldn’t agree with some of Biden’s policies, and conceded that he is not as animated as Trump. But I expected he would come away from the viewing confident that Biden was not cognitively impaired. As a general internist, I have seen hundreds of patients with dementia of all varieties in my career, and it would be impossible for someone with dementia to have given that speech or handled the heckling as he did.
I also encouraged him to give Trump 15 minutes of equal time. After I watched Biden’s SOTU, it occurred to me that I hadn’t seen more than snippets of either man for months. So I watched Trump’s Super Tuesday victory rally in Rome, Georgia, from two days after the SOTU.
Our enhanced ability to watch people speak for themselves is one of the major advances of modern politics. I enjoy political theatre and try to see as many competitors as I can in person (whether I will vote for them or not) when they come within striking distance. In 2016, I saw Trump, Cruz, Rubio, Carson, Kasich, and Clinton (Bill, who was stumping for Hillary) when they came to Florence. I’d recommend everyone visit the Gallivants Ferry Stump, the longest running stump meeting in the country. There’s no substitute to being in the same location as the candidates. Sometimes you learn as much about them by the crowds they attract as by the speeches they make.
But if you can’t attend in person, you have the next best option – YouTube. With that ability, why not transfer some of the time you are spending being told about the candidates to time listening directly to them? I hadn’t listened to Trump at length but a handful of times since I saw him in person in 2016. That speech is still ringing in my ears. The moment he shouted, “And who’s going to pay for it?!” and the crowd shouted “Mexico!!” was the most frightening example of demagoguery I’ve ever witnessed.
Trump has always been bombastic and vulgar, but watching the Rome speech right after the SOTU highlighted the contrast with normal political speechmaking. Although Biden made many references to “my predecessor,” his allusions to Trump were based on differences in their positions and accomplishments. Right out of the gate in his Rome speech, Trump launched a fusillade of personal attacks. He dismissed Biden’s speech as “The worst president in history making the worst State of the Union in history.” He imitated Biden’s stutter; he mocked his cough.
Although I felt my friend could watch any 15-minute segment of the SOTU and come away with an accurate assessment of Biden, I asked him to watch the last 15 minutes of the Rome rally. If not for the American flags in the background, it would be easy to image Trump’s concluding monologue being delivered from the canvas of a WWE ring.
As foreboding music played in the background, Trump presented the U.S. as a sulfurous wasteland. He intoned “We are a nation in decline, we are a failing nation… we are a nation where free speech is no longer allowed and where crime is rampant like never ever before… and now Russia and China are holding summits to carve up the world… we are a nation that is hostile to liberty, freedom, faith and even to God… we are a nation whose economy is collapsing into a cesspool of ruin… where fentanyl… is easier to get than groceries to feed our beautiful families… we have become a horrible and unfair nation.”
Biden’s SOTU is anchored in reality. I’m not sure what nation Trump is describing, but it’s not America. The surreal and disconnected nature of Trump’s speech can’t be adequately conveyed by my words. It must be seen to be believed. Spend fifteen minutes with each man before you make a decision.
A version of this column appeared in the March 21st edition of the Post and Courier-Pee Dee.

Paul DeMarco at the Gallivants Ferry Stump Meeting in 2006.