1. United States
2. Iowa
3. Letter

Trump's rambling and incoherent tangent during the town hall raises serious concerns about his cognitive abilities and fitness to serve as president. His apparent conflation of Harvard University with the New York neighborhood of Harlem, coupled with his bizarre claims about Black people protesting in support of his policies against Harvard, suggests a potential decline in mental faculties. Given the immense responsibilities of the presidency, it is imperative that Trump undergo an independent medical evaluation to definitively assess his cognitive state and rule out any underlying conditions that could impair his decision-making abilities. The American people deserve transparency and assurance that the president is of sound mind to effectively lead the nation.