Following President Joe Biden’s recent disclosure that he has been diagnosed with an aggressive form of prostate cancer, medical professionals have begun weighing in on the potential implications of the disease, with one prominent physician describing the prognosis as “grim but not hopeless.”

The diagnosis, made public in a statement released by the White House, revealed that Biden has a Gleason score of 9—a marker of an advanced and aggressive form of prostate cancer. Further reports confirmed that the cancer had already metastasized to the bone, a stage that, while serious, still leaves room for possible long-term treatment outcomes.

During an appearance on a morning health segment, Dr. Marcus Ellery, a board-certified oncologist and prostate cancer specialist with over two decades of clinical experience, offered his professional perspective on what Biden’s diagnosis could mean both for his health and his day-to-day capacity as president.

“This is not an easy road,” Dr. Ellery began. “A Gleason score of 9 is considered high-grade, and metastasis to the bone indicates that the cancer has spread beyond the prostate, which makes treatment more complex and long-term.”

Treatment vs. Cure

According to Dr. Ellery, when prostate cancer reaches the stage where it has spread to other parts of the body, the medical focus often shifts from curative treatment to long-term management.

“Curing metastatic prostate cancer is generally not possible,” he said. “However, with current medical advancements, particularly in hormone-sensitive cases, we can often control the disease for many years and maintain a decent quality of life for the patient.”

President Biden’s statement noted that his cancer is hormone-sensitive, meaning that the growth of the cancer cells can be slowed or stopped by altering the body’s hormone levels. Hormone therapy, along with advanced medications and possibly chemotherapy, will likely be part of his treatment plan.

What Bone Metastasis Means

Bone metastasis is among the most common complications for patients with advanced prostate cancer. It can result in severe pain, increased risk of fractures, and decreased mobility. Dr. Ellery explained that these complications often have significant impacts on a patient’s energy levels and physical endurance.

“It’s not just about the cancer—it’s about how the body reacts,” he said. “Fatigue, weight loss, anemia, and bone pain are common, and these can take a toll, especially on older patients. Managing symptoms becomes just as important as treating the disease itself.”

Age as a Complicating Factor

President Biden, at 82, is already the oldest sitting president in American history. His age, while not a direct barrier to treatment, does present additional challenges.

“In someone of his age, we have to be cautious,” Dr. Ellery explained. “The body doesn’t bounce back as quickly from aggressive treatments. Kidney function, cardiovascular health, and other preexisting conditions all have to be monitored carefully.”

He also added that mental clarity and cognitive function can sometimes be affected by the fatigue associated with long-term cancer treatment, although this varies widely from patient to patient.

Outlook and Public Role

The physician was quick to note that the prognosis, though serious, does not immediately disqualify the president from continuing his duties.

“With the right care team and treatment plan, many patients live productive, full lives even while managing advanced cancer,” Dr. Ellery said. “But it does require transparency, regular medical monitoring, and often, a careful rebalancing of work and health.”

As the 2024 presidential election looms on the horizon, questions are being raised about how Biden’s health journey might intersect with his responsibilities as commander-in-chief. The White House has pledged full transparency and assured the public that the president is receiving “top-tier care from a world-class team of specialists.”

So far, Biden has continued his schedule, albeit at a slightly reduced pace, participating in meetings and briefings while his team manages his public appearances.

A Personal Journey, A Public Concern

While the political implications are yet to be fully understood, Biden’s diagnosis is also a human moment—one shared by millions of men and families across the country. Prostate cancer is one of the most common forms of cancer in men, with over 250,000 new cases expected in the United States this year alone.

Dr. Ellery ended his remarks with a broader reflection: “This diagnosis is a reminder that cancer doesn’t care who you are or what position you hold. It’s a human experience—one filled with fear, courage, and hope. And for every person watching the president go through this, there may be someone facing a similar battle. We should lead with empathy and support.”

As the nation awaits further updates, President Biden’s journey through cancer treatment will likely remain under close observation, not just politically, but as a deeply personal story that touches millions.