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I don't think he's brain damaged. I think he just suffers from the standard decline in memory and mental aptitude that comes with getting old. It happens to everyone eventually if they live long enough. Of course it could be the onset of dementia, but I'm not a doctor which is the reason I haven't and won't make such an assertion.
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That is a kind response. However, Biden's "gafts" and "stuttering" are not new. He's been doing it for decades. That doesn't mean brain damage of course and even could be psychological or philosophical based, or even possible some internal conflict between what he wants to say battling what he is supposed to say, jamming him up. Trump talks off-the-cuff with little safeguarding so wouldn't have that problem.
The reason Obama so often does so many "uhs" and long pauses is because he is trying to calculate every word he says politically and tactically.