In a candid interview conducted at his home in Wilmington, Delaware, former President Joe Biden has opened up about living with stage 4 prostate cancer and the impact of this diagnosis on his life. As he prepares for the release of his memoir, titled *Promise Me, America*, Biden reflects on both his health journey and the legacy he wishes to leave behind.
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At the age of 83, Biden remains optimistic despite the serious challenges posed by his condition. He is currently undergoing hormone therapy and has completed radiation treatment for his cancer, which has also spread to his bones. While his physical vitality may have waned since the tumultuous days leading up to his withdrawal from the 2024 presidential race, his spirit remains strong. “I feel good,” he said, while acknowledging the ongoing fight against his illness.

Biden’s memoir sheds light on his experiences with cancer, describing how he is confronting the condition with the support of a dedicated medical team and his loving family. “I’m fighting it like hell,” he wrote, expressing hope as he notes that recent tests show limited progression of the cancer. Daily medications and therapy have become an integral part of his routine.
His wife, Dr. Jill Biden, is a constant presence by his side, assisting with his care. In her own reflections, she candidly described the challenges of being a caregiver, a role shared by millions of Americans. “My days are made up of ensuring he eats well, exercises, and adheres to his medication schedule,” she explained. Jill, who also dedicates time to volunteer work, noted how their lives have navigated a new reality since his diagnosis.
As the couple prepares to celebrate nearly 50 years of marriage next June, Joe emphasised the steadfast partnership they share. “I knew what she was from the beginning,” he said of Jill, highlighting her intelligence and beauty as key aspects of their relationship. Their family, including their grandchildren, has remained a vital source of support, with Biden noting the joy he finds in spending time with them.
Biden’s faith and connection to his ancestry have also played significant roles in his life. He remarked on the comforting signs of his late loved ones through the actions of his children, particularly as his son Hunter engages thoughtfully in public policy matters. “Family is the beginning, the middle, and the end,” he stated, reaffirming the importance of familial bonds during trying times.
In a segment of the interview, Biden addressed criticism related to his age and capacity to serve as president, reflecting on the perception of age in leadership. “It’s natural to question an 80-year-old’s ability to lead,” he acknowledged, yet he believes his extensive experience in politics adds unique value. He expressed a commitment to transparency regarding his health, dispelling notions that he concealed his cancer diagnosis during his presidency.
As he approached the question of how his undiagnosed cancer might have affected his time in office, he remained resolute. “I never felt the toll of the job,” he insisted, finding strength in his experience rather than a burden. Memories of his time in the White House evoke nostalgia for the camaraderie and dedication of the staff, whom he remembers fondly.
Reflecting on his future, Biden articulated a clear vision for his desired legacy as a leader. “I hope to have kept the promise of America,” he remarked, underlining a commitment to equality and social justice that first inspired his political journey during the Civil Rights movement. His book aims to reinvigorate these ideals, urging the nation to continue striving towards the values enshrined in its founding promises.
The release of *Promise Me, America* on November 17 is anticipated to provide readers with further insights into Biden’s experiences, struggles, and aspirations, as well as a unifying message for the American people. In this latest chapter of his storied life, Biden hopes not just to share his journey, but to inspire others to remain engaged in the pursuit of a better future for all.
