Joe Biden was diagnosed with invasive prostate cancer that had metastasized to his bones by 2025. He began radiation treatment in fall 2024, according to Jill Biden’s interviews and memoir [1, 2, 3, 4]. Jill Biden described her husband as having to live with cancer for the rest of his life, calling the diagnosis "so shocking" and expressing disbelief at the news [4].

Jill Biden recalled the June 27, 2024, presidential debate with Donald Trump, saying she was shocked and feared Joe might have had a stroke during the event. Privately, she told him, "吉兒,我是不是搞砸了? 是的,你確實搞砸了。" But publicly after the debate, she praised his performance, saying, "喬,你做得非常好,你回答了每一個問題,也掌握了所有事實" [1, 2, 3, 5]. Jill said Joe showed some signs of aging, including slower movements and occasional stuttering when tired, but continued to work late and perform well [1, 2, 3].

Jill stated that Joe Biden would not have been able to serve another four years if re-elected due to his health [4]. Despite the challenges, she expressed confidence that he would have defeated Donald Trump in the 2024 election [4].

The memoir and interviews also covered Jill Biden’s strained relationship with former first lady Melania Trump. Jill described Melania’s avoidance of discussing their son Barron’s education and her refusal of traditional first ladies’ events invitations in 2021 and 2025 [6, 7, 8, 9, 10]. After the July 2024 attempted assassination on Donald Trump, Jill called Melania to express concern, but Melania responded with skepticism, citing Jill’s previous harsh comments about Donald Trump. Melania said, "不過,我確實懷疑吉兒的關心是否真誠,因為就在幾天前,她才稱我的丈夫是『邪惡的』和『說謊者』" [6, 9].

On June 3, 2026, at a New York event promoting Jill Biden’s memoir "View from the East Wing," Joe Biden unexpectedly took the stage and publicly asked Jill who she loves the most in the world, disrupting the flow and drawing media attention [5].

Jill Biden’s memoir covers Joe Biden’s health struggles, the 2024 election challenges, and their White House years in detail [1, 6, 4, 5].