Trump said Biden may not realize he's still alive. Trump added that Biden is surrounded by "smart but evil people" Earlier, the personal physician of Biden's predecessors as head of state, Barack Obama and Donald Trump, Ronny Jackson said that Biden needs to pass a number of sanity tests before participating in the election.

As of late April, Joe Biden's job approval rating as president has fallen to a record low of 37% since his inauguration. The former US leader was speaking at an event in Pennsylvania.