Rep. Ronny Jackson (R-TX), who served as White House physician under Trump and former President Barack Obama, told the Washington Examiner that it's "completely unbelievable" that Biden's cancer diagnosis went unnoticed during his term in office.

"Just the nature of the disease, he's had prostate cancer for years now. If it's to that point, and it wasn't picked up by his physician, Dr. Kevin O'Connor, I mean, it's complete malpractice in my mind, to be honest with you," he said in an interview. "Either he did the exam and he didn't report it, and then that makes you wonder, why did he not report it? Was it positive? Did they know he had prostate cancer? Or he didn't do the exam. He didn't do the PSA or Digital Rectal Exam, or anything like that, and there's no excuse for not doing that. He's the President of the United States."

Health guidance for the general public from the U.S. Preventive Services Task Force recommends against PSA-based screening for men age 70 and older due to false positives, as well as diagnosis of problems that wouldn’t have caused death.

However, as president, Biden should have had access to the "pinnacle" of treatment, Jackson said.

"If you pick it up early, it's curable, right? And just to have the President of the United States, who's supposed to have access to world-class health care, whose White House medical unit is supposed to be the pinnacle of concierge medicine, executive medicine, and to not pick up on something like this," Jackson continued. "I'm quite honestly shocked, and it's just, it's not good."

Keep in mind that 80% of men over 80 years old have some amount of prostate cancer cells. Though the American Urological Association and the US Preventive Services Task Force don’t recommend routine PSA screening in men over the age of 70, I believe they are wrong.

Could it be that the president didn’t have even a PSA during his yearly physical? That would be disturbing, and difficult to believe.

The test is not pointless. With today’s advanced treatments, from robotic prostatectomy to targeted radiation to advances in hormone treatments, there is no reason not to know that an 82-year-old president has prostate cancer these days, or anyone for that matter.

Is it possible that Joe B refused to take the PSA test during his Presidency or that he convinced his doctor to not give this test?

Emanuel noted that while some doctors recommended not doing a prostate-specific antigen (PSA) exam – a routine bloodwork test – after the age of 70, he [Biden] should have had those exams when he was younger.