James F. Toole, M.D.
James F. Toole, M.D., is professor of neurology and director of the Stroke Research Center, Wake Forest School of Medicine. Dr. Toole is current president of the World Federation of Neurology, and past president of the American Neurological Association and the American Society of Neuro-imaging. He specializes in stroke, rehabilitation, and ultrasound.
When an American President “Loses It”
It has happened, of course—and not infrequently. Just in this century, American presidents who continued to serve in ofﬁce while seriously neurologically impaired include Woodrow Wilson, Franklin D. Roosevelt, and Dwight D. Eisenhower. In the ﬁrst two, there is a credible historical case that the results were catastrophic on a world scale. But the real question is: Could it happen again? Neurologist James Toole headed a Working Group on Presidential Disability, established in 1994 at the invitation of former President Jimmy Carter and Atlanta’s Carter Center, that made strong recommendations for guarding against a recurrence, but little has been done. As a result, says Dr. Toole, a time bomb (or a somewhat larger explosive) is ticking away. There are steps that would be simple—though not politically easy—to implement.