Mitch McConnell’s well being and future within the Senate: What we all know


Senate Minority Chief Mitch McConnell appeared to expertise one other well being episode throughout a information convention in Kentucky on Wednesday, falling silent for greater than 30 seconds when he was requested whether or not he would search reelection.

His aide requested him if he had heard the query earlier than saying, “We’re going to wish a minute.” One other aide checked on him, and he finally responded earlier than transferring on to additional questions.

It’s the second such obvious episode in two months. In July, McConnell froze mid-sentence for about 20 seconds throughout a information convention on Capitol Hill earlier than he was briefly ushered away after which returned saying he was “high-quality.”

It’s not clear what may need occurred in both occasion. On Wednesday, McConnell’s workplace mentioned in a press release that he “felt momentarily lightheaded and paused throughout his press convention immediately.” He now feels high-quality, however might be talking with a doctor earlier than his subsequent occasion, based on a McConnell aide.

In July, McConnell’s workplace additionally mentioned that he was feeling light-headed, however didn’t elaborate on why.

Wednesday’s incident is the most recent in a collection of well being points which have raised considerations concerning the 81-year-old Senate chief’s well being. He suffered from a concussion and a fractured rib from a fall at a DC resort earlier this 12 months, for which he was hospitalized for 5 days and stayed at a rehabilitation facility. He didn’t seem on the Senate ground for six weeks following the autumn. He additionally tripped and fell whereas disembarking from a airplane in July, although he didn’t undergo any severe accidents consequently.

McConnell isn’t the one senator going through considerations associated to their well being and age. Ninety-year-old California Sen. Dianne Feinstein (D) has lately confronted calls to resign from congressional Democrats amid questions on her cognitive skills.

Whereas McConnell has not articulated any intention of stepping down anytime quickly he laughed off a query a couple of successor in July and his workplace didn’t reply to questions on his future plans Wednesday his retirement would dramatically shake up the dynamics within the Senate.

What may need occurred to McConnell?

With out an official report of a analysis (which McConnell has not launched), it’s unattainable to know what’s inflicting these occasions. However one clarification may very well be that he’s experiencing episodes of transient aphasia, which is a short lived interruption in an individual’s means to make use of language. This interruption may coincide with the individual not understanding what’s being mentioned to them or what’s occurring, but it surely’s additionally potential for the individual to be totally conscious of what’s taking place throughout the episode.

Aphasia, whether or not episodic or persistent, is commonly a long-lasting or everlasting function of situations affecting the mind, together with cancers, infections, and lots of types of dementia. Nonetheless, it will probably additionally happen in shorter bursts when it’s brought on by non permanent modifications in mind circulation or within the pathways that conduct electrical impulses by the organ.

One of the vital frequent causes of transient episodes of aphasia is a short lived blockage of a blood vessel within the mind, known as a transient ischemic assault, or a “mini-stroke.” When an individual has one among these occasions, it suggests they’re at excessive threat of a full-blown stroke within the subsequent few days or perhaps weeks.

Sure forms of seizures also can trigger episodes of transient aphasia. Seizures have many potential causes and are generally the primary symptom of medical situations affecting the mind, together with strokes and head accidents.

Different, much less doubtless situations — like migraines and medicine reactions — may result in comparable signs however are much less doubtless on this case. Once more, with out an official analysis, it’s unattainable to know the trigger; regardless, occasions like these advantage fast medical analysis to diagnose and deal with no matter underlying situation is inflicting them.

It’s not clear what sort of analysis McConnell has already had, or what the analysis talked about by his aide would possibly entail. Though he left the rostrum instantly after the July occasion, he returned a couple of minutes later to reply questions from the press corps, and he spoke with reporters within the night. His workplace has not shared particulars about his well being. —Keren Landman

Who may substitute McConnell if he retires?

McConnell’s Republican colleagues stay supportive of him. Texas Sen. John Cornyn mentioned in July, “I’ll help Senator McConnell so long as he needs to stay as chief.” And Texas Sen. Ted Cruz informed Politico on the time, “That clearly was regarding. I hope it was only a momentary difficulty and that he’s doing higher. … I’ve each hope that he’ll combat again from any well being points and totally recuperate.”

McConnell’s time period is up in 2027, and he’s ensured that if he have been to retire earlier than then, anybody who replaces him must be a Republican. In 2021, he pushed for the passage of a new legislation in Kentucky that requires the governor to nominate a Senate alternative from the identical social gathering because the earlier senator and from a listing of names offered by the state social gathering. That implies that despite the fact that Kentucky’s governor is a Democrat, ought to McConnell retire, it wouldn’t change the stability of energy within the Senate.

Then there’s the query of who would substitute him because the social gathering’s chief within the Senate. Cornyn, Sen. John Barrasso (R-WY), and Sen. John Thune (R-SD) are seen are potential contenders to be McConnell’s successor. All three have at occasions sought to maintain their distance from former President Donald Trump.

Cornyn, previously McConnell’s whip and head of the Nationwide Republican Senatorial Committee, has likened his relationship with Trump to a dangerous marriage (despite the fact that he has forged votes supporting Trump’s agenda 95 % of the time.)

Thune, McConnell’s present deputy, has endorsed South Carolina Republican Sen. Tim Scott for president over Trump. That made him the highest-ranking Republican to interrupt with Trump within the 2024 contest.

What would McConnell’s retirement imply for the Senate?

McConnell has usually been at odds with the MAGA wing of the Republican social gathering, which has not forgiven him for acknowledging the occasions of January 6, 2021, as a “violent rebel” on the US Capitol whereas the Republican Nationwide Committee insisted it was “reputable political discourse.” He’s additionally lately damaged with MAGA on funding for the struggle in Ukraine and has mentioned that he received’t simply again the candidates endorsed by Trump going ahead after such candidates broadly underperformed within the 2022 midterms.

Whereas the people who find themselves almost definitely to succeed McConnell aren’t within the mould of Trump, McConnell’s departure would create an influence vacuum — and a gap for the MAGA wing of the social gathering to develop its affect. Sen. Rick Scott (R-FL), who identifies as a key Trump ally, launched a management problem to McConnell earlier this 12 months. Although Scott solely picked up 10 votes, it was a sign that the social gathering is present process an ideological shift that, in McConnell’s absence, may speed up.

Replace, August 30, 5:20 pm ET: This story, initially revealed July 27, has been up to date to mirror one other occasion of McConnell showing to freeze at a press convention.

Correction, August 30, 5:20 pm ET: A earlier model of this story misstated Mitch McConnell’s title. He’s the Senate minority chief.



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