Obama’s Live Fact-Check of Trump’s Cognitive Test Claim Reverberates Across Political Divide
By Elena Rivera The New York Times November 27, 2025
WASHINGTON — In a televised town hall on Tuesday evening that was ostensibly about “integrity in public life,” former President Barack Obama delivered what may be remembered as the most surgically precise rebuttal of the Trump era.
Without raising his voice, Mr. Obama reached into his jacket, produced a single sheet of paper bearing the letterhead of Walter Reed National Military Medical Center, and proceeded to dismantle — point by point — Donald J. Trump’s recurring assertion that he once scored “180” on an intelligence examination, a claim the former president has repeated at rallies for years as proof of his self-described “very stable genius.”

“What has been presented to the American people as evidence of extraordinary intellect,” Mr. Obama said, adjusting his reading glasses, “is in fact the Montreal Cognitive Assessment, a 10-minute screening tool designed to detect mild cognitive impairment and early dementia. The highest possible score is 30, not 180.”
The studio audience of roughly 300 fell into a stunned hush, broken only by a few audible gasps. Within minutes, clips of the exchange were ricocheting across social media, amassing tens of millions of views and propelling the hashtag #MoCAgate to the top global trend on X and TikTok.
A Long-Running Claim Meets Its Reckoning
Mr. Trump first referenced taking “a very tough cognitive test” in a 2018 interview with Fox News, after questions arose about his mental acuity following a series of public verbal stumbles. He later embellished the story, telling supporters in 2020 and again throughout the 2024 campaign that he had achieved a near-mythical 180 — a score that would place him theoretically above Albert Einstein and Stephen Hawking on standard IQ scales.

Neurologists have long noted that no reputable IQ instrument yields a maximum score of 180 for adults; the most commonly cited tests (Stanford-Binet, Wechsler) top out at roughly 160–170 for the extreme right tail of the distribution. More pertinent, however, is the document Mr. Obama displayed.
The Montreal Cognitive Assessment (MoCA) was developed in 1996 by Dr. Ziad Nasreddine in Montreal as a rapid screening for visuospatial deficits, memory impairment, and executive dysfunction. It includes tasks such as drawing a clock showing 11:10, identifying a camel, and serially subtracting 7 from 100. A score of 26 or higher is considered normal; 30 out of 30, which Mr. Trump’s personal physician said he achieved in 2018, simply means no red flags were detected.
Mr. Obama did not assert that Mr. Trump suffers from cognitive decline — a charge he explicitly disavowed. Instead, he framed the issue as one of basic honesty. “The American people are being asked to return a former president to office,” he said. “They deserve to know what tests he is actually referring to when he claims genius-level performance.”
An Instant and Polarized Reaction
By Wednesday morning, the 4-minute-22-second segment had been viewed more than 180 million times across platforms. Late-night hosts abandoned prepared monologues to play the clip in its entirety. On conservative outlets, commentators denounced the move as a “disgraceful cheap shot” and questioned the authenticity of the document, noting that medical records of former presidents remain protected under privacy statutes even after leaving office.
The Trump campaign released a statement calling the paper “an obvious deep-state forgery” and promising lawsuits. Notably, the statement did not reiterate the 180 score or offer to release any alternative test results.
Democratic strategists, speaking on background, described the moment as meticulously planned. According to two Obama aides who spoke on condition of anonymity, the former president’s team had obtained a redacted copy of the 2018 MoCA summary months earlier through a routine Freedom of Information Act request related to presidential health disclosures. They waited, the aides said, for Mr. Trump to repeat the inflated claim at a large rally last week before green-lighting the public reveal.

A Broader Conversation About Age and Fitness
The exchange arrives at a time when questions of age and cognitive fitness have dominated both parties. President Biden, 82, stepped aside in July amid concerns about his own verbal slips; Mr. Trump, 79, would be the oldest person ever inaugurated for a second non-consecutive term if he prevails next year.
Dr. Nasreddine, reached by phone in Montreal, declined to comment on any specific patient but reiterated that “the MoCA is not, and has never been, an intelligence quotient measure. Comparing a MoCA score to an IQ score is like comparing a thermometer reading to a symphony orchestra ranking.”
Political scientists said the episode illustrated a rare instance in which a factual correction landed with the force of a scandal. “In an era of viral soundbites,” said Norman Ornstein of the American Enterprise Institute, “Obama just produced the political equivalent of the Zapruder film — short, undeniable, and impossible to look away from.”
As of Thursday evening, neither Mr. Trump nor his physicians had released any documentation showing a standardized IQ test taken during or after his presidency. The former president is scheduled to hold a rally in Georgia on Saturday, where observers will be watching whether the 180 claim makes another appearance — or whether, for the first time in seven years, it quietly disappears from the repertoire.
For now, the image of a former president calmly holding up a single sheet of paper has become the defining visual of the 2026 midterms’ early shadow campaign: a reminder that in American politics, the most devastating blows are sometimes delivered not with shouts, but with receipts.