When Presidents Hide Health Scares

Hmmm…I wonder why this subject has come to mind. In any case, presidents have a tendency to hide their health concerns from the American public. We take a look at two examples of American presidents who hid health scares.

Woodrow Wilson’s Stroke (1919)

Woodrow and Edith Wilson, June 1920 | Library of Congress

One of the most striking moments of obfuscation from the White House belongs to Woodrow Wilson. In 1919, the president suffered a devastating stroke.

On September 3rd, the president had embarked on a country-wide train trip. He wanted to convince his fellow Americans to support the League of Nations. During the trip, Wilson’s health suffered. He lost his appetite and his asthma began to bother him.

On September 25th, Wilson took a turn for the worse. His wife, Edith, noticed that her husband’s facial muscles were twitching and Wilson complained of nausea and a splitting headache. On September 26th, Wilson’s speaking tour was canceled. On October 2nd, back at the White House, the president suffered a devastating stroke that left him partially paralyzed.

Although news of the president’s stroke began to come out in February 1920, most Americans did not realize its severity. They didn’t realize that—as Wilson struggled to recover—his wife had taken over as de facto president. After all, this was decades before the 25th amendment would put a process in place for what to do when the president is incapacitated.

Edith Wilson, who described her role as a “stewardship” denied that she made any decisions on her own. But she admitted that she decided “what was important and what was not, and the very important decision of when to present matters to my husband.”

Grover Cleveland’s Jaw Surgery (1893)

President Grover Cleveland print, 1884 | Library of Congress

Grover Cleveland, who holds the amusing honor of being the only American president to serve two, non-consecutive terms, also hid his health problems from the nation.

Shortly after his inauguration—his second, that is, in 1893, eight years after his first—Cleveland noticed a strange rough spot on the roof of his mouth. A few months later it had grown in size and his doctor confirmed what Cleveland feared. The president had cancer. “It’s a bad looking tenant,” Cleveland’s doctor told him. “I would have it evicted immediately.”

Cleveland knew he would have to hide his condition from the public. In 1893, a considerable stigma existed around cancer, called the “dread disease.” In addition, Cleveland feared that revealing his illness would send the already suffering economy into a tailspin.

The solution? Cleveland told the public that he was going on a fishing trip. And although the president would spend a few days on a yacht, he would not be doing any fishing. Doctors had been summoned to remove the cancer from his mouth.

During the 90-minute surgery, a team of six surgeons aboard a moving vessel extracted the tumor, five of Cleveland’s teeth, and a section of the president’s left jawbone. They did this through the roof of the president’s mouth—which left no marks to alert the public. Indeed, keeping Cleveland’s famous moustache intact was a stipulation of the surgery.

The American public was kept entirely in the dark. When an astute journalist named E.J. Edwards published the truth of the matter in the Philadelphia Press, the president and his team firmly denied it. The public turned against Edwards, labeling his story a “deliberate falsification.”

Edwards’ reputation was in tatters—but, twenty-four years later, he would be redeemed. In 1917, one of the surgeons from the boat acknowledged that Edwards had been right, noting that the journalist had been, “substantially correct, even in most of the details.”

By then, however, Cleveland had left office and died of a heart attack.

Other examples of American presidents hiding their illnesses abound throughout the country’s history. John F. Kennedy struggled with Addison’s disease and back issues. Some close to Ronald Reagan—including his own son—claim that the president suffered from Alzheimer’s while in office, although the majority of those close to Reagan deny this.

Franklin Roosevelt also presents an interesting case. Despite a persistent belief that he hid his polio from the public, the president’s condition was not a secret—newspapers had published articles that included information about his wheelchair and leg braces. The president’s disability was discussed often.

However, Roosevelt believed it was important that Americans did not see him in a wheelchair. He wanted Americans to believe that he was capable. That’s why he would stand to give a speech, even at great cost to himself. (If you look at photos of Roosevelt speaking while standing, you may notice how tightly he grips the edges of the podium.)

Roosevelt also asked the press to avoid taking photographs of him walking or being transferred into a car. They didn’t always follow the rules. But if someone did snap a photograph of Roosevelt that the president didn’t like, the Secret Service leapt into action.

In 1936, Editor & Publisher reported just how the Secret Service would react to an aggressive photographer—by taking the camera and tearing out the film. In 1946, the White House photography corps backed this up. They acknowledged that if they took the kind of photographs that the president had asked them to avoid, they would have “their cameras emptied, their films exposed to sunlight, or their plates smashed.”

In any case, hiding health scares seems to be a strong tradition among American presidents. It makes sense. It’s easy to draw a line between the health of the nation and the health of its executive.

Woodrow Wilson and the 1918 Flu Pandemic

By Kaleena Fraga

These days, all anyone can talk about is coronavirus. Our conversations are consumed with social-distancing, quarantine measures, and questions about testing. Many have drawn similarities between the pandemic of today to the 1918 influenza pandemic.

So how did Woodrow Wilson respond to the Spanish flu?

To listen to this post in podcast form, click HERE

The 1918 Influenza Pandemic

The 1918 influenza had competition when it came to the world’s attention span: the first wave hit during WWI. Military camps throughout Europe reported cases, but European governments chose to keep reports of the illness secret.

Spain, however, had no stake in the conflict. The country had chosen to remain neutral. Having no reason to suppress reports of the flu, Spanish newspapers reported the spread of a new illness.

For this reason, the world dubbed it the “Spanish influenza.”

The illness seemed to run its course. But a more powerful, second wave of the Spanish flu hit that summer. This time, it was so deadly that it could kill a healthy person within 24 hours.

The U.S. Government and the Spanish Flu

When the second wave of the flu hit, the U.S. government sought to downplay the crisis. They aimed to maintain morale in wartime by avoiding negative news stories. In Europe, governments censored any mention of a flu pandemic.

Wilson never made a statement about the Spanish flu. Even when, in the month of October 1918, 195,000 Americans died.

Because of the wartime circumstances, negative reports were severely discouraged. Wilson had created the Committee of Public Information a week after declaring war, which sought to downplay any negative news.

The Committee believed that: “Truth and falsehood are arbitrary terms. The force of an idea lies in its inspirational value. It matters very little if it is true or false.”

In Philadelphia, where one of the worst outbreaks occurred, the Philadelphia Inquirer shrugged off increasing panic. “Do not even discuss influenza,” the paper suggested. “Worry is useless. Talk of cheerful things instead of disease.”

Across the country, as the flu spread, public health leaders toed the line. They stated that the Spanish flu was nothing more than a common form of influenza.  Surgeon General Rupert Blue said, “There is no cause for alarm if proper precautions are observed.”

Woodrow Wilson and the Flu

Wilson in Paris | The Atlantic

Behind the scenes, Wilson did worry about the flu. Ships full of troops arrived daily from the battlefields of Europe, and Wilson wondered if such crossing should be halted. Generals reassured him that there was no need.

“The shipment of troops should not be stopped for any cause,” Gen. Peyton C. March told the president.

In April of 1919, the president traveled to Europe himself. The war had ended in November. But the spread of the flu continued. And Wilson got sick. The president’s condition deteriorated so quickly and drastically that his personal doctor, Cary T. Grayson, worried that Wilson had been poisoned.

Even as Grayson told reporters that Wilson had a cold, he fretted about the president’s condition. ” I was able to control the spasms of coughing,” Grayson wrote, “but his condition looked very serious.” The president couldn’t even sit up in bed.

Worse, in the midst of fragile negotiations, the president began to act strangely. He acquiesced to French demands that had once seemed impossible; Wilson believed he was surrounded by spies; one colonel noted that the president had lost “his quickness of grasp, and tired easily.”

Wilson did recover. But he suffered a stroke months later that crippled his administration, and set up his wife as a de facto president.

Wilson chose to ignore the spread of the Spanish flu. Today, the Trump administration has been critiqued for its slow response to the coronavirus pandemic.

Important differences exist between the two presidents and the two diseases. Wilson lived in an era where presidents weren’t expected to offer a personal response to crises. In addition, Wilson was a wartime president. President Trump exists in the Twitter age—an immediate, personal response is expected.

Presidencies are defined by crises in any era. Just as Wilson is judged for his actions during WWI, it’s certain that history will measure the success of the Trump administration by the president’s response to this pandemic.

What Did the World Look Like in 1920?

2020 is already off to a dynamic start. What was the state of the world 100 years ago, as it rolled into a new decade?

By Kaleena Fraga

The new year has certainly gotten off to an eventful start. In the first month of 2020, we’ve seen massive fires, sabre rattling, an impeachment trial in the United States, and the end (or the beginning?) of the Brexit saga in the EU. Whew. So what did the world look like 100 years ago? Did people at the time feel that the 1920s started on a similarly chaotic foot?

Obviously (obviously) we’re all about the presidential side of things. So what was the White House situation in January of 1920?

The presidency in January 1920

In 1920, Woodrow Wilson was completing his second term in office. Or, was he? While rallying support for his League of Nations plan in October 1919, the president suffered a debilitating stroke. His wife, Edith effectively took control.

Without the 25th amendment, which would not be ratified for another half-century, there was no way to remove Wilson from office. Not that many people knew about his stroke—in the pre-social media age, Edith Wilson was effectively able to keep her husband’s condition under wraps.

The president’s wife later denied that she’d ever served as president herself, but she did acknowledge her “stewardship” of Wilson’s last year in office.

The average American had no idea. They weren’t habitually checking Twitter like some of us do today.

Presidential campaigns in 1920

As in 2020, 1920 was an election year. Wilson, a Democrat, had broken up a reign of Republicans that had existed since the Civil War. (Wilson and Grover Cleveland were the only Democrats to be elected president between 1860 and 1932.)

Americans wondered who their candidates would be—especially because Theodore Roosevelt, who had energetically barnstormed for a third term in 1912, had died one year earlier, in January 1919. (A Roosevelt would be on the ticket in 1920—Theodore’s fifth cousin, Franklin Delano Roosevelt, as the vice presidential candidate for the Democrats.) In January 1920, it seemed that the country might see William Jennings Bryan run—again.

Despite his health, Wilson hoped for a third term. It wouldn’t be. He received little support from the party and died four years later. In any case, Wilson believed that campaigns required vigorous time on the stump. As Jeffrey Normand Bourdon so eloquently describes in his book From Garfield to Harding: The Success of Midwest Porch Campaigns working the stump resulted in victory for Wilson 3/4 times. But in 1920, the ill president could hardly pick up the reins of his old campaign technique.

Which resulted in a fascinating twist. Although the campaign would not start in earnest until the summer (reminder: the 2020 campaign has been dragging on for two years), the Republican nominee and eventual victor, Warren G. Harding, resorted to front-porch campaigning. This technique, as Bourdon describes, had served as a happy medium between seeking the presidency and letting “the office choose the man”—i.e., displaying none of the presidential ambition that was considered fatal in the 19th century.

Popular in the late 19th century, front porch campaigning had lost its shine as great orators like Theodore Roosevelt and William Jennings Bryan made their mark on American presidential campaigns. But it had proven effective for James Garfield and William McKinley, and Harding went this direction as well.

Harding campaigned on a “Return to Normalcy” and “America First” following the end of WWI. His campaign marketed him as a patriotic family man. Waving to crowds from his front-porch, this was easy for voters to accept. His opponent, James Cox, was divorced. This made Harding’s front-porch persona all the more appetizing.

Harding’s status as a married man gave him a special boost in 1920, the first year American women could vote. The divorced Cox, at a disadvantaged, was portrayed as desperate for women’s votes. A judge involved with Cox’s case told the Los Angeles Times he believed the candidate’s divorce would cost Mr. Cox “a million votes.”

In the end, Harding carried the day by about seven million votes. The victory would be short lived. Harding died of a heart attack in 1923, elevating his vice president, Calvin Coolidge, to the White House.

The state of the world in 1920

But what did the world look like in 1920? Did the year burst into being with the same cascade of events that we’ve seen in 2020?

The new year picked up to a brisk start. Billy Joel could write a song about it. In January alone, an earthquake hit Mexico; the Treaty of Versailles was ratified (without the United States); Babe Ruth was traded to the New York Yankees, Prohibition began, launching an era of bootlegs and speakeasies—the list goes on and on. The war had ended in November of 1918, but the world was still untangling the results. We all know how that turned out.

In summary, life continued to charge forward. In 1920, as in 2020, each day brought an avalanche of something different. But maybe it felt slower. After all, people in 1920 couldn’t spend all day watching events unfold across their phone screen.

“From Time to Time”: Pelosi, Trump, and the State of the Union

By Kaleena Fraga

(To check out this piece in podcast form, click here)

Amid a contentious government shutdown, Speaker Nancy Pelosi has written President Trump a letter, suggesting that in lieu of delivering a State of the Union speech, as the president intends, he submit his address in writing.

Although Americans today are accustomed to seeing the president deliver the SOTU, Pelosi notes in her letter that “during the 19th century and up until the presidency of Woodrow Wilson, these annual State of the Union messages were delivered to Congress in writing.” Pelosi also notes that a SOTU has never been delivered amidst a government shutdown.

“I suggest,” Pelosi writes, “that we work together to determine another suitable date after the government has re-opened for this address or for you to consider delivering your State of the Union address in writing to Congress on January 29th.”

Although the State of the Union started as an oral address–both George Washington and John Adams delivered speeches to Congress–Thomas Jefferson was the first to balk at the tradition.

Jefferson had several reasons why he believed a written address was superior to a speech. First of all, the third president nursed a fear of public speaking. He also believed that a letter was more efficient than a speech–that it would take less time to read than to listen, and that a written document would give legislators time to think about their response. Historians have also noted that giving a speech had a king-like aura, something that a republican like Jefferson would abhor.

Then again, Jefferson could have simply found trudging to Congress to give a speech inconvenient.

In any case, the tradition that Jefferson set remained for over one hundred years, until Woodrow Wilson decide to return to the ways of Washington and Adams, and give a speech before Congress instead of simply sending a letter.

At the time this was considered far outside the norm. The Washington Post reported that “Washington is amazed” and that “disbelief” was expressed in Congress when members heard the president intended to give a speech. At the time, the paper seemed confident that such displays would not “become habit.”

Since then, a spoken SOTU has indeed become a national habit, even more so than in Wilson’s day thanks to mass communication tools like radio, television, and internet.

That’s not to say that the written version of the SOTU has been abandoned entirely–as lame duck presidents, Truman, Eisenhower, and Carter chose to submit a written message instead of giving a speech before Congress.

Whether or not Trump will heed Pelosi’s advice has yet to be seen, and certainly a president might balk at giving up the bully pulpit power of television. In any case, we’ll leave you with a cartoon of Theodore Roosevelt, who was thoroughly dismayed that Wilson had the idea of a SOTU speech, something that Roosevelt himself would have enthusiastically embraced.

Happy New Year from History First!

A look at the world in January 1919

By Kaleena Fraga

One hundred years ago today, Woodrow Wilson stopped in Rome, Italy on his way to the Paris Peace Conference following the end of WWI. His voyage capped off years of incredible violence and uncertainty, and Wilson was greeted throughout Italy with cries of “Viva l’America!”

Wilson’s trip to Europe was part of a six-month journey (the longest any president had ever spent outside of the country) meant to end the war for good. He came home triumphant in July–armed with the idea of the League of Nations, which Wilson believed would prevent future world wars. It was perhaps the high point of his presidency. Unfortunately, there was no where for him to go but down.

Despite initial widespread support, political infighting would doom American participation in the League of Nations. Mere months after he returned to the States, Wilson suffered a debilitating stroke, and much of his presidential duties were secretly assumed by his wife, Edith.

Although the 1920 election was just around the corner, Americans in 1919 were not as eager to start the election process as they are today. In the waning days of 2018, Senator Elizabeth Warren (D-Massachusetts) announced her candidacy, and other Democrats are expected to quickly follow suit. Politics moved at a slower pace in 1919. That year had seen the loss of political giants–Theodore Roosevelt was now dead; Wilson, a shell of himself after his stroke, was an increasingly unpopular president. The election would not start in earnest until the next year.

Warren G. Harding of Ohio would be nominated in June of 1920 with a promise of a “return to normalcy”.

“America’s present need is not heroics but healing; not nostrums but normalcy; not revolution but restoration…not surgery but serenity.”

Although not explicitly said, Harding’s determination for the country to turn inward is reminiscent of the America First sloganeering of today.

Harding, Malcolm Gladwell later wrote, was popular despite his general incompetence (which he even noted himself, stating “I am not fit for this office and never should have been here.”) Gladwell attributes this to Harding’s physical appearance (a political insider at the time of Harding’s nomination argued that he looked like a president), personality, and commanding voice.

Harding and the Republicans would win in a landslide, in a direct rebuke to Wilson and his internationalist policies. Harding did not have much time to enjoy his new job, however ill-suited he found himself: he died unexpectedly in 1923 after a sudden stroke. This catapulted Calvin Coolidge to the presidency.

The candidate for the Democrats, James Cox, would go on to be a footnote in history. Things turned out differently for his running mate, Franklin D. Roosevelt, who would later win election to an unprecedented and unmatched fourth term in the White House.

Despite the optimistic start of the year, 1919 would prove to be a tumultuous one. Half a million Americans would die from Spanish flu; Prohibition ushered in an era of bootlegs and speakeasies; violent race riots rocked the country. But it wasn’t all bad. The year 1919 also saw the introduction of dial telephones, the 19th Amendment which secured women’s suffrage, and new fiction by Sherwood Anderson and Virginia Woolf.

Certainly there are parallels to be drawn between 1919 and 2019–new technology making the world seem smaller, the precipice of another election year, the ongoing debate about America’s role in the world. No one can predict what next year will bring. Rather, we go into 2019 with Wilson’s words in mind:

“You are not here merely to make a living. You are here in order to enable the world to live more amply, with greater vision, with a finer spirit of hope and achievement. You are here to enrich the world, and you impoverish yourself if you forget the errand.”

“Seeking Monsters to Destroy”: Isolationism in America after WWI

By Kaleena Fraga

On November 11, 2018, world leaders gathered in Paris to recognize the 100 year anniversary of the end of WWI–on the eleventh hour, of the eleventh day, of the eleventh month. In his speech, French president Emmanuel Macron pointedly remarked that:

“Patriotism is the exact opposite of nationalism. Nationalism is a betrayal of patriotism. By putting our own interests first, with no regard for others, we erase the very thing that a nation holds dearest, and the thing that keeps it alive: its moral values.”

The remark was pointed because Donald Trump had recently declared himself a “nationalist” at one of his rallies. Macron went on to say:

“Old demons are rising again. New ideologies are manipulating religions, and history is threatening to repeat its tragedies. Let us vow once more as nations to ensure peace is the utmost priority, above all else, because we know what it cost.”

Since WWI and certainly since WWII there has been a strong push to erase nationalism, and to instead create a global world order that can prevent mass warfare. Yet this world order was not an inevitable result of world war, and certainly in the months after the armistice in 1918, President Woodrow Wilson faced fierce critics of his plan to create a “League of Nations.”

He first introduced the idea in January of 1918, eleven months before the war ended. Wilson called for a “general association of nations” which would work together to protect a global peace. This eventually became the League of Nations, which Wilson insisted the victors of WWI tie to the Treaty of Versailles.

As the war ended and Wilson’s idea seemed to be solidifying across the Atlantic, the strong strain of isolationism that had existed in American politics since John Quincy Adams warned of “seeking monsters to destroy” began to rise.

Whether this was out of real angst over the idea, or because the president had made a fatal political error, Henry Cabot Lodge sought to defy this shaky new world order.

Wilson to ParisLodge, the Republican chairman of the Foreign Relations committee, watched Wilson go to Paris to sign the Treaty of Versailles without consulting the Senate. Then, although Wilson asked Lodge to not speak publicly about the League of Nations until they could meet at the White House, the president spoke to a crowd in Boston to try to garner support. Lodge saw this as a betrayal.

Two days after the White House meeting in February 1919, Lodge gave a speech in the Senate casting doubt on the League of Nations. Lodge warned against “casting aside these policies which we have adhered to for a century and more and under which we have greatly served the cause of peace both at home and abroad.” He worried that such an agreement would necessitate an enormous American military force “capable of enforcing” the League at “a moment’s notice.”

Lodge asked, using rhetoric that many would recognize today, whether Americans were l of n cartoonready “to give to other nations the power to say who shall come into the United States and become citizens of the Republic?”

Wilson desperately tried to corral support for the League of Nations, but the damage at home had been done. In October of 1919, following an 8,000 mile 22-day tour attempting to muster support at home, Wilson suffered a terrible stroke. The Senate voted against the Treaty a month later. The end of the war was finally declared in a joint resolution in 1921, but the damage to both Wilson, his presidency, and any pretense of an American endorsement of the League of Nations had been done.

In the following two decades the League proved largely ineffective without American support. As Depression haunted people around the world, Americans at home increasingly leaned toward isolationist policies–and many saw WWI as a lesson that American casualties were not worth involvement in conflicts abroad. By the time FDR came to office, he had to combat not only growing fascism abroad, but the bitter memory of Wilson’s failures.

Since the end of WWII, and the creation of international bodies like the United Nations, the new global world order has felt permanent–the result of two world wars. Yet there remains a strong strain of isolationist feeling in the United States and abroad. Whether or not the world continues on a global path, or tips back into nationalism, has yet to be seen.

First Lady Feature: Edith Wilson

By Kaleena Fraga

Over the course of Women’s History Month, we’ve featured several remarkable first ladies who had the wits and wisdom to be president themselves. Edith Wilson, who hid the depth of her husband’s illness from the country, is the only one who actually got close to assuming the presidency.

2-ebw-electric-car_1_origEdith met Woodrow Wilson during a chance encounter at the White House. His first wife, Ellen, had died of Bright’s disease only seven months earlier. They had a quick and passionate courtship which alarmed many of Wilson’s advisors. Not only would the president soon run for reelection (his advisors fretted that his pursuit of a woman so soon after the death of his wife would hurt his chances), but Edith was known in town for being one of the first women to ever drive a car, and was shunned by Washington’s elite because her money came from her (deceased) first husband’s jewelry store.

Three months after they met, the Wilsons wed.

Then in 1919, two years into Wilson’s second term, and four years into their marriage, Wilson suffered a devastating stroke that left him paralyzed. The president had been barnstorming around the country in the aftermath of WWI, trying to whip up support for his inspired but doomed plan for a League of Nations.

As the 25th amendment wouldn’t be ratified for almost fifty years, there wasn’t really anedith and woodrow answer to what the government should do if the president became unable to perform his duties. Wilson wasn’t dead, so there didn’t seem to be a reason for the vice president to step into his role. Without the 25th amendment, Congress and the Cabinet had no real power to act (and the extent of Wilson’s condition was kept top secret). To Edith, protective of her husband and his presidency, the answer was clear.

Anything that came to the president first had to go through the first lady. This included Cabinet members, policy papers, and any other pressing issues. As such, Edith Wilson decided what was important enough for the president to see–and what he could live without knowing.

Although Edith Wilson denied ever becoming president herself, she did acknowledge her “stewardship” during the Wilsons’ waning White House years:

“So began my stewardship, I studied every paper, sent from the different Secretaries or Senators, and tried to digest and present in tabloid form the things that, despite my vigilance, had to go to the President. I, myself, never made a single decision regarding the disposition of public affairs. The only decision that was mine was what was important and what was not, and the very important decision of when to present matters to my husband.”

President Wilson slowly recovered from his stroke, but remained paralyzed on one side. He died five years later, having remarked, “I am a broken piece of machinery–when the machinery is broken–I am ready.” When he died on February 2nd, 1924, his last word was the name of his wife, who’d guided him through his illness and the final years of his presidency. Edith.

Edith Wilson would live for almost forty years after her husband’s death. She was active in political life, speaking at the 1928 Democratic Convention and attending the inauguration of John F. Kennedy in 1961. Although Americans have never elected a female president, Edith Wilson got close. During her husband’s illness, she arguably ran the country in his stead.