Donald Trump is overseas in China praising Xi Jinping while continuing to spark questions back home about his behavior, messaging, and overall fitness for office.

More and more people, including some former supporters, are openly asking what is going on. From rambling speeches to bizarre public moments, concerns about Trump’s mental sharpness are becoming harder to ignore, no matter how many times he points to passing a cognitive test.

So what are Americans actually seeing, and why does the conversation around Trump’s mental state keep growing louder?

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