Trump’s campaign responded to Harris’ release with letters from his personal physician Dr. Ronny Jackson, including one after the assassination attempt at a rally in Butler, Pennsylvania, that said he is in “perfect and excellent health to be Commander in Chief.” The letters do not contain specifics about his health.

If elected, Trump would be the oldest president in history by the end of his term.

Mark Lopatin, a retired rheumatologist in Pennsylvania who signed the letter and has donated to Harris’ campaign, said that he sees Trump as a man “who rambles” and “gets off track.”

“You’re talking about the most powerful man, or female, in the world. You’re talking about a job which is probably more stressful than any other job that I can imagine. The question is, does the person who takes that job have the resources — healthwise, physically, mentally, emotionally — to deal with that?” said Lopatin. “It boils down to transparency and intent and these kinds of things that I see from one candidate and not from another.”

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