Ian Sams Testimony Raises Questions About Biden’s Health and Oval Office Access

Republican Rep. James Comer revealed Thursday that the Ian Sams testimony Biden health debate has intensified after Sams admitted he spoke directly with President Joe Biden just four times over two years. Sams, who worked for the White House Counsel’s Office from mid-2022 until August 2024, told the House Oversight Committee that he met Biden in person twice, had one phone call, and participated in one virtual meeting.

Comer argued that it is difficult to believe Sams could confidently defend Biden’s health and leadership given such limited personal interaction.

“He communicated with Joe Biden two times… but every day he would tweet and issue statements from the White House podium,” Comer said.

Autopen Controversy and Sams’ Role

The Ian Sams testimony Biden health revelations came during a closed-door committee interview tied to the Republican probe into Biden’s use of an autopen—a device used to sign official documents. GOP lawmakers allege that the frequent use of the autopen in Biden’s final months raises questions about whether the 82-year-old president was personally making decisions.

While Sams was one of Biden’s fiercest defenders during his tenure, Comer argued his limited access undermines those claims.

Biden’s Health and Public Presence

Concerns over Biden’s health have grown since his presidency ended. He announced a prostate cancer diagnosis in May 2025 and has made only a handful of appearances since, including:

• May 2025: A rocky interview on The View, where Biden struggled at times to complete sentences.

• July 2025: A speech at the National Bar Association in Chicago.

Biden and his allies continue to insist he was in full control of his presidency, rejecting claims of cognitive decline.

Comer’s Investigation

Comer praised Sams for his cooperation, calling it “the most informative” interview of the committee’s probe. Sams was the 11th former Biden aide questioned. Comer suggested that the final months of Biden’s presidency are most likely to reveal questionable decision-making, particularly due to the reliance on the autopen.

“There were very few people around Joe Biden, especially at the end,” Comer said. “That’s when the majority of pardons and executive orders were signed.”

Key Takeaway

The Ian Sams testimony Biden health controversy highlights a deeper Republican concern: whether President Biden was truly in charge during his final year in office. With only four personal interactions in two years, Republicans argue Sams’ defense of Biden’s health lacks credibility—fueling fresh questions about Oval Office decision-making in Biden’s final months.

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