With medical experts saying the seriousness of Joe Biden’s cancer diagnosis must have been known well before the former president left office in January, Donald Trump Jr. asked whether former first lady Jill Biden took part in a “cover-up.”

Biden’s office announced Sunday that the former president has been diagnosed with prostate cancer.

Prostate cancers are given a rating called a Gleason score that measures, on a scale of 1 to 10, how the cancerous cells look compared with normal cells. Biden’s office said his score was 9, suggesting his cancer is among the most aggressive.

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