Further testing revealed a Gleason score of 9, one of the highest grades on the scale for cancer severity. The disease is Stage 4, but reportedly “hormone-sensitive,” meaning it may still respond to treatment. Biden’s office stated, “The president and his family are reviewing treatment options with his physicians.”

As the 82-year-old weighs his next steps, the story of his children underscores the emotional strength he has carried through public service and private sorrow. Joe had three children with his first wife, Neilia: Beau, Hunter, and Naomi.

After Neilia and Naomi died in 1972, he raised his