When was Ronald Reagan diagnosed with Alzheimer's disease?

Checked on December 20, 2025
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Executive summary

Ronald Reagan publicly announced that he had been diagnosed with Alzheimer’s disease in a handwritten letter dated November 5, 1994, a disclosure repeatedly cited by the Reagan Library and major media outlets [1][2]. Some contemporary accounts and later summaries note that physicians made the diagnosis in mid‑1994 (commonly reported as August 1994) after clinical testing and observation, but the formal public announcement came on November 5, 1994 [3][4].

1. The date of the public announcement: November 5, 1994

The clearest, unambiguous date in the public record is November 5, 1994, when Reagan released a handwritten letter to the American people saying he had been diagnosed with Alzheimer’s disease; the Reagan Library posts that letter and PBS, History.com and contemporaneous outlets mark that date as the announcement [1][2][5].

2. What the physicians said about timing and testing

Reagan’s personal physicians — including doctors from the Mayo Clinic and other institutions named in the official statement — explained that routine annual exams and memory testing produced results over the preceding year that raised the possibility of early‑stage Alzheimer’s, and that “additional testing and extensive observation over the past few weeks” led them to conclude he was entering the early stages of the disease [4].

3. Where “diagnosed in August 1994” comes from and how it fits

Some secondary sources and summaries, including the widely consulted Wikipedia entry, state that Reagan was diagnosed in August 1994; those shorthand references reflect reporting that places the clinical diagnosis in mid‑1994 and are consistent with the physicians’ description of a period of testing and observation leading up to the November announcement [3][4].

4. The distinction between diagnosis and public disclosure

Reporting and scholarship consistently separate the clinical diagnosis — the doctors’ determination based on tests and observation — from the moment Reagan chose to disclose the diagnosis to the public; the former is reported by some outlets as occurring in mid‑1994, while the latter is concretely dated to the November 5, 1994 letter [4][1][2].

5. Why the timing matters: debates about onset and presidential performance

The announcement in 1994 reignited longstanding debates about whether Reagan had shown signs of cognitive decline while in office; academic analyses of presidential discourse and investigative journalism have explored linguistic markers and anecdotal incidents from the 1980s, but scholars caution that retrospective linguistic studies cannot definitively prove an earlier clinical diagnosis and that White House physicians at the time said they detected no dementia while he was president [6][7][8].

6. Reporting caveats and where sources differ

Primary materials (the Reagan Library letter and the physicians’ statement) agree on the announcement and on a recent period of testing, while later summaries and tertiary sources sometimes condense the timeline to “diagnosed in 1994” or specify August 1994 without linking to the original clinical paperwork; scholarship and journalistic investigations after the fact have used those variations to argue different points about onset and legacy, so the most defensible answer distinguishes the clinical judgment in mid‑1994 from the public revelation on November 5, 1994 [1][4][3][9].

Want to dive deeper?
What evidence do researchers cite for cognitive changes in Ronald Reagan during his presidency?
How did Reagan’s 1994 announcement affect public awareness and funding for Alzheimer’s research?
What do Reagan’s White House physicians and later medical reviewers say about signs of dementia while he was in office?