Powerful people should not enjoy the same privacy guarantees that regular citizens do. They are there to represent us, and we deserve to know if they are incapable of doing that, whether because of health reasons or because they are in the pocket of lobbyists.

Agreed that a random pharmacist, with unknown motivations, should be disclosing any of this. The doctor who prescribed the meds should be (a) encouraging the representative to resign; (b) disclosing it to a proper authority; (c) disclosing to the news media if nothing is done.

It was pretty customary up untli the last few cycles of 80 year-olds being the major party nominees for presidential candidates to release all of their medical records. There is no law forcing this, but ethically, if you believe yourself to be qualified to set policy for and lead the most powerful hegemon to ever exist in the nuclear age, I think you owe it to the world to let them evaluate you on all fronts using all possible information. You no longer deserve privacy. Your tax returns, medical records, all non-classified communications, should be an open book.

There have to be tradeoffs. If you still want privacy, have it, but then you get to stay just a normally wealthy, powerful person and can live out your days sipping mai tais on tropical beaches and doing hookers and blow every night, but not being put in charge of a military with the power to glass half the planet if it wanted to.

I'm pretty sure it's a HIPAA violation for a pharmacist to disclose the medicines prescribed to a patient/customer and they were thisclose to doing so. It's a good law, and a good pharmacist wouldn't even come that close. Otherwise, were do they draw the line? What if it's not a politician, but a teacher or a community leader or a minister, or just someone in the community that the pharmacist wants to gossip about with neighbors and friends? What if it's not Alzheimer's meds but meds for an STI, or part of alcoholism/drug addiction recovery, or the early stages of Parkinsons or ALS, or hormones for a trans person, or meds to address incontinence or a miscarriage?

And if pharmacists choose to share what they know, wouldn't that drive people to get their prescriptions filled another way (fake IDs, assumed identities, black market, cross-border/mail-order) or just not get medicine for fear of a medical secret being announced?

A better alternative: We should stop electing people who are clearly having a hard time thinking.