Concerns Over Youth Health and Proposed Legislation
After over 35 years as a urologist and being the sole medical professional in Congress, I’ve witnessed a troubling decline in young Americans’ health. Looking back just 15 years, it’s clear that our children today are significantly less active. A staggering 77% of young Americans are now ineligible for military service, primarily due to their poor physical condition. I believe it’s essential for President Trump to reinstate the president’s fitness tests and encourage the federal government to promote healthy lifestyles in our schools.
This brings me to the Make America’s Youth Healthy Again Act. Essentially, it aims to formalize the president’s executive order while refocusing on the President’s Council on Sports, Fitness, and Nutrition, intending to bring back the fitness test. When you think about it, with all the distractions from electronic devices, we really need to prioritize physical fitness to fight obesity and address rising mental health issues. Regular physical activity not only boosts brain health but also combats chronic illnesses. I’ve observed how teaching healthy habits early can make a significant difference before sedentary lifestyles take over.
A month ago, I had the chance to meet with patients in North Carolina during a break from legislative work. The number of obese children I’ve seen, particularly those on Medicaid, is quite alarming. Many of these children start their day with junk food and then spend hours in school glued to screens, with little regard for their physical health. I mean, often their only exercise is a short walk to the bus stop or lunch. This sets them up for a life riddled with health issues that stem from poor habits formed in childhood.
Childhood obesity is fundamentally a shared responsibility between parents and policymakers. Sure, good habits often begin at home, but many Americans lack even basic health knowledge. Unfortunately, this ignorance tends to perpetuate itself across generations. Without education and supportive policies, I really don’t think we can expect to see positive change.
The Presidential Council on Sports, Fitness, and Nutrition was established by President Eisenhower in 1957, partly in response to findings about poor fitness among American students. A decade later, the president’s fitness test was introduced, featuring a variety of age- and gender-specific exercises. However, in 2012, President Obama decided to remove objective testing criteria in favor of a more subjective approach. While it’s important to adapt, making fitness standards too lenient can lead to a false sense of achievement. Children who are already struggling to meet basic fitness standards due to unhealthy habits need concrete support, not watered-down standards.
Over the years, the council has had notable figures like Arnold Schwarzenegger and Drew Brees as chairs and ambassadors. Following their competitive spirit, we need to motivate American youth to enhance their health through a presidential fitness test that focuses on real merits.

