Former and current staffers paint a picture of an erratic senator who has become almost impossible to work for and whose mental-health situation is more serious and complicated than previously reported. No one is saying every controversial position (for example, his respectful relationship with Trump) stems from his mental health — but it’s become harder for them to tell which ones do. When I spoke with Fetterman in April and shared those concerns, he denied anything was amiss. He told me that he felt like the “best version” of himself and later texted that the staff turnover at his office was typical of Washington. “Why is this a story?” he asked.

Those first days in the hospital were rough. Fetterman was experiencing delusions. He thought that if he took a bed at the hospital, he would be arrested. He told doctors that he believed members of his family were wearing wires to secretly record him. In one chaotic moment, Fetterman grew convinced that a political rally was being held in the hospital’s lobby and that he needed to break out of his room to attend. David Williamson, Fetterman’s doctor, told me that the main causes of the delusions were the lingering effects of the stroke, dehydration, and depression and that the original medication for the depression could also have been a factor. According to paperwork from Walter Reed, doctors then stopped all antidepressants and put him on other drugs. (Williamson declined to comment on the specifics of the medication plan.)

After six weeks in the hospital, the doctors determined his mental-health issues were in remission. Williamson said, “He expressed a firm commitment to treatment over the long term.” Doctors provided Fetterman with a multi-faceted treatment approach. He needed to stay on his medication and to get his blood checked regularly. It was also important that he stay hydrated, so staff made sure his office fridge remained stocked with Gatorade. He needed to eat healthy and get regular exercise (this was both for his mental health and for the underlying heart problems that had led to his stroke). It was also strongly suggested that he stay off social media, which exacerbated his mental-health challenges. “I’ve never noticed anyone to believe that their mental health has been supported by spending any kind of time on social media,” he said in 2023.

it wasn’t until October 7 that it became clear Fetterman was the most outspoken Israel hawk in his party, offering constant and unconditional support for the military action in Gaza. Early on in the conflict, 16 of his former campaign staffers wrote a letter — anonymously — saying they found his full-throated support for Israel to be a “gutting betrayal.” Jentleson had taken to defending Fetterman on X from such criticisms, posting, “The thing about being a staffer is that no one elected you to represent them.”

In early November, just weeks after the attack, Gisele arrived at her husband’s Senate office and, according to a staffer present, they got into a heated argument. “They are bombing refugee camps. How can you support this?” the staffer recalled her saying with tears in her eyes. “That’s all propaganda,” Fetterman replied. Later, a still visibly upset Gisele pulled the staffer aside. She asked him if members of Fetterman’s team were pushing him to take these stances for political reasons. The staffer told her that the opposite was true: Many of them were as upset as she was. “If you’re pushing back on this, there’s no hope,” the staffer recalled her saying. “This is horrible news.”

Gisele might have disliked what her husband was up to, but his father loved it. Karl Fetterman, an insurance executive, was way more conservative than his son. He used to have a magnet on his refrigerator that warned that his dog bites Democrats, and he watched Fox News constantly. When Fox would air segments about Fetterman’s strong stances on Israel or invite him on as a guest, the senator’s father would, according to former staff, almost always call to say how proud he was.

Gisele then texted that she had told her husband that his staff and doctor were worried about him but that he told her “that’s not true and I guess I am not talking to you today” before hanging up. The doctor had also “said that he was fighting to get access of the Twitter account,” she went on. “Please promise me that he’ll never have access.” The staffer said that Fetterman was asking for the passwords but that he would not give them up. “I told him I don’t want to talk to him until his blood is tested,” Gisele wrote.

There was also the possibility that Fetterman’s illness had drawn out or intensified his existing predilections. In some ways, Fetterman was being the guy voters sent to Congress. He keeps to himself? He cancels fundraising events last minute? He thinks a lot of his colleagues are morons? Make him president already! He was never a particularly easy person to work with — he’d had that reputation throughout his entire political career. So sometimes the staff would debate whether a fundamental change had occurred or they were just imagining things, particularly since there were stretches of time when he was lucid and together. “It got hard to know which way was up,” Jentleson told me. “Was he acting crazy, or were we overreacting? I asked myself that a lot.”

Years after the stroke, Fetterman continues to struggle with auditory processing. To chat with me, he had put an iPhone on the table that transcribed my questions to him in real time. Sometimes Fetterman wouldn’t finish reading a question before answering, and other times his sentences could come out a bit garbled. After a podcast taping earlier this year with The Bulwark, the interviewer Tim Miller came away feeling like Fetterman might not be all there. “He’s struggling,” Miller said in a separate podcast taping. “He’s, like, really struggling. And I just think coming off of the Biden thing, we should not be hiding the ball on this sort of stuff.”

But in my conversation with Fetterman, I didn’t find any indication that the stroke had left him cognitively impaired. Our interview lasted just over an hour, during the first half of which he seemed excited to discuss just about anything I threw at him. He had problems with the way Democrats had estranged themselves from the public, he said, but still had no intention of leaving the party to become a Republican or even an independent: “Same chance I’m going to end up with a beautiful head of hair.”

He said that no one in his staff would know about his personal health situation and that anyone who told me otherwise was simply misinformed. “There’s not really anything to respond when that’s just not accurate,” he said. “What they say,” I pressed on, “is that they’ve witnessed ups and downs that could be associated with kind of a relapse. And they also worry that the medication that you’re on is not just for depression, but more serious drugs that if you’re not on them would be a problem. Is there truth to that?” “I don’t have any comment on that,” he said. “I’m going to go off record. Go off record. Go off record.” I cannot report what Fetterman said over the course of the next four minutes, but I can say that after he was done talking, I found myself in the hallway outside his office making awkward small talk with one of his press aides. Five minutes later, the door opened and I was ushered back in. The office felt different now. Quiet and tense. Fetterman was still in the same chair but slumped into himself, like a deflated parade float. His shoes were now on, and he avoided looking at me. Finally, I broke the silence. “Anything to say about that?” I asked, hoping to pick up our conversation where we had left off.

I don’t think we were clear enough by saying fewer people came in under President Biden than came under Donald Trump. It’s clarity of the message, and if that’s what Bernie’s talking about, and that’s what Joe Manchin’s talking about, we weren’t clear in our message as to what things are, then I agree with that. And that was one of the concerns I expressed about saying we haven’t put forth what was done. It’s our legacy, too. [Pelosi bangs on the table.] The rescue package. [Pelosi bangs on the table.] Infrastructure Bill. [Pelosi bangs on the table again.] The CHIPS Act. But that didn’t come across as well as it should have. So I think if you’re talking about messaging, you’re talking about communications, that’s one thing. If you’re talking about what we stand for versus what they stand for, the public’s in for a big surprise.

I think that any vice president is, like it or not, tied to the record of the president. I think what Biden did was great, and being tied to his record is a great thing but not the way the record was perceived. This is a record of job creation. Sixteen million jobs as opposed to the record of her opponent who had the worst job-creation record since Herbert Hoover. Yes, 16 million jobs, turning around inflation, all the things that we did to build the infrastructure of America, reduce the cost of prescription drugs.

President Trump has promised to use the Justice Department and the attorney general to go after his perceived enemies. He has said that over and over again, and you’re one of them. Well, you would think that that would be enough reason for people not to vote for him. But that’s what he said. So when people say to me, “Why do you think our democracy is in danger?” I’ll say, well, let’s define our democracy. What is democracy? Free and fair elections? Peaceful transfer of power, independence of the judiciary, the rule of law, all of those kinds of things are part of a democracy. So if he’s going after those things, and thank God, the only, shall we say, peace of mind that we have today is that we don’t have the assault on the system that would have been there had Kamala Harris won. That isn’t right. It shouldn’t be that way. And that he would say — maybe thought it, might even want to do it, but to say it and the American people will say, “That’s OK with me ”?

That it was complicated, he now understood, was “horseshit.” “Complicated” was how people had described slavery and then segregation. “It’s complicated,” he said, “when you want to take something from somebody.”

He had also been told that the conflict was “complicated,” its history tortuous and contested, and, as he writes, “that a body of knowledge akin to computational mathematics was needed to comprehend it.” He was astonished by the plain truth of what he saw: the walls, checkpoints, and guns that everywhere hemmed in the lives of Palestinians; the clear tiers of citizenship between the first-class Jews and the second-class Palestinians; and the undisguised contempt with which the Israeli state treated the subjugated other.

The most famous of Israel’s foundational claims — that it was a necessary sanctuary for one of the world’s most oppressed peoples, who may not have survived without a state of their own — is at the root of this complication and undergirds the prevailing viewpoint of the political-media-entertainment nexus. It is Israel’s unique logic of existence that has provided a quantum of justice to the Israeli project in the eyes of Americans and others around the world, and it’s what separates Jewish Israelis from the white supremacists of the Jim Crow South, who had no justice on their side at all.

“It’s kind of hard to remember, but even as late as 2014, people were talking about the Civil War as this complicated subject,” Jackson said. “Ta-Nehisi was going to plantations and hanging out at Monticello and looking at all the primary documents and reading a thousand books, and it became clear that the idea of a ‘complicated’ narrative was ridiculous.” The Civil War was, Coates concluded, solely about the South’s desire to perpetuate slavery, and the subsequent attempts over the next century and a half to hide that simple fact betrayed, he believed, a bigger lie — the lie that America was a democracy, a mass delusion that he would later call “the Dream” in Between the World and Me.

The hallmarks of The Atlantic’s coverage include variations of Israel’s seemingly limitless “right to defend itself”; an assertion that extremists on “both sides” make the conflict worse, with its corollary argument that if only Prime Minister Benjamin Netanyahu’s Jewish-supremacist government were ousted, then progress could be made; abundant sympathy for the suffering of Israelis and a comparatively muted response to the suffering of Palestinians; a fixation on the way the issue is debated in America, particularly on college campuses; and regular warnings that antisemitism is on the rise both in America and around the world.

the overall pattern reveals a distorting worldview that pervades the industry and, as Coates writes in The Message, results in “the elevation of factual complexity over self-evident morality.” “The view of mainstream American commentators is a false equivalence between subjugator and subjugated,” said Nathan Thrall, the Jerusalem-based author of the Pulitzer Prize–winning A Day in the Life of Abed Salama, as if the Israelis and the Palestinians were equal parties in an ancient tug-of-war.

For Coates, the problem for the industry at large partly stems from the perennial problem of inadequate representation. “It is extremely rare to see Palestinians and Arabs writing the coverage or doing the book reviews,” he said. “I would be interested if you took the New York Times and the Washington Post and The Wall Street Journal and looked at how many of those correspondents are Palestinian, I wonder what you would find.” (It’s a testament to just how polarizing the issue is that many Jewish Americans believe the bias in news media works the other way around, against Israel.)

American mainstream journalism, Coates says, defers to American authority. “It’s very similar,” he told me, “to how American journalism has been deferential to the cops. We privilege the cops, we privilege the military, we privilege the politicians. The default setting is toward power.”

in the total coverage, in all of the talk of experts and the sound bites of politicians and the dispatches of credentialed reporters, a sense of ambiguity is allowed to prevail. “The fact of the matter is,” he said, “that kid up at Columbia, whatever dumb shit they’re saying, whatever slogan I would not say that they would use, they are more morally correct than some motherfuckers that have won Pulitzer Prizes and National Magazine Awards and are the most decorated and powerful journalists.”

When I asked Coates what he wanted to see happen in Israel and Palestine, he avoided the geopolitical scale and tended toward the more specific — for example, to have journalists not be “shot by army snipers.” He said that the greater question was not properly for him; it belonged to those with lived experience and those who had been studying the problem for years.

“I have a deep-seated fear,” he told me, “that the Black struggle will ultimately, at its root, really just be about narrow Black interest. And I don’t think that is in the tradition of what our most celebrated thinkers have told the world. I don’t think that’s how Martin Luther King thought about the Black struggle. I know that’s not how Du Bois thought about the Black struggle. I know that’s not how Baldwin thought about the Black struggle. Should it turn out that we have our first Black woman president, and our first South Asian president, and we continue to export 2,000-pound bombs to perpetrate a genocide, in defense of a state that is practicing apartheid, I won’t be able to just sit here and shake my head and say, ‘Well, that is unfortunate.’ I’m going to do what I can in the time that remains, and the writing that I have, to not allow that to be, because that is existential death for the Black struggle, and for Black people, as far as I’m concerned.”

Mr. Musk had largely come to peace with a price of $100 a year for Blue. But during one meeting to discuss pricing, his top assistant, Jehn Balajadia, felt compelled to speak up. “There’s a lot of people who can’t even buy gas right now,” she said, according to two people in attendance. It was hard to see how any of those people would pony up $100 on the spot for a social media status symbol. Mr. Musk paused to think. “You know, like, what do people pay for Starbucks?” he asked. “Like $8?” Before anyone could raise objections, he whipped out his phone to set his word in stone. “Twitter’s current lords & peasants system for who has or doesn’t have a blue checkmark is bullshit,” he tweeted on Nov. 1. “Power to the people! Blue for $8/month.”

The UK’s election campaign is part of a wider British disease: of politics detached from policy, of arguments about politics divorced from questions about whether you can even implement the proposals at the end of the day.

The men and women of the Senate might not need their government salary to survive, but they needed the stimulation, the sense of relevance, the power.

Perhaps Romney’s most surprising discovery upon entering the Senate was that his disgust with Trump was not unique among his Republican colleagues. “Almost without exception,” he told me, “they shared my view of the president.” In public, of course, they played their parts as Trump loyalists, often contorting themselves rhetorically to defend the president’s most indefensible behavior