Former President Joe Biden‘s late-stage prostate cancer diagnosis has ignited debate about early detection protocols and whether the White House health team failed the former commander-in-chief. Biden’s team revealed that he received a diagnosis last week following complaints of urinary issues.

Former President Joe Biden’s diagnosis of an aggressive, stage-4 prostate cancer has reignited a long-simmering medical debate: When should men get screened for prostate cancer? For decades, doctors have wrestled with how often to screen men for the disease and when to start and stop.

The announcement Sunday that former President Joe Biden was diagnosed with advanced prostate cancer has some people wondering how the disease could have been missed.