Former President Donald Trump’s campaign press secretary Karoline Leavitt argued that first lady Jill Biden should be held accountable for “elder abuse” with her husband, citing the president’s noticeable decline in mental acuity.

Concerns about President Joe Biden’s ability to serve as the commander in chief gained massive traction after the first presidential debate last week, which many contend was a poor performance. The first lady explained in a statement to Vogue that the Biden family would not let the first presidential debate define his presidency and that her husband will “always do what’s best for the country,” leading Leavitt to argue that the best for the country would not be a second Biden presidency.