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. A growth was identified on his prostate, and further evaluation showed the disease had metastasized to his bones, according to the statement from his office. The 82-year-old’s last known prostate-cancer blood screening test was performed in 2014, a spokesperson confirmed on Tuesday.