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And yes, I get that mental problems are not necessarily linked to old age, but they are more likely to be found among that age cohort. I know a few people in their seventies, mostly former college professors, who are of very sound mind and temperament. They are intelligent, thoughtful, and capable people. But that still doesn't change the fact that their worldview is sometimes colored by misunderstandings based on past biases and discourses. It is for that reason, not just how old McCain is, but how that informs his politics and policies, that I think his age is a fair issue.
Somewhat off topic now:
Isn't the whole idea of presidential requirements in its own way ageist? After all, you are required to be at least thirty-five years old. If such a lower limit can be placed because it is deemed that there needs to be a certain amount of maturity and experience to be president, why can there not be an upper limit which considers the effect of aging on the human brain and body? Or is it only ageist when you're complaining about, and/or discriminating against, old people?