US President Joe Biden made a bizarre blunder speaking at a campaign rally claiming he had been to 54 states despite the US only having 50.
The 79-year-old was talking at a rally in support of Democrat John Fetterman running for senate in Pennsylvania against TV personallity Mehmet 'Dr' Oz.
While describing his administrations efforts to tackle pharmaceutical companies driving up drug prices, he made the mistake.
He said: "And, by the way, if they do, that means — not a joke, everybody; that’s why we defeated it in 2018 when they tried to do it. We went to 54 states.
"The reason is people didn’t realize that the only reason anybody who has a pre-existing condition can get healthcare is because of that Affordable Care Act."
At 79 Biden is the oldest president in US history, leading many to ask if he is the best person to take the Democrats in to the next election in 2024.
When Rishi Sunak became PM of the UK following Liz Truss ' resignation, Biden mispoke congratulating 'Rashee Sanook' while speaking at a Diwali event.
John Fetterman recently went up against opponent Dr. Mehmet Oz in a debate, fumbling some of his answers. After Fetterman suffered a stroke in May, he said "So I may not say everything perfectly sometimes, but I'll always do the right thing if you send me to Washington, D.C."
Although Biden has not yet committed formally to running again in 2024, he has said he intends to.
The bookies currently have him in third place as the person most likely to win the election, after Donald Trump and Florida Governor Ron DeSantis.
Further concerns were raised after Biden was seen asking for directions in his own garden.
Biden and the First Lady had been attending a tree-planting ceremony in honour of White House groundskeeper Dale Haney when the incident happened.
The 79-year-old president was flanked by his security team during the event on the South Lawn on Monday, but appeared lost as he tried to make his way back to the White House.
In footage circulating on Twitter, he is seen coming to a stop before asking his team: "Where do we go?"
His security detail points him in the right direction, but he tells them he wanted to go the other way.
Some suggest it indicates the elderly president's health is in a state of decline .
Groundskeeper Mr Haney, 70, who has seen ten presidents sit in the Oval Office in his 50 years, was responsible for taking care of many of their families, and their pets.
This is not the first time videos of Biden have been shared online.
At a rally in Pittsburgh last week, the president appeared to have difficulty getting off stage.
He experienced similar issues a month prior after giving a speech at the United Nations.
In Pittsburgh, he stopped to speak with reporters, but rather than fielding questions, he grilled them on a number of topics, including campaign stops and abortion rights.