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.

“Last week, President Joe Biden was seen for a new finding of a prostate nodule after experiencing increasing urinary symptoms,” his personal office said in a statement. “On Friday he was diagnosed with prostate cancer, characterized by a Gleason score of 9 (Grade Group 5) with metastasis to the bone.”