Sen. Susan Collins is finally opening up about a medical condition she kept private through five terms in the U.S. Senate — and the timing is raising fresh questions as she fights to hold onto one of the most vulnerable Republican seats in the country.
The 73-year-old Maine senator disclosed this week that she has been living with what doctors call an “essential tremor,” a condition that causes involuntary shaking and that she says she has treated with medication for years. Collins made the revelation after speculation exploded online following the release of her now-viral campaign video, which drew widespread attention not just for its awkward Gen Z-inspired “unboxing” format, but for the visible trembling in her hands and voice.
For years, Collins has spoken with a noticeable tremor but never publicly explained what was behind it. Now, as she launches a bid for a sixth term that would keep her in office until age 80, she is finally addressing it head-on.
In an interview with News Center Maine, Collins said the condition is common and does not affect her ability to serve.
“What I have is an extremely common condition that is called a benign essential tremor,” Collins said. “I have had it for the entire time that I have served in the United States Senate. It has absolutely no impact on my ability to do my job or on how I feel each day.”
Collins also pushed back hard against any suggestion that her health should be seen as a concern as she seeks another six years in Washington.
“If you talk to anybody in Washington, they will tell you that I am the hardest-working person that they have ever worked with, and the fact is I’ve never missed a single vote in all the time that I’ve been honored to represent the people of Maine,” she said.
“I think that’s pretty good evidence of the fact that I am blessed with great health,” Collins added, describing the condition as “inconvenient at times, but that’s all.”
Medical experts say essential tremor is not linked to cognitive decline, Alzheimer’s disease, or Parkinson’s disease, though it can gradually worsen over time.
Still, the revelation lands at a politically fraught moment for Collins, who remains one of the most scrutinized Republicans in the Senate. Democrats have long seen her seat as a prime pickup opportunity, especially as frustration continues to simmer over her years of positioning herself as a moderate while repeatedly giving crucial support to Republican power.
Collins has spent much of her career cultivating an image as an independent-minded voice willing to break with her party. But to many Democrats, that reputation has worn thin. She has become especially notorious for publicly expressing concern about Donald Trump and his actions, only to ultimately back him when it counted.
That tension has defined Collins’ political brand for years — and it is likely to be front and center again as the race heats up.
Her Democratic challenger, 41-year-old Graham Platner, is now set to face her in November after Maine Gov. Janet Mills suspended her own Senate campaign last month. Platner, a military veteran who served four tours in Iraq and Afghanistan, has been open about his own health struggles, including a 100 percent disability rating from the Department of Veterans Affairs.
He has said those issues do not prevent him from working or serving in office.
“I’ve got a couple herniated discs,” Platner told News Center Maine. “My shoulder’s a wreck. My knees bother me. The VA gives me physical therapy for those things. I was also diagnosed with PTSD.”
“There are a lot of disabled combat or just disabled vets at 100% who still work,” he added. “It’s a very normal thing.”
The contrast between the two candidates is already becoming clear. Collins is a longtime incumbent trying to convince voters she still has the energy and credibility for another six years. Platner is presenting himself as a younger alternative at a time when Democrats are eager to flip a seat that could be critical in the battle for control of Congress.
And while Collins recently broke with much of her party by supporting a war powers resolution aimed at limiting the Trump administration’s military actions in Iran, many Democratic voters remain deeply skeptical of her record. For them, one vote against party leadership does little to erase a long history of enabling Republican control while trying to preserve a centrist image.
“As I have said since these hostilities began, the President’s authority as Commander-in-Chief is not without limits,” Collins said after the vote. “Further military action against Iran must have a clear mission, achievable goals, and a defined strategy for bringing the conflict to a close.”
Even so, Collins now finds herself in a familiar and uncomfortable position: defending both her record and her future at a moment when Democrats believe Maine may finally be ready to move on.
This time, though, the questions are not just about where she stands politically. They are also about why it took so long for one of the Senate’s most recognizable Republicans to level with voters about a condition they had been noticing for years.
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We wanted her gone 50 years ago…
Don\’t make a big deal of the senator\’s medical condition!! BET is not at all detrimental to her functioning!!! It may make her signature less readable, and she may occasionally spill coffee. In all other aspects she is perfectly functional and intelligent. \”Secret Medical Condition\” is more than a little over the top. Stop the sensationalizing.My family has a genetic predisposition for BET. Memories of my father needing to hold one hand with his coffee with the other in order to drink without spilling. This is not a big deal. Dr. Larry Schlatter