In early 1944, with the outcome of World War II by no means certain, many in the United States felt that FDR, as wartime Commander-in-Chief, was an indispensable part of prosecuting the war to a victorious conclusion. Yet although only 62, Roosevelt was mortally ill with congestive heart disease - a fact that was carefully shielded from the American public prior to the election of 1944. In a media environment where we get more details about politicians' health than we sometimes prefer, it is hard to imagine how a paper as authoriative as The New York Times could describe FDR's death as "e;sudden and unexpected"e; on its front page. Dr. Hugh Evans looks at the issue of Roosevelt's health not only from a medical ethics perspective, but also with a keen eye for the political and media considerations that led to the decision to run and not disclose the extent of Roosevelt's illness.