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The problem is that as people age cognitive decline can be rapid. You elect somebody at 70 with no symptoms for a 6 year term. By 73 you get this type of issue.
A cognitive test would only work if it was administered yearly. If they show signs of cognitive decline they are immediately relieved of duties. You'd have to set up an independent body of physicians to administer the test and have the physician chosen at random to prevent shenanigans. The rich and powerful would still find a way to rig the system.
Or you can just set rules to prevent the issue.
64 is the oldest anyone can run for office and 70 is mandatory retirement age for all positions in government service. Yes some people still have a lot of life left in them at that age They can do something else.
As we've seen over and over again one dement old person in a position of power can cause pain and suffering or even the loss of life to millions.
I have a friend who retired from government service at 58 after 35 years. He then started his own business now at 79 it's large and prosperous. Just because he "retired" doesn't mean he stopped being of value to society. Hell his business has more impact now that he ever did in his government job.
Unfortunately old age is starting to catch up with him. He had a mild stroke last year and his brain isn't what it used to be.