Presbyphonia, age-related voice disorders generally caused by changes to the vocal folds. It’s possible he has cold-related hoarseness — he remarked on his voice during an interview in May before his back to back Euro trips — but it’s been going on for a while. The point is primarily that the WHMO/
Your points are well-taken, though! A lot of this could come down to “Biden got sick in May right before an exhausting diplomatic schedule followed by a debate followed by media campaign nonsense, and he simply hasn’t gotten better yet.” We just don’t really know!
