A recent op-ed in the Wall Street Journal sparked a heated debate over the use of the title “Dr.” by future First Lady Jill Biden, suggesting that only medical doctors should be accorded this courtesy title. Despite raising the same issue a decade ago – when the Bidens were Vice President and Second Lady – and openly ridiculing members of the Trump administration for the same practice, the media largely embraced the notion of “Dr. Jill Biden.” Yet a closer look at their own practices shows a stark gap between rhetoric and reality.