who is running the government since Trumps health started to decline

There’s no verified evidence in the sources I found that Trump’s health has declined or that he has been removed from day-to-day control of the government. Under U.S. rules, if a president is unable to serve, the vice president becomes acting president first, and then the constitutional succession line continues through the Speaker of the House and senior Cabinet officials if needed.

What that means

• The vice president is the first person who would step in if the president were formally incapacitated.

• If both the president and vice president were unable to serve, succession would move to the Speaker of the House , then other officials in the statutory line.

• Without a formal incapacity finding, the president remains in charge and the government continues under the normal chain of command.

On the current situation

Recent reporting I found discusses Trump’s administration and policy actions, but it does not confirm that someone else is “running the government” because of his health. If you’re referring to a specific rumor or post, share it and I can help assess how credible it is.

Practical takeaway

At the moment, the safest answer is: Trump is still the president unless there is an official transfer of authority, and the vice president would be the first backup if that ever happened.

TL;DR: No reliable source here shows Trump has lost control of the government; if he were incapacitated, the vice president would step in first.