President Trump declared the U.S. ceasefire with Iran to be on “massive life support” during an Oval Office appearance Monday, hours after he dismissed Tehran’s latest counteroffer on nuclear talks as “unbelievably weak.”

“I would say the ceasefire is on massive life support [and] when the doctor walks in and says, ‘Sir, your loved one has approximately a one percent chance of living,’” Trump told reporters when asked whether the truce still held.

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The president’s grim prognosis followed Iran’s weekend submission of demands that included war reparations, sovereignty over the Strait of Hormuz, and an end to U.S. sanctions, according to The New York Times. Trump shot down the counteroffer Sunday, calling it “totally unacceptable,” and escalated his language Monday by referring to it as a “piece of garbage” that he didn’t even finish reading.

The standoff underscores a widening gulf between the two sides. Iran wants to decouple nuclear negotiations from talks to reopen the Strait of Hormuz, while the Trump administration insists on nuclear commitments upfront. The U.S. is also pressing Iran to drop its claim on the strategic waterway, though Tehran has floated a long-term tolling system for global shipping through the passage.

Iranian Foreign Ministry spokesperson Esmail Baghaei said Tehran wants to focus on “what’s urgent,” pointing to “an end to the war in all its forms, including in Lebanon,” as The Wall Street Journal reported Monday. This stance clashes with Trump’s demand for immediate nuclear concessions, leaving the ceasefire hanging by a thread.

The collapse of talks could have broader repercussions. Trump has already faced backlash over his Iran policy, with voter fury threatening GOP midterm hopes as the administration juggles multiple crises. Meanwhile, Iran has revealed the full scope of demands Trump rejected, as 17 cruise ship Americans return home amid the diplomatic stalemate.

Trump’s rejection of the Iranian offer also comes as Congress grapples with budget and housing legislation, with the president rejecting any peace deal that doesn’t meet his nuclear benchmarks. The administration’s hardline stance has raised concerns about a potential escalation in the region, especially as the U.S. continues to pressure Tehran on multiple fronts.

With the ceasefire now on life support, the next moves from both capitals will be critical. Trump’s dismissal of Iran’s counteroffer as garbage suggests little room for compromise, while Tehran’s insistence on separating nuclear and Hormuz issues points to a prolonged standoff. The doctor, as Trump put it, may soon have to deliver the final prognosis.