By 1933 MacDonald's health was so poor that his doctor had to personally supervise his trip to Geneva. By 1934 MacDonald's mental and physical health declined further, and he became an increasingly ineffective leader as the international situation grew more threatening. His speeches in Commons and at international meetings became incoherent. One observer noted how "Things ... got to the stage where nobody knew what the Prime Minister was going to say in the House of Commons, and, when he did say it, nobody understood it". Newspapers did not report MacDonald denying to reporters that he was seriously ill because he only had "loss of memory". His pacifism, which had been widely admired in the 1920s, led Winston Churchill and others to accuse him of failure to stand up to the threat of Adolf Hitler. His government began the negotiations for the Anglo-German Naval Agreement.