There have been two outbreaks of the highly contagious norovirus, sometimes referred to as the winter vomiting bug, in the senior community where I've lived for four years. Because the bug may spread via contaminated surfaces or through the air when residents have these symptoms they are advised to stay at home until they have recovered.
The symptoms are so obvious (and decidedly unpleasant) that our health staff leaves the decision as to whether to go to the doctor for a formal diagnosis up to the resident and to stay home, rest and drink ample fluids.
Trump’s symptoms do not require a diagnosis to reach the conclusion that it is imperative that he does not go to work because while not contagious in the medical sense, he is dangerous.
The mechanism of the 25th Amendment solution is involved and by now readers are quite familiar with how it is implemented. However, the actual 25th does not specify that the reasons for invoking it are physical or mental impairment. Rather it only states the president is unable to discharge the powers and duties of his office.
This could be because he has been compromised by allegiance to a foreign power since the duty is to uphold the Constitution.
It could be because he is making uneducated, uninformed, impulsive, and/or irrational reckless decisions.
With the norovirus, a doctor doesn’t need to take blood samples to make a diagnosis. The diagnosis can be made over the phone.
With Trump, there wouldn’t necessarily need to be an expert diagnosis made as to the reason he is making irrational decisions. All that is necessary is that it can be shown he is making them.
The entire notion that this would end up as a battle between opposing mental health professionals who justify contradicting diagnoses at some point has come from the perception that Trump has a dangerous mental disorder which must be proved in some way.
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All that would need to be shown very plausibly is that he has acted in ways substantiating that he is unfit and that he has exhibited behaviors that demonstrate that he is unable to discharge the duties and powers of his office.
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