Evaluating Presidential Fitness: The 25th Amendment and Presidential Disability
The 25th Amendment to the U.S. Constitution offers procedures to address presidential disability. However, it omits a standard and process by which inability to discharge the duties of the office should be judged. Formulation of a standard and an approach to evaluation should begin by recognizing the similarities with workplace fitness-for-duty evaluations. Thus, operationalizing the 25th Amendment would involve developing a job description, considering the degree of impairment that would render a president unable to function, and clarifying an approach to evaluation. Establishing an independent work group could mitigate the intensely political environment in which this process would unfold.
Authors
- Paul S. Appelbaum (ORCID: https://orcid.org/0000-0002-1940-0042)
Institutions
- Columbia University (US)
Publication Details
- Journal
- Psychiatric Services
- Published
- 2026-10-29
- DOI
- https://doi.org/10.1176/appi.ps.20260571
- Primary Topic
- History, Medicine, and Leadership
- Type
- article
- Field-Weighted Citation Impact
- 0.00