re: If Trump actually becomes mentally incompetent, what should be done?

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For starters, there’s already an amendment for this exact purpose. So I’m guessing we’ll listen to that.

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If Trump suffers a stroke that leaves him with significant mental damage or develops a massive case of Alzehimer's over night then, as you said, we have something in place to replace him with his VP.

An amendment adopted because in the past we have had Presidents who have become mentally incompetent and their spouses or cabinet just ran the country and pretended like they weren't mentally dead in the water.

As for booting Trump because of a mental health issue... True he is a narcissistic personality.

Well, I hate to say it, but with the exception of a handful of Presidents who were more or less drafted into the job, every President of the United States fits that billing. You don't put yourself through the stress of running for and then holding the Presidency unless you are convinced that you are God's gift to the world. It takes a big ego to be the President.

The meek may inherit the Earth but they don't become the President of the United States.

If Trump suffers a massive pyschotic break and starts rolling his poop in balls while babbling that he's going to make his pet goldfish the Secretary of State... OK... then its time to replace him with Pence. Until then he's the President.