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September 13, 1995

Presidential Disability and the Twenty-fifth Amendment

Author Affiliations

Intracel Corporation Cambridge, Mass

JAMA. 1995;274(10):797. doi:10.1001/jama.1995.03530100037024

To the Editor.  —In the December 7, 1994, issue, Drs Link and Toole,1 Dr Joynt,2 and President Carter3 discussed the Twenty-fifth Amendment. They described difficulties with the drafting of the document and with its execution.During the first year I served in the White House as physician to the president under President George Bush (1989-1993), I spent considerable time and effort with other key aides to the president on drafting a proper document, agreed on by all concerned, for the execution of this amendment. The president, Barbara Bush, the vice president, the office of counsel to the president, the chief of staff, the press secretary, the National Security Office, the director of administration for the White House, the deputy assistant to the president, and the director of the Secret Service were all intimately involved. As physician to the president, it was my role to determine disability. President

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