Skip down to Section 4. The president himself or herself ends up being the final arbiter in most scenarios that s/he is able to discharge the duties of the office. I do not see 2/3 of both houses of Congress declaring a permanent incapacity here. President Biden was clearly struggling, and we didn't get close to a 25th Amendment scenario.
In addition, President Trump's unorthodox methods to achieve fairly sensible ends are well-known enough that the current cycle could be argued to be part of that, i.e. re-armament of NATO. It will be extremely hard to prove that he's literally out of his mind.
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