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Here's what I think: someone, Pence, cabinet member, needs to call in a physician [View all]
to examine Trump ASAP, like tonight.
If he needs sedation, administer sedation. If he needs to be hospitalized, take him to Walter Reed for observation. And let Pence be acting president at least until a decision can be made about what to do between now and the 20th, . Impeach, invoke 25th, whatever.
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