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Illness can impact a president’s ability to conduct the duties of office, but for most of U.S. history, protocol for what happens when a president got sick was minimal. The Founding Fathers anticipated the need for a line of succession, and the Constitution says the vice president becomes acting president if the elected one dies, resigns or became debilitated. Bicycle ride poster. But it left out critical details, including who has the power to declare the president unfit to serve, when and how the president should return to office, and if the vice president should continue as president for the rest of the term or until a replacement was found.
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It took the assassination of John F. Kennedy for Congress to pass the 25th Amendment laying out a clear protocol for what happens if the president or vice president resigns, becomes incapacitated or disabled, or dies. Presidential history is full of leaders who handled illness or medical conditions—some openly, others in secret—while serving in office.
