The president's performance in the opening debate was at times frail and faltering - and it comes after recent instances where he appeared to 'freeze'.
Joe Biden's stumbling performance in the US presidential debate has sparked alarm among Democrats - but could he be replaced against his will and how might that work? A national US party has never tried to force an election candidate to step down in the modern era and their rules make it almost impossible to do so. The issue came before both parties in 2016, but neither took action and there's currently no known effort to force Mr Biden to give way.
Mr Biden has repeatedly dismissed this option during other turbulent times, but if he changed his mind he could simply serve out the remaining months of his presidency. Such a U-turn would create a frenzy among Democrats as there's no protocol in place for him or the Democrats to choose a new candidate before August's convention.
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