Do you think maybe Joe is faking dementia?? For the purpose of getting out of any normal procedures of presidency? Or for people to feel bad for him and excuse his 1,000 executive orders, or for not meeting with national leaders? Or even for making a body doubles job easier and more believable? I've been thinking for a while now that maybe he is such a fraudulent person he faked his own disease, just like he admitted he would...thoughts?
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Others have commented that the earlobes may be a sign of facial cosmetic surgery, which reputedly he has had. Eye color depends on lighting, the spectrum of the light, and maybe even whether he is taking drugs. Dilated pupils will bias the distant appearance toward a seemingly darker color. His medical condition could also effect slight changes in appearance.
The practical matter is that the Joe we see is consistent with the Joe we expect to see: aged, infirm, erratic, and venal. The evidence for a double is mostly at the level of a Rorschach blot: a figment of our perception.