The man winces from just attempting to lift his arms a little bit and botox injections have made his neck disappear.....but who knows, he just recently ran for president so anything is possible. I mean, a small time social worker is at the helm of the most powerful country in the world and his vice president most likely has brain damage from past brain aneurysms so really, anything is possible. It's true what they say, anyone can make it in America.