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Sadly, it just isn't spam from either ZeroHedge or from the OP. It happened just as you see it and it was just as incredibly awkward as it looks. Put it in the full context of his speech and it will still stand out just as much as it does in the clip. It was painful for Biden (clearly beyond unsettling for him) and painful to see.
It was like, help me, I don't want to be here... He knew he was having trouble.
I feel so bad for him.
OTOH, I pretty much have no regard for those who keep pretending he's in good health.