There's an innocent (by Trump) standards explanation for the awkward non-handshake situation with Angela Merkel yesterday, which is that Donald Trump has hearing loss. It would not be surprising for someone of his age, even if not mentioned in his extremely sparse doctor's letter. Hearing loss is not so noticeable when you can turn Fox and Friends up to the max, but the large meeting room setting is exactly when it would manifest itself. He either needs hearing aids, or didn't have a battery handy when the (hidden) ones he has conked out.
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