However, I also don't see it as such a big deal if someones suit doesn't fit them perfectly either. Personally, I don't think it makes him look like he's frail and dying.
I definitely don't think it's a deal either, I think it'd actually be pretty baller if he debated in a shirt/tie with a pimp bathrobe over all of it.
The issue here is millions of Americans do care about it. Aside from a few issues, I don't have problems with what Ron Paul is saying and how he goes about saying it. So when I look for areas that he can improve in, this one sticks out like a sore thumb. And as mentioned, it's an incredibly easy fix and he'd look much more presentable.