Irrespective of whether the picture is fake I think it's obvious he's not doing well.
Hope he gets better but I get the feeling he might not this time.
As for his work I think it's quite accurate to call him a genius.
The Amiga team built a really ground breaking machine, but that was it. The original team broke up after that and Commodore never never did anything ground breaking with the machine.
Steve Jobs on the other had was involved with quite a number of these sorts of events. He had a knack of taking sometimes existing technology and making it easy to use, making it look good and most of all, making it work.
If you think it's all about making products look good then you really don't know what Apple is about.
Jobs was around for all of these, all of which were ground breaking in one way or another:
Apple 1 & 2
Mac
Next
iMac* (original)
iPod
iPhone
iPad
You can argue that many of these technologies existed before but many were non-mainstream or just plain rubbish.
Next in particular was an amazingly advanced machine - a unix with a good front end and cutting edge hardware - in 1988! Ever wonder where Commodore got the look of Workbench 2 from?