I'm not famous or rich but I use psuedomous accounts, like this one, for what I consider to be good reasons. It is a kind of deception to try to maintain my privacy ... and I have no problem with that. It would be interesting to find an alt Elon account but only as scandalous as the worst thing he said with it.
It's more that he (and other prominent public figures) use their alt accounts to interact with their primary account, as if they are different people. This is what people find deceptive