VPN farms and using remote servers are all with a bit of effort detectable. It starts a new arms race but all it takes is to catch the account misplaced once on a change to then keep that history and expose the discrepancy forever. Its going to be quite difficult to get and maintain a genuine domestic IP that is unique per account and doesn't then get shut down often.
Interestingly enough, Twitter is excellent at that. Maybe they even jump the gun.
Ever since I noticed that when you register a decent domain, someone will instantly register a Twitter account with that name, I have started trying to preempt that.
I accidentally clicked a Twitter link the other day, while apparently still logged in to an account. I was on a VPN at that moment. Instant suspension within 15 seconds. It was astonishing.
Seeing how reddit is moving in the opposite direction by doing things like allowing people to hide their submission histories, that seems highly unlikely.
Reddit also needs to have a feature like this.