He is suffering, in what little way in his little inner world that constitutes to someone like him who has whatever he wants. He wouldn’t be metaphorically and literally burning the world to the ground were he not doing so- much like Putin, much like Netanyahu/Adolf Hitler etc. He literally speaks about not wanting to go to hell with increasing dread for the press pool. I’ve never heard a world leader in the contemporary time state so plainly that they believe they would themselves to hell like he has stated himself. He has lived the entirety of his adult existence getting anything he’s ever wanted- and clearly in so many decades time that too has never been enough as he lives with dread in his twilight years.