"Being a billionaire must be insane. You can buy new teeth, new skin. All your chairs cost 20,000 dollars and weigh 2,000 pounds. Your life is just a series of your own preferences. In terms of cognitive impairment it's probably like being kicked in the head by a horse every day"
Solitary confinement is a great comparison. But also not existing in the same reality is 99.99% of the population must really warp you too.
In reality they've been vampire sucked dry by close family / friends / salesmen for years and didn't know it.
He was an opportunistic, amoral sociopath before he was rich, and the system he reaps advantage from strongly selects for hucksters of that particular ilk more than anything else.
He's just another Kalanick, Neumann, Holmes or Bankman-Fried.