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I think we can firmly place this individual into the mentally disturbed category.  A terrible compulsion that he can't control.  Its a shame, really.  Hopefully he can get the help he needs soon.

I think it’s pretty unlikely. More likely is that the guy’s 80 and his muscle mass is disappearing faster than his metabolic rate.  It sucks but that’s mortality 😒  What we have there is an unflattering camera angle of an expanding presidential caboose. IF he wore diapers he’d be surrounded by a phalanx of groomers/minders/spin doctors to make sure THAT stayed well off the radar. IF he wore diapers they wouldn’t be that impossibly thick.  I’ve worn pinned terry folded nappies and plastic pants that produce less arse-expansion than is going on there. IF he wore diapers, he wouldn’t be the first POTUS to do so.  It was said that FDR wore cloth diapers during his presidency due to his partial paralysis from poliomyelitis.  Something that was kept VERY well under wraps. It’s possible I guess that he has some kind of armour on.  We should consider that I suppose. Those news sources are pretty ropey and I suspect are feeding off curated social media outrage stuff. The bigger risk is cognitive decline.  Plenty of evidence for THAT in a POTUS from both sides of the house!

I soon fall down in it

Alice: I let the last bit go as you take me to the table

I also use cloth at night.   When I've been wetting a lot, or expect to wet, I use pinned-on prefolds.  I am a male side-sleeper, so rather than putting the soaker down the center like Freta, I put it across my stomach at the front of the diaper, hip-to-hip, which works great for me to eliminate leaks.  (While bulk between my legs is nice sometimes, for daily sleeping it's nice not to have it.)  The nice thing about cloth is you can arrange it in a way that is both functional and comfortable, when you figure out what that is... I use four pins (or snappeez sometimes)... one on each side to create a good solid cuff around my leg, and one at the top to adjust the hip.  When I am more unlikely to wet... it's been a while, I haven't had alcohol recently, and my wife doesn't give me the side-eye that she's worried she's going to wake up sharing my puddle, I will use the pull-up diapers from Adult Cloth Diaper.  Easier, especially for naps or when I might fall asleep in the chair watching a game or something. The All-In-Ones never worked for me (and are difficult to launder), and pocket diapers just plain fail for side sleepers in my experience...