Yeah so like Musk is South African, Thiel is German, but there's only one game in town. If you want to play for the highest stakes you go to America. Nothing else counts.
It alters the brain chemistry over time. You might think you have to operate on a higher level, more switched on, fully tuned but I think to speak to large audiences effectively a repression has to take place, you kill off and sideline a bit of yourself and over time it takes its toll