It would be my guess that Madonna is not a very happy woman. From my own experience having gone through persona changes like that that kind of clawing need to be the center of attention is not a pleasant place to be.
I think sometimes in life we want to ignore the problems of society and just think about the good. I believe in positive thinking and affirmative living I also think it's really important to remember all of our disenfranchised members of society.
