Do you think Trump of 8 years ago would have allowed Musk to usurp the news cycle? Or even allowed the merest notion that he's not controlling _everything_?
Remember, Trump actually underwent a colonoscopy without sedation to avoid relinquishing the control of the nuclear weapons to Pence. This dude is a control freak.
Even endoscopies are possible without sedation, but most people don't have the ability to not squirm or gag for that one. You can even see youtube videos of people doing that one without sedation.
Trump is basically immune from scandal. The people that vote for him either don't care, are low-information voters that somehow don't even hear about it, don't believe the news reporting on the scandals, or even worse, actively support him because of the scandals.
I know a lot of people don't like Cohen. I have my own friends I've had for 15+ years and I know them well, just as much as Cohen knows Trump, so I feel there might be some validity to his thoughts.