A better analogy is Twitter is a sick and dying patient and drastic measures are needed to be taken to save it. Whether or not you agree with those measures, well you don't have $44b on the line. Of all of Elon's businesses, this one is probably the most in his wheelhouse. He's a web guy after all.
He is not a web guy, but he is a Twitter power user, thus sees problems and limitations in the platform. But then: his usage and experience probably is far from representative for most users.
I mean, those $12B annual debt service payments didn't exist before. Seems clear that Twitter was struggling in many ways, but things seemed to be accelerating post acquisition.