She needs to keep up the illusion that she can endure the stress that accompanies the campaign trail. This has been very demanding, more than she could have realized as the dynamic feels even much different than it did when she did this with her husband.
She feels like a character in a play being directed and tugged at constantly. She is in it deep with the PTW (Powers The Were), and it feels like there are so many powerful people that they are hidden in layers so no one really knows who is in charge. She has hundreds of IOUs to these layered powers, and really isn't even in control, but just does what she is supposed to do, like a celebrity working with a Public Relations agent. She is their spokes model, but they are growing weary with her recent health issues