There's no doubt they have superior hair genetics as an ethnicity and their response on Finasteride/Dutasteride is also better. Might need to incorporate more soy into the diet
Trump has a horrendous and complicated combover and when the wind blows you can see the back is stark bald and he is quite diffuse on top too. As a 70 something, it's more than fine since he's past it but as a President (of the most powerful country too) he has that incentive to look his best at his age which is understandable. Like you said, he has that competitive character in him too probably from a young age. Since Trump has had flap procedures and takes finasteride, he'll definitely notice other people's hair especially in political circles. It's the same with any insecurity anyone has, they'll naturally compare themselves when they see someone who triggers them. It can be damaging depending on how big the insecurity is or a minor blip if they only have a mild insecurity. If someone is not insecure or truly doesn't care about their appearance (happens), little can change that. I believe Trump is secure overall except about his hair - a painstakingly and carefully constructed combover is evidence of that, how much it actually bothers him is anyone's guess. I would say he has a mild annoyance about his hair but it doesn't dominate his life per say.
Macron's combover makes him look weak and insecure, it doesn't look good when the recession is advanced. A healthy hairline can change the appearance of a man, sometimes the shave option is the only way to restore some uniformity and sharpness. I don't think Macron can really pull it off though and he's a typical average North European who needs all his hair to look presentable. At 40 plus though, he can still get a full head of hair as it looks in good order except the front so I don't think we should cry about him too much OP, he had his youth too!