The point is: he's no more qualified than anyone else. Whatever he's saying is simply not reproducible and most certainly not what made him a billionaire. Otherwise we could all just replicate whatever any billionaire does and inevitably become one. That's not how it works though, is it?
It's easy to say it was hard work that got you there after you're the 1e-20% that made it.
On the other hand to what you're saying
He had to make fuckton of decisions over his whole time as a CEO and that's where it brought him, so he definitely had at least some idea, vision, direction supported by some traits.
Once you're a CEO with hundreds of thousands of very smart people under you, making the wrong decision is much, much harder. There's some skill to it, but so few people get into that position that simply not making completely dumb decisions can already lead to success. A good company has self-sufficient people that don't need to be micro-managed.
I've said it many times before: give someone billions of dollars and hundreds of thousands of talented individuals and I'm pretty sure they'll manage just fine. But we can't know for sure, so... maybe you're right in that sense.
Going back to the original point though, had he pointed out his decisions and vision, that'd be completely different compared to attributing it to "suffering and pain". That's plain silly.