Given that Pelosi is 66 years old, I think she looks fine.  Much better than that size 10 head on a size 4 body thing Nancy Reagan had going on--Regan's center of gravity must have been somewhere around her neck.  Barack Obama was on the cover of Men's Vogue a few issues ago and looked very sharp.  In general, politicians aren't going to win any prizes for their dress:  Dennis Hastert looked like Jabba the Hutt in a suit, and I've rarely seen Bush in anything that seems to fit properly because he always seems to have this strange hunch around his shoulders, which could be the suits or his physique.  Perhaps it's just the navy suit, white shirt, red tie and variations (but not many) thereof that politicians of both parties seem compelled to wear that turns me off.

You would think he could get a few shirts from Paris Custom. They are made in the US of A after all. I say that because I notice your people revolt if any President wears Savile Row.