Definitely agree that it would be a hideous outfit on anyone. I am torn between admiring her for wearing what the hell she wants to and critics be damned, to thinking that she is constantly seeking external approval of herself, which must be both exhausting (at any age) and a bit sad that she feels she doesn't have enough sense of self to still require that kind of external reinforcement. Definitely feels like she is running out of ideas - I think she looked absolutely tragic.
Julianne Moore on the other hand looked fabulously stunning and like a woman in control of herself. However, that may just be an illusion, and she may feel as much pressure as Madonna to achieve external validation, she just has a different notion of what that looks like.