Simple and to the point. It's not the most appealing talk in the world, but who cares... it's Madonna.
Content
Her talk is scripted, but still effective.
Design
Madonna is still influential without any visuals. Her confidence serves as the design/structure of her message.
Delivery
This is a great example of the power of a personal brand. Her majesty doesn't even need an introduction. I just wish she didn't rely on her notes so much. I forgive her!