If you know you have an overactive bladder and can't wait to use the lavatory, indeed people should wear an adult diaper or don't fly. On the mainland, they can drive, use Amtrak, or take a  bus. This woman had a known preexisting condition and should have known better. An unfortunate consequence of the original United incident involving removal of the doctor by force is all kinds of unreasonable people are provoking confrontations with airline employees, either for publicity or to extort money from the airlines for alleged "damages."