May be a naïve question: have you tried googling the topic?
This is a thing for westerners; the squat position (with feet flat on the floor) is really hard to do for a lot of them, iirc mostly having to do with ankle flexibility (for me personally anyway). In countries with squat toilets the people are a lot more used to the position / motion. I guess most people could get by with doing a toe squat, but that's harder to keep balance.
Not sure how I feel about sharing this here but yeah, this should answer some of those questions.
The Youtuber is.. A 'comedian'..