The author probably knows this, but I think a lot of these bad things are dependent one one another. Probably all of them. Poverty (food stamps) probably correlates strongly with all of abuse, especially physical, pain, prison, cognitive disability, other disability, schizophrenia, and old age. Dementia is heavily associated with old age as well. Which is not to say that things are great, but I think the badness is f…
As someone who lives somewhere that's very blue collar and works somewhere very rich and white collar the difference is incredibly stark.
Where I live you see the signs that some people have problems, people living out of cars, the occasional mobility scooter avoiding the potholes on the sidewalk, houses will go unrepaired for long periods of time you stand in line to check out at some store and there's fat people, the cashier sounds like she smokes a pack a day and you can't tell if she's 30 or 50, the police don't blink twice when someone's smoking weed in public or rolling a stop in a rusted out 30yo shitbox, people bitch about not having enough money for all the shit you have to do in life, Walmart is just another place to shop.
Then I go to work and there's not a single car over 15yo sitting in the gridlock, there's women carrying brand name shopping bags and out jogging on the sidewalk, ever lawn is meticulously maintained and every window and door is cleaned daily, nobody smokes, nobody is overweight, nobody has regrettable tattoos, nobody is carrying beer while riding a bike, bored cops feel the need to check out anyone who dare drive something that's economically out of place through the wrong neighborhood on a weekend (the help don't come on Sunday), people bitch about other people using plastic straws and bags, Walmart is regarded as someone you don't go if you can avoid it, etc.
What bothers me isn't that the urban wealthy (definition of wealthy to include upper middle) don't understand the problems the urban and rural poor (no, I don't live in the boondocks, I commute in from a small rust-belt-esque city) but that they act like they do and that they have all the solutions.