There must always be an "underclass" in capitalism for the upper echelons to threaten the middle echelons. No exceptions. Wether that's the homeless, psychiatric patients, gay or trans people... doesn't matter. There will be some regional differences in what constitutes this underclass but the end result is always the same. Capitalism CANNOT FUNCTION without this implicit threat of excommunication and starvation.

The only real difference with the recent past is that all of this has become much, much more explicit than it ever used to be before. But make no mistake, even with a Biden or Harris at the helm, this would still be the case, just much more muted.

This is a feature of the system, not a flaw, and will never change as long as capitalism in its current form dominates.