That's a bit of an uncharitable assessment considering they're just stating how things operate now.

We don't have post-scarcity yet (even if we could somewhat) and neither do we have survival lifestyle where strength-in-numbers means practically anyone will boost survival of the group as has happened in the past (see healed fractures in ancient bones). Plus land ownership/availability and resources are much different, money and process tangle everything now.

Particularly in USA, it also doesn't help that preventable/treatable health issues are such a big problem (also public transportation, zoning, wages/benefits, law, lack of socialization, and 100 other issues combining together), leaving people behind to suffer.