there are also some people who think they are in this category when in reality their stress is due to self-imposed standards of living that are higher than necessary. Or anxiety and other psychological problems that could be addressed through non-material strategies.

also encouraged and exacerbated by capitalism (the former - to create the illusion of a "middle class" for people to aspire to and vote against their own actual material conditions, the latter - by commodifying health care and pathologizing anything that harms "productivity")