We're basically in an extraction economy right now, where the real money is in finding points to siphon off all of the income that people generate. Unregulated utility monopolies, rapacious health insurance companies and the medical industry generally, and of course Big Finance, are all devoted to increasing the slice of your life that they can steal from you, fair and square.
We have a hell of a lot of poor people in a country where it's really hard and really expensive to be poor, and getting harder and more expensive every day.