If you believe in the gospel of meritocracy, "hard work = success", then you'd have to believe the reverse ("poor people are poor because they're lazy."). But this ignores the luck factor (that a lot of people are poor because of bad luck, and that a lot of people are so god damn rich because of good luck). https://www.youtube.com/watch?v=bTDGdKaMDhQ
I put in the "work," live in an awesome location, and I have to fight insurance damn near every time the Dr puts me through any procedures. That's not counting the awful healthcare I actually get. I guess I just need to drive 3-4 hours to get it instead of 1? Then I can't put in the "work" because I'm spending days traveling to get all this stuff done.
I guess the answer is to move. Well then that means i get to start over fighting insurance to get them to cover everything, again. I'm not doing that a third time.
I'm sure that's nice for you personally. From what I've observed, this simply isn't true for many in America, who face desperate struggles despite hard work.