Not that I necessarily agree with this but...: If an individual has otherwise flourished in a society to the point where they can afford to have other members

Not that I necessarily agree with this but...: If an individual has otherwise flourished in a society to the point where they can afford to have other members of a society provide them those services, then they are (despite medical appearances) apparently fairly well adapted. The issues arise when they are not using their money to give themselves these advantages. (Perhaps it is inherited money, or perhaps it is provided by the society itself).