Those are very middle class cost breakdowns. At a low enough income bracket you basically don’t pay for health care or child care because you simply don’t have

Those are very middle class cost breakdowns. At a low enough income bracket you basically don’t pay for health care or child care because you simply don’t have it, or you rely on family, assistance programs and charities. The after school program was effectively my “daycare” through the end of 4th grade post-Foster care and what I did after school after that was basically on me. The City was my oyster. I also went without medical care as a teenager. In this simplified environment, childcare and medical care (at least pre-Obamacare) are luxuries you do without, so shelter and food take precedence as the preeminent costs at that point (for some extra irony, we were just past the cutoff point for school lunch from my Middle School years onwards). Life is tougher that way, but it’s survivable.