To me, wealthy is sports/movie star salary, CEO pay, so no, my T is not wealthy. I do consider him well-off in terms of owning an expensive house, taking multiple costly vacations every year, driving a 50k+ car. He doesn't take insurance, charges $175 for 50 minutes, with very little overhead costs. As long as there is a demand by middle-upper class clients, most could do well under those conditions.

It doesn't make me feel inferior but it bothers me a lot that he stopped helping me as soon as I had no money to pay him after 5 years of paying him. It feels like being wounded, then kicked into a ditch on the side of the road and discarded.

It also bothers me that so many make so much off the most vulnerable, sick, or unfortunate. Taking your money for years to subsidize a good life, but as soon as you can't pay, heartlessly cut you off. Except for ERs, who can treat health emergencies. It makes me feel like I'm not human, triggers my long-term childhood feelings of not deserving to live. It cuts deep into my core wounds.