Disadvantaged?

So lately I have been in many clinics in less than wealthy areas of LA, and I have started wondering if people who are considered poor are in fact disadvantaged due to circumstances that they cannot control, or if they simply have misaligned priorities or a compulsion to make bad decisions. Many doctors tell me that their patients will not pay for a brand name drug or that they cannot afford it. That is confusing when I see a lot of Coach bags, acrylic nails and tattoos in the waiting room. All of those are expensive items and it does not seem to be a problem for the patients to afford them. I guess what I am seeing is a sort of rich poor people. Because truly poor people cannot live like that.