But 99% of the time you can get from A->B in NY without much stress. You hardly ever need a car. You have almost literally the best of anything in the world within that hour-or-less subway ride.
You may not be able to afford all the best-of-everything, but the best X is there as an option if you decide you'd prefer X instead of rent (or paying medical bills). Almost always you can turn sweat into $ to buy X without anybody saying no. Nobody forces you to live in NY, and nobody forces you to buy X. But it's there if you want it.
(Of course you can argue that X is too expensive or that the sweat-to-$ ratio is wildly unbalanced but that doesn't change the facts.)