The main difference seems to be that the world doesn't force you to do something anymore, it begins to ask "what can I do for you?".
At some point money becomes more than the hard money you buy your food with, but a means of control. Within some limits you can, at some size even have to, provide meaning to others through organisation.
Instead of worrying about the next paycheck you worry about risk, the perspective has to become ever more "macro", lest you lose money because the world model you use to make investment decisions with isn't close enough to the reality of the world. Which, at the highest level is just a cloud of beliefs, constrained by psychology and ultimately physics.
I'd like to read more about the experience of others, and how much it differs between people who have worked/lucked into it during their life and those who were born and perhaps raised with that knowledge and in this environment (inheritance).
How do you find meaning if everything can be accomplished by a mere decision to invest/acquire/influence?
What are the values of the (ultra-)rich? What does still have value to them?
Can leaders of large, complex institutions have a true connection to the reality of the process?
Is there a way to cope with the massive social responsibilities other than to ignore them or finding a way to accept "small" misfortunes (laying off hundreds of people, shutting down unprofitable companies) in pursuit of a greater good (sound resource allocation, long term strategy)?
Is there still something, beside history, science or religion you can look up to and find instruction? Or does one have to look to ones side, to the few lonely people at the top of the pyramid?
Simply put, what is their perspective on the world?