If that's not the face of "really poor" in the modern age, nothing is. Just because the details don't look exactly the same as those of 19th century Irish poverty does not mean it's "not real."
And if there is such a huge amount of people with mental illness, as I said elsewhere, I suspect the real problem is drug addiction and not "the economy" or "rich people".
I'm sorry, but that's just flat-out not true.
I personally know a poor guy in the States that was waiting to get to the psychiatrist for 4 months with his bipolar disorder episode because he simply wasn't able to get on the Medicare due to his anxiety. The task was too taxing for him at that time.
Googling brought up this, which seems to confirm my hunch. People do know hunger, though. https://www.quora.com/How-many-Americans-starve-to-death-eac...