What is someone with vip status? I could be an anti-social weak willed loser respected by nobody, but if I have good health insurance in the US I'm going to get preferential treatment over someone with worse health insurance regardless of whatever other social status goings on there are. Is having good health insurance social status? Or is it just having good health insurance?

I'm not from the US so the hospital example doesn't really apply to me, it's far more egalitarian here, but even in the US I think the above counterexample shows some cracks in the notion.

Furthermore, I don't think a lack of advantages are the same as repercussions. Repercussions are active negatives, where lack of advantages are inactive positives. This is specifically what I was asking about, and why I don't feel like these examples are getting at "repercussions".