Many well-off people care about these things. They cook for themselves to save money, they monitor their electricity usage, buy reliable second hand cars, look at the diaper prices and wear warm clothes instead of overheating the space. Some of them do it even if they don't have to, making it a waste of their valuable time, but for those with low middle-class income, it is the difference between a rather good standard of living and poverty.
In fact, if you are really good at "dealing with your situation", chances are that you won't stay poor for long. Not only you will make the best of whatever income you have, but it is also a highly sought after skill, and you may up with a well paying job or a profitable business.
But it is usually a learned skill, and other poor people are unlikely to teach you, because they failed at it themselves, it is a vicious circle.