Sounds pretty much like today
I picked a rich person in the Americas with hundreds of slaves, many houses, considerable land, a thriving business delivering returns, political connections, and frequently holiday on another continent.
This is well above the standard of living of a poor person in contemporary America.
Who now needs dozens of personal physicians (practicing 19thC medicine!), prostitutes, cooks, maids, messenger boys and musicians?
My home is currently unheated thanks to high utility costs and taxes.
The last three times I was on antibiotics they did almost nothing for me.