There are a plethora of problems and it's worse in some areas than others, but considering that in some countries poor people are actually the fatter segment of the population (and I do realize it's unhealthy, but it's a lot healthier than the previous alternative), the number of malnourished has continued to fall and starvation is literally non-existent in most of the developed world (it was once a simple fact of life everywhere), I'd say things are not nearly as bad as they're often said to be.
All things human are relative, though, and as conditions continue to improve, such as things like houses, refrigerators, AC, cars, television, internet and so forth being now almost an expectation among people in countries like my own (USA), what was once a life superior to that experienced by Medieval Kings is now considered misery.
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