> "What continues to strike me is the significant reduction in friendliness and kindness now extended to me in public spaces. It now feels as though I am on my own: No one, outside of family and close friends, is paying any attention to my well-being."

That hits close. That's how I have felt my entire life, and when I expressed anything else as a child I got "be a man". Now that I'm a an adult about to early retire, I'm thankful for that capacity to bear down and focus, but given my gout I wonder at what cost.