English doctors don't really make banquet money: https://www.bmj.com/careers/article/the-complete-guide-to-nh...

I don't see this as a "making fun of people" thing. It feels to me more like an open acknowledgement that there are a large number of negative health impacts associated with poverty, and it really sucks.

Maybe there's a cultural thing here. English humor is pretty self-deprecating: the term "Shit Life Syndrome" is the kind of phrase that fits the English mindset pretty well.