Honestly was shocked when I first visited. On TV the streets are wide there and everyone has enough to eat.
Visit (and at this point I have spent time in about half their states) and it is a different story. Broken roads in disrepair. Beggars everywhere, fighting for the chance to ask you for food, water, anything. We stopped at traffic lights and a teenage boy shaking with palsy knocked on our windows begging for food. People mobbed me in one city because I was carrying a bag of apples and they hoped for one as my bag split. I was careful never to give, but was still followed everywhere as an obvious tourist. The only place I did not get food begging on every single streetcorner was Manhattan. I am told this is because they deported beggars to the mainland there. Heartless sods in a capital that gets snow told me "there's less beggars in winter, the cold gets them".
I think you're right about the jobs, too. There were roadworkers on those broken roads, using jackhammers without ear protection, or even foot protection. I was told it was because they are "free" to bring their own PPE. They looked injured and sick but determined.
Shops were similar. Waitstaff looked half starved, serving the rich in an obsequious yet hateful way unnervingly like a roleplaying slave. It was disgusting, and ruined many a meal by constant disingenious artificial attention.
You won't regret visiting, but it is a ridiculously heartless broken place. The most expensive travel insurance too, for reasons most obvious in their medical stories.
Yanks are no doubt going to downvote this to oblivion, but it is how I have so far experienced their miserable cities.
