“We [the rich] are sick of financing you. You want health care? Befriend a doctor. You want entertainment? Go roll around the mud with your fellow pigs.”

This is apparently not a real quote from Musk: https://www.snopes.com/fact-check/musk-billionaires-tired/

Plenty to be concerned about, all the more reason it’s important to be factual.

OP is asking an interesting and important question. While I don’t claim it as definitive, there was an insightful article written in 2016 that attempted to address the question head on: How Half Of America Lost Its F**king Mind