> America's poor today have clean water, health care

Clean water depends on how you define "clean" e.g. from https://www.theglobalstatistics.com/united-states-water-poll...

> Current EPA data reveals that nearly half of all tap water in the United States contains detectable levels of PFAS chemicals

There's also plenty of contamination violations (apart from maybe Hawaii with only 2) of the water supply.

As far as health care goes, I thought that most people in the USA will refuse to get an ambulance due to the expense. I've also heard of plenty of reports that poor people will not visit a doctor for minor health issues even though they may be early signs of much more serious issues.