Access to healthcare is still a major issue. Obviously in developing countries it plays a bigger role, where vaccination programs, hygiene initiatives and pest control still has a major impact on health. In more developed countries, access is thought to be less of an issue, as even WE pay for vaccines for the poor (regardless of immigration status), however, basic maintenance and preventative health care is highly underutilized. If it takes all day to wait in a free clinic (and it does) that is potential earnings lost. It is difficult to get to free clinics, even in Los Angeles, where there are a lot of clinics and where the population is not as spread out as in the more rural communities.
Additionally, people with lower SES are more likely to be exposed to violent crimes, unsafe conditions in the home and workplace. These are the people who work with heavy machinery, undergo repetetition injuries (except maybe carpal tunnel) and are on the road the most often.
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