Earth is a functional paradise. It doesn't alleviate people from all suffering, especially emotional suffering, but there is nothing that Raffi could not have if she wanted it including a different house in a different part of the world. She is self-isolating, but she doesn't have to.
There is no "bad" economic outcomes on Earth anyway. I suspect that economic stratification comes in the form of human diaspora. Once you leave Earth to live on a colony or even just to live off-world, you might find that the world you move to doesn't have bustling cities yet and so there are no tickets to the opera.
But these are choices that we assume are more freely available.