Literally people born with or contracting disabilities that leave them permanently destitute due to you not being able to eat or house yourself without work you can't do because your disabled.

The simple fact of the matter is that most things most people do are simply input -> biology happens -> output. Breaking that hardwired process that happens in the background for every miniscule decision you make is the basis of like, every kind of therapy, self-help, meditation routine, etc.

They're being satirical. They're saying it's virtually impossible to not succumb to poverty if you have disabilities, trauma, or racial prejudice working against you.