"This has always been an affluent society here," he said.
For Utah the affluent society was still two world wars in the future.
A third factor is the growing gulf between rich and poor in an increasingly affluent society.
"But we're not the affluent society we once thought we were."
Expectations may have to change, together with the way affluent societies provide for their elderly.
It provides perhaps little incentive for most youngsters in today's affluent society.
These are the reasons the original affluent society is that of the hunter-gatherer.
Hypertension is common in affluent societies and a major risk factor for heart disease.
But that functioning is marginal to the lives of most people in affluent societies.
An affluent society should devote an ever-growing share of its resources to health care.