Which of the Following Keeps Poor People Poor or Anyhow

Which of the following keeps poor people poor or anyhow makes it hard for poor people to move up into the middle class?

A) All these things contribute to continued, trans-generational poverty
B) occupational exposures to chemicals that people in better paying jobs are not exposed to (e.g., pesticides, mine dust)
C) lower availability of fresh produce and less-processed foods, contributing to malnutrition so that people aren't at their best cognitively and are more likely to gt sick
D) cognitive impairment brought on by stress, lead exposure, etc.
E) higher likelihood of stress, toxic exposures, and poverty-linked diseases that cause setbacks in achieving goals