Human productivity has exponentially increased since the beginning of the industrial revolution. We produce far more food and clothing than can be consumed and there are more than enough homes for people to live in. Generic medicine can often be produced for pennies.
There is no reason that we as a society cannot guarantee at least a basic standard of living consisting of sustenance, a safe place to rest and relax, treatment for common ailments, etc.
It's more like "you haven't earned the right to have other people keep you alive". I daresay it's related to how, after 40ish years of working and raising a family and being a good citizen you can retire and have the bar for "staying alive" set a lot lower for most.
This is about as on the nose as any take on the topic that I've seen. Holy shit, we're telling people they don't deserve to live. Some simple truths are profound when you say them out loud.
I think the implication is meant to be getting the living standard by your own effort instead of through dependency on a supporting figure like a parent.
Does it make people who can't reach that standard for any reason not of their own failing feel shitty? Sometimes yeah, but it's not like it's to say that you're earning the right to keep living itself.
There are people in my family that would hear this and agree 100%. They think Musk is changing the world too and they will vote for Trump a third time.