Ignoring prejudiced, racism, and classicism, where people judge other people as unfit to receive help, I think people at the top never really get rid of their fear. They always need more to feel safe. Or they become accustomed to their life style and associate it with lack of fear and health. As a result, they deprive others of resources so they can have them and feel safe. And they are afraid of change because of the risk associated with it. They might lose the safety (as they perceive it) they have now.
They probably also realize that the resources of this earth are finite and if we were a truly successful species, we'd already choked the planet out. Humans want to have offspring and feel safe, and ultimately we can't do both.
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