I think it's important to note that, in our modern age, it is very possible to literally buy good health.

A personal chef who knows how to make tasty meals that are also nutritious, personal trainer, top grade nutritional supplements. The best doctors money can buy, who have the knowledge to treat basically any symptom. Technology to treat those symptoms. Liposuction.

And that's just the legal stuff. Most of this didn't exist or wasn't common in Freud's day.