Working in Silicon Valley for nearly thirty years gave me several insights into what happens to people when they become astonishingly wealthy. Guilt isn't a phenomenon I've actually seen, despite all the fashionable talk to the contrary. What I've seen commonly happen is (i) people automatically assume they are wealthy because of their hard work - with zero guilt - and (ii) they discover they can pay to make all life's problems vanish. In consequence of leading a stress-free life, they then create all manner of silly artificial stresses for themselves, because all organisms require a certain degree of stress in order to thrive. When real-world stressors are removed by virtue of endless supplies of cash, it's inevitable that the wealthy compensate by stressing over the quality of food served in the yacht club restaurant, or the not-quite-perfect match of Italian marble tile in the once-again remodeled kitchen. All in all, wealthy people tend to become self-absorbed because they automatically jettison their former friends (unless those friends have also been lucky enough to become ultra-wealthy) and feel themselves to be in perpetual catch-up with those who are even more wealthy than they are.

It's a sad life, but a whole lot better than not being able to pay the monthly bills. Rich people become empty trivial jokes, but poor people die because they can't afford health care.