To a certain extent, this is why I am trying to stick with a mission driven career, choosing opportunities that I feel actually make some small part of the world a better place. Granted, yes, I'm ultimately doing the job because I need the paycheck since I prefer to have food, shelter, and some degree of freedom/control over my life.
Not everybody has that luxury, though.
And expecting people to play pretend all day as though it's anybody's life dream to be typing up OBMC reports because that's their passion in life and that the people they work with are family and that the ultimate goal of being the dominant player in the disposable widgets industry is for the greater good of humanity -- yeah, whatever that's just subversive mind control games. Glad some people can live in that and deny reality, but for the rest of us, you want me to work, then pay me.
Welcome to mental illness. Many people are perfectly functional, yet still deeply sick.
I had an uncle like this. He definitely held it together okay-ish (though that's up for debate) for most of his life. But the conspiracy bullshit was a consist sign that he was not well.
And then when his wife passed, he also lost his ability to be functional, so the sickness took over entirely, eventually even took over his body. Nobody could help, not even his children.