A person's genetic makeup and life choices are the primary determinants of his or her health. People's health is greatly influenced by their economic status and how they are treated by health care institutions. Any person can be financially successful if they are smart and hard-working. Students' success in college is shaped by many factors, including the quality of their previous schooling and whether their financial situation forced them to work a lot of hours while attending. Children born into middle class families have more access to the economic and cultural resources needed for adult financial success than those born into poor families.