African Americans constitute 15% of America.

White Americans constitute 74% of America.

Thus African Americans are more than twice as likely to live under the poverty line. Those are not I odds I would like to gamble with had I been born black.

You won a lottery when you were born.

Merely being born American made us winners in that lottery, if you get down to it.

Is anyone really against the idea that all 49 million need help?

You mean being born a first world country. But there are other first world countries that have better average quality of life than the US.

There will always be some people who have it better than others. I would prefer that we make sure that those who have it the worst comparatively don't have it that bad on an absolute scale.