Insofar as people are struggling, it's nothing like to the same degree.
Would you know if they were struggling?
We're talking about a place where the way things look are more important than the way things are.

Japan Judged Low on Happiness Despite Longevity
People may be living longer in Japan, but it ranked fifty-eighth for happiness in a UN report.

"Overall, age-adjusted mortality rates from suicide in Japan were almost twice as high for males and almost three times higher for females compared with the United States. The rates for males were about three times higher than females within Japan, and about four times higher within the United States."