Who am I in this?

Do the women who live a more (native/natural/indigenous/elemental/earth-based/primitive/tribal - take your pick) life than mine ever think to themselves "My legs used to be hairy but now they're smooth and I'm growing a beard"?  This is the kind of thing I have the luxury of thinking about.  Do they?

I recognize that every one of my problems is a first world problem.  (Side note: I have an idea of what the third world is and who is supposed to be in it or of it, but what the heck is the second world?)  And every one of my privileges is a first world privilege.  I flick a switch and have lights and warmth.  I turn a knob and have water, hot and cold and clean.  When I notice them, I am thunderstruck by the enormity and inequity of my completely unearned privileges.  I wouldn't last a day in a primitive, elemental world.  Or a war-torn world.  I wouldn't have the slightest idea how to cope or exist.  Yet there are millions of people who do.

So what am I supposed to do with this understanding?  I can't apologize for the luck of the circumstances of my birth, which I had nothing to do with.  I can at least say that I do see it, the disparity between how I get to live and how those millions live.  But so what if I can acknowledge that I'm better off than most people and through no virtue of my own and no fault of theirs?  What good does my acknowledgment do anyone?  It's like the announcements which have become standard before cultural events, acknowledging that the event takes place on the unceded lands of the indigenous peoples who occupied them before the lands were stolen.  So what?  The ruination of these peoples isn't undone or healed, no reparations are made, the native cultures are not restored so what good has been done?

I guess what is incumbent on me is what always has been: to live as kind and generous a life as I possibly can; to offer help where I see it's needed; not to take one moment nor one part of my life for granted; and for heaven's sake not to complain about my ridiculously trivial problems.  But still, what good will any of that have done to correct or balance the inequities of the world?

I know that life is just what it is, the world is just what it is, and there has probably never been a time in all of human history when there weren't some who lived better than others and that's just the fact of it and not my problem and not my responsibility.  But still, I just can't help but keep asking myself "Who am I in this?"