Even among healthy people in developed countries, you see this unfair variation. You are already much better-off than your peers by being born into a rich family with good looks. Some people have both traits, but even having one makes you a catch and adds to your status.
While hard work is rewarded, it's often only a slight improvement. A lot of things in life ultimately boil down to luck and what you happen to be born with (which is luck as well). For example, you may want to become rich. Sure, you can open a company, but given the intense competition in modern society, it's unlikely you will become the next billionaire. Of course, you can consider marrying a rich person for wealth, but it's hard to date out of your league in terms of wealth if you're not particularly attractive. Whether you are attractive or not is another factor which is not within your control.