What do people know? If they are in agony, there's at least a ear and a shoulder, perhaps from their family/friends/partner. Point aside, sometimes it's easier to just make some simple comment and drop the issue, rather than expecting others to understand that they are more fortunate than yourself.

Words and Meanings

There's no point in speaking my mind. Words are just mere words, only meaningful to the one who understood them from the perspective of the speaker. If the listener has a completely different background, how can I expect the same degree of understanding of the words I've speak from him/her? And how can the listener forces their opinions upon me?