The two ladies/people in the forefront are laughing and having a good time. The older person in the back seems very sullen. Even though the two people in the forefront take up more of the picture, they are not in focus. The focus is actually on the elderly person in the back.
The message of this photo is that elderly people were struggling financially and socially at that time and no one had a good way to deal with it. It appears that most people were ignoring the problem completely.
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