It’s the same as anywhere. FWIW obviously inflammatory stuff gets removed from !android under rule 9. Disagreements are okay, but folks are expected to keep things civil. Also an issue for kbin/mbin is that moderator removals aren’t federated probably to/from Lemmy.
Doesn’t take extreme wealth for that. I make enough that I can buy whatever I want. The best Christmas gifts are things I wouldn’t think of needing or wanting.
For birthday, it’s usually just a dinner without gifts.
Have you looked into possible causes for your fatigue, exhaustion, and insomnia? It could be worth some investigation (e.g., blood work, sleep study, ADHD assessment).