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I can't give a first hand account on this, but my middle aged cousin is one so I can give a second hand account. It's been a combination of things. She had health problems as a baby and genuinely needed a lot of care and attention for a while. But she has been treated with those kid gloves her entire life. She was never pushed to do anything she didn't want and also hs never had the drive or ambition to do anything either. She's never even had any hobbies. And AFAIK, she still lives with her parents and they pay for everything.
It wasn't until her mid to late 30s that I stopped asking or caring about her life. I still love her but we're all worried about what's going to happen when her parents die. Cause none of us are willing to take her in and keep enabling her behavior.
You don't need to have a job to have value, but you do need something. Sitting on the couch all day isn't a life. And I say this as a couch potato. Seriously, I'm writing this from my couch.