No, I think the person you're responding to is just saying that they really just are not starving or having trouble getting access to food at all. It's difficult in the US to really not have access to nutritious food.
"It's difficult in the US to really not have access to nutritious food."
You mean it is easy to get access to nutritious food?
"It's difficult in the US to really not have access to nutritious food."
You mean it is easy to get access to nutritious food?