In the U.S., what happens to people who cannot survive without assistance (like people without the dexterity to feed themselves, or even people without the ability to keep a job or fill out paperwork) who do not have a family or the means to trade for help? What, physically, keeps them from starving to death?
Some combination of Social Security Disability payments, caring friends and family, private-sector charities, and hospital emergency rooms that aren't allowed to check for ability to pay before providing treatment. It's a bad system with a lot of cracks to fall through, and a distressing number of poor people suffer miserable pointless deaths.
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