" My take on the indigent is that some are there because of temporary setbacks, some by default, and some for lack of an alternative. Some are needy, some are off their meds, some have opted out, some have been ousted from facilities where they might be better served. Many are there for life and not always by personal choice. Alcoholic, addicted, aimless, illiterate, unmotivated, unskilled, or otherwise unable to prosper, they sink to the bottom, and if they’re down for any length of time, they lose the capacity to climb back out of the hole into which they’ve fallen. If there’s a remedy, I don’t know what it is. From what I’ve seen of the problem, most solutions perpetuate the status quo. "

― Sue Grafton , W is for Wasted (Kinsey Millhone, #23)