Fair enough - I do not live in a state where anyone can get Medicaid and I don’t know how that works in Oregon. Nevertheless I suspect treatment is very expensive and the potential patients are not all that sympathetic such that people are happy to pay for their care. I’m sure we can debate how benign neglect is for these people but it seems to be the path that most people will choose. I don’t think I’m all that different in that regard; I mostly look the other way at these people in my city as well.