I have a girlfriend. I give my heart to her. She's around, she's everywhere, we travel together. She's beautiful, she's gorgeous, she's everything you want in a woman. She doesn't complain. . but I can tune her out just enough.
By default, we have created a "system" of nursing-home care for the aged in which middle-class people pay exorbitant rates to for-profit nursing-home entrepreneurs - and then when private resources are consumed and the patient qualifies as a pauper, the nursing home begins billing Medicaid. This is precisely the antithesis of social citizenship; instead of the poor being accorded the dignity associated with the middle class, equality of treatment is achieved by making the middle class undergo pauperization.