A great deal of the maladies in the US in particular occur outside economically viable areas of public infrastructure projects (high poverty, violence, substance abuse, etc). Drunk driving is alarmingly common outside major metro areas but they&#x27;re just not caught as often due to less strict &#x2F; able police forces (never mind the small town tyrannies like with the Alice Walton drunk driving case resulting in the dismissal of the officer that pulled her over). A lot of these regions don&#x27;t want a lick of public infrastructure due to cultural reasons as well. So how can we expect stubborn grandparents to admit they have &quot;a problem&quot; and have them do the equivalent of putting themselves in a nursing home metaphorically speaking? This is a major political problem at the root of a lot of the US&#x27;s internal conflicts in my view having lived near the rural Southeast a lot as someone from the suburban west coast.