Policy and law is always at the heart of the problem.
Reagan became President in 1981 and promptly shut down the state hospital system across the country that were barely surviving with federal help. If you could walk you were put on the street. The rest were left to relatives to find private care. For those still remaining unclaimed and unwanted palliative care only hastened their demise.
Most of the walking patients were mental patients.
You won't remember but WW I veterans suffered the same homelessness as veterans of Korea and Vietnam. WWII veterans were lucky to have the GI bill.
It is always the policy and law made by people we elect. Feeling guilty about this is well deserved. It can be changed but that take real time and work. freedom from want would require sacrifice of projects lie 1 billion dollar apiece war planes and such.
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sj