Here is an interesting one. How do you all feel about the costs and energy involved in caring for the critically ill developmentally disabled. Knowing that the outcome will not be returning to a productive life but only maintaining the status quo which is normally a fairly profoundly mentally retarded individual. How about the costs to the tax payers who are responsible for the medical expenses since 100% of them over 18 are Medi-Medi. Some of these clients have multiple severe problems and a good lot of them live into their 30's or older.