It can be Orwellian, institutions are often self-serving and unreflective. But it isn't always. I know of a public housing complex that took large numbers of h

It can be Orwellian, institutions are often self-serving and unreflective. But it isn't always. I know of a public housing complex that took large numbers of homeless people and had a death rate far over 10% per year despite the fact that every resident had a place to be and an income. If you know people aren't mentally well and are climbing tall bridges by themselves, do you wait 'till they fall off and die? In one case from that building, it turned out the answer (from the government) was "yes." Part of the problem may well be that high death rates are their own reward, for governments.