They don't care. The function of those institutions isn't to heal people, it's to warehouse them where they won't cause trouble, or sometimes punish those who

They don't care. The function of those institutions isn't to heal people, it's to warehouse them where they won't cause trouble, or sometimes punish those who did cause trouble. It's not that expensive if you pay pennies (or kopecks) to the medical personnel, use the cheapest food that could be found and basically run it as a prison, but with pills and syringes.