The severely mentally ill and disabled I have seen are wholly abandoned by their families--unless there is money to be made off of them. I did know one woman who lived off of her severely retarded son. She was completely insane, and she used every kind drug imaginable. Anyone who dared to mess with her cash cow was dead meat--exactly as you say--reported to every authority on the earth. I pray for the poor workers who are exposed to this hellish system. Completely normal human beings are subjected to nightmarish conditions and given very little money and no health care.
I was in this system very briefly. I was constantly sick. I took clients to the doctor every day, but I did not have the money to see a doctor or treat the illnesses the clients gave--superbugs--because they are resistant to most normal viruses.
I pray that you have some concern for impoverished workers. I pray that you lobby for all humans to have health care, not just the severely retarded and autistic.