The structures I’m talking about are along the lines of “if you have schizophrenia and don’t have rich parents then you probably will never be able to afford meaningful treatment”. Just to pick one.

I know it’s tempting to assume everyone else is just morally bankrupt and hedonistic because they’re flawed, but I implore you to be more empathetic to their situation. I PROMISE you, homelessness is not fun, it does not feel good in any way, and no one in their right mind would ever “choose” to “take more and more drugs” knowing that was the endpoint.

> The structures I’m talking about are along the lines of “if you have schizophrenia and don’t have rich parents then you probably will never be able to afford meaningful treatment”.

This is not a structure. It's a situation.

> I know it’s tempting to assume everyone else is just morally bankrupt and hedonistic because they’re flawed

No - the only assumption is yours you're making here. No one is saying that.

> no one in their right mind would ever “choose” to “take more and more drugs” knowing that was the endpoint

No one said they would.

  This is not a structure. It's a situation.

Sorry, I was unclear: I was trying to highlight the fact that this situation is far, far less common in other countries, namely those with single-payer healthcare. That seems like pretty solid evidence that it’s a structural issue, not just… idk, circumstance? Chance?

Otherwise sorry I misinterpreted you —- guess I’ll spend more time reading next time!