When someone in the US gets old and can’t safely live at home anymore, they often end up at a hospital. Case managers try to find them a nursing home, but that is expensive. Most old folks here don’t have adequate insurance for long term care. So what happens? The person’s house is sold, their assets liquidated, and then they get enrolled in Medicaid. If you take away their Medicaid, the nursing home starts eviction proceedings. That elderly person ends up homeless in my ER. No joke.