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Of all the problems facing today’s America, the most seemingly intractable is the intertwined issue of the physically and mentally sick and homeless, family breakdown , drug and alcohol addiction,
The Index raises concerns about the ability of local governments toprovide aid and other assistance. They raise as well a traditionalrepublican concern about the long-term viability of politicalinstitutions when a significant portion of the population becomesdependent on government for most or all of their income.