you move to the suburbs to avoid them

Is it just my imagination or do people get more down and out as the days go by?  Maybe its just that my ER is attracting more of  the down and out.  When I say down and out, I mean DOWN and OUT.  As in living on the low rung of society and barely clinging to that.   We're talking middle aged crackheads, people who are homeless alcoholics and every couple of weeks go to a different hospital claiming to be suicidal, people who choose not to bathe, the mentally ill off their meds, teenage runaways,etc.  I am seeing  more and more of them, those on the losing end of society. These are the people you move to the suburbs to avoid.  You cross the street when you see them.  You roll up your window when they are begging for money at the freeway entrance. You shoo your kids away.  I deal with them everyday...


Its sad, pathetic, troubling.  Its tiring. They are difficult to deal with.  We are not going to do much for them, unfortunately, but send them on their way to work toward their next fix or drink.