just because it's their responsibility to manage it doesn't mean they can manager it. or their loved ones can.
do you think we should lock everyone up who is dealing with physical and mental problems that may overwhelm them? throw my dad in jail because what, he's in so much pain and depression that he can't think straight?
what about my mom who had dementia? oh right, well yeah we did put her in 'jail' in a full time care facility, but it also cost us $12,000/mo.