In "Normalisation" and "The Origin and Nature of our Institutional Models" Wolfie describes how medical model institutions don't work well with chronic conditions; people are expected to 'get well' but they don't. Normalisation and its later development, Social Role Valorisation, sought to reverse the deleterious effects of institutions by abolishing them and creating non-deviancy enhancing alternatives. Care in the community is the only care there is and is the opposite of neglect in the community. In Britain it was all pissed up the wall by the NHA & CCA 1990, which took out the money and replaced it with incompetence, negligence and corruption. Nazi bastados.