Look if you have somebody who doesn't have health insurance who doesn't have a doctor or dentist and in order to deal with their cold or flu or dental problem they go to an emergency room - in general that visit will cost ten times more than walking into a community health center.
As far as loneliness I feel Los Angeles and its layout having to drive everywhere - it is a lonely place. It's an isolated city in that respect because you're driving to places alone listening to the radio.
