Health Care In The City of Detroit

Health care here in the city is quite expensive.
Most people who live here have grown old here.
We bear the health care costs of some very young, quite sick people, and a great many aging people.
Some of our adults still young enough to work, may have  problems  stemming from drug abuse, mainly because they aren't so young anymore; whereas older persons have a great many of the usual per capita woes of an aging population. So many who are working, don't have health insurance, or don't have adequate health insurance.
The poverty in Detroit is extreme enough to cause many children here to grow up in isolation.
The isolation later causes more mental health problems than should be seen in our population.
Our health care system has a great many frequent users, but a bit fewer regularly paying monetary inputters.
A city with a shrunken tax base and a population of more than a fair share of somewhat compromised
citizens will have some  fiscally significant health care problems.
Our land mass is too large, for one thing, to maintain, for our less than 800,000 persons population.
The gap between rich and poor spans too large a space for things to get much better from declaring a
bankruptcy. One group lives its lifestyle. The other scrapes by, and rarely the twains do meet.
If Detroit doesn't have a chance to expand its middle class, it has to shrink in size,  and so does the standard of living for all Detroiters.
We, the city of the elderly, will continue to suffer, to lose services more essential than ever for
people a bit too frail to take care of city service functions individually. But-
Wish us luck. We truly have worked hard.