I was once offered a job selling home health care. I would have been responsible for convincing doctors to prescribe this company's home health care nurses to Medicaid recipients. Also, the same company tried to influence Drs. to prescribe those powered wheelchairs to the same patient class. The nurse would attempt rehab and then recommend the chair. Then the doctor would prescribe it. For every one that I was able to get prescribed, I would receive $400. This is why you see so many seemingly able bodied people in those wheel chairs. There are corporate interests behind all of it. From the manufacturers of the chairs, the "home healthcare" companies that peddle them to docs and the doctors themselves. -lots of money being made. Should we blame the recipient or should we blame the power brokers that crafted the scenario to their advantage? All are at fault IMO.