Hilary-- I'm in agreement with your concern, but not sure how to go about "fixing" it--for it is as you said, very complex. For example, if someone is receiving Medicaid (financial assistance with medical costs) from a government agency, it isn't workable to give them money directly---that can endanger the help they receive (as you must know) but bills CAN be paid FOR them, so long as they don't get the $$$$. This was true with "public assistance" when I was in practice, and I sometimes could find a "benefactor" to pick up the cost of something a client needed, but they couldn't be given the cash. This is of course a *societal* problem, that goes 'way beyond PD--we could only make a small (hopefully significant ) impact in our limited "constituency". I think the idea of a "revolving fund" which makes small loans (or pays bills for someone as a "loan") and to which the money can possibly be returned to then help others, is good. This sort of thing has worked in other situations. In our town there's a volunteer group that receives funds from individuals to make small loans for low-income homeowners whose homes are in need of repairs. They are interest free, and can be paid back in small increments. It's been working for quite a few years. I'm interested in hearing what oideas others may have? Camilla Flintermann, CG for Peter 81/70/55 Oxford, Ohio http://www.newcountry.nu/pd/members/camilla/one.htm <[log in to unmask]> "Ask me about the CARE list for Caregivers of Parkinsonians ! "