being pushed to choose death

I have used csci in homes that I felt were not giving all care needed, and i am very unhappy with care in general. I often get carpetted for taking too long a time with clients but, when you consider that they get shifted from there homes often having to sell them to pay the care bills, and then get basicaly dumped in any available place that will take them. Should we not be making there new suroundings as much like there old habbit and routine as close as possible?

This is such a huge subject and i am not realy sure this is the site for it, no offence.