"nobody with the freedom and means to move will remain in a cesspool like this "
That's an interesting statement. If they are not free to leave, why not? Are they being held hostage? Where are the police?
No means? I would leave everything I own to walk, crawl, roll, use a wheel chair, anything to leave a place like that.
Are they simply stupid? Not trying to be trite, but I don't get it. NOTHING other than physically being held against my will would keep me there.
So, does that mean that the people there are only criminals, druggies who don't want help, and idiots?
I'm sure many do "get the hell out of Dodge". For those that remain, the fear of leaving what they know is greater than the fear of staying.