At what point does care giving become endangerment? Reality is that our society does not treat all addictions equally. A caregiver, probably state paid, should not be enabling any unhealthy conditions. and should be held personally responsible for failing to provide healthy care. lets be real here. Other than howling, how can a land whale "rebel" against caregivers? It wouldn't be that difficult to remove the whale's access to food delivery and junk foods around the house.