When this woman feels guilty about her sister, she asks Reddit:
I (40f) have a spouse, we both work, and 3 kids under 5. I have two siblings. Sis 2 also has a young family and dual-career marriage.
We both live in different states than my parents and other sibling. Sis 3 (35f), let's call her Paula (not her real name), lives with my parents and has Downs and a chronic medical condition.
Several years ago my parents came to me very distressed. Sis 2 told them she could never over Paula's care but would find her a very good group home and visit often.
My parents are convinced if she goes into a facility she'll die. When they say "facility" or "home" they practically spit the word out like a curse.
They begged me to take in Paula "when the time comes" and promised all kinds of state resources, funding, a home aide, etc would be available because they'd gotten her on SSDI and Medicaid and made her the beneficiary of their life insurance.