Speaking for myself - HIV for 20 years - I tried The System. It was dehumanizing, humiliating and frustrating. Eventually I decided the stress was doing me more harm than any good I could hope to gain. Some of my friends are built of sterner stuff.

I may yet try again. In a sense, though, I prefer this choice. My struggles are overcoming my own limitations, not overcoming (or submitting to) a mindless bureaucracy. Those times I am successful, it's all mine.