“Receiving is much harder than giving, but this fact is seldom recognized in mainstream American society.  Dependent people are often deprived of chances to give, finding that they must endure a state of almost constant relinquishment and passivity.  Consequently, the person receiving help accumulates a debt to the other and must bear the weight of feeling beholden day in and day out.  There are few means through which the person can pay back a caregiver for rides to the doctor, help with medical bill paperwork, handling loads of laundry, and check-up telephone calls—the list of favors owed can be immense.  The dependent person may yearn for something useful to do, only to be admonished, ‘Don’t worry, we’ll take care of everything.'” ~ John Leland, Happiness is a Choice You Make (Page 188)