Sometimes they don't have the choices and no amount of action amounts to anything, some people are actually born into it, some get lucky and succeed, others don't get the opportunity to, this is fact, to fail to realize such is very stupid. At earlier times in history, these people would be left to scrap and survive as long as possible, an usually just die(Darwinism, Survival of the fittest[Be it mentally, physically, naturally, or socially.]). Pretty much, you'd leave them to die. Don't contradict yourself, that is not compassion, and by this and previous statements, you just show how damn selfish you are and a high level of self conflict.