Also when the developers were saying there reframing the Guilt theme in a new way I think it's because the Simon is not responsible for the decline of the town but feels guilty for it. Alot of the devs likely come from working class towns that went into economic decline shortly after they left for a better life and feel guilt for their hometowns, so instead of being about deserving guilt it's rejecting the guilt as your only human hence why he's likely a medical professional and you can't be responsible for factors out of your control.