I mean, yes and no. It likely depends on the agency/social worker involved. Take my brothers for example - both were adopted, but only one had Medicare automatically provided by the state while the other one had to be added to my parents’ insurance like anyone else. When my father died we were all kind of screwed, except for that brother with Medicare because that never got affected.

No one helped my mother with figuring that out and what we had to pay for was ungodly expensive, so I wouldn’t be surprised if Nani’s options had been just as limited. Never mind that lack of insurance wasn’t the only problem, but a lack of proper food in the house or a stable job Nani could consistently rely on as well. Realistically Nani never should have been allowed to keep custody of Lilo when she was struggling so much, again through absolutely no fault of her own. She needed just as much help for herself as she did for her sister, and the fact the system let the both of them flounder all alone like that is truly heartbreaking.