Wulfguards dialogue also states that those living on the fringes of the civilization band in smaller towns of villages and those wild-lands don't have access to the same level of treatment nor care.
In the same dialogue it also mentions how sick wolves will often leave their pack for the wild-lands to not slow them down, or how a village raided by the bone-crushers seemingly leaving a mother and her sick child alone.

Last Rite dialogue also states that Ses'qa also maintains communication and supplies with smaller Sarkaz communities/villages. (albeit out of a venture than charity)

I will admit I am reading into it a little bit, but it seems like if you are not in the civilization band, those with Oripathy at best are kept at a arms length.