One of the things that I find rather surprising is that sometimes the more someone tries to help somebody else, the situation doesn't improve despite the best efforts of the person helping out. Take the case E_Cat and Aliah are helping out with - they've gone by with food, helped out with medication, taken the cats to the vet, brought and screened adopters, and E_Cat has even tried to offer her advise (and got an adopter to keep an eye out for a job) on getting a new job as the woman is unemployed. This may be partly why she is feeling down at the moment too. The woman also now has a daughter living with her who doesn't particularly like the cats which may contribute to the problem.
While the cats have been sterilised, and some cats have been adopted out, the rest of the cats continue to get sick quite regularly. The woman has mentioned several times she wants to 'release' the cats downstairs.
Sometimes I think the question is one of ownership - the woman knows E_Cat and Aliah are worried about the cats and want the best for them, so it no longer becomes her problem any longer. If she doesn't worry about them, someone else will. So it ceases to be her issue. To date, I have not heard of her going to the vet with E_Cat and Aliah to find out what she ought to do for the cats.
Perhaps it's not so surprising - if someone pays a little bit of money for an item or service, they are far more likely to treasure it than for the person who got the item free.
People sometimes call and tell me that they have a problem and ask me what CWS can do for them - most recently a woman called, and said she couldn't keep her cats, and I suggested several options, including adoption. She asked what would happen if the cats were not adopted, and I told her that frankly that's something SHE has to think about because they are her cats. It's not that we won't offer assistance in any way that we can but at the end of it all, the owner has to take some responsibility.