An unnecessary choice!  Since different levels of disability require different levels of care, the developmentally disabled are best served by having a range of care available, from state operated developmental centers (SODCs) with campus settings for the profoundly disabled to small group homes for the less disabled. With a full spectrum of care available all people receive the safe and healthy treatment they need, but no one is over-served or under-served—both a humane and a fiscally sound public policy!