Right - I (very fortunately) haven't looked into elder care options in the U.S. yet, but I'm fairly confident Gene can't just surrender himself to a facility and abide there on the largesse of the state. The well-intentioned person who made the suggestion in the case Gene declared hateful, I think may live in Australia, which may have different options. I don't know what one could do if indigent and elderly in the U.S. At minimum I imagine the facility would not be top-grade, and would claim all of Gene and Barbara's SS payments. And Gene, despite his record of sending hundreds of emails squealing everything is falling apart and he hanging onto the edge by his very fingernails, may not qualify for some sort of residential care. He can still drive, may or may not have mental health issues but allegedly has no debilitating physical problems.
Taking him at his word (-ish) and going by his hyperbolic emails, I don't think he can care for himself and his wife and dog. But I don't know that he can just surrender himself to the state either. I do believe there is a lot of assistance he could pursue, including low cost counseling.