Institutionalized care for those with mental retardation and other disabilities is often criticized, as isolationist and bureaucratic. Some say ending institutionalized care is similar to ending Jim Crow era segregation laws. They’re pushing for integrated, community care. Others say there needs to be a choice, and that the standard of institutionalized care can be raised. What purpose does institutional care serve? How has it failed in the past? How much would community care cost taxpayers? Are we headed towards a de-institutionalized state?