It's difficult on a ship to get away from your job because that accommodation house, which is where seafarers live, is their workplace, it's where they live, it's where they relax, it's everything, and it's just hard to get away. And seafarers often refer to their job as being in prison with a salary.
There is a scene in Richard Attenborough's biopic where Gandhi argues with his wife because she refuses to clean their latrine. She says it is the work of untouchables; he tells her there is no such thing. Gandhi's tactics of encouraging brotherly love across caste boundaries and urging Indians to clean their own latrines had failed miserably.
His death certificate says he died first of pneumonia and secondly of Alzheimer's disease. They could have listed another cause of death: a refusal to properly care for dementia sufferers, even when they are violent, and an equal inability to care for their carers. My dad died of dementia, but also because dying was the easiest way to treat him.