What do you tell outsiders who insist on you going back to siblings at middle age when they know nothing about BPD & NPD?I was raised in a home with a NPD-father, BPD-mother, BPD-sister. Mother was also alcoholic. Both parents are deceased. Adult sibs are still living. I was disinherited. I was the scapegoat and thru much therapy have remained NC for over 15 years.
I am still NC. I never married nor had children because I was raised in an abusive home. I dated men who had similar traits like my NPD-father and some with alcoholism like my BPD-mother. I attracted what was familiar. I'm ok being single, I just can't support myself.
I completed formal education up thru and a little bit beyond my Masters. I worked in various areas in business. I became a WB- whistleblower and lost my livelihood.
My health is declining, I need major surgery. I have no insurance or income. I'm not eligible for Medicaid in my State (no expansion), Medicare, nor SSDI. There is no specialty medical care or treatment without medical insurance. ACA is unaffordable. Having major surgery requires a support system. I have none. I was abandoned by my FOO even when I lived with them.
My BPD-mother singled me out as the scapegoat when I was very young. She turned my bedroom into an office when I was a teenager, sold my furniture and removed all photos of me in the home. I was erased from her mind and went away to school, and then college and never returned.
I'm not asking for advice on insurance. I know about that.
I've lost everything materially and no church (I'm atheist), govt agency or nonprofit will help me. Help = handouts. Handouts don't solve long term problems. A gas card, a box of food doesn't solve long term financial needs. That is the extent of what nonprofits do. They're in business to make money & keep "repeat customers."
This leaves me to end of life planning because we all have to face it at some point. None of the nonprofits I reached out to would offer me anything. I need work and medical insurance and can't get it. I'm blacklisted.
I need major surgery and can't get it. The State I'm in, which I was not born or raised in, doesn't have Medicaid expansion.
All outsiders, nonprofits, Govt workers, and pastors say, "
You have to call your brothers & sister and ask them to help you. Help = take you into their home, and support you, get you medical insurance, feed you, let you live there with them since you can't get work to support yourself as a middle aged adult." 
That isn't an option. They aren't responsible for me and that is what they were raised to believe and to tell me. "We are not responsible for you."
What is normal? What do adult siblings do for each other if 2 of the 3 siblings have families of their own & the 3rd one has a significant other in her life. What literally do higher functioning families do for a sibling when there is an income and medical crisis due to job loss at middle age?I don't know what normal is. Others tell me normal is when family is there for you, into adulthood, up thru death. But not everyone gets married and has children. Adult siblings aren't responsible for me.
Mine were abusive. My NC was set firmly in place after I went thru therapy years ago. I never had a relationship with my siblings in childhood up to now. We were kept separate from each other, different schools and colleges. They don't even know me personally. If you ask, they will revert back to when I was young.
I've had well-meaning outsiders say, "give me their phone numbers, I'll call them for you and tell them you're unhoused, need medical care and have been kept from working because I'm turned away from work that pays a living wage."
The job thing is another discussion. I can work & want to work. I can't force anyone to hire me. I'm not lacking knowledge or skills to get work. I mistakenly moved to a State that is ultra religious and family-centric and I am sick and unemployed and stuck and can't move.
Nonprofits can't and won't "help." They don't provide the basic needs that only an income can (if its a living wage).
I guess if I had said, "I have no siblings," then, the advice from others would be different? I would be in the same position I am in now, shunned, treated like I'm invisible, no supports.
I've lost everything and not one human being or agency will help. I can't get hired without the basic needs met at middle age and my debt burden has increased my income needs in a time when housing (rents have increased) and health insurance.