Well maybe if/when the organization/orphanage became aware that the child/childrens living environment was a safe and healthy they would rightfully return the child/children to the parent/s and then they wouldn't have to worry about such high medical cost. Something else to think about would be unnecessarily medicating children. Just because a child/children have/has "problematic" behavior does not mean that they should be medicated. How about trying to find out what causes the behavior and then attempt to make the child feel more secure. Including returning the child.