I think you're right about depression making it harder to reach out. If I said what I was thinking I'd just feel more guilty and like more of a drain on people than I am already. I told my boyfriend when I was really depressed that I didn't want to keep getting up every morning for this, and it just made me look crazy and made him resent me probably.

Most countries have social programs like you suggest, because like you say if depression is not wanting to get out of bed then how can it be treated without some help. It's too bad the usa is such a heap right now.