I have no options if I want teeth. Which is a need.
I have no options if I want to use the kitchen, which is a want.
I have no options if I want to shower alone. A want
I have no options if my husband gets sick.
I have no options if I want an SDit.
I have no options if I need a PCA.

There's no options. We moved where they have the best services, on paper and it still falls short. This isn't a want it's a need.