People who feel guilty about being alive are very easy to control and exploit. They part with their money readily and then feel guilty about it. They can be molded into soldiers and state troopers. Artists are made into prisoners. Valiant knights become prison guards.
Healers become murderers.
Look at the civilization we live in. Consider your own life. I'm amazed at what I'm learning. Some very important things are finally materializing, particularly a sense of independence and self-sufficiency. As a result, other things, like painful or abusive relationships or a long, lonely period of playing the victim, are drawing to a welcome end.