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"Do they ever need help from the community?"
Probably. They can ask for help (no crime in asking). Mebbe they'll get some; mebbe they won't. No one is forced to lift a finger.
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"Are there ever natural disasters there?"
Touched on that up-thread...
(S)elf-preservation over the long haul has taught Golgothans a lot about how to drop everything and go patch that hole...NOW. That guy you hate? Hate him later ('later' bein' sumthin' you won't see if you and that guy you hate don't patch that hole...RIGHT NOW).
This is SPACE...SPACE wants to kill you...you do what you gotta to not let it.
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"Do they age? Do they ever get sick and need care?"
They age, they do get sick, they do need care (and they pay for it with their own resources [which they have or they wouldn't be Golgothan]).
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"Do they get early onset dementia in the same proportion that other humans do?"
I'm assuming 500 odd years down the line some of what ails us, won't ail them. But that's okay: there's plenty in the Uroboros that kill 'em dead. The absence of senility isn't even noticed with all the other shit flittin' around.
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"What happens when a self reliant solitary minded individual suffers some misfortune that is more than they can handle themselves?"
As I say: they can ask for help...best to start with the people who love 'em...mebbe those folks will lend a hand (but that ain't guaranteed).
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