in about russell, what keeps russells family from helping him once they find out he is sick

As an AI language model, I do not have access to information on a specific individual named "Russell". However, generally speaking, there could be various reasons why a family may not be able to help a sick member. These could include financial difficulties, long distances, other familial responsibilities, lack of resources, or even a strained relationship. Ultimately, the specific circumstances would dictate why a family cannot provide assistance to a sick member.