Self-determination goes out the window

Being a public housing tenant means having your life controlled by your landlord in ways that would be abhorrent to anyone in a private rental situation. Just because someone has a disability of some kind that makes it difficult for them to sustain a private rental property does not mean they have to become virtual prisoners in their own homes. But there is a custodial aspect of public housing that can make it feel like that. Why does needing affordable housing have to carry such a high personal cost?