To Be Or Not To Be

That's not my question.

When desperately needing help...
is it better to call someone who you know cares about you but probably won't come...
OR

someone who will come but will add insult to your injury

                                                        sarcasm to your sickness

                                                        pain to your problem?

That's not my question either.

My question is: Why are those my only two options?