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Sadly, you'd only take a child for one of three reasons. To sell, abuse or care for it (the latter reason stems from confused grieving parents who try replacing their own lost children with those of others). My guess is that little Maddy is long gone by way of reason 1 or 2:
Selling the child: With the media attention devoted to Madeline, she is too high profile to be traded.
Abuse: In abuse cases, children are likely to be taken for short-term gain, therefore if taken for this reason, she'd already have been discarded.
The above two reasons for abduction would surely have led to Maddy's demise around week 1 of the media machine's invasion.
I suspect that Madeline was not taken for reason 3. A fragile person that would abduct another's child to care for it - would not harm it. Said person would have freed her very early in the media frenzy.
Though I struggle admitting it to myself (as I don't know what desperate acts I'd attempt in their situation) I hold the McCann's responsible for the plight of their child. Their overuse of the media may well have got her killed.