Why American Mental-Health Care Is Failing: A Restatement

When so many ‘problems of living’ get reclassified as medical conditions, mental health becomes the government system that can’t say no.

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Healing: Our Path from Mental Illness to Mental Health, by Thomas Insel (Penguin, 336 pages, $28)

Shortly after World War II, mental-health authorities made a promise that went something like this: Everything’s going to get better. We’ve decided that confining mentally ill Americans to asylums is unnecessary and harmful. They will be transferred to a place known as “the community.” There, we plan to develop a new array of programs superior to the discredited asylum system. The mentally ill will live normal lives in the community, thanks to supports — social, employment, recreational, housing — and access to treatment, whose efficacy is, by the way, rapidly improving. Mental health used to be “the shame of the states,” but that day is passing.

Stephen Eide

About the Author

Stephen Eide

Stephen Eide is a senior fellow at the Manhattan Institute, a contributing editor of City Journal, and a 2024–25 public scholar at the City College of New York’s Moynihan Center.

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