


Good Intentions, Horrible Results
Last week on Fix Homelessness and in my monthly OlaskyBooks newsletter, I gave highlights and lowlights from Andrew Scull’s Desperate Remedies: Psychiatry’s Turbulent Quest to Cure Mental Illness (Harvard University Press, 2022). He notes that many mentally ill people are now homeless and on the streets instead of in state-funded mental hospitals. (Those institutions, like Michigan’s Lapeer State Home and Training School, housed sufferers. Then the 1960s brought in new drugs and new Washington-paid health plans, Medicare and Medicaid.) I didn’t have room last week to dive into an important question: Which came first, medical panaceas (that turned out not to be so) or money incentives? Scull says money, in many instances: “In at least seventeen states, inpatient censuses had Read More ›

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