I don't think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can't make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.
Mark VonnegutFear that I was very different from everyone else. Fear that deep down inside I was a shallow fraud, that after the revolution or after Jesus came down to straighten everything out, everyone from hippies to hard-hats would unfold and blossom into the beautiful people they were while I would remain a gnarled little wart in the corner, oozing bile and giving off putrid smells.
Mark VonnegutMy mother, who was radiant, young, and beautiful even as she lay dying, heard voices and saw visions, but she always managed to make friends with them and was much too charming to hospitalize even at her craziest.
Mark Vonnegut