Not everything has a happy ending, and not everything has an ending. Some things just kind of dribble away or cut off abruptly.

Was everybody seeing this stuff and acting as though they weren't? Was insanity just a matter of dropping the act?

You have to have a somewhat cold heart to be a writer.

Our hospital was famous and housed many great poets and singers. Did the hospital specialize in poets and singers or was it that poets and singers specialized in madness?

In a strange way we were free. We'd reached the end of the line. We had nothing more to lose. Our privacy, our liberty, our dignity: all of this was gone and we were stripped down to the bare bones of our selves

Was insanity just a matter of dropping the act?

Lunatics are similar to designated hitters. Often an entire family is crazy, but since an entire family can't go into the hospital, one person is designated as crazy and goes inside. Then, depending on how the rest of the family is feeling that person is kept inside or snatched out, to prove something about the family's mental health.