Mental illness is the poor, and somehow "damaged," cousin to
physical ailments in the eyes of too many in our society. Compare
the difference in how people would respond to someone who had
fallen and broken their leg on the street, to how most react to
those mentally ill among us, on those same streets, who spend their
winters on steam grates and forage for food in dumpsters. "
Rationing Sanity "is a provocative analysis of the mental health
care system in the United States, dealing with issues of justice
and access to mental health care.
How should a decent society, affluent but facing many serious
calls on its resources, best care for citizens afflicted with
severe and persistent mental illnesses? James Lindemann Nelson
brings together, for the first time, scholars of the ethics of
mental health care and top managed care policy analysts to address
this crucial problem. "Rationing Sanity" integrates those
perspectives with the thoughtful practice-based experience of
physicians well versed in the actual care of people with emotional
and behavioral problems. Over a period of years, the contributors
met face-to-face to engage each other on the ethics of managed
mental health care -- the result is a unique, collaborative effort
that provides a wealth of important new insights on not only how
Americans can readjust their attitudes toward the mentally ill --
but also how we may find more just and humane treatment for those
afflicted.
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