Maxwell Chorak – Rest in Peace

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Sunday November 2, 2014

Today is All Soul’s Day, the Dia de Los Muertos. It is an especially painful day for our family this year.

On June 10th I was called out of an early evening meeting and told that my step-son, Maxwell, had committed suicide. He had jumped from a 5 story sky bridge at UC Irvine a few hours earlier that was known as a site for suicides. The parking structure had suicide prevention tiles with hot line numbers cemented into the walls from the third floor upwards.It was the culmination of every parent’s worst nightmare.

But it had been a long time coming. Susan, my wife, and I had been living in fear of “the call” for years. She thought that it might be drugs but had never thought of suicide. We are still deeply grieving. What we do know is that the system let him down badly.

Max - 6

How does one deal with the sudden, traumatic death of a child? There are no guidebooks. It is the worst sort of emotional blow. His sister and brother are distraught. We were all deeply concerned for him but the cold reality of such a violent death at a young age is searing. But somehow we must go on and help change a broken system.

Maxwell exhibited his first signs of mental illness at the age of ten. He would act out. He raged. He sometimes became violent. When the Sheriff’s deputies got to the house they did not know what to do. At the time, my wife as a single mother was on her own trying to chart new territory. There was no place in the county to which a ten year old child could be taken to be treated for mental illness. There still isn’t.

She eventually found a psychiatrist who tried to “get” him and he was treated for bipolar/schizophrenic disorder but not formally diagnosed. But Max was using street drugs to self-medicate and the doctors pulled back.

Maxwell entered high school but it didn’t last long. He was brilliant. He was bored. He was different. But he also had charisma. He was a handsome young man with a very gentle way most of the time. But by his sophomore year he was out. His erratic behavior, drug use, and inattention just were not going to get Max through a conventional education.

He was a wonderful young man. He would take his last dollar and spend it on a gift for his brother or take his 90 year old aunt out for a pedicure and manicure. He was kind. He wanted nothing more than to hang out with his family. He loved his brother and his sister devotedly. And then the voices would whisper in his ear and it would get scary.

He was too smart for his own good. He could argue the most absurd point until even a well educated person could be fooled. He could also listen to a guitar riff or even a whole song just once and play it back brilliantly. His guitar was his refuge. He could pick up a cello never before having touched one and play it better than his mother, who had studied for years.

Maxwell took the GED test without studying and passed with flying colors. He entered the local community college. He wanted to be a doctor. Shortly before he died he was discussing textbooks for the next semester.

Clonazepam is a drug used to control seizures. Usually an adolescent is given one pill and would sleep for 18 hours. They gave Maxwell five once and still had to restrain him. Marijuana has been well documented for its terrible effect on individuals with schizophrenia. The literature discusses adverse or paradoxical effects. You bet there are.

Maxwell would eventually learn to study the side effects of the various drugs prescribed for his treatment in order that he could tell the doctors that he was having them in order to avoid the drugs. The prescription drugs left him feeling lethargic and hemmed in. At least some of the illegal ones gave him a brown haze to find refuge in.

I call him Max because it was what my grandmother called me. She too suffered from mental illness. She had a nervous breakdown in the 1930’s after being thrown out on the Brooklyn streets one too many times with her 5 children after her husband had once again squandered his plumber’s salary on booze.

She ended up at a place called Creedmoor in Queens, NY for 40 years and it was only when Thomas Szasz and his accomplices in government closed the psychiatric hospitals in the 70’s that she came to live with us. Creedmoor had been her safe place. Now her life was disrupted. When she came to live with us it was a wonderful experience because of my mother’s love and compassion. She taught us to be kind and caring.

So I had a lot of empathy for Maxwell. He had no place to be safe. There was no safety net. We have since the 1970’s gutted out mental health care programs.

His condition was slowly deteriorating. It was only when he became 17 that the handbook of the American Psychiatric Association allowed him to be formally diagnosed as schizophrenic. By that point he had been in in-patient programs in Southern California and Idaho to help treat his condition.

Max - 25

By the age of 18 he had been in the local hospitals for six 5150’s, which refers to the section of the California Welfare & Institutions code which allows for an individual to be detained for up to 72 hours for psychiatric observation.

And through all of this, Max’s friends and family became isolated from him. His mom and his family visited him when he was in treatment, but the loss of human contact was deeply upsetting. We loved him, but one of the things one encounters with the mentally ill and addicted is that it is difficult to love them in a normal manner. It is sometimes impossible to be close and to be there for them. You often don’t know what to expect and a lot of what you do expect is bad.

He was arrested for petty crimes and began the cycle of being in jail and on the street. 40% of America’s jail and prison population have mental health issues. Experts here in Orange County have told me that it is more like 70% -80% in our local jail. It is a cycle that we somehow have to break.

Maxwell was homeless at times. His interactions with law enforcement bordered on the absurd. While he was in jail he was sentenced for a “failure to appear”. He spent several months at a local mental health facility which is outsourced by the county. And then he would end up back in jail for another petty offense. He began to hear voices, holding conversations with them and laughing to himself. He would end up in the psychiatric unit.

The drugs, especially those that were self prescribed, left him in a haze that was better than the suffering, but psychoactive drugs do not affect the mentally ill the way they do others.

For most of his last 18 months Max was either at one of the very few facilities for the mentally ill in California, a drab forbidding site in Riverside, or in jail. Maxwell was a prime candidate for long term care. But there is almost none available. There are 5,900 acute mental health care beds in a state of 34,000,000 people. There are almost no long term facilities. And there are an estimated 1.5 million Californians with serious mental illness.

When he was released from the facility (you really can’t call it a hospital) in Riverside he stayed with his father. He saw his brother and mom and things were looking up. He had a great day with an old friend just hanging out. He left his father’s house one night and didn’t come home.

He was found the next day in a catatonic state in a local park and taken to the emergency room. He was then transferred to UCI Medical Center, the regional acute mental health unit, where he stayed for 9 days.

When we were informed of his admission to UCI his mother immediately contacted the doctors and nurses regarding his care. Maxwell did very poorly on Haldol, the drug of choice for the zombification (aka control) of the symptoms of schizophrenia in state run facilities. We knew this from years of experience. Haldol can cause severe depression.
We knew that Risperdal was more effective for Max and told his doctors so. The nurse responsible for him told my wife “It doesn’t make any difference since they don’t stay on their meds when they leave here anyway.” They put him on a maximum dose of Haldol.

She had requested that she and Maxwell’s dad be notified before he was released. This did not happen. Max was released at @ 1:30PM on the day of his death with the clothes on his back and a bus pass given to him by the hospital. He took the bus directly to the main campus of UCI several miles away and jumped almost immediately. After his mother found out and after collapsing, she called the hospital to ask why he had been released. There was silence at the other end of the line.

To this day we don’t know if Maxwell jumped because he was disoriented on Haldol or because of other factors. We will never know. That hurts.

The system is broken. Many of the professionals are callous and uncaring. There are petty jealousies and a lack of communication. The system as designed and implemented is malevolent. Our brothers and sisters with mental health issues are warehoused in our jails and in a very limited number of beds. We read daily of misdiagnoses and maldiagnoses and even misconduct in psychiatric care.

Treating mental illness is a matter of the physical, the mental, and the spiritual. It is perhaps the most difficult of illnesses. With the mentally ill there are often no good answers. As a society, we don’t want to know. We don’t want to deal with them on a concrete level. The mentally ill are often stigmatized. And at the most basic family level it can be heart wrenching.

But Max is gone. He will be a statistic to most but he will have left a massive hole in the hearts of his family and friends. There is little understanding left except that he was deeply, fatally mentally ill in a world that does not treat those who suffer from this very well. He is at peace now.

We can honor him by doing better, as individuals and as a society.

“Let us touch the dying, the poor, the lonely and the unwanted according to the graces we have received and let us not be ashamed or slow to do the humble work.”

Mother Teresa

© Matthew Holzmann 2014

8th Grader dies of overdose – Media silent

b6fc9d2c155111e3931722000a1fc67c_6The other day, an 8th grader at Niguel Hills Middle School in Laguna Niguel, CA died of a drug overdose. The cause of Branden Stock’s death was Vicodin, one of the most commonly prescribed drugs.

The only media report of his death was on Channel 5 News. His school and the district said nothing at all beyond their confines. He died at home alone. Imagine finding your child or your best friend cold and lifeless and there’s nothing you can do. His friends held a memorial service at Salt Creek Beach, where I spent many days in the water surfing like Branden was said to have loved to.

The death of a child is the most painful thing a parent goes through. No one should have to endure this burden. And yet his parents will carry this sadness for their entire lives. His friends will remember for a while and then more rarely and maybe a few will remember to pray for his soul sometimes over the course of their lives.

That the death barely made the news is indicative of the problem. Drug abuse begins in 6th-8th grade now. Kids are experimenting and going through new emotions and have left the cocoon of grade school. And the availability has never been greater. The taboos are gone. “Everyone is doing it.” I heard the same thing when I was a kid. And here we are 40 years later and we’re still getting it wrong.

And it’s not just public schools. It’s everywhere. Catholic schools, prep schools. If you go to the parking lot of Gelson’s in Newport Beach you can usually score within minutes. The Port Streets in Newport are considered one of the last bastions of the Ozzie & Harriet lifestyle and the drugs and alcohol usage by kids is pervasive. Laguna Niguel and every town in Orange County are the same.

Prescription drugs are the new battlefield. Vicodin, Codeine, Oxycontin, Zanax, Opana, Percocet, and Valium are all being abused at record levels. Between dirty doctors, pill shopping, and stealing from mom & dad’s medicine cabinet it is an epidemic. That people can even obtain some of these drugs like Opana, which is prescribed for very limited applications, indicates how awry the system is. And it is hitting 12 & 13 year olds, those who haven’t got a clue, the worst.

And after they can’t find the prescription drugs or can’t afford them, heroin lurks in the background ready to offer a brown haze from which there is little chance of escape. $80 for an Oxycontin or $6 for a bindle of Afghan white or black tar? This is the reality on the street here in the OC.

The Orange County Register did an article a few weeks back on heroin abuse in our high schools. The number of OC kids trying heroin has doubled since 2006. And once heroin has you it is a monkey on your back that is very difficult to remove.

And a lot of people just don’t want to know. Two girls were caught recently smoking heroin in a bathroom at Laguna Beach High School. “The girls caught smoking was an “isolated incident,” Laguna Beach High Principal Joanne Culverhouse said.”

30 years ago when I lived in Dana Point, Laguna Beach High School had one of the worst drug problems in the county. Nothing changes much, it seems. Denial isn’t just a river in Egypt.

In San Clemente, the community has bonded together through CURE, which links the church, counselors, schools, parents, other stakeholders and the kids. We need such programs in every city. Every loss of a child is one too many.

Education is vital and we need to get to the heart of the matter and educate parents and children about the consequences of bad choices. We have the resources. But first we must recognize the problem honestly and without blinkers.

Drug abuse and self medication are the scourges of our times. Between addiction and mental health issues we have responded in a woeful manner. We must open our eyes and our hearts to this plague.

 

 

A Great Disturbance in the Force – The Gathering on Mental Health and the Church

An incredible thing happened the other day and I am still digesting it. The Roman Catholic Diocese of Orange and Saddleback Church held “The Gathering on Mental Health and the Church“. This is a first certainly for California and perhaps for the world. From all over Southern California and the country, 3,500 people gathered at Saddleback Church and thousands more participated on-line in a frank discussion of how faith-based organizations can contribute more to ameliorate a problem that is growing out of control.

We live in an increasingly secular world today that is overwhelming us both emotionally and physically. New technology is bringing us closer together than ever before and yet isolating us even further. Old boundaries are crumbling and as a culture we are becoming ever more dysfunctional. The effects of our physical and psychological world are taking a toll on our souls that is sometimes unbearable. The widespread availability of drugs both legal and illegal has turned us into a self medicating nation.

According to the experts at the Gathering, 26% of adult Americans will be diagnosed with some form of mental illness this year. 7-8% of our population suffers from addiction. from depression to bipolar disorder to schizophrenia to personality disorders were are facing a crisis.

These are issues that hide in the back of our collective closets. Individuals feel stigmatized and marginalized and our societal bias against the mentally ill and addicted is deep and pervading. Families are tortured and damaged and the mentally ill are reduced to hopelessness by a system that is deeply fractured and nonresponsive.

There is a War on Drugs that costs over $50 Billion/year. Mental health treatment costs our nation over $170 Billion/year. Incarceration costs our country over $40 Billion/year. And there are significant overlaps. And what is ever more clear is that we are doing it wrong.

Government is the large hammer. Our medical system is designed to prescribe medicine and perform surgery. Even psychiatry has been increasingly defined as the adjustment and prescription of medications.

The etymology of the words psychology and psychiatry is the Greek word ψυχή, or soul. And yet in our modern, rationalist, scientistic world the soul is the last thing that is considered in the treatment of mental illness. Holistic treatment of mental illness is secondary to biochemical investigation and treatment. And this is where faith based organizations are increasingly seeing the need and the gap.

Pastor Rick Warren and Bishop Kevin Vann assembled a stellar array of health care professionals, psychiatrists, neurologists, and mental health experts from a wide range of specialties in order to examine and propose how faith based organizations can deliver effective care to those with mental health problems.

Saddleback Church has taken mental health on as one of their core ministries. Church is one of the first stops for many people with mental health issues and their families. Faith helps individuals and families cope and hope.

But there is a wall between faith and the rest of the world today that must be broken down if we are serve our brothers and sisters effectively. I am not neutral in this. I have skin in the game. We lose two young people per week to overdoses just in Orange County and mental health issues have affected my own family.

In studying what works in addiction treatment, 12 step programs stand out as the most effective tool. What is even more evident is that compassionate faith based recovery and treatment increase the likelihood of a successful outcome. Almost every study confirms these results. Compassion and empathy are critical.

Working with those with addictions and mental illness is among the most challenging of callings. Addicts are often not nice people. Certain mental illnesses can be especially difficult to cope with on a daily basis. I know.

But it is often that engagement that is at the heart of the matter. Depression may not be logical but to know that someone cares and is listening can be a lifeline.Borderline Personality Disorder is a license for drama and conflict but can be managed. Dual diagnoses such as Bipolar Disorder/Schizophrenia or Bipolar Disorder/Addiction require fortitude and compassion as well.

And yet our society is doing its best to remove faith from our national dialog. We warehouse the addicted and mentally ill in our prisons and an emaciated psychiatric treatment system. The VA is very good at dispensing pills but is not so good at counseling and longer term treatment of problems such as PTSD. Government is the large hammer and a scalpel is often required in mental health treatment.

Modern humanism has become a cult of its own using deconstruction, revisionism, and disproven cultural models such as Marxism to support an ever growing disassociation from reality. Perhaps this may contribute to the psychological dissonance of the mentally ill and addicted. They are adrift in a culture that makes little logical sense.

Faith is the ultimate expression of reason. It is only through logic and metaphysics that we can make sense of the world around us. It is imperative that we as a society use all of the available tools at our disposal to re-think mental health care and treatment.

Stigmatization has done terrible damage to the mentally ill and everyone around them. The first step is to remove this stigmatization. The Church is one of the most effective tools for doing so.

The Church, as was made obvious time and again during the Gathering on Mental Health, can also take a lead position in working with specialists in providing a support network and counseling of the mentally ill and their families. As Pastor Rick Warren and Bishop Vann said time and again, the Church can also take a lead role in counseling and providing resources to those with mental health issues. The Church is one of the first stops, regardless.

Mental health issues are some of the most delicate and complex to face those involved in them. Proper training, empathy, and the right personalities are critical to successful outcomes. It is not for the faint of heart. Compassion and competence must go hand in hand. It is not just a job. It is a calling.

Who better to make this critical contribution but the Church? We have been on the front lines of health care, both physical and mental, since the beginning. The Byzantine Church was the first to set up hospitals in the form quite recognizable now. Today we are being called to re-think and to commit to a new ministry, the healing of minds and souls.

The Gathering was a call to arms for Christians. To open our hearts and our eyes and our minds to the treatment of mental illness. Movements, like chemical reactions start with catalysts. I believe this was one of them.  The Force has been disturbed in a great and wondrous way.

 

Addiction is a disease

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The papers are still trying to figure out what happened to Philip Seymour Hoffman. One of the most engaging actors of our day died with a needle still sticking in his vein sitting on the can in his apartment. It was a “hot shot” and now his family is stricken with the loss of a father and lover and his friends are devastated.

The costs of addiction are terrible. I know. I have seen the needle and the damage done. A family member is struggling with recovery and it ebbs and flows. My wife and I pray on this every day and night.

There are many kinds of addictions. Prescription drugs are the worst at the moment. There is a pipeline from “Pain Management” centers to the pharmacies who are the new dealers. Oxycontin? Vicodin? Zanax? Opama? Percocet? Morphine? Valium?  Add Meth to the list as well. Ecstasy has had its toll as have many other drugs.

National Review’s Kevin D Williamson describes the Oxycontin Express, a bus route that runs from Florida to Kentucky and West Virginia bringing prescription drugs to the “Pillbillies”. It’s a short hop from Oxycontin and Opana to heroin. Oxycontin is expensive. Heroin is cheaper and more available and more pure than it has ever been. Philip Seymour Hoffman is an example but here in Orange County where I live, we lose 1 to 2 young people per week to narcotics. The toll from alcohol addiction shows up in the hospitals and police statistics. The toll from these addictions and others such as sex or gambling addiction show up in divorce rates and broken families and repetitive behavior from generation to generation.

The world is facing a crisis of addiction. In Iran, in Afghanistan and in the West and even in China.

20% of our population is susceptible to addiction according to the statistics. The National Institute on Drug Abuse data indicates that 50% of addicts have experienced childhood trauma. Close to 90% of young addicts start with pot and alcohol. If one wishes to add in adult trauma, the numbers increase even more. Veterans returning home with PTSD reach for a bottle or a joint or something more and once they are hooked, the monkey is well and truly on their back same as with all other addicts.

It doesn’t want to let go. It is there for the duration. Alcoholics Anonymous has pointed this out since 1935. A gentleman named Rowland H. visited Carl Jung, the famous Swiss psychoanalyst, who told him that the case was hopeless from a medical treatment perspective. Jung directed Rowland H. to the Oxford Group, who were dedicated to recreating the spirit of the first Christians. They were founded on the Four Steps and the Four Standards, the predecessor to every 12 step program today.

Addiction is powerlessness. It is physical and it is spiritual and it is biochemical and neurological. You cannot run from it just as you cannot run if you are infected with HIV. In fact, the recovery rate from HIV is better than that of some addictions. Addiction is not a choice.

Addicts are often filling a psychic or spiritual hole. They are often damaged goods long before that first toke or sip or pill at a party. Others become addicted in more traditional forms. An athlete is injured and begins to use painkillers. A veteran does the same. Slowly the drug hijacks the body and the soul. I have met all of these types. They are our children and neighbors and co workers and friends and even go to the same churches and schools and jobs. There are functional and non functional addicts, but in the end they are all non functional since they usually die long before they should have.

The drugs themselves are ruthless. Heroin, cocaine, and meth can all grab a soul in just a few days. And then Satan owns their soul until they can crawl back to normalcy. Addicts often believe they can handle it at the outset; that they are in control. But the statistics say otherwise.

The illness of addiction is often linked to our dysfunctional mental health system and is certainly wrapped up in our penal system. Over 50% of the prisoners in the Federal system are there for drug offenses. According to the National Institute of Mental Health over 50% of all prisoners in our penal system have mental health issues. What is the overlap? 30%? 50%? More?

Fr. Don Calloway is a Catholic Priest. He wasn’t always. He was an addict when he was young. He was in rehabilitation and the doctors, the best in the field, told him that he had a 3% chance of recovery. He was stunned. He said to himself “They are telling me that I have a 3% chance of recovery? With all of the best minds and years and years of experience they say only 3% of opiate addicts will recover? They’re doing it wrong!”

We, as a society, are doing it wrong. As a society we do not wish to credit faith and moral guidance as key elements of recovery and yet time and again these have proven to be the keys. It is a constant process. It is not easy. But just as a HIV infected patient or a diabetic can keep death at bay, so can addicts. Addicts also have a disease of the soul. All of the symptoms and the root causes must be addressed.

But we have to begin to view the problem from a new perspective. With compassion and empathy and respect. Just as the Catholic faith teaches to condemn the sin, not the sinner we must begin to do the same. The addiction must be viewed separately from the person.

Treatment, sober living and living with relapses are all a part of recovery. Continual reinforcement is necessary, even years later. Perhaps especially years later as in the case of Mr. Hoffman. Mental health related issues are one of the scourges of our times. But we can do better. The solutions are there if we wish to seek them out. Neuropsychology, Neurology, Metrology and other sciences are pushing the boundaries back on our understanding of the brain. We have always known the source for the understanding of the soul.

We can do this. But first we must rethink our strategies of dealing with this scourge.

Overtaken 2

Last night I spent the evening with a bunch of speed freaks, junkies, pillheads, and other addicts.Or at least they were at one time as many of them will tell you.  And no one was getting high. And the message was one of love and hope. It was the premiere of the movie Overtaken 2, a 28 minute film about how addicts have recovered and are recovering from their addiction.

It is both cautionary and hopeful. There is hope. There is a community of recovery. But that community is fragile, underfunded, and facing some very high hurdles. Recovery isn’t easy but there is a deep well of support and love and acceptance.

One of the subjects of both Overtaken and Overtaken 2 has been arrested over 130 times. She has been clean for several years and has built a loving family. Another was an MD in the Inland Empire who began to partake of his own prescriptions and was ready to end it all in the depths of despair. He has now been clean for over 25 years. Cheerleaders, athletes, just plain normal adults and kids, everyone is susceptible. 20% of our population is at risk of addiction. And in a culture of permissiveness, many become addicted.

Here in Orange County, one of the wealthiest and most beautiful places on earth the problem is hidden behind gated communities and the tinted windows of expensive cars and denial. One to two young people die here every week of overdoses. One drug court commissioner works on over 80 cases of juvenile and young adult drug arrests per day. There are both adult and juvenile drug courts at five different Orange County Justice Centers. These numbers don’t include the criminal court system. The people in Drug Court are the lucky ones.

The introduction to drugs in Southern California’s suburbs starts as early as 5th Grade, it seems. Pot is around for those who want it, and the subjects of Overtaken 2 are clear that this is where it started for them. Marijuana may not lead to hard drug usage in many, but in some it is the first step off a very high cliff.

The film is direct. It uses the voices of its subjects, all of them empathetic characters, to show that there is recovery and there is hope if one is willing to accept change and get back on the horse when they fall off. The film doesn’t preach. It doesn’t have to. The stories are powerful enough. And underneath is the message of faith and love and acceptance. In oneself, in ones friends, and in sobriety instead of addiction, and in speaking with so many of them afterwards, in God.

These are our children, our brothers and sisters, our friends. Addiction is a terrible thing. It is the monster that takes over the soul. It is a beast that takes control and does evil things as any of these people will tell you. But it is separate from the individual and it is the soul of that individual that can and does survive as is so well depicted.

The production values are excellent despite a shoestring budget as are the sound and editing. Overtaken 2 is an excellent extension of the message of its predecessor and should be valued even more for its message of hope and love.

Overtaken is mandatory viewing in drug courts in 18 states. Overtaken 2 should be as well.

Mental Health & Violence – The Great Disconnect

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The other day a woman taking a picture of three homeless men holding up signs using profanity was stabbed to death in front of a high-end retail store on Hollywood Blvd.

I had just been in the neighborhood the week before. Standing and waiting to get into a Tom Petty concert at the Fonda Theater, it could have been one of those same hustlers with the same sign accosting the crowd. They are street drunks and junkies who have hit rock bottom and just don’t care anymore except for the next buzz.

The mother of the murderer, a police officer in Arizona said that she was not surprised at what her son had done and that he had to pay the price for his actions. She had tried for years to get him the help he needed, but our mental health system failed him.

In Aurora, Colorado and in Newtown, CT and in Tucson, Arizona the crazies with guns have focused attention on the state of mental health care in America. But the same primal urges and demons drive people like Dustin James Kinnear, the Los Angeles murderer.

You can find them muttering to themselves or fighting over imaginary slights or a bottle on any skid row. They litter our penal system. These are our violently mentally ill. Only when they commit an atrocity do they come to our attention.

But this happens every day. The cops scoop them up and maybe dry them out and then they’re back on the street in 90 days or less. If the crime is homeless on homeless it doesn’t reach the papers.

Back in the 1960’s and 70’s Thomas Szasz argued that societal reaction to mental health problems violated the human rights of the mentally ill, and in fact that mental illness was a construct of control. He ignored the reality of the mentally ill and those closest to them, as well their effect upon society at large in favor of a libertarian interpretation that the rights of the individual supersede those of society.

My grandmother had a nervous breakdown in the mid 1930’s and never came back. She was committed to the notorious Creedmoor Psychiatric Center in Queen’s, NY. She lived there for 35 years. It was the state’s answer to a pressing issue. What to do about those who are incapable of caring for themselves and  are a danger to themselves or others. The failings of the mental health system were as much in funding and management as for the one size fits all governmental model. If anything, the nature of mental illness is that it sometimes requires the most complex and individually based treatment.

In reaction to Szasz and other campaigners, and in response to medical professionals seeing patients who had fallen through the cracks and were in the “snakepit”, as it were, politicians sought to both reduce costs and solve the problem of too many patients held against their wills.The New York Times had an article in 1984 on what went wrong.

29 years later, nothing has changed.

In 1959, California had 37,500 mental patients in state facilities. By the time of Jerry Brown Jr., there were less than 20,000. By 2011, there were 4,300. The population of the United States has grown from 226 Million in 1980 to 308 Million today and we are losing facilities, not gaining them.

And the pundits and politicians wonder why and how the violently mentally ill are abroad and without supervision. There is no wonder at all. It is public policy.

It ties into narcotics abuse and other social issues as well. But instead, politicians argue for gun control.

The original planning for community treatment and local services was cast aside, and the psychiatric community freely admitted that their plans were misguided. And what has been done since to ameliorate the problem. Nothing.

It doesn’t matter whether it is an unknown street crime or a mass shooting or a sensational murder on Hollywood Boulevard. We must address the issue of the violently mentally ill. Their families know this. Mental health professionals know this. But our political class knows this as well and refuses to address it. What is to be done?

Kermit Gosnell, Nancy Pelosi, Kathleen Sebelius, and Barack Obama – the intersection of politics and murder

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On January 19, 2011, Dr. Kermit Gosnell, a Philadelphia abortionist, was arrested and charged with 8 counts of murder.Dr. Gosnell specialized in late-term abortions. It was estimated that he had performed thousands of them over the course of his career. This despite the fact that to do so past the 24th week is considered murder in the State of Pennsylvania.

Dr. Gosnell was convicted on May 13 of First Degree murder of three of his victims, enough to merit the death penalty. He immediately plea bargained for life without parole.

And Barack Obama, Nancy Pelosi, and Kathleen Sebelius, three of our highest officials, along with First Lady Michelle Obama, are strong advocates for late-term abortions. Close to 70% of the American people oppose late-term abortion and yet the support of the Bloody Four is adamant.

Sebelius has a history of virulent advocacy for late-term abortion. Dr. George Tiller, the late-term abortionist who was gunned down in church, was one of Sebelius’ biggest supporters. Sebelius protected Tiller even in the face of criminal charges filed by her own state’s Attorney General. She went so far as to declare a vendetta against Phil Kline, the AG.

The other day, Nancy Pelosi was asked about the Gosnell case and replied that the case was disgusting, which was dutifully reported in the mainstream press. However, in the longer clip, she also asserted a “sacred right” to abortion, including late-term abortion.

Barack Obama has been clear in his support of late-term abortion. In 2003 when running for the Senate, he stated unequivocally so. His wife has also gone on the record.

While first trying to bury the Gosnell story the media then declared it “local news” after a massive uproar. The coverage of the case expanded and the Left professed, as Captain Renault in Casablanca said, to be “shocked” at Gosnell’s actions . The only thing that shocked them was the mass revulsion to the mindset of the “pro-choice” megalith.

And good Catholic she, Nancy Pelosi reminded us of our sacred rights.

We have a right to be interrogated and investigated and snooped on, so long as we do not agree. We have a right to be forced from providing adoption services as has happened to the Catholic Church and other faith-based organizations if we do not kowtow to their politically correct philosophy.

We also have a right to be demonized and hated if we do not keep our mouths shut.

The abortion industry is huge and is a huge supporter of the Pro – Choice movement. Over 700,000 abortions are performed per year. The industry generates hundreds of millions of dollars per year. Planned Parenthood has a budget of $1 Billion and performs close to 1/2 of all abortions. There are thousands of independent abortion clinics around the country.

Politicians are if nothing else self-serving. Waving the abortion flag became a fundraising technique. Pro-choice became the mantra rather than pro-abortion. And then the Democratic Party decided that Abortion should be safe, legal, and rare would be excised from the party platform at the convention last year. Why?

Thus Nancy Pelosi and Kathleen Sebelius can magically declare that they are not only pro-choice but radically so while maintaining a facade of Christian faith. It’s good for votes and for donations.

Barack Obama has turned political fundraising into a high-tech machine that vacuums up every dollar (or Pound or Euro) he can find. The Obamas have already declared themselves as leading supporters of the most violent abortion procedures. Why not make money from it as well?

It is not about the child or the mother’s health in the end. It’s about political power and money. Who cares about a doctor who swore the Hippocratic Oath who instead kills the helpless and then dismembers their bodies?

Their enablers can simply go on television or radio and state how horrible it was, get right back on the late term abortion bus, and move on as if nothing ever happened. This is truly an American tragedy.