The focus should be on the seriously ill. At a gathering in New Hampshire last Monday, Hillary Clinton announced that mental health will be a big part of her campaign. That could be a disaster for those with serious mental illness. To understand why, look back to January 25, 1993, when President Bill Clinton created a President’s Health Care Reform Task Force charged with developing a national health-care plan. While Bill is not Hillary, he appointed her to head the task force.
Hillary’s task force created a Working Group on Mental Health headed by Tipper Gore, wife of Vice President Al Gore, who had a degree in psychology, suffered from depression, and had strong connections to Mental Health America. Mental Health America is not focused on helping the most seriously mentally ill. It is a trade association with the very expansive agenda of “helping all Americans achieve wellness by living mentally healthier lives.” The key issue facing the task force was whether government funds should be used to “help all Americans live mentally healthier lives,” or be limited to helping those who are so severely mentally ill that they genuinely need government aid. This is still a key issue today. It is the seriously ill, not the worried-well, who are overcrowding our jails and shelters and living a hellish existence encased in psychotic delusions. The working group rounded up all the usual mental-health trade associations and naturally concluded that the national plan should cover all mental-health services for everyone.