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1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Sunday, 05-Nov-2017 23:59:35 EST Stephen Michael Kellat
   USA's largest mental health providers remain jails and prisons.  Psychiatric care shouldn't be so excluded from health coverage plans here.
   1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:03:26 EST Stephen Michael Kellat

      in reply to
      Psychiatric care isn't considered part of Minimum Essential Coverage under the Affordable Care Act, unfortunately.
      1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:04:37 EST Stephen Michael Kellat

         in reply to
         If you need the help, opportunities to get it are difficulty to find.  They can be difficult to pay for out of your pocket in the USA.
         1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:07:37 EST Stephen Michael Kellat

            in reply to
            Looking at today's shooting in Texas shows me a case where a psychiatric intervention would've saved lives. The infrastructure wasn't there.
            1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:09:13 EST Stephen Michael Kellat

               in reply to
               Taking away the gun wouldn't really have helped.  All that would've changed would've been weapon choice.
               1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:09:57 EST Stephen Michael Kellat

                  in reply to
                  The killer was a dishonorably discharged airman who was busted in rank after abusing his wife and kids.  Weapons proficiency would be high.
                  1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:11:09 EST Stephen Michael Kellat

                     in reply to
                     The killer's weapons proficiency unfortunately wouldn't have been limited to guns.  Airmen have more training than that.
                     1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:12:17 EST Stephen Michael Kellat

                        in reply to
                        No mental health intervention structures to help early enough let alone provide a way to stick with treatment is a huge but solvable problem
                        1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:13:23 EST Stephen Michael Kellat

                           in reply to
                           We can fix our mental health structure quite faster than we could ever repeal the Second Amendment.
                           1. Stephen Michael Kellat (alpacaherder@quitter.se)'s status on Monday, 06-Nov-2017 00:14:44 EST Stephen Michael Kellat

                              in reply to
                              We have too many people with mental health problems that we do too little to help.  That is fixable.
                              1. Danyl Strype (strypey@quitter.se)'s status on Monday, 06-Nov-2017 00:26:46 EST Danyl Strype

                                 in reply to
                                 @alpacaherder Andrew Solomon's book about depression 'Noonday Demon' has a heart-breaking chapter on the USA 's lack of mental health care
                                 1. Danyl Strype (strypey@quitter.se)'s status on Monday, 06-Nov-2017 00:28:22 EST Danyl Strype

                                    in reply to
                                    @alpacaherder if the USA spent a fraction of its prison budget on universal mental health care, most prison time could be prevented