“We are not going to fix the mental health care system, because in America there is no mental health care system to fix.” Dr. Carmona was right, and his answer still rings true: we do not have a mental health care system. At best, we have a mental sick-care system, designed to respond to a crisis but not developed with a vision of mental health that is focused on prevention and recovery. This sick-care system was built by insurance companies and pharmaceutical companies, and, to a limited extent, providers. It was not built by or for patients or families or communities. Dr. Carmona understood
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