“Isn’t the fact that there is no way to measure the quality of psychiatric care kind of proof that we’re not dealing with medical issues?” No, and I’d urge you not to promote false equivalencies and provide fodder for psychiatric apologists to smear antipsychiatry principles. I’d argue that the vast majority of Americans at least are sick, judging by the obesity rates and subscription drug use. The likelihood (if you keep abreast of the research) is that chronic inflammation plays a major role in mental distress of all kinds. You’re never going to heal a broken mind while ignoring the vessel that cradles it. The problem as I see it is that like the rest of western medicine, psychiatry targets symptoms and not causes. If we were to target obesity’s causes for example, Our government would stop subsidizing cheap crops of low nutritive value which end up being ubiquitous sources of calories absent nutrition in processed foods. We’d have a shorter work day and work weeks. People would get paid a living wage and valued for their contribution to society, not to corporate bottom lines. We’d regulate chemicals that pollute our water, food, air and nearly every product we purchase. We’d promote community stability and pro-family values and structures. We’d ensure that all who want it have access to safe housing and meaningful work that gives a sense of purpose to their lives. But in such a toxic environment that is our actual reality, it’s hardly surprising that so many people are distressed. And suggesting that real medicine does a better job of healing is farcical in light of the facts. The real problem is one nobody wants to admit, much less address. (It is admittedly gargantuan.) Medicine alone cannot fix what’s wrong with our broken culture and polluted, toxic, and increasingly uninhabitable world. And our collective distress will unfortunately increasingly reflect that reality as the air warms, the seas rise, our bodies are increasingly filled with PFAS and micro plastics and pro-inflammatory “foods”, and ever more divisive social milieu. Psychiatry may not be medicine. But medicine is no hero here, either.