A friend with a 30 year history of psychotropic drugs, developed a bowel disorder, ? iatrogenic, requiring a colostomy which became infected and failed to heal. Hospitalised for this, she had a cardiac arrest and died 3 days later, brain dead. She was 59. Carrie Fisher, a cardiac arrest at 60. Documented average age of death for psychiatric patients, up to 25 years earlier than the general population. Everyone tut, tuts, when this is found in indigenous populations who have extreme poverty, poor nutrition and health care, but psychiatric patients, who cares? In the `me first’ culture of western society, more extreme perhaps in America, simple `caring’ is a dirty word – it’s all about the science of making money. Re caring – why did Insulin Coma `work’? By the 1960s it was clear that its action had no beneficial effect yet some people did well. The answer was, “because they got extra attention.” The `best’ Placebo/ECT `study’, the Northwick Park study in 1980 found that people who had an `organic’ depression and were unlikely to experience placebo effects, did. Why, “perhaps it was that they got extra care.” Interesting that the cure/alleviation for even severe emotional distress has always been under our noses, but no one wants to know. Of course there’s no money in it and you don’t need to be a doctor to do it. Maybe after the collapse of Western society over the next century, things might change, but not before, I suspect.