I live in the Midwest, but have worked in the Southwest, West Coast, Southern East Coast and Northern Midwest. Never in any huge city, I’ll admit. IMO, you are asking for problems of all sorts when you live in big cities – traffic, crime, racism, bad attitudes, snobbery, etc. Where I have been and what I have seen is what I base my experiences on. Our legal system works well here, and has where I have visited. As someone who gets to sit in with doctors when they do evaluations, I get to see what people open up and say that they won’t admit to their lawyer or the judge. More often than not, our patients get the benefit of the doubt and aren’t “forced” to be treated… they end up off meds, and back in our hospital, sometimes dozens of times, after doing things like “shooting the cartel members” who are walking sown the sidewalk in their home towns. These are people who have never tested positive for substances of abuse or been on psych meds. In their paranoid psychosis, they know to ask for a jury trial (which our hospital cannot afford), so they go on their paranoid, hallucinatory way. Our treatment team isn’t careless, nor is it paternalistic. I believe that as the older doctors retire, we will all see less and less of that. I’m sorry that you guys have different experiences – something I’ve said all along. I don’t appreciate being attacked, and being called delusional because I have a different perspective. I was just trying to spread some hope to the patients out there who feel that they could use some help, and the ones we have helped already. If we are a minority, that is what it is.