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With America’s jails and prisons crowded with mentally ill inmates, Medicaid costs soaring, and mentally disabled homeless Americans wandering the streets, it is clear that our mental health system is dysfunctional. What began as a grand and noble experiment has become a costly failure, both in terms of human lives and in terms of dollars. But what needs to be done? E. Fuller Torrey, M.D., a leading psychiatrist and researcher, has written extensively on the problems of U.S. mental health policy and urges fundamental reform based on returning primary responsibility to the states.