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Healing the Broken MindTransforming America's Failed Mental Health System$
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Timothy A. Kelly

Print publication date: 2009

Print ISBN-13: 9780814748121

Published to NYU Press Scholarship Online: March 2016

DOI: 10.18574/nyu/9780814748121.001.0001

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Monopolies Don’t Work

Monopolies Don’t Work

(p.65) 3 Monopolies Don’t Work
Healing the Broken Mind

Timothy A. Kelly

NYU Press

This chapter argues that transforming America's mental health service system requires breaking the inherent monopoly of state and federal mental health agencies. The public-sector mental health system functions without meaningful competition, reminiscent of the monopolistic industries of the late 1800s and early 1900s such as railroads and oil companies. The chapter considers the benefits of market competition to mental health care as compared to the problems caused by monopolistic mental health care. It proposes a mental health antitrust law that would help improve the quality of care for all Americans with serious mental illness and calls on legislators and lawmakers to put the need for competitive mental health services on the agenda for public discourse and for action.

Keywords:   mental health, monopoly, mental health agencies, market competition, mental health care, antitrust law, quality of care, mental health services, mental illness

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