Re "Mental health lessons from Sandy Hook" (Viewpoints, Dec. 14): I agree better mental health care is important. However, though Dr. Gary Tsai was not born in 1973, we are not so far from the Rosenham experiment, in which institutions were proven to be incapable of reliably differentiating sanity from insanity. I think Dr. Tsai needs more experience with the pressures of the bottom line, both in bureaucracies, and on individual psychiatrists, who are not saints. A psychiatrist I know resigned from his position at Napa in recent years because patients he believed should be released were not. Reimbursed by the state, patients are profit modules for an organization, and individual psychiatrists are not immune.
-- Brian Hanley, Davis