Date: Mon, 20 Feb 1995 04:16:50 -0500 (EST) From: Ben Schainker To: current-issues-in-psych@netcom.com Subject: Forced Medical Review Panel The following is a copy of a speech I gave before the Maryland State Legislature in Annapolis. It was a review hearing of the Forced Medication Law via Clinical Review Panel, as the 2 year sunset provision had come up for the second time. This law provides for the right of a psychiatrist, who wants to administer chemicals to a committed mental "patient" against their will in a non "emergency" situation, to call for a "review panel" where his colleagues decide that their fellow "physician" should indeed be allowed to carry out their will on the hapless fellow. This is said to be the non-confrontational part of the process, and very important if the "patient" is to feel that he/she is not being persecuted. If, for some irrational reason, the poor fellow thinks this was not just, he/she is allowed to appeal to an Administrative Law Judge; who, after an informal trial at the hospital in which the "patient's" doctor acts as an expert witness, marks off a brief (sic) check list, says "they (the doctors) are the experts, and leaves the down-trodden soul in the inquisitor's eager hands. The check list includes such niceties as: the patient does have a mental illness, he/she presents a clear danger to himself/herself/others, the administration of drugs will increase time/chance of recovery, the risk to patient is minimal/acceptable-in-light-of-benefits, etc. The sunset provision means that the legislature is not sure whether the law is on the up and up an so imposes a lease of the law on the books. In this case two years. It was now being reviewed for the second time to see if it should become permanent. The law previous to this one was deemed unconstitutional. With no further ado, here is my speech. ----Begin Here------------------------------------------------------------ 2/15/95 As I come before you for the second time on the subject of the forced-clinical review panel, my heart is full of resignation. At my previous attempt to sway you I tried something in the way of an emotional appeal; this go around I shall be harshly and undilutedly frank. It has been brought to my attention, that since we didn't send attractive lobbyists to take you by the hand and coddle you into making the right and moral choices, most honorable elected ones, the most we can ask of you is to reinstate the sunset provision. This having been said I'll will make the rest of my argument as to why this, and all related laws based upon the wrong premise of forced treatment should be removed from the rolls of that which reflects our societal soul. Many of you probably feel this law to be an extension of crime bill legislation, with the advantage that it punishes nobody, mostly does not involve tax dollars, supposedly prevents welfare dollars from being spent, and gives all concerned (except for a few whining ex-patients) a nice moral buzz. All of this, besides being factually wrong, is moreover morally wrong a well as being a load of crap! It is of surpassing amazement to me, that with all the stupid laws we've inherited on the books today, this generation has managed to become so sight-twisted as to conceive laws making those of the past look like pillars of honor (except in the realm of mental hygiene where we make the disfiguring-tenets apply to more people). While you can no doubt afford to take the easy way out, society as a whole cannot. It's my considered opinion that even though you as individuals will probably be lost behind in the wrinkles of history, the straws you set down on our backs today will be the tinder of a future upheaval unparalleled by anything since the American Revolution, as it will occur for similar reasons. First off this law will do very little to curb crime. The idea of dangerousness used in this law has nothing to do with the committing of crime as is conceived of in the constitution. I, a former upper middle class young man, who has never even gotten a driving ticket, ended up on the ugly side (as if there is a non-ugly side) of this law. Having said that I think there is no one here more qualified to speak on this subject. After having a risk vs. benefit reductionist theory applied to my body, as if my soul did not exist, contrary to stopping crime, it rose in me, for the first time, the specter of killing someone. Is it not ironic that psychiatry, who has never proven its supposed facility to predict dangerousness, proclaims every one they forcibly treat to be potentially dangerous? As for criminals who supposedly do come under this law, I hold they should be handled by the criminal justice system. Yeah that means you'll have to do the work instead of palming it off on others. But if you continue dodging the bullet on this one you will rouse the worst type of criminal...... Political Dissidents like Me! I will not bother trying to dissuade you from your illusion that this law punishes nobody. I know you will meet all appeals involving personal atrocities of horror, anguish and repugnance, with stoic indifference. I will say, however, that the non-confrontational facade of this law was, and is, a crock! It has all the amiability of a spectacle at the Roman Arenas, and unfortunately Caesar's thumb, due to some unnamed social disease, is permanently locked in a downward position. Et too Brute'? As for how little tax dollars this will cost.... Society is already starting to catch on to your game. Does Insurance Mandates mean anything to you? It was a major cause of the loss of the health care bills and thereby the election. It is a tax pure and simple. When was the last time someone tallied up the cost of Mental Hygiene care? I for one do not have insurance, and will not consider signing up for insurance until I can find one that included No mental "health" coverage, and has all attributable costs removed from my policy. You want it? You pay for it! I will not partake in the victimization of this country much less this state. As for medications keeping people off welfare. I propose you do a study of how many people who encounter psychiatry, and forced psychiatry in particular end up on welfare. In my experience these chemicals only make one-time humans more helpless. Besides psychiatry knows that once a person's on welfare, the medicare and medicaid dollars start rolling in! Now let me see if I have made a dent in that moral buzz of yours. Can you say, "conflict of interest" three times fast? Maybe this will splash some cold water on your face. After being put through, that which the forced treatment laws made possible, I never felt more ashamed of the state and country I lived in. The more of the history of these laws I see the more I come to realize that we are the progenitors of this evil in the world. I take very little pleasure from the society I live in, as I watch it consistently confuse such easy concepts as: entitlements and rights, popular morality and absolute right and wrong, and most of all good and evil. We consistently pander for more and more short term uppers with the only coinage we ultimately have left...... Our one time inalienable rights.... Our belief in our own Self-governing souls. The only appeal I can make is this. If you want to cull the human herd be upright and honest about it. Stop delegating it to smoky back rooms that are out of our sight and definitely out of our minds. I would rather see snipers darting anyone who looks abnormal from helicopters, like in Wild Kingdom, than this insidious claptrap of a law. Allow yourselves to be judged on your own vices and not the vices of some well paid third party. Last night I was in a Mcdonald's Restaurant. A man walking out said something unintelligible to a young cop who looked fresh off the farm and his friend who probably was not on the force, and then the man left. After a few moments the cop asked the girl who was taking his order what that was about. The girl replied that the man had said, "they (Mcdonald's) were out of ice-cream." After a second he asked her if she wanted him to "check the man out". She gave him a strange look and replied in the negative. The young cop probably wanted to show off to his friend the most heady of police powers: the ability to put someone away without any probable cause or due process just because they seemed annoying, meaning in this case old, destitute, and unintelligible. To me this scene seems a thousand times more responsible than what you have been doing. For those of you who felt a mosquito bite of misgiving during this oration, know now that is all that is needed to contract malaria. May all the diseases that afflict you be real.... for those that are not savage the soul the worst.... So may we all be blest. With Great Trepidation, -stuff deleted and added- B. Sane (301) 588-9608 shadrach@dgs.dgsys.com