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James E Keenan's avatar

A thoughtful essay. Two thoughts in response:

My impression is that SRO housing was never "constructed" per se. Rather, it was converted from housing for the nineteenth century's middle class that had become unfashionable. What that implies is that, unlike today, there did not have to be political discussion about its emergence. Today, unfortunately, there are few incentives for politicians to advocate for new SRO construction.

I worked for nearly a decade in the state psychiatric hospital system. It is scary to outsiders, but not inhumane and can, if properly funded, deliver reasonably good care. It is, however, labor-intensive: three shifts a day, 365 (or 366) days a year. The cost of that care was why state governments were looking at "deinstitutionalization" even before Thorazine came along. Before the Civil War, the South wanted to keep the federal government small and weak enough to be unable to challenge slavery, so responsibility for asylums was relegated to state governments. This carve-out was reproduced in Medicare and Medicaid in the 1960s. This will have to change if treatment of the homeless mentally ill is to succeed.

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Mo_Diggs's avatar

Wait you're not British and you graduated from Stony Brook? (class of '04 here)

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