Scott Alexander, curated
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Details That You Should Include In Your Article On How We Should Do Something About Mentally Ill Homeless People

Quality
76
Excellent
Claude Shift
44
Moderate
RWI
2
of 10

Follow-up reading

Highlights From The Comments On Mentally Ill Homeless People — Highlights (companion) · Jul 2024

Summary

Opens with a pollution analogy - you cannot coherently be 'for' or 'against' a vague goal, only specific policies on the Pareto frontier - then applies it to mentally ill homeless people using Scott's direct psychiatric experience with involuntary commitment. Walks the actual pipeline (police vibe-assessment -> ER commitment-on-vibes -> days of antipsychotics -> discharge -> near-certain medication failure via bureaucratic friction) and shows why each proposed fix collapses: expanding commitment law, guardianship, long-term institutions, social services, housing (= Housing First, the foil), Involuntary Outpatient Commitment orders, and criminalizing homelessness all fail or reduce to arbitrary cruelty. The litany of mundane ways a semi-psychotic homeless person misses an appointment is the rhetorical and substantive core. Meta-point: stop railing at 'the damn liberals' and specify a concrete, coherent, tradeoff-surviving plan.

Why this score

Quality 76 · Excellent. Excellent band. Expert, concrete, and unusually lucid on a genuinely hard topic - insider knowledge of the commitment system that few writers can supply, marshaled into a clear argument. Held to the lower Excellent band because it is policy-narrow and tied to a 2024 SF debate, and the meta-point ('be specific') is not itself new. A=76.

Claude’s paradigm shift 44 · Moderate. Moderate. The technocratic point (vague goals are incoherent; only specific policies exist) is old, and the value here is explanatory rather than novel-as-ideas. B=44.

Real-world impact 2 · Minor. Expert, concrete, and unusually lucid on involuntary commitment and mentally-ill homelessness, supplying insider psychiatric knowledge few writers can. Real topical relevance to a material policy area, but policy-narrow, tied to a 2024 SF debate, and informing rather than enacting — low RWI.