True. It's also notable that the gradient between fully functional people and the mentally ill people you describe is entirely smooth. The clear medical disti

True. It's also notable that the gradient between fully functional people and the mentally ill people you describe is entirely smooth. The clear medical distinction between "mentally ill" and "not mentally ill" is an artificial construction that makes the situation easier to describe by throwing away most of the information. In truth, there is no clear line where one goes from "needs institutionalization" to "self-managing adult". It's all a matter of degree, which makes the whole discussion really difficult. What happens to the people who aren't medically diagnosible as mentally ill, but do have personalities, habits, or traits that make them take decisions that always destroy any opportunities or resources available to them? This group gets ignored a lot, often (I think) because it's uncomfortable to think about how such people exist, because in some moral systems there is no solution that doesn't hurt somehow.