The Rise of the Health Czar

The Health Czar is the final solution to the mental health crisis in modernity

The age old debate of governance extends into mental health and its administration, policy making, and implementation of state and federal regulations. Some argue for democracy, and its careful review, however political, of the need for urgent reform and social action. Others argue a single sovereign can take decisive action when the need emerges to avoid imminent disaster and collateral damage in the community. I am recommending the immediate appointment of a Health Czar as the final solution to the ethical and moral questions left unanswered by our current mental health system.

In mental health treatment, AOT orders, forced treatment, and other mandatory programs including the continuing need for involuntary in-patient treatment has become taboo in conversations by policy makers and those charged with revising and renewing the agenda for reform. People don’t want to talk about these taboo areas in modern mental health treatment because we’ve hit a wall. The wall is a political barrier created by stakeholders interested more in posturing to their constituents than moving the system towards full community integration.

To further reform the system, we need to tear down this wall at all costs. I fully believe the arena for real change and reform hinges upon the immediate appointment of a Health Czar. In the United States, state regulatory bodies have appointed commissioners which, once politics is dislodged from treatment, will take back the reigns of our broken system and right the ship. At present, the ship is sinking, and before complete disaster, an urgent revision and resection of the system must occur.

The immediate appointment of the Health Czar will be the timely and swift agent of change that will transform a system in crisis. The Czar is no sovereign, and yet, this leader is never subject the ebb and flow of political trends in a system which needs more guidance and revision than commissioned regulatory bodies can address. We must first be authentic in our desire for reform and then, charge our finest and most selfless patriot of healing and recovery with the task ahead.

The Czar is the final word in re-sectioning the system. The Czar cuts through red tape and the cancers deep within our ranks with one hand, and justifies doing so with the other. In this regard, the ethical and moral necessity to create lasting reform unencumbered by issues temporal, but problems subject to persist indefinitely will be eliminated and a distant nightmare of the age of state regulation.

All of the trite and political grey areas darkening the system will be re painted in brighter more sustainable, and certainly more organic healing colors. In doing so, we will anoint a leader ready to take the system on and not further the existent legacy past leaders have left us. A legacy wrapped up in taboo, stigma, discrimination, and disparities beyond repair by the very system that broke it from its inception. Indeed, the cracks run deep in the system, and the Czar’s tasks ahead are steep.

When the crisis has abated, the Czar will lay down its emergency powers. Power will be re-balanced upon the completion of the Czar’s revisions to the system and given back to the state regulatory bodies. These state and local bodies of mental health commissions, too, will be reconfigured, and new policy will be written into the very law that went awry and hasn’t budged an inch since institutionalization ended and people landed at the shores of the community health system.

Until then, this healing patriot will create a new legacy. One for our generations to talk about, without fear or taboo. The Czar is the final solution to the mental health crisis in modernity. We look forward to its ultimate timely and urgent resolution and the reign of the Health Czar.

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