I agree, it was easier to have people institutionalized, but the majority of those were absolute hell holes, and there was all forms of mistreatment, even resulting in death way too often. Nowadays, people don't get proper help because somebody might violate their rights by hospitalizing them. So, too often innocent people suffer because the sick person is not being treated as needed, or they flat refuse treatment. Kind of like the difference in having six eggs in one hand and half a dozen in the other. Its a no win situation.