There is limited access to treatment in most of the country; not enough beds, not enough qualified doctors, $$, inane insurance regs, stigma, over prescription of un-neccessary meds, ridiculous laws, and non-compliance of patients for varying reasons.
Advocates will not assist in conservator or guardianship in 99% of the country. It is almost impossible to get someone involuntarily committed, even Baker Acted.
To get back on the topic of ER specifically- I believe he was bound and determined to carry out his plan- and would have found a way, even if he was held for 72 hours (or longer) , and was "gun-less'. He waited a month after the LE visit- and no one called, insisted, or went to court to get an emergency hold or guardianship.
These are great points! States cannot effectively enact more restrictive laws based on mental health without increasing mental health funds and increasing beds. I also agree that this would not have changed the outcome for ER's victims. The fact that we are having these types of debates/discussions on a national scale in MSM, regardless of what laws are created, gives me hope that we can find a solution to best address all of the excellent issues you presented.