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In this chapter, the author presents some off-the-cuff remarks on unmet needs for mental disorders. No health service can provide unlimited care. It has to prioritize, however uncomfortable that may be to politicians, and however much they may wish to shift the burden of that responsibility onto others. According to the author, the aim should be to cut the costs of mental health care and improve its quality by computerizing clinical psychiatry as much as possible for the majority of straightforward psychiatric problems, thus avoiding the inevitable variation and lapses in human behavior. The author adds that unless we automate our methods, make our services better and cheaper, and are prepared to share our expertise among a wider circle of health workers, we shall fail our communities and we will lose out to 'commercial managed care' in which shareholders can increase their financial gain from other people's suffering.
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