Why the U.S. mental health care system is failing and how to fix it

Internal medicine physician and author Robert C. Smith discusses his article, "Medicine's mental health crisis: why the system is failing us." He reveals the shocking disparity in care, where only 25 percent of patients with mental illness receive any treatment compared to 70 percent for physical conditions. This crisis, Robert explains, stems from a fundamental failure in medical training: primary care clinicians handle over 75 percent of mental health cases but receive only 2 percent of their training in this area. The conversation delves into the historical roots of this neglect, citing the centuries-old "mind-body split," and argues that medicine continues to ignore the scientifically superior and integrative biopsychosocial model. Ultimately, Robert issues a powerful call to action for the public to become informed and demand political change, drawing parallels to successful citizen-led movements that mandated seat belts and banned harmful chemicals, offering listeners a clear path to help reform our nation's approach to mental health care.

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