Tim Murphy's Fight for Mental Health Reform
Tim Murphy, former congressman and psychologist, shares his journey advocating for mental health reform through the Helping Families in Mental Health Crisis Act and highlights the systemic failures in America's approach to serious mental illness.
• Serious mental illness requires different treatment approaches than general mental health concerns
• Current Medicaid restrictions only allow 15-day hospital stays with a 190-day lifetime limit
• HIPAA laws often prevent necessary communication between doctors and families of mentally ill patients
• Approximately 40% of prison inmates have serious mental illness, with jails becoming de facto psychiatric facilities
• SAMHSA (Substance Abuse and Mental Health Services Administration) lacks accountability for billions in spending
• Schizophrenia alone costs America approximately $380 billion annually across healthcare, criminal justice, and social services
• Assisted Outpatient Treatment provides court-ordered care for those with severe mental illness who lack insight into their condition
• Mental health advocacy requires specific, actionable requests to legislators rather than general appeals
• Reform needs include lifting hospital bed restrictions, modifying HIPAA laws, and implementing stronger program accountability
Visit drtimmurphy.com to read articles with plans for advocacy and reform in mental health policy.
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Welcome to Why Not Me The World? Podcast hosted by Tony Mantor, broadcasting from Music City, USA, Nashville, Tennessee. Join us as our guests tell us their stories. Some will make you laugh, some will make you cry. Real life people who will inspire and show that you are not alone in this world. Hopefully you gain more awareness, acceptance, and a better understanding for autism around the world. Hi, I'm Tony Mantor. Welcome to Why Not Me The World? Humanity of a Handcuffed the Silent Crisis special event Today would joined by Tim Murphy, a former American politician and psychologists who represented Pennsylvania's eighteenth Congressional district in the US House of Representatives from two thousand and three to twenty seventeen. A lifelong advocate for mental health, Tim author the Helping Families and Mental Health Crisis Act, a bill that passed the House with an overwhelming four twenty two to two vote in July twenty sixteen. With his wealth of expertise, We're truly honored to have him here to share his insights with us. Thanks for coming on. Yeah sure sure. You've served in both the state legislature and the House of representatives, and throughout your career you've consistently supported mental health initiatives and efforts to help people. What inspired you to create the bills that you've worked on? Great question. So, as a psychologist, I worked on issues involving mental health for my whole life, even when I was on the staff at Children's Hospital Pittsburgh and there, go to Harrisburg and Capital and work on even awareness among legislators, and what I kept finding I think they wanted to do well, but they just didn't know what to do. Everybody likes the idea of mental health quite frankly, it can be kind of scary for a lot of folks, and other folks aren't quite sure. And there's some folks who just have a prejudice towards it. I'm not talking about stigma. I made a prejudice towards it. Some people think it's a weakness until they start really dignated to it an understanding. There's a biological, neurological basis for much of this. As a state senator, how did your experience differ between the State Senate and the House of Representatives, especially in your goals of improving mental health? What happened was I ran first state Senate in the nineteen nineties. There worked a number of healthcare reforms, and among them making sure that people could get access to care and insurance were paid for it in a general sense. In Congress, it was a much deeper dive the area. Was chairman of a subcommittee of Oversight and Investigation in the Committee on Energy and Commerce, and Energy and Commerce has jurisdiction over mental illness and health in general. But in that what happened was right after through the terrible shooting in Sandy Hook Elementary School, the majority leader tasked me with the idea, since we've got to do something about this, and I know a lot of the human cry was let's ban guns or let's restore guns. I always knew it's not what was in their hand, it was what's in their mind that was the big issue in this. So we really had a year or two of just investigation. We had many, many witnesses come forth, dozens and dozens of parents, hundreds and hundreds of letters, millions of social media hits telling us the problems that were occurring. When it was on several levels, we did not have enough train providers. When you refer to train providers. Could you provide more detail about what specific qualifications, expertise, or roles you have in mind. Now, I don't just mean counselors, I mean providers trained to deal with serious mental illness such as schizophrenia, psychosis, bipolar, and the more severe autism spectrum disorders. We had lots of people who are going to deal with some of the milder things, you know, the people with general angster anxiety or our mild depression, but the more serious ones we didn't have. The second thing is we had restrictions in the law. Medicaid only pays for two weeks at a time, fifteen days stay or a lifetime limit of what one hundred ninety days in the hospital. That's a problem. Or they didn't want to have more than sixteen beds in a hospital. That's a problem. So it was these artificial limitations on serious mental illness, particularly when you're dealing with schizophrenia psychosis. Fifteen days is not enough. I mean, it takes that much time to get off of one medication and stabilize on another one. Your time is up before you know it. And this one hundred ninety day lifetime limit. I was second boy can you imagine if we did that with cancer and said I'm sorry, we're not going to give you any more days in this There's other things with insurance companies more recently come to light in that is that insurance companies have a tendency when you start to get better, they stop payment. In other words, as well, you don't really need this in patient stay anymore because you're improving, so we're going to stop payment for It's me before the person's even stabilized, they're out on the street. Yes, insurance is certainly a challenge, and releasing them back onto the streets often does more harm than good. Are you able to identify or develop any alternative solutions that could better support these individuals. Another aspect we discovered was that there's this concept of this practical assistant outpatient treatment different from assertive community treatment. The community treatment's one where basically services are provided. People can talk to the person with severe mental illness with the belief you can talk to them into getting care, and that can work in a lot of cases. It does not work when someone is so compromised with their self awareness with a condition called annisubnosia, they don't even know that they're not sick. They do not have that self awareness. It's like the blind person who doesn't even know what they're blind. Those are people who resist treatment, who will become very paranoid about treatment, and of course in the throes of their psychotic or schizophrenic crisis, they can easily become paranoid because I think we're part of the group that's spotting against them or trying to force them into treatment. What do you do in that case? They need help, they don't want help, yet if they don't get help, they never get better. Add to that, I think I've heard there are groups that will there that support them not getting the help. Unfortunately, with that, there are groups called the disability rights groups, which in concept make a lot of sense. They say they don't want to force anybody into treatment with their consent. I get that. And there was a time fifty years ago, one hundred years ago when many people were just put into these asylums. You thought, granting with a lot of control, Uncle Bob, with a lot of control the sun, you send them to these asylums. The asylums, by the way, were set up originally to keep people out of homeless and from prisons. It'd be a more humane place to put people. So they start off with a good concept, but they became overpopulated, understaffed dumby grounds. So the disability rights people said, hey, you can't just be putting people there. I get it. What happened is they went too far, far far, far, too far, and assumed everybody was the same. That in itself is such a far fest concept. In medicine, it's like, we give everybody the same medicine. In medical you go see the doctor, take two estmands, call me in the morning. That's about where we are. And some people you can talk into getting care, but some people you simply cannot. And they keep it together long enough, quite frankly to TV and say I'm fine, I'm not going to kill myself, I'm not going to harm myself. I'm really good because they know that they conceptualize, at least if they're paranoid that something's wrong with you, then you're trying to talk them into this care and they don't want it. And they've also probably had a lot of bad experiences anyways where they the police have been called and they're afraid of those things. So what happens is the disability rights groups posed a lot of these things where we're trying to have assisted out patted, where the judge could order using what's basically the black robe effects, say you know you need to get care. It's compassionate, but it's sure is different from the police grabbing the person hand com for them and taking the jail. They get to fight with the prison guard, they're given another penalty, they get in a fight with somebody else to give another penalty, fight with somebody else. Before you know it, they're as solitary confinement. The worst possible thing you could do it in jail with someone there. Jail is not a place to treat schizophrenia. It never was. And eight out of ten people in the jails get no treatment with that. So and what is about forty percent of people in prison have a serious mental illness and about ninety percent of something and among the homeless, the numbers are similar. To Given that there are numerous hospitals distributed across the country, are there enough facilities with adequate resources to effectively support those in need? How does the availability in the capacity in these hospitals influence the broader situation, particularly in terms of accessibility, quality, of care and overall outcome. So what has happened in America is as we close these hospitals down from five hundred and fifty thousand nineteen fifties to about thirty eight thousand today, we provided nothing else for them in terms of heavy enough hospital bids, in terms of assistant our pictian treatment. There's people who are pose saying having a judge say you no, you've got to go in the hospital, you got to send your medication, and we still have a shortage. And we also have people who just do not engage families. Hippo laws are extremely important to protect someone, but they have gone too far in the sense that doctors are tied up and not being able to communicate with families when they know what's going on. I'll give you an example. Let's say a young woman, maybe in early twenties, there's a suicide threat. She's taken in the hospital. Do in the morning, did they ever to tell the doctors, look, I'm not going to kill myself. Really, I was just kidding about that. And the doctor's thinking, well, we don't have bed, we don't have a place to put, we don't have a psych word. What are we going to do. We'll trust you to go on the street and say, will we call someone help you out? And if she says, don't call my parents because I don't get along with them, then that's it. They literally open the hospital doors and say go along, find a ride home, do something. But what if the doctors know the family. Whether the doctors say, Mary, I know your folks, come on, we're all in the same community. Let me call them, they'll get your ride. Well, under hippolaws, you can't do that, and also unto hippo laws, when you know someone is in the thrones of deep psychosis and they're in crisis and they're fighting and they don't want help, if the doctors could call the family and say, we need some background history on this. Can you give us more background and find out, oh, this person said multiple times before the prescribe this medication, they don't want to take it. Whatever else goes with that, it's important to be able to have that information. To access to that kind of information could enhance a physician's ability to provide effective care. Are there any exceptions or methods to circumvent those restrictive guidelines, or are the medical professionals bound to adhere to them in all circumstance answers. Well, that also is something that runs into barrier and a lot of doctors operate at this ideas as well. The confidentiality is sacricct I won't do that, you know what, But they don't always do that. For example, if someone has Alzheimer's and is wandering the streets in the snow, it's two in the morning, and Grandma's out there in their bare feet, they don't say let's let her go because she doesn't want to be picked up and she thinks she's on her way to second grade. They say, let's call the family, let's take care of this. Well, quite frankly, that is a personal nanasugnos. Yeah, and someone else who we ought to put in the same category of many people with schizophrenia in a crisis, they say, we need to get this person help. It's not against their will because they don't have a free, informed will. So where does all this go? When I was doing my investigations in twenty fourteen twenty fifteen, we finally introduced a bill to do several things. Make some tweaks to hippo laws allow what we call compassionate communication lift the sixteen bed rule, expand the number of days someone could get care fund assisted out patient treatment, and push states to do more of that. Those sound like really great ideas. Is there anything else that you could add to it or that you did add to it. We also wanted samsa subs use of Mental Health Service Administration to focus, to shift his focus to look at serious mental illness and mental illness and not just mental health. Quite frankly, it was pretty goofy before Tony. It was funding pictures and artwork and how to make a fruit smoothie and sing songs and have yoga classes. You know what, all that's good for mental health. It's great to people eat right and sleep right and get involved in social activities. That's not a treatment for mental illness. And again I go back to my cancer metaphor. Can you imagine if someone was checking into a major cancer clinic, they're going too slowan category and they say, well, can I have chemotherapy? And this this is no, no, no no. We're gonna have yoga class in the morning, and then we're gonna teach how to make a fruit smoothie. Then we be able to do finger painting and send you home. This is how absurd the system is, and that's because people within SAMSA, quite frankly, don't know what they're doing. Samsa's leadership has been weak, ineffective. Some years, it has had a lawyer in charge. In the last couple of terms there's been psychiatrist in charge. But in the last four years it has gone back to mental health and not to work as serious mental illness. And so what we've ended up with is massive increases in homelessness, massive increases incarceration, more homicides. As you know, ten percent of homicides are admitted by someone with schizophrenia, even though schizophrena is one percent of the population, and thirty percent of mass murders are some with uncontrolled schizophrenia. Sometimes people will use this phrase and say, well, a person with schizophrenia is no more likely to murder someone than some without, and that's totally false. That study was done comparing people with schizophrenia in treatment and people who donia's schizophrenia, and so among those groups that's pretty similar. But when you have someone without treatment, without care, without wrap around services, without their medication, they can deteriorate and become violent. Not only in the streets to their family, but also a jail or somewhere else. Earlier, you mentioned homelessness and how that overlapped with mental health and schizophrenia. Can you expand on that sum. What also is occurring in terms of the homeless area, in terms of the number of almosts that have increased dramatically in this country. We've had a system that has been strained far beyond its capacity. Is already beyond strains when you have several million immigrants come to this country and they have no place to go, so they've shoved people out of homeless shelters and put the immigrants in there, which puts a homeless on the street again. The last year, in twenty twenty four, HUD just released information from a January assessment done January twenty twenty four, but they didn't release until Christmas Week the Friday after Christmas in December of twenty twenty four, that homelessess actually grew about eighteen percent in the United States. Absurd that they waited twelve months to get that. Cool that they waited twelve months to do that proo because Congress can't do anything without data. But then they say things like, oh, look, someone is someone's getting better, they've got Some cities have reduced homelessness, and that's silly because what happens is they reduce homelessess by helping those who can easily adapt to help. Like some people just don't have an apartment, or they don't have the money or they miss payments. All right, we'll get them into temporary housing and they'll move towards getting a job in permanent housing. But even if they reduce homelessness in those towns by ten or twenty or thirty four percent, well that's expected because that's the people who are mentally much better, and some of them pretty okay, and with some assistants they can do better. But it doesn't address the chronically seriously mentally old people with major problems, and so that gets ignored. Do they have any assisted housing or anything that can help the homeless that might have some mental illness happening to get them off the streets. There's something pretty cool. CAD's come an assisted housing where it's not a huge apartment building. Maybe there's only thirty units or something like that, but there's a nurse at the front desk, so as you're coming and down on she just checks Hey, Bob, you get your medication. Rebecca you get you take your pills today, and make sure you get appointment today. That little check up For some people who can function with that is great. But the ones who have more serious problems, it just checking up on the mizzon enough. In fact, parents will tell you when they check up on it may end up in a violent or heated altercation. So when I put my legislation in, as I said, it was to make some of those changes. Also to create the position of the Assistant Secretary of Mental Health. I wanted to elevate the issue and have someone in there could do the And also we wanted something called ISTHMIK, which was the Inter Departmental Serious Mental Illness Committee and Coordinated Committee, And that was to take all these federal agencies from HUD and AHHS and everywhere else and say you have to coordinate your services, make sure we're evaluating on a government wide level exactly what's going on. That seems like it was a real good program. What came from that, Here's. Where a major prom broke down. The reason we did that is because, as it turns out, when we asked the General Accounting Office, so we wanted a survey of the federal programs. They said, we really don't know what we spend in this country. What said it maybe over one hundred billion scatter, over one hundred and dirty programs. We don't know. We just wrote letters to departments. They threw a number at us, But we don't know if it really treats mental illness, or if it does any good, or what's going on. So that's a pretty amazing amount of money that no one bothers to track, and we wanted sam So to track it. They don't. They don't. There's abstoually no data to say that. In fact, their last report, which I think was in March of twenty twenty four, they spent a few days talking about their colorful logo. They came with the logo, the symbolism, all of those colors. But I didn't tell you success stories. And here's how we have worked innovative programs throughout the federal government. Got these programs to work together. It's not there. It's an abject failure. It's an embarrassment of the government. And because that more people are dying, more people are almost more people are in prison. So try to put these factors in to get accountability there, try to put factors in to get assist to OUTPITSI treatment and more treatment options, and it has just ended up rather disastrous for people with mental illness and their family. That's sad to hear. So in your opinion, what needs to change and how can we help these people that need the help. I'm hoping that President Trump and RFK appoint someone who's a fighter who will go in there and clean this mess up. This isn't any more time for goofball ideas, no more time for single longs pats on the back. This is people. We need to have someone in there with like a psychiatrist, psychologist who understand serious mental illness and understands these problems, wants to innovate and renovate programs there. We have to do things at work, and we have to track. No one is tracking the billions and billions of dollars spread out of the around the country, one hundreds of billions of dollars that end up dealing with serious mental illness. And that's just not Medicare and Medicaid. It's the Veterans Affairs, it's Department of Justice. Does all these things take place. As a matter of fact, I'm on the board of an organization called Schizophrenia and Psychosis Action Alliance SMPA eight, and we did a study three years ago. Another one we have that's going to come out in another couple of months. We're tracking the expenses justice schizophrenia again about one percent of the population, and there we look at direct medical costs, direct treatment costs, criminal justice costs, family costs, unemployment costs, costs of not being the workforce, and disability costs, whole host of things. And just for schizophrenia, our best estimate of the costs for her twenty twenty four is about three hundred and eighty billion dollars during eighty billion for one disease entity. That is indeed a ton of money. I guess my next question is is it working and helping the ones that need the help? Now, that is pretty remarkable, that amount of money, and you think that would shake up the federal government to say where does it go? Is it doing any good? Well, the money is spent, and governors and mayors will say, well, we're spending money. We have these programs, we have social workers out there, and the question should be are people getting better are you tracking them, You track the individuals, or you just tell us how much money you spent and the answers they tell you how much money they spent, and they'll give you some general number. But every time there's a mass murder or some other crime committed by someone, you can pretty much bet if it's a person bend to illness, they or not in treatment. Case in point a couple months ago, the event took place in the New York subway where the man ended up who was in crisis, ended up being restrained in a chokeol platformer Marine Daniel Penny, So everybody got on Penny and said that he was terrible, cruel and racist. Went to trial for manslaughter. He was acquitted. The sad thing as the victim in this case wasn't just a homeless street performer that the media tried to portray it, as he was a man with severe mental and his schizophrenia and he wasn't taking his treatment. There was another case around the same time a man who went through New York with a knife and killed three people stabbed him and they called him homeless. Well, he was homeless, but he was also a man of schizophrenia. There wasn't in treatment. These are terribly sad stories that are taking place. When I was in Congress, I tried to wake people up to understand and say, many of these cases are treatable, preventable. But you got to have someone be grown up in the room to say these are folks who need to get them help. Don't just say well, if they don't want to help, we're going to leave it at that. We wouldn't do that with a child. He doesn't want to go to school, let's not let him go to school. Well, some parents might, but he you know, he's pretending. He's say let's let him stay home. But we have to understand these are lives worth saving and they can be saved if we treat them. It's a massive burden on parents. Their hearts break every day. Across the nation. Some groups like Mad Moms of Arizona and there's one in Colorado too, or Fighting Back. I love this. I have them coming on a little later this month. You're right, they're great. They're dynamic, wonderful women out there, get in there and kick butt, take no prisoners. By what they do is they teach the legislators. Here's what is really happening, and they're people of passion and information, and so the legislators thought, well, I was told that we could just talk them into care. No, they won't do that. So it's informing them. And I hope any family member, any parent who's out there and things, why aren't things changing? Well, my point is you got to talk through your US congressman, your state senator, to your state representative and tell them what's going on. Why because they don't understand. It's not a fault, they just don't know. Nobody can know everything. And people say, well, they got to read my letter. Well, I'll tell you they never read the letter you don't write. They never answer the call you don't make, and so it is important you'll let them know. Absolutely, reach out to them. What are some of the things you hope they do? We have more things to do. I believe that. I hope we get a strong assistant sector of mental health. Wish I could talk to someone about that, but I hope we do. And I hope we also lift the IMD exclusion the BED. I hope we lift the limit a number of days. I hope we change some of the hippolaws allow doctors to get more accurate history and help the person up on discharge. I hope that we can have accountability for the states of how much money they spend, where they spend it, and is it effective, and publish that information, make it public so that states know and taxpayers know where it is going. I want to know what's taking place in prison, what is done with people who are in prison and for crimes associated with or maybe unrelated to mental illness, What money is being spent, what treatment is being provided, what's the outcome? Same with the homeless population. So if all these things we don't have data on, the federal government and state governments are flying totally blind here. It is a sham. It is cruel and as a nation, we shouldn't be putting up with this. We wouldn't put up with that anywhere else. But with sometimes you think, well, those are mentally illing. A gun named Ron Powers wrote a book It's called No One Cares About Crazy People, because that's the attitude amongst people in leadership positions. Nobody cares. Well, we need to care, we need to say this must be done, we have to handle this. So that's why I'm continuing to fight on these things. That's why I'm going to continue to work on these things. That's why I hope we can make things happen. And that's the story. So if you had the job where you is overseeing this whole thing that's going on, what would you do to make it smoother? Mental health has such a wide umbrella and a lot of these organizations, for lack of a better term, they just don't play well together. How can we get these organizations which aren't coordinating well to come together with our legislators under a wide enough umbrella, creating a unified force they can't ignore, rather than going it alone. So this whole effort flows more smoothly. And that's a great question. You know, the answer is not everybody's under the same umbrella, multiple umbrellas. So for example, now I mean a national alliance or mental illness and one time was really focused on serious mental illness. Now it's all over the place. And when it's too broad and all over the place, it's trying to please so many people that it can't please anybody at all. And it goes where the money is, and it goes towards government and companies will give money towards mental illness it's a great sounding organization by name. They have to have the accountability. Are you making a difference with serious mental illness? So now ME has this place in terms of information and talking about stigma, but it's not pushing for innovation within an accountability within serious mental illness. Mental Health America great organization. They work on issues to make sure people with a serious mental owners can get care. But they're opposed to assisted out patient treatment. I agree with them for those who can with serve community treatment and help them and guide them along. And those people are cooperative. Awesome, that's a very important pool. But not everybody is the same. And the disability rights organizations say everybody's the same, diagnose the same treatment plan. We have to stand up and say no, that's not right. So Samson needs leadership. The assistant sector needs to lead and say I get what you're concerned about, but what you're concerned about does not apply to everyone. Everything else that takes place. When your only tools I hammer, everything looks like a nail and I tell people, well, gee, if you have a problem in your house with I don't pick anything a broken light bulb. You don't send the road crew in to pave your driveway. That's not the same. You wouldn't do that. You have to work very refined on that. And in the field of medicine, we don't treat every diagnosis the same, and with mental illness we should not treat every diagnosis the same, and the subcategories of diagnosis based upon the symptoms. A lot of what I do now, for example, I work with people with very serious post traumatic stress disorder, which can have very very major consequences from moments severe depression, severe anxiety, debilitating levels of that, psychotic behaviors from massive stress. But you don't treat them all the same. And what we can do is help a lot of people with PTA. So too it is with psychosis. We can help a lot of people. But it's going to take a leader within SAMSA, that assistant secretary come in and say, no, we're not doing everybody the same way. And two, we're going to stop the goofy programs, absolutely stop them. There's no more room for grants for yoga classes or for art classes or anything like that. You want to do that, go somewhere locally for that. Go to your local community center and get people some art classes. It's valuable, but it's not mental illness treatment, and say the money we have, the very limited money we have, we're going to spend on these things. For example, I think this year's cyclic grants, I think it's something like fifteen to twenty million nationwide for EOT you kidding meet A couple of counties could eat it up. In Pennsylvania, they passed the law on twenty eighteen that said the gay counties where with all it and permission to do AOT. One county is doing it so far and not very much. Major counties like Philadelphia and Alleghania they're not doing it. So it is this level that the Assistant Secretary has to hold states accountable. Say what are you doing? I would say, say we need more money. It says, tell me what you're doing. We want to see your plan of action and give evidence that what you're doing makes sense. Give us some accountability numbers, and don't just tell us it's approving by a percenter point. That's in general what has to happen. But it really is going to take someone the way I word this, it has to be the tenacity of Teddy Roosevelt and the compassion of mother Teresa to combine those two, neither one of them would take no for an answer, neither one, and both of them improve the world. Yeah, I think you're right there for sure. I spoke with a lady the other day from Alleghany County about making some changes, and we went through the whole process. It was almost like some of the things you just mentioned. Yeah, So I'm wondering should this start at the federal level or the local level. So many people aren't sure where to begin to push for this change. Well, one has to assess what your area has. If your county is not putting in for example, EOT, it is important that people become a very strong voice appealing to their county government and accountability. And that is not just a private meeting. That means showing up to your county meetings, in your local community meetings and city meetings and say here's a problem, take care of this, and I'll guarantee you at some point there'll be some crisis that occurs that these same parents go and say this murder, this assault, this suicide took place because we don't have the program. The bloods in your hands. Now, that's strong words, but having been in politics for a while you need strong words. I would suggest that people look at the bad Moms model out in Arizona and find out the same thing. But definitely do that, and yes, appeal on the federal government, because the federal government's going to pay with Medicare and Medicaid and other grants. So let your congressmen know and understand they may not know what you're talking about. Please don't know. Down them and say, well, we told them they're not doing anything. You have to make a very specific gass. So you can't say we want you to do more for mental health and the person will say, thank you very much, I agree with you. Let's do more for mental health. And one day that member of Congress say, hey, do we have any mental health bills I can vote on? Well, that's not good enough. You want to say, I need you to specifically do this accountability within Samson, emphasize serious mental onus. Drop the sixteen bedrule, drop the fifteen day one time admission, drop them one ninety day lifetime admission, change the hip for laws, put some money into aot. You have to punch and punch and punch in those ways, and all this with that massive accountability, just all the time you ask a member of Congress where does the money go? I think now that Elon Musk is in there with this whole Doge principle making government accountability, that could be a real plus here. Don't cut the money out of Elon, but please have it in such a way that people are that the government is asking what did you do with the money we gave you? What did you do with it? And if that area says well we don't know, well then you don't get anymore. Well then we will have a problem. Then you've got a problem, and we're going to publish that information and say you're wasting your money and you're causing cruel problems. That's boldness. But it's going to need that kind of boldness for us to do. I mean, it's just like in the Penandon. If we have generals that are not preparing our military for protecting our nation, it has to be exposed all the way down the line. So and these are lives of people with mental illness, so we need to push it there too. So in closing, what's one key thing you think the listeners need to hear about what they should be doing to make things better for all families. Speak up, Do not be silent. Silence doesn't work. It's not a means of getting action in there. And in that, please let your legislator know what your concerns are, what your personal concerns are, Tell them your story, tell them what you want them to do. Some of the articles I published at my website, which is doctor Tim Murphy dot com. That's Dr Tim mu r Phy dot com, Doctor Tim Murphy dot com. I suggest people go there. They can read some of these articles because it does have some plans of action in there. But don't give up. Please, don't ever give up. I've been fighting this for years and I know it gets very, very frustrating, very frustrating. We have a lot of sleepless nights, a lot of painful stories to swap with each other. But we can give up, and sometimes when the only people we have with each other holding us up. That's what it is. But there's a great saying. It says, you never know how strong you are until being strong is the only choice you have. And that's what we have here. We don't have any other choices. Have to be strong, to speak up, to be persistent, not to be mean, but to certainly be assertive in this and say we want to help Congress and state legislators understand this, but please, you gotta do this. Lives are at stake, Families are at stake. It's not just the law, but it really is quite forget that. Even the Bible says, you know that when you don't visit someone in prison, when you don't feed the hungry, when you walk by the homeless, that's sinful to We've got to be working on all these things on every level and never ever give up. Yes, absolutely, this has been great, great information, great conversation. I really appreciate you taking the time to come on. Well Tony great. I hope we get to work together again. Yes, me too. Thanks again, thanks for taking the time out of your busy schedule to listen to our show today. We hope that you enjoyed it as much as we enjoyed bringing it to you. If you know anyone that would like to tell us their story, send them to tonymantor dot com contact then they can give us their information so one day they may be a guest on our show. One more thing we ask tell everyone everywhere about why not me? The world? The conversations we're having and the inspiration our guests give to everyone everywhere that you are not alone in this world.