> There has to be some kind of middle way where people who are deeply sick can have healthcare even if they are resistant and also heavy guardrails in place to prevent them from being abused while they're vulnerable.
The only guardrails that work to prevent abuse are community connections and the right to refuse.
In clinical treatment, many human rights abuses are normalized to the point where people being abused believe that's just what treatment is without someone outside the system to provide perspective (and usually abuse will continue without someone to advocate alongside the person being abused).
It's just an obvious matter of course that people who can't say "no" will become objects to the treatment provider. Without some counteracting force, providers will manipulate people in their care to satisfy their own incentives and convenience.
If people don't want treatment, we should ask what's wrong with the treatment, rather than forcing people into it. It's rarely helpful and makes things even harder down the line.
The only guardrails that work to prevent abuse are community connections and the right to refuse.
In clinical treatment, many human rights abuses are normalized to the point where people being abused believe that's just what treatment is without someone outside the system to provide perspective (and usually abuse will continue without someone to advocate alongside the person being abused).
It's just an obvious matter of course that people who can't say "no" will become objects to the treatment provider. Without some counteracting force, providers will manipulate people in their care to satisfy their own incentives and convenience.
If people don't want treatment, we should ask what's wrong with the treatment, rather than forcing people into it. It's rarely helpful and makes things even harder down the line.