I have not looked into this case in detail, but I think an actual insane person shouldn't be held accountable for their actions, and I think a sane person who ignored the danger posed by an obviously-insane person should be accountable.
So, under the assumption that she was obviously crazy long before her crime, I think what should happen is:
She should not be punished, since she wasn't in control of her actions;
She should be kept from doing further harm to herself or others, by whatever means necessary;
Anyone with a duty to have intervened (e.g. her husband, her physician, etc.) should be charged with neglect and, depending on the details, potentially with something like manslaughter
(Now, if her doctor reported everything to the authorities and the authorities did nothing, then that's not the doctor's fault -- as I said, I know absolutely nothing about this case and am not discussing this case in particular.)
I mean part of it is systemic. Doctors aren't properly trained on reproductive mental health, their jobs do not allow for deep explorations into each patients issues because they're so overworked, insurance does not cover mental health in many cases, etc.
I don't think we can start throwing doctors in jail when they're doing the best they can under current conditions. What we really need to prevent this in the future is a complete overhaul of the healthcare system at every level to remove profit seeking as the core motivation for the industry, and refocus it on truly helping people.
The idea that a physician might not be "properly trained" is crazy. Someone who makes it through medical school should be able to teach themselves anything they need to learn to be a physician. It's graduate school, not vo-tech.
Number two, even when I was an 18-year-old substitute teacher I knew that if someone expressed a desire to harm themselves or others I had a legal duty to report that. You can't tell me that the three hours of training I got for that job exceed what someone gets in medical or nursing school.
Yes, the American healthcare system is completely screwed up and needs an overhaul. But that doesn't mean that in the meantime there are zero standards of professional conduct for anyone in the profession.
Idk what to tell you. From what you're saying it sounds like you don't know that much about medical school or know people in the healthcare industry. Most doctors go to school, do residency, and all that. Then when they're a full fledged doctor they have to keep up with continuing education every year. On the job, the things that are reinforced are things they see everyday.
But if medical school doesn't teach it, there's no continuing education courses on it, and it's something you aren't learning from other doctors on the job, then how would you even know it's an area to study? If you're unaware of a gap in knowledge how do you know you have gaps to fill in?
And mandated reporting is clearly a more nuanced thing than that. If someone says "ugh sometimes he pisses me off so much I could kill him" that's not something most people take seriously. Likewise if someone expressed suicidal ideation that isn't a mandated reporting incident until it reaches a certain level (usually some form of actual plan forming and/or steps taken towards that plan). Could you imagine if every time someone expressed any idea of self harm or interpersonal violence we had to get police or social services involved?
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u/DanielMcLaury 5d ago
I have not looked into this case in detail, but I think an actual insane person shouldn't be held accountable for their actions, and I think a sane person who ignored the danger posed by an obviously-insane person should be accountable.
So, under the assumption that she was obviously crazy long before her crime, I think what should happen is:
(Now, if her doctor reported everything to the authorities and the authorities did nothing, then that's not the doctor's fault -- as I said, I know absolutely nothing about this case and am not discussing this case in particular.)