Unfortunately, obsessively debating issues of rights, as is done in this book, is more than just an intellectual exercise. There are real-life consequences to decreasing the frequency of involuntary treatment. The result is that people with severe mental illness who need treatment do not receive it. For those who are homeless, homelessness continues, and this is not a benign thing. The quality of life on the streets is poor and can be abysmal—being outdoors in dangerously low temperatures, eating out of garbage cans, and having little access to treatment of medical disorders such as cardiac disease, diabetes, hypertension, tuberculosis, and infestations of scabies and lice. Life on the streets is dangerous. Rape is common, and one can be severely beaten or killed for one’s meager possessions. Where is the morality in letting severely mentally ill people be subjected to such a life because their illness prevents them from knowing what they need while we are obsessing about their rights?