[bzbarsky]

Note that countries used to do a lot more forced institutionalization than they do now. There were lots of abuses (even in the West, to say nothing of the way it worked in the Soviet Union: https://en.wikipedia.org/wiki/Political_abuse_of_psychiatry_... should be a must-read for anyone arguing for government involvement in institutionalization decisions) and people have backed away from that sort of thing.

It's possible that Europe and the US have swung too much to the other extreme now, of course. But as you say this is very much not black and white.

[SpaghettiCat]

And there have been at least as many cases of political abuse of the police force, should we also cut down on that just because there is a potential for abuse? Many instutions that are intended to good can be abused or used as political weapons under a totallitarian government, but I think the potential for abuse is much reduced under a more benevolent political system.

[bzbarsky]

Police abuse in a "benevolent political system" generally reads to things like bills of rights and restrictions on when the police can arrest people. Sometimes that means criminals go free.

That's precisely what happened with psychiatric institutionalization: abuses (not just in totalitation regimes) led to restrictions on when it can happen. Sometimes that means that people who maybe should be institutionalized are not.