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There were social reasons and developments in psychopharmacology as well -- this Wikipedia page [0] on deinstitutionalization in the US might be worth a quick read or skim.

There's also a WP page on the history of deinstitutionalization world-wide [1]. It starts from the 19th century, talking about sanitariums and what happened with them.

[0] https://en.wikipedia.org/wiki/Deinstitutionalization_in_the_...

[1] https://en.wikipedia.org/wiki/Deinstitutionalisation

There's a great Slate Star Codex post on this narrative: https://slatestarcodex.com/2016/03/07/reverse-voxsplaining-p...

There was another story on HN yesterday about Hospice care. So if you take babies, children, mentally ill people, and dying people what percentage of society needs to be protected in some form or another?