I have concerns about the general SWOT (strengths, weaknesses, opportunities, and threats) analysis by the authors that tiptoed around the larger societal and policy-level issues. The authors seem rather wishful that community mental health problems will be greatly helped by increasing funding in that sector. However, the reality is that no meaningful, substantial social changes have been undertaken to create a basic safety net for people with serious mental illnesses. China has no unemployment security, the current public medical insurance is woefully not in keeping with the actual costs of medical care, and welfare for the indigent is still a remote idea. In the context of these social realities, individuals with serious mental illnesses are not likely to spend precious time and resources to seek or secure care. Available care is typically targeted to those who have adequate insurance or families who are willing to pay, and there is still enormous pressure for any service to be self-funding and profitable. Making money on the backs of people with serious and chronic mental illness is never achievable. Social reforms in regard to safety-net creation are needed—not simply increased funding that does not address issues of social inequity and barely keeps up with the rate of inflation in China today. Spending that is not guided by reform of the social safety net will miss the point.