Admission (to me a shameful occasion) was hard enough. Being discharged was another matter. After five days, the health maintenance organization (HMO) covering my mental health care ruled I was no longer "sick enough" for further inpatient coverage. Ready or not, I was out. Out to the "least restrictive environment": that meant the day hospital, outside therapy groups, individual outpatient therapy—anything but the inpatient setting where I would, of course, cost more. Apparently, once I was "over" the immediate suicidal crisis, it was time to "help" me to the door.