Insight is said to be a deciding factor in establishing voluntary treatment, yet at least one recent study found that it was not a precondition. Factors such as family interaction, access to the mental health system, and outreach also contribute (3). With so many variables affecting compliance on the supply side of the mental health system, any endorsement of a "predicted deterioration" standard appears draconian (4). If such a policy were applied in another context—police officers making "predicted DWI" arrests, for example—would there not be howls of protest? Yet with mental health consumers, police power is readily applied, largely because of scarcity of political allies for this population and because such measures can be used as a smoke screen for failed mental health policy.