And then there are the clinical, social, and economic issues faced by many persons with serious mental illness that don't mesh with the enthusiasm accompanying the recovery movement. How can one recover—in any sense of the term—in America in 2006 with a total monthly income of $500, or while homeless, or with no health insurance? It is not clear how the recovery orientation directly helps with these problems. Worse, it may distract us from thorny issues such as these, the solutions to which will require additional resources. And then there are the patients who are tormented by their mental illness symptoms but deny that they are ill and in need of treatment. Can they reach further for self-determination, life satisfaction, and community integration? Maybe so, but I worry that the recovery bandwagon leaves them out and, furthermore, that it may generate unrealistic expectations among patients and their families. Mental illnesses are highly disabling, and, as recent reviews have emphasized, our science has not come even close to being able to cure or prevent them. Learning to live better in the face of mental illness doesn't alter that reality.