The most consequential design flaw was one I did not notice at first: the treatment team belonged to the unit, not to the patient. The hospital was arranged as a ladder of security levels, and as you climbed or slipped, you changed units, and your team changed with you. To be processed by a system built for safety is to become a case rather than a person. What I needed, and what almost no institution is built to provide, was not more watching and not another medication trial. We have built institutions that can stabilize a person without ever knowing one, and then we have called the result care.