It is not merely suburbanization that has been caused by cars, but also the very urban fragmentation. Immigrants are no longer permitted to live in enclaves, ghettos, or the same neighborhood with one another.

Another thing about "this mental health crisis" is that it has been ongoing for many decades before we noticed it and before it was brought to the forefront. "One Flew Over the Cuckoo's Nest" was out and then President Reagan approved the mass closure of asylums. What happened was that massive numbers of citizens had been condemned and committed by their relatives and "put away" in homes, facilities, and institutions, and then Reagan shut 'em all down.

Today, the mentally ill live among us. Either their families care for them, or they live in jails/prisons because they became criminals and were convicted, or they live independently/on the streets. The mentally ill live now in "virtual institutions" where their chains and restraints consist of drugs. The drugs are what keep them connected to their home clinics and their psychiatrists. The drugs keep them coming back for more, month after month, to their pharmacies and clinics. The drugs they are convinced they cannot live without, making them compliant and unsure of what is really going on in their lives.

The non-criminal mentally ill are mostly encouraged to integrate and socialize, to seek employment and try to simulate functional human beings in society. So they live among us and they are causing more noticeable issues when they interact with people possessed of more sanity. The mentally ill are probably less likely to drive or own a vehicle, and more likely to rely on public transit, so you know where to find them.

But the mentally ill who live independently, and live with these "virtual restraints" are likewise living in fragmented neighborhoods that are not walkable and require a lot of effort to overcome the sheer distances that separate them from services and their employers. They're living among immigrants, foreigners, heathens and infidels, and on every corner is a moral trap such as easy alcohol, easy sex, easy gluttony, easy gambling that can ensnare even the sanest city dweller. These traps are, of course, legitimate businesses that cannot be shut down by a mere vice-squad raid.

So "this mental health crisis" in 2026 can perhaps be partly traced to the advent of personal motor vehicles, but I feel there are several causes that have brought it to the forefront.