The article can actually be summarised pretty quickly:

-Author's friend died in a car crash, which may have been suicide but the author seems to think it wasn't.
-Author's friend also had schizoaffective, and was prone to not take the drugs he was given.
-Author can't relate car crash to schizoaffective diagnosis but blazes on regardless:

-We should force people with mental illness to drug themselves because sometimes people think it's a good thing.
-Forced drugs should be used not only when people are dangerous to self/others, but when they're non-compliant. This is because of anosognosia = when people have a mental illness diagnosis but don't acknowledge it, it is part of their illness.
-Elyn Saks says forced medication is inhumane and probably wouldn't agree with calls to expand its use.
-But forced medication is cheaper than forced hospitalisation.
-And our system can already do it because: Kafka. (I don't get this part.)