It's very sad for me to see the never-ending duels about who is more responsible for the current mess in the mental health system - consumers or providers. I think, the sooner we accept that both are responsible the sooner things will start changing. In this sense, MH system is no different from any other business. When we buy any product or service, we, as consumers, are encouraged to make ourselves informed, to do our research. This means that the society places a certain responsibility on a consumer. But it also places a certain responsibility on a provider. Providers are supposed to be transparent and honest in how they do business so the consumers are able to make informed choices. While MH industry is by no means the only industry that has a vested interest in not being honest, it is the industry that so far has been under the least public scrutiny by comparison with other industries. However, like any enterprise it follows the same dynamics that any business follows: it starts changing only when there is a pressure from the public to change. So, like it or not, the change will start with consumers or it won't start at all. And it will only happen when consumers close their wallets. It won't happen when harmed consumers yell, rant, attack and shake their fists at providers. Providers couldn't care less about verbal attacks because that doesn't put them out of business. What puts them out of business is when you stop giving them your hard-earned money. Once they are not able to sell their services they will start caring and they will start listening.