This podcast episode explores the impact of deinstitutionalization on state psychiatric hospitals, focusing on the case of Northern State Hospital in Washington and the consequences of transitioning from psychiatric hospitals to community care. It highlights the tensions between declining numbers and rising costs, the inadequate funding and closure of Northern State Hospital, and the challenges faced by patients like Phil Dyro after release into a society ill-equipped to support them. The episode raises questions about the priorities in allocating funds for community health care and the need for a more comprehensive approach to address the gaps in care and resources.