I recently heard a psychiatrist affiliated with the American Psychiatric Association (APA) complain that the insurance industry, motivated by profit, has pushed the APA to narrow the diagnosis for Bipolar Disorder — so there may be fewer insurance claims approved. This may be true. But one wonders: How will it be an improvement when the federal government becomes the primary insurer for everyone, and is motivated both by cutting costs and by politics? My fellow mental health professionals are among the top supporters of government-financed, socialized medicine. Most Americans seem to want it now, too. Are they too dense to realize that government will have to control costs just like private insurance companies did? And that, unlike private insurance companies, who can go out of business, government is accountable to nobody?