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I mean it's implied that they are going to make the mentally unstable pay for their own forced 'help'.
What? Where?
Literally how US healthcare works. If you pass out on a street and some kind soul calls you an ambulance, where the hospital has to perform life saving surgery, you're on the hook for every penny despite all of this happening without your consent. Of course there's recourse to have most of that debt forgiven because you didn't choose this, whereas fuck that poor shmuck who elected to have their cancer treated.
In other countries they're just happy you're alive and able to walk out in one piece.
California is a little different than the rest of the country.