No criticism of the intentions or dedication of most of the folks who work with crisis hotlines, especially the volunteers, so long as they get the training, are diligent in what they do, and understand their limitations (we don't need the occasional maverick volunteer, which happens in any field).

I advocate for a standard of care that is clinically proper, regardless of funding availability or politics. If we don't push the envelope, society, politicians, and voters have no motivation to make things better, and patients who suffer because of mediocre care -- regardless of the reason -- will keep suffering. I'm not unreasonable when I criticise (I've been on all sides of the process), but I think I have valid views about what people really can do, and what patients really have a right to expect, in many situations.