I mean, the US medical system is terrible in basically every way, but it’s nice to know it’s worse than everyone else in this particular way, too.

I expect there’s probably the “rich folks” version of your open asylums that are marketed like “mental health retreats” or something and cost as much as a house, but generally if you don’t have the luxury of shopping around reviews for the hospitals you’re staying at, you’d just wind up in a “closed” one here. And the person who needs to check in because otherwise they know they won’t eat for a week probably isn’t checking reviews.