You are emphasizing a Federal control over free people with rights, which unfortunately falls into the Leftist plan. Unacceptable.
The fight is to decentralize the Federal government. Return the Federal government to the maintenance of the union, not the ruling entity the Left has successfully manipulated it to become IMO.
I don’t believe we can succeed with the type of opposition we have in the Left by leaving a single crumb on the floor. We have to eliminate the ruling Federal, and make it the Constitutional Federal it was intended to be.
The constitution does recognize that there are legitimate national authorities, and even though many of these legitimate authorities have been terribly abused, at their core they remain legitimate.
Real federalism, on the confederacy model, is attractive right now because of the abuses of the national government, but in their extreme, as well, they do not work as well as the balanced approach envisioned by the founding fathers.
The debate between federalism and anti-federalism will never be resolved “one way or another”, because things work best when there is limited contention between the two ideas.
However, this being said, when states ran insane asylums, there were many abusive problems. But this was a product of the times. Had the national government run them at the time, it would have made the same mistakes, or worse.
Eventually the state asylums more or less collapsed, from a combination of institutionalizing people who shouldn’t have been, and the tremendous costs associated with caring for the dangerously mentally ill. In many cases, they were just warehoused, pumped full of drugs and left in a near coma state for 23 out of 24 hours in a day.
In any event, the states no longer want to pay for the high security medical care for the dangerously mentally ill, so have abrogated that responsibility. This leaves only the national government as the institution of last resort.
Given their past horrific misconduct, they can be given no grace at all to provide care without strenuous supervision by non-governmental organizations, and only then after rigorous evaluation of prospective patients.
But someone has to. Society can no longer tolerate the criminally insane walking among them, and prisons are wholly inappropriate for the genuinely insane.