The old Soviet Union did this with dissidents:
A guy would openly go around, disagreeing with Da Gummint, and Huge Quiet Guys would trundle him into the back of a sedan and pack him off to the quiet, soft house:
“You are disturbed, and you need medication...”
The system just wasn’t set up to engage in open debate and opponents of the Nomenklatura were packed off to hospitals or prison, or hybrid places.
Basically it’s dictatorship.
It’s that Brave New World the elites have been planning for the whole world.