Not Waving, Drowning: Mental Illness and Vulnerability in AustraliaQuarterly Essay 85: On mental health and vulnerability

How can we mend Australia's broken mental health system?

Mental illness is the great isolator - and the great unifier. Almost half of us will suffer from it at some point in our lives; it affects everybody in one way or another. Yet today Australia's mental health system is under stress and not fit for purpose, and the pandemic is only making things worse. What is to be done?

In this brilliant mix of portraiture and analysis, Sarah Krasnostein tells the stories of three women and their treatment by the state while at their most unwell. What do their experiences tell us about the likelihood of institutional and cultural change? Krasnostein argues that we live in a society that often punishes vulnerability, but shows we have the resources to mend a broken system. But do we have the will to do so, or must the patterns of the past persist into the future?

"In our conception of government, and our willingness to fund it, we are closer to the Nordic countries than to America. However, we're trending towards the latter with a new story of Australia. The moral of this new story is freedom over equality, and one freedom above all - the freedom to be unbothered by others' needs. However, as we continue to saw ourselves off our perch, mental health might be the great unifier that climate change and the pandemic aren't." Sarah Krasnostein, Not Waving, Drowning

This issue also contains correspondence discussing Quarterly Essay 84, The Reckoning, from Gina Rushton & Hannah Ryan, Amber Schultz, Malcolm Knox, Janet Albrechtsen, Kieran Pender, Sara Dowse, Nareen Young, and Jess Hill