The Rejected and the Forgotten: What Asylum Denial Records Expose About Medical Gatekeeping in Early 20th Century America
The administrative records of who was turned away from mental health facilities in early 20th century America form one of the most revealing—and most neglected—archives of healthcare inequality in the country's history. A close examination of institutional rejection files discloses the class hierarchies, ethnic biases, and economic calculations that governed access to psychiatric care long before the modern insurance era.