At first glance, Vivek Ramaswamy appears as a compelling presidential contender for libertarians. His rhetoric around limited government and personal responsibility resonates with those wary of state overreach. However, Ramaswamy’s recent proposal to reopen state psychiatric institutions armed with coercive power exposes a profound notion that should deeply alarm everyone who values constrained government power. This dangerous idea grants unchecked and coercive power to a system that has long served to oppress—not protect—the vulnerable. As psychiatrists go, few were as influential and...