This is part of why I get enraged whenever somebody on Tumblr says “People in Group X need to realize they have it really good”, or “You’re a Group X member, so stop pretending like you have real problems.” The town where I practice psychiatry is mostly white and mostly wealthy. That doesn’t save it. And whenever some online thinkpiece writer laughs about how good people in Group X have it and how hilarious it is that they sometimes complain about their lives, it never fails that I have just gotten home from treating a member of Group X who attempted suicide.

This is also why I am wary whenever people start boasting about how much better we’re doing than back in the bad old days. That precise statement seems to in fact be true. But people have a bad tendency to follow it up with “And so now most people have it pretty good”. I don’t think we have any idea how many people do or don’t have it pretty good. Nobody who hasn’t read polls would intuitively guess that 40-something percent of Americans are young-Earth creationists. How should they know how many people have it pretty good or not?

I think about all of the miserable people in my psychiatric clinic. Then I multiply by ten psychiatrists in my clinic. Then I multiply by ten similarly-sized clinics in my city. Then I multiply by a thousand such cities in the United States. Then I multiply by hundreds of countries in the world, and by that time my brain has mercifully stopped being able to visualize what that signifies.