This article examines the factors leading to the the failure of the U.S. mental health care system in caring for Black and Brown people with serious mental illnesses, including the Inmate Exclusion Policy and the failure of providers to accept Medicare. By: Stephanie A. Rolin, M.D., M.P.H., Danielle S. Jackson, M.D., M.P.H., and Marvin S. Swartz, M.D. — Psychiatric Services (2021).