Not “less human”, but yes to all the rest. I guess I must be a sanist.

Sanism names a deep, pervasive belief that ppl who appear out of control, incoherent, or in psychiatric crisis are not trustworthy, less human & fundamentally disruptive to social life. It’s a hierarchy of credibility and belonging, where visible distress = danger/contamination

— Beatrice Adler-Bolton (@realLandsEnd) February 23, 2026

Beatrice Adler-Bolton
@realLandsEnd

Sanism names a deep, pervasive belief that ppl who appear out of control, incoherent, or in psychiatric crisis are not trustworthy, less human & fundamentally disruptive to social life. It’s a hierarchy of credibility and belonging, where visible distress = danger/contamination

1:59 AM · Feb 23, 2026

https://x.com/realLandsEnd/status/2025752283435196882

This tweet by Beatrice Alder-Bolton, co-author of Health Communism: A Surplus Manifesto, has been garnering interest, as it was intended to do. As the title says, while I never doubt the humanity of people who appear “out of control, incoherent, or in psychiatric crisis”, I do think that while they remain in this state in public places they are disruptive to social life. I also think that while in this state they are untrustworthy.

Beatrice Alder-Bolton would like us to believe that she trusts them. If she had said that she sympathised with people visibly in psychiatric crisis, I would have believed her. I also sympathise. If she had said that she tries to engage with such people in order to help them, I might have believed her. I have met a few kind souls who habitually respond in this way. I admire them (the kind souls) from a safe distance. But when Beatrice Alder-Bolton implies that she thinks the man having a psychiatric crisis in front of her on public transport is trustworthy, I do not believe her. Her body goes onto high alert just like anyone else’s. And speaking for myself, you bet I don’t trust the crazy guy. You bet I think he might be dangerous. And if he has just emptied his bowels or his bladder in the carriage I do indeed fear contamination.

But in order to be worthy of trust myself, I cannot simply dismiss Beatrice Alder-Bolton as a high-functioning mad left-winger of the sort that even other left-wingers are beginning to realise are poisonous to their cause (“I am begging leftists and liberals to not do this again. It is normal and smart to be nervous and on high alert when someone behaves in a profoundly anti-social way (peeing on the subway) and/or a threatening way (screaming on the subway). The more cities tolerate this, the fewer people ride public transport, the worse that transport gets, and eventually it gets to a breaking point and people wind up voting for right-wing politicians who come in and crack skulls and way over-police.” – Jill Filipovic), I have to acknowledge that when Alder-Bolton’s way of thinking is described as “left libertarian”, the “libertarian” part is perfectly real.

I wrote about the influence that the libertarian writings of Thomas Szasz had and continue to have on me in a post called “Ideology and Insanity on the New York Subway”. Just as certain chemicals are harmless in themselves but dangerous in combination with others, the way that Szasz’s* libertarian ideals combined with the dominant suicidally empathetic ideals of our time has produced results like the random murder of Iryna Zarutska by Decarlos Brown.

There are ways to respect the equal humanity of those who cannot function in society while, well, continuing to have a society. Private property is one, and if that is too much for modern sensibilities, the rediscovery of the right to exclude mad people from public property. To use Ms Alder-Bolton’s word, sanism. The rediscovery of proud, unapologetic sanism.

*You say it “sasses”. In Hungarian the digraph “sz” has the same function as the English letter “s” and the letter “s” on its own is pronounced the same way as the English digraph “sh”. Confusingly, Polish is the other way round.