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Dorothea Dix and others attempt to create a federal "madness" policy.

Date: 1848

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Dix and others call for the federal government to set aside 5 to 10 million acres of land for "insane asylums." The federal call is defeated, resulting in state-by-state determination of mental health services, which includes many private and religious interests bidding for and winning the right to define services for the "insane."