And neither are they symptoms of a specific biological malfunction. We just happen to be highly social animals and if we are continually denied social interaction we'll start to do increasingly stupid things to provoke a reaction. Programs that give those people an outlet for their interaction needs will work wonders for almost all of them. Zero care freedom versus lockup/forced medication is a false dichotomy.
If only accessible mental health services were easy to reach for those whose lives are so crippled by mental health that they have little other options (even if some would still "opt out") ...
> and their medical decision-making as you do
For many, there is zero medical decision-making involved because there is zero or near zero access to mental health care.
As an EMS provider, I truly believe (and I'm certainly not alone) that the two major health crises facing the US are mental health and opioid use, misuse and abuse.
But you could certainly make rules about doing the first two on a bus.
After all, do you deny boarding to people who look like they might break the rules? Ask them nicely to disembark if they start? Have the driver manhandle them off? Stop the bus and call the cops? Rely on scowls and tutting from other passengers?
With that said, I spent a few years riding busses in university, and didn't encounter problems from other passengers. Punctuality, service frequency, crowding and journey times were much bigger problems for me.
Which means if you want to be comfortable, you’re going to have to minimize time spent in the commons.