There is suspicion that a co-pilot ran an airliner that he was flying into the ground because of mental illness. Apparently, he had tried to get help for his personal problems and it is suspected that treatment was not successful. This is not the first time that a pilot appears to have deliberately crashed a plane. No mention is made of any structural problems in the systems that are supposed to support pilots.
I worked as a psychologist in a counseling center that served a health care school, including medical students, who were understandably reluctant to use the service. One of their teachers made it a point to mock the counseling center (in class) because "mental illness" is biological problem that requires medication, not conversation. In addition, the med students knew that mental illness was justification for refusing or revoking a medical license, and might prevent them from obtaining malpractice insurance.
The structure of the systems almost guarantees that none of the future physicians would get the help they needed, and implicitly encourages them to conceal their problems. The few medical students that did seek counseling were paranoid about the privacy of their records, and justifiably so. Self-medication with alcohol is a problem for physicians - not surprisingly. The system is structured to protect itself, and fails to protect medical students, physicians, and indirectly, their patients.
Catch-22, Joseph Heller's novel about WW II, describes the same dilemma:
“There was only one catch and that was Catch-22, which specified that a concern for one's safety in the face of dangers that were real and immediate was the process of a rational mind. Orr was crazy and could be grounded. All he had to do was ask; and as soon as he did, he would no longer be crazy and would have to fly more missions. Orr would be crazy to fly more missions and sane if he didn't, but if he was sane he had to fly them. If he flew them he was crazy and didn't have to; but if he didn't want to he was sane and had to. Yossarian was moved very deeply by the absolute simplicity of this clause of Catch-22 and let out a respectful whistle." (from Catch-22)
The trap of contradictory rules in a beauracracy also applies elsewhere:
"Catch-22 says they have a right to do anything we can't stop them from doing."
"What the hell are you talking about?" Yossarian shouted at her in bewildered, furious protest. "How did you know it was Catch-22? Who the hell told you it was Catch-22?"
"The soldiers with the hard white hats and clubs. The girls were crying. 'Did we do anything wrong?' they said. The men said no and pushed them away out the door with the ends of their clubs. 'Then why are you chasing us out?' the girls said. 'Catch 22,' the men said. All they kept saying was 'Catch-22, Catch-22. What does it mean, Catch 22? What is Catch-22?"
"Didn't they show it to you?" Yossarian demanded, stamping about in anger and distress. "Didn't you even make them read it?"
"They don't have to show us Catch-22," the old woman answered. "The law says they don't have to."
"What law says they don't have to?"