Against a backdrop of mass incarceration in America and a growing public understanding that the land of the free locks up more people than any other nation in the world, little attention has been paid to the evolving civil mechanisms that allow the state to deprive individuals of their liberty – often forever – under the guise of treatment. These systems represent a growing medicalization of crime, where criminal behavior is supposed to be caused by a mental problem rather than the person’s free will. If we commit crime because we are sick, then it would make sense for society to help make us better. This is dangerous thinking: It opens a door to a world in which we start to punish the criminal instead of the crime; a world in which the government is justified in imprisoning people because of who they are – and what they might do in the future – instead of only punishing crimes that we can prove they have committed beyond a reasonable doubt. In many ways, that world is already here.