After the horrifying killing in Anaconda, Montana, where Army veteran Michael Paul Brown is accused of killing four people and remains at large, local families are reeling—not just from the violence, but from the unanswered questions about what could have prevented it.
A relative of one of the victims told reporters, “Mental health is real,” referring to Brown’s long-documented struggles with multiple mental health labels that have no objective way to be verified by brain scans, blood work, or x-rays—including schizophrenia, post-traumatic stress disorder (PTSD), and bipolar disorder. Like in the case of Robert Card, the 2023 Lewiston, Maine shooter who killed 18 people and injured 13 others, Card was referred for psychiatric review by his Military command. After the autopsy, Card, who taught explosives for the military, suffered traumatic brain injury. There can certainly be real medical issue that produce symptoms, that might appear to be mental health related but in fact are medical conditions.
Montana’s response to mental health challenges has come under intense scrutiny, especially after state leaders chose to outsource control of the entire mental health system to a global consulting powerhouse tied to China. In 2023, state officials awarded a $300 million contract to Alvarez & Marsal, a New York-based firm partnering with Zhongze Group, a Chinese state-owned conglomerate. The decision locked Montana’s most private health data and program oversight into the hands of consultants with questionable allegiances, bypassing community input and local providers.
AbleChild.org spearheaded the battle to expose these arrangements, demanding transparency and warning of the risks when public health oversight is handed to multinational firms with foreign connections. As tragedy rocks the community, the state’s willingness to let outsiders manage—and profit from—Montana’s most vulnerable populations reflect a crisis not just of care, but of trust.
Beyond Montana, concern is mounting nationally about states outsourcing mental health administration or data management to firms with Chinese partnerships or ownership around data privacy, security, and sovereignty. While Montana’s is one of the highest-profile cases due to the large investment and public outcry, other states have also engaged with global consulting firms whose networks include Chinese interests, sparking debates on protecting vulnerable populations from outside influence.
The mental health killings all have one thing in common: the withholding of mental health records released to the public on exactly who was treating these individuals and the exact names of the drugs prescribed.
Hellbound and Down 