Consider all the barriers that obstruct transparency for a value-based outcome in traditional medicine. However, the greatest barricades impeding access to healthcare value reside in the domain of mental health services. Mental health care is handicapped by an incomplete understanding of brain function, the inability to predict cost of care, and the randomness of when a psychiatric emergency will trigger gun violence or suicide. This podcast will explore the evolution of mental health services and argue its inclusion as part of transparent traditional medical care.