I think the issue isn't involuntary commitment always being dystopian, its what we do with involuntary commitment in terms of how the institutions are run and the access people have to get released from it. It's at least theoretically possible to have involuntary commitment that is humane.

I think most cities are seeing the results of what happens when we mostly can't involuntarily commit people -- drug addiction, homeless camps, and some dangerous behavior towards other people. Many of these people will reject any kind of voluntary treatment, and its a big problem. We're giving people who have mental health problems more agency than they actually have to reject treatment.