Constraints related to organizational and personal finances were mentioned by both nurses and patients. The amount of time a patient or caregiver thought a patient should remain in the hospital had little effect on how long the patient actually stayed. Short lengths of stay were attributed by patients and nurses to minimal insurance coverage for mental illness. When the insurance stopped, patients were discharged. One patient wondered if substandard patient care created supply and demand — if patients were not helped, they would inevitably be admitted again, creating a steady flow of revenue from patient readmissions. Other patients described the dread of pending discharge from a hospital stay that did ‘nothing’: