Decomp,
"Based on that reasoning, we shouldn't punish people at all for crimes they commit when they're off their meds."
That's not how I see it.
They need to be held accountable, after all medication usually helps their behavior & they KNOW that.
I have some conflict in certain circumstances.
The lunatic killer in prison in Arizona, refused his meds, and could not be tried under those circumstances. If the court ordered him to take them he would face trial & the death penalty.