A practicing psychologist, active in public policy work, supports the recommendations made in Lester's article, “How Do I Code for Black Fingernail Polish? Finding the Missing Adolescent in Managed Mental Health Care.” Psychotherapy outcome research is consistent with Lester's premise that managed mental health care policies hinder effective, evidence-based results. The role of stigma in perpetuating neglect in managed mental health care is also highlighted. Efforts by psychologists to educate policymakers and to become involved in politics are described. Efforts to change insurance policy through collaborative efforts with other social scientists is encouraged.