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The statement "living in a world that is really an insane asylum without doors or real sane doctors" appears to be a metaphorical or exaggerated way of expressing frustration or dissatisfaction with the state of the world or society. It may reflect a perception that the world is chaotic, irrational, or lacking in proper leadership or guidance.

It's essential to recognize that the world is a complex place with diverse perspectives, cultures, and challenges. People's experiences and perceptions of the world can vary greatly based on their individual circumstances, beliefs, and values.

While there are certainly challenges and problems in the world, it is also important to acknowledge the positive aspects and progress that has been made in various areas, such as science, technology, human rights, and social justice.

Mental health issues, including the need for access to appropriate mental health care, are real and significant concerns. If you or anyone you know is struggling with mental health issues, it is essential to seek professional help from qualified healthcare providers.

Addressing global issues and improving the state of the world often requires collective efforts, empathy, understanding, and open dialogue. Constructive actions, advocacy, and positive changes can contribute to creating a better world for everyone.

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