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Zeke, I'm not denouncing the idea--we do BADLY need an overhaul of the mental-health system and a key part of it needs to be de-stigmatizing mental healthcare and individuals seeking or requiring it; that as part of the effort, we basically need to give the good guys something to reassure them that they won't be looked down on or lose anything, and if anything will be MORE respected for recognizing they had a problem and getting the help they need to address it.
I speak from personal experience on this, living with Asperger's; when I first started serious training I had serious worries about how it would affect my eligibility for a carry permit, and in reply one of the cops who trained me gave what I consider some of the highest praise I've ever received, telling me that after completing standard police training he would be quite comfortable swearing me in as a member of his department. (Though I know there ARE people who are like "Autistic? With a gun? *empties bladder and bowels*")
I'm not talking about a diagnosis of this or that being a reason to deny gun ownership. The system I worked in was based on overt behavior. There's a big difference between being socially awkward and chasing your wife down the street with a meat cleaver. And I wouldn't advocate that the burden of proof be on the purchaser with some kind of affirmative testing. That would be too much of an opportunity for abuse. I'd say, sane until proven otherwise. And even if you'd been denied in the past, I'd want a mechanism for reinstatement of rights if enough proof of successful treatment was presented.