One has to be accepting that medical professionals are not superhuman and don't have magic bullets for chronic illness. But I don't know where you are coming from with such a pompous statement about being "responsible" for psychosis. The minimum "responsibility" that I can imagine being taken for a patient who has a crisis would be to move a regular appointment up after (or before) they land in the ER, and in the healthcare system I'm familiar with, it doesn't appear to happen. Are you used to something different? Or maybe you have a different idea of responsibility?
It's nothing special, just a job. But people are perplexed and they can't imagine why doctors are like that. I said you have to do the hours to understand, nothing special.
It's very hard to understand their thinking without being yourself a patient or doctor.
TLDR: You need to spend 1K hours as a doctor, or shadowing, or something similar.
When you are responsible for people with psychosis your perspective changes. Can't play nosql games with people's lives.