Psychiatric Supervision, Medication, and Therapy don’t necessarily eliminate all suffering, and certainly have no guarantee of reform or a cure. Kristi Noem had a perfectly fine young animal capable of training by qualified owners of which many were likely available in her area, she instead chose to kill her dog. This is a great example of how outcomes with excess suffering are always worse and that many people are too mentally incompetent to weigh their options. If her dog were judged by a jury, it would have been acquitted.