I think it's a little insulting to go straight to the muh mental health discourse with a mental health worker who systematically slaughtered his former charges, to be quite honest.
As opposed to what? How would you have covered this?
Well, sometimes, you see, perfectly sane people have horrible worldviews and kill people because of them. Uematsu is a eugenicist; he sees disabled people as burdens, and sees people who aren't 'productive' as unworthy of life, so he killed them. Having a horrible, evil worldview does not automatically mean you can write somebody off as insane, any more than voting for the wrong political party automatically means you can write somebody off as stupid.
Uematsu actually
was committed to a mental hospital at one point, and released two weeks later. They 'diagnosed' him with 'marijuana-induced psychosis'--i.e. basically 'sluggishly progressing schizophrenia' for countries where nobody understands how drugs work.
Clearly, something more than 'giving more power to the mental health establishment' would have been needed here.