This book identifies and analyzes twenty cultural "choke points" that have each contributed to cultural decline in America. The book defines how these choke points have contributed to the destruction of our foundational institutions. We will study these foundational institutions and why they are essential to a healthy national culture. When they collapse, so does the culture. Based upon this analysis we can assign the exact year cultural disintegration began in America. What American decline in particular, and Western decline in general, shows us is that democracy is a temporary occurrence in world history and that we are coming to the end of the current historical epoch that began emerging approximately five hundred years ago. This book will propose an educated speculation at what will replace the current epoch. Certifiably Insane is a chronicle of the process of democracy’s inevitable self-demolition.