No. I feel such a background detracts from @Vendetta 's goal in writing Vendetta. It is not to comment on the society of the day but to tell a story like the Godfather and Boardwalk Empire of an individual mobster of the day.
It has realism and realistic portrayals of the times within it but those aspects are always secondary to the game play and storytelling.
If Vendetta was to include things like Sanitariums with all their historical horror - it would actually derail the story and cause more disruption than he was looking to write
YMMV - on this aspect. This is my impression from what was said in the OP, the old feedback and what little was said on the new changes so far. So I might be totally of base
Backgrounds are not classes - as a result, I actually see some being more popular than others but I don’t see any that will be disliked or that nobody likes. Especially if Bob continues to write as well as he has for the past few years.
That doesn’t mean that the backgrounds couldn’t be improved with better names, more individual tweaking (as is now being suggested) and perhaps refocusing - I also agree that there will be a line for expanded content but that is more a function of Vendetta’s wriing and his ability to produce that content.
Also, one thing:
How this even relates to historical fact is beyond me. Even as early as the 19th century street gangs of an earlier era in New York, females were a fact of gang life. Why their participation would entail a Sanatorium and a guy’s participation wouldn’t is something I do not make the connection with.
Different treatment by laws in this criminal situation is a valid scope of inquiry, no doubt, but these matters were not handled by the mental health system for women - the sentencing, prosecution and enforcement differences within the judicial/criminal system in regards to gender is both documented and studied, even as early as this story takes place.