Because the obviously psychotic Cho wasn't committed. Because our mental health system was systematically dismantled in the 1970s. Read this important article by Dr. Jonathan Kellerman (yes, the author).
Dr. Jonathan Kellerman, WSJ: A DANGER TO SOCIETY
Bedlam Revisited
Why the Virginia Tech shooter was not committed.
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In Dr. Kellerman's article, Thomas Szasz is ultimately made out to be the villain here by having argued against involuntary commitment.
You might be interested in Szasz's opinion about the Virginia Tech Massacre which can be found here, and is sort of a rebuttal:
http://www.fee.org/in_brief/default.asp?id=1257
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