English to Italian Medical Poetry & Literature critica alla psichiatria americana

That is the story in American mad medicine today: The line between the sane and the not-so-sane is now being drawn in such a way that two-year-olds can be put on “antipsychotic” medications, and some researchers are busily speculating that their wonderful new drugs can stop an unknown brain-damaging process in people who aren’t yet ill. Madness is clearly *afoot* in American psychiatry, and bad science—as so often has been the case in mad medicine—has helped it on its way.

la traduzione letterale non mi sembra molto sensata. (considerare poi anche il seguito "on its way" che deve accordarsi).

significati di afoot
http://www.thefreedictionary.com/afoot