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Of course, there are no real life Arkham Asylums, because this would have some pretty bad implications for models of society in general besides the „It takes one bad day approach.�

For instance critical questions like
Who runs and makes money with these institutions, just as with prisons?
Why this high incarceration rate in the US?
Is there an open debate about restorative and retributive justice models?
Wouldn´t making much more people crazy on purpose produce more cash flow for the madhouse just as making stricter laws produce prison slave labor?

So let´s better stick with the cozy world of graphic novels and enter the lovely universe of� oh wait, there was something.
Good straight morality

getting contaminated

until it Jokers´ out

This underlying question of morality, ethic, and who says what is ok (burning evil witches, killing evil infidels, investing in hedge funds and financial derivates) and not is what makes many great works, although just rarely with such fantastic manifestations as the Joker. Because he´s deep and the morality most appropriate for him might be
Batman or the Joker? And is it a BDSM Bromance that doesn´t just end with them laughing together, but an even bigger, unknown, inofficial ending before the police comes?
So there is this one guy fighting for the state, police, corporations, society, and all the mad criminals that are…born that way? Decided to do that because they realized that it made them hard? No, wait, it are the good ones, the superrich bat with his investments, the politicians with their lobbyists, the whole rotten system itself that produces these poor individuals themselves. That´s the postmodernist deconstruction of everything that was once nice and cozy and throwing back the body of proof to the ones who deem themselves judges.

The „It takes one bad day approach� could evolve into boot camps for moneybags
Like many psychological real life studies, this is just not scientific. I´m sure that, repeated with loads of naked people in different vehicles and soft porn, there will be as many outcomes as stabilities of psyches themselves. Some might enjoy it, some get PTSD, and for some, it´s not even hardcore enough. But the idea of showing wealthy, protected people who don´t know what real life and suffering means the darkness of many existences is a nice idea to get them to start thinking. Maybe as kind of boot camps for the elite who have to work in average and low paying bone breaking jobs with breadline, poverty, violence, and discrimination. Wouldn´t that be fun?

Bleach the clown
I´m sure that there is certainly a deeper meaning too, something like that narcissism and egocentrism are so omnipresent in our society that, after many miseries have shattered the poor pal, his disfigurement is the missing puzzle piece to ultimate madness.

Joker speeches and mentality
They´re distillations of the underlying, mentioned themes and the most disturbing thing is the fact that he really has some points. While Batman is the sober, philistine moralizer who can´t get out of his skin, the Joker's argumentation is as flexible as possible and sometimes more realistic than the pathetic, patriotic approach that ignores vast parts of reality for the sake of a meaningless glorification of pathos. That´s why

Antagonists are sometimes the true rebels and freedom fighters
Especially in the historical context, this is a pretty freaking big history mind penetration. Close to all real life big heroes, national icons, be they kings or presidents, had blood on their hands and contamination in their brains because of the ideologies that fueled their periods. Most of these mutations of humanities are seen as inhumane, crazy, and destructive nowadays, but where agendas and commandments centuries and, more important, just decades ago. So everyone rebelling against these systems, no matter how violent and cruel, is somehow unwittingly making the world a better place by sensitizing and alerting the public. Our nowadays, violent and nonviolent resistance activists, modern Jokers, are just treated like the mad peasants criticizing duke and king, slaves wanting freedom, women wanting rights, etc. So it may be possible that they´re right and we just not crazy enough to understand and see the truth.

Tropes show how literature is conceptualized and created and which mixture of elements makes works and genres unique: