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How organizations like Mad in America normalize drug prohibition

An open Letter to Robert Whitaker

by Brian Ballard Quass, the Drug War Philosopher

April 27, 2026



Any regular reader of this site -- all two of them, in fact -- will know that I am constantly complaining about the failure of movers-and-shakers in the mainstream world to engage with the endless philosophical issues that I raise in my essays. But I have recently discovered that there are at least two things worse than being ghosted on this subject, and that is being told, 1, that one has no standing on these issues, that board-certified healthcare professionals and academics are the real experts, and 2, that one is not raising particularly compelling arguments in the first place.

This is the reception that my article1 about assisted suicide for the depressed met with at Mad In America2, a website and organization devoted to helping the depressed to push back against the psychiatric pill mill. They (i.e., Robert Whitaker and staff) claim that I am not an objective source. Apparently Claire Brosseau3 must die because I do not sound objective when I point out that there are drugs that could make her want to live. It's like I have just run into the fire brigade and warned them of a fire down the street and been ignored because I was shouting and therefore not viewing the world rationally. Sometimes there are reasons to shout; sometimes there is no time to wait for a disinterested party to view the situation godlike from some ivory tower or other.

Besides, I wasn't shouting in said article, though I was certainly writing passionately, partly because I care about the Claire Brosseaus of the world, and partly because, if state-assisted suicide is right for Claire, then it's right for myself as well, since we are both chronic depressives for which the "miracle" drugs of Big Pharma did not work. When psychiatrists and pundits sign off on Claire's right to assisted suicide, they are essentially inviting me to "end it all" as well. But unlike Claire, I am not so willing to normalize drug prohibition that I will go to my grave rather than hold it accountable for its role in depressing me in the first place. I will hold drug prohibition responsible for the evils that it causes, even if no one else will.

But I should not be surprised that Robert Whitaker would not immediately grasp the relevance of drug prohibition to the debate over assisted suicide for the depressed. He does not even recognize the relevance of drug prohibition to his own organization. Mad in America is all about the shortcomings of the psychiatric pill mill, and yet the pill mill owes its very existence to drug prohibition, which gave a monopoly to Big Pharma on the creation and sale of mind and mood medicine. If Robert's goal is to get people off of Big Pharma meds, his organization should be all about ending drug prohibition in the name of healthcare freedom. Instead, he seems to consider drug prohibition as a niche issue, meriting, perhaps, an occasional post by a cautious and well-respected academic suggesting that we should maybe no longer arrest people for sourcing drugs from a non-doctor but rather send them to re-education camps where they can learn the error of their ways. And so, like the organizer of almost every other social justice organization in the country, Robert refuses to hold drug prohibition publicly responsible for the evil that it causes.

This is how Robert -- like almost everybody else in the social justice movement -- helps to normalize drug prohibition. Their silence on the topic leaves the impression that there are no downsides to drug prohibition, from which it follows in the public mind that there need not be any particular hurry to end it.




Key Takeaways:






Notes for essay entitled How organizations like Mad in America normalize drug prohibition: An open Letter to Robert Whitaker:

1: Why the Mad in America website is dead wrong about assisted suicide for the depressed DWP (up)
2: “Mad in America - Science, Psychiatry and Social Justice.” 2016. Mad in America. October 2, 2016. https://www.madinamerica.com/. (up)
3: No one would need assisted suicide if we ended drug prohibition: what Claire Brosseau's case tells us about the warped mindset of the west when it comes to drugs DWP (up)




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Ten Tweets

against the hateful war on US




The drug war is the defeatist doctrine that we will never be able to use psychoactive drugs wisely. It's a self-fulfilling prophecy because the government does everything it can to make drug use dangerous.

Here's one problem that supporters of the psychiatric pill mill never address: the fact that Big Pharma antidepressants demoralize users by turning them into patients for life.

Some outlawed drugs grow new neurons in the brain. To refuse to use them makes us complicit in the dementia of our loved ones!

Saying "Fentanyl kills" is philosophically equivalent to saying "Fire bad!" Both statements are attempts to make us fear dangerous substances rather than to learn how to use them as safely as possible for human benefit.

Here is a sample drug-use report from the book "Pihkal": "More than tranquil, I was completely at peace, in a beautiful, benign, and placid place." Prohibition is a crime against humanity for withholding such drug experiences from the depressed (and from everybody else).

Harm Reduction is not enough. We need Benefit Production as well. The autistic should be able to use compassion-enhancing drugs; dementia patients should be able to use drugs that speed up and sharpen mental processes.

"Judging" psychoactive drugs is hard. Dosage counts. Expectations count. Setting counts. In Harvey Rosenfeld's book about the Spanish-American War, a volunteer wrote of his visit to an "opium den": "I took about four puffs and that was enough. All of us were sick for a week."

Musk vies with his fellow materialists in his attempt to diss humans as insignificant. But we are not insignificant. The very term "insignificant" is a human creation. Consciousness rules. Indeed, consciousness makes the rules. Without us, there would only be inchoate particles.

Med-dependent patients of the world, unite -- to end drug prohibition, that is. You have nothing to lose but your prescription bottles and your status as a ward of the healthcare state.

No drug causes addiction after one use. From this fact alone, it follows that even drugs like meth and crack and Fentanyl can be used wisely -- on an intermittent basis.


Click here to see All Tweets against the hateful War on Us






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