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:
The psychiatric pill mill would not exist but for drug prohibition.
Mad in America refuses to hold drug prohibition responsible for the problems that it causes.
Any organization that really had the interests of the depressed at heart would be fighting first and foremost for our right to use Mother Nature's medicines. Everything else is a side show.
We live in a make-believe world in the US. We created it by outlawing all potentially helpful psychological meds, after which the number-one cause of arrest soon became "drugs." We then made movies to enjoy our crackdown on TV... after a tough day of being drug tested at work.
Most psychoactive substance use can be judged as recreational OR medicinal OR both. The judgements are not just determined by the circumstances of use, either, but also by the biases of those doing the judging.
The scheduling system is a huge lie designed to give an aura of "science" to America's colonialist disdain for indigenous medicines, from opium, to coca, to shrooms.
The 1932 movie "Scarface" starts with on-screen text calling for a crackdown on armed gangs in America. There is no mention of the fact that a decade's worth of Prohibition had created those gangs in the first place.
Today's Washington Post reports that "opioid pills shipped" DROPPED 45% between 2011 and 2019..... while fatal overdoses ROSE TO RECORD LEVELS! Prohibition is PUBLIC ENEMY NUMBER ONE.
When Rick Strassman and Michael Pollan call for continued prohibition to protect young people, they ignore the ENORMOUS fact that prohibition has destroyed inner cities around the world. Wake up, guys! Prohibition is evil, not drugs! Ignorance is evil, not education!
Whether we judge people only by the words that they say or only by the substances of which they partake, we are ignoring the most important things: what they really mean and how they really behave.
As great as it is, "Synthetic Panics" by Philip Jenkins was only tolerated by academia because it did not mention drugs in the title and it contains no explicit opinions about drugs. As a result, many drug law reformers still don't know the book exists.
NIDA is just a propaganda arm of the U.S. government -- and will remain so until it recognizes the glaringly obvious benefits of drugs -- as well as the glaringly obvious downsides of prohibition. We need a National Institute on Drug Use, not a National Institute on Drug Abuse.
The best harm reduction strategy would be to re-legalize opium and cocaine. We would thereby end depression in America and free Americans from their abject reliance on the healthcare industry, meanwhile ending gang violence and restoring the rule of law in Latin America.
Unless otherwise indicated, no AI is used in the creation of site content. These essays represent the original ideas of their author and not the ideas that the author SHOULD have based on an algorithmic parsing of existing data. For more on this subject, consider the AI-related viewpoints to which the author subscribes as delineated in the New York Times opinion piece entitled "What 370,000 College Essays Tell Us About A.I.’s Effects on Creativity" by Rebecca Winthrop of the Brookings Institution.
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. 
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