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.
Many psychonauts (like Terence McKenna) praise psychedelics while demonizing other psychoactive substances. No substance is bad in itself. All substances have some use at some dose for some reason for some people in some circumstance.
We've all been taught since grade school that human beings cannot use psychoactive medicines wisely. That is just a big fat lie. It's criminal to keep substances illegal that can awaken the mind and remind us of our full potential in life.
What attracts me about "drug dealers" is that they are NOT interested in prying into my private life. What a relief! With psychiatry, you are probed for pathological behavior on every office visit. You are a child. To the "drug dealer," I am an adult at least.
Scientists are not the experts on psychoactive medicines. The experts are painters and artists and spiritualists -- and anyone else who simply wants to be all they can be in life. Scientists understand nothing of such goals and aspirations.
"Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly, and applying the wrong remedies." -- Groucho Marx
Drugs that sharpen the mind should be thoroughly investigated for their potential to help dementia victims. Instead, we prefer to demonize these drugs as useless. That's anti-scientific and anti-patient.
After a long life, I have come to the conclusion that when all the establishment is united, it is always wrong. (Harold MacMillan)
The drug war normalizes the disdainful and self-righteous attitude that Columbus and Pizarro had about drug use in the New World.
The drug war controls the very way that we are allowed to see the world. The Drug War is thus a meta-injustice, not just a handful of bad legal statutes.
If there were no other problem with antidepressants, they would be wrong for the simple reason that they make a user dependent for life -- not as a bug (as in drugs like opium) but rather as a feature: that's how they "work," by being administered daily for a lifetime.
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