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Living in the age of Pharmacracy

how drug policy turns the depressed into patients for life

by Brian Ballard Quass, the Drug War Philosopher

September 3, 2025



In Ceremonial Chemistry, 1974, Thomas Szasz introduced a crucial word for understanding our modern society in the age of drug prohibition.

"Inasmuch as we have words to describe medicine as a healing art, but have none to describe it as a method of social control or political rule, we must first give it a name. I propose that we call it pharmacracy, from the Greek roots pharmakon, for 'medicine' or 'drug,' and kratein, for 'to rule' or 'to control.'1"


This pharmacracy is all about disempowering human beings when it comes to their ability to take care of their own health, including, most critically, their most intimate mental and emotional states. This state of affairs could (and should) be challenged on all sorts of grounds by all sorts of stakeholders in the drugs debate -- including religious seekers, philosophical researchers, the anxious, pain patients, etc. -- but perhaps the best way to elucidate its tyrannous nature is to review the status quo from the point of view of the chronically depressed. In the age of pharmacracy, such individuals are forced to go without time-honored godsends like coca and opium while yet being shunted off onto modern Big Pharma meds which are harder to kick than heroin2 3. Freud considered cocaine to be a godsend for depression 4. Opium has been extolled by all the great ancient doctors -- including Galen, Avicenna and Paracelsus -- as a panacea5. And yet drug law outlaws these empowering substances. And why? On the grounds that they can be misused by the young people whom we refuse to educate about drugs.

The impact of such inhumane and anti-scientific prohibition drug policy is most egregious for the depressed; they are literally denied the ability to heal in such a world. Instead, they are turned into wards of the healthcare state by being shunted off onto modern dependence-causing antidepressants 6.

Amazingly, no one seems to be raising this objection in the pushback against drug prohibition. This is due to the unfortunate fact that many Drug War critics are materialists and so they themselves believe in the category error whereby Westerners placed materialists in charge of mind and mood medicine in the first place. Even Carl Hart declares in "Drug Use for GrownUps7" that "drugs" are not to be used for mental health issues -- even though Sigmund Freud himself was convinced that cocaine was a godsend antidepressant8.

In reality, we have two causes of pharmacracy: first, drug prohibition which gave scientists a monopoly on treating mind and mood disorders, and second, the hubris of the scientists, which made them gladly except the lucrative baton and to run with it -- like a pharmacological Midas, pathologizing everything they touch so that all the psychological issues that can no longer be treated easily with coca and opium must now be treated by board-certified doctors. How? With Big Pharma 9 10 drugs that cause lifelong dependency and are harder to kick than heroin11.

And so our materialist scientists are gaslighting us12. They tell us -- by their actions and their words -- that there are no benefits for drugs that have glaringly obvious benefits: like the time-honored panaceas of coca and opium 13 . Consider the following positive drug use reports from Pihkal14 and then try to tell me that such emotional states could not be of enormous benefit to the depressed, to the point of even convincing them to refrain from committing suicide.

I experienced the desire to laugh hysterically at what I could only describe as the completely ridiculous state of the entire world.

I learned a great deal about myself and my inner workings.

I acknowledged a rapture in the very act of breathing.

The feeling was one of great camaraderie, and it was very easy to talk to people.


These are just a few of the reports of users on the phenethylamines synthesized by Alexander Shulgin. And yet our FDA sees no positive uses for the depressed. Surely they are gaslighting 15 us! This is the same FDA that promotes shock therapy for the severely depressed! This is the same FDA that approves of drugs whose side effects as advertised on prime-time television include death itself 16 .

This is what pharmacracy means for the so-called "mental health patient" in the age of the Drug War. It is very simply "the world turned upside down," a world wherein all obvious pharmacological aids are outlawed and all dubious and fiercely dependence-causing materialist remedies are foisted upon the depressed as the only game in town.


Notes:

1: Ceremonial Chemistry: the ritual persecution of drugs, addicts, and pushers Szasz, Thomas, Anchor Press/Doubleday, New York, 1974 (up)
2: Psychedelic Medicine: The Healing Powers of LSD, MDMA, Psilocybin, and Ayahuasca Kindle Miller, Richard Louis, Park Street Press, New York, 2017 (up)
3: Lee Robins' studies of heroin use among US Vietnam veterans Hall, Wayne, National Library of Medicine, 2016 (up)
4: Sigmund Freud's real breakthrough was not psychoanalysis DWP (up)
5: Ceremonial Chemistry: the ritual persecution of drugs, addicts, and pushers Szasz, Thomas, Anchor Press/Doubleday, New York, 1974 (up)
6: Antidepressants and the War on Drugs DWP (up)
7: Drug Use for Grownups: Chasing Liberty in the Land of Fear Hart, Carl (up)
8: On Cocaine Freud, Sigmund (up)
9: How Drug Company Money Is Undermining Science Seife, Charles, Scientific American, 2012 (up)
10: Why Is Biopharma Paying 75% of The FDA’s Drug Division Budget? LaMartinna, John, Forbes, 2022 (up)
11: Psychedelic Medicine: The Healing Powers of LSD, MDMA, Psilocybin, and Ayahuasca Kindle Miller, Richard Louis, Park Street Press, New York, 2017 (up)
12: How psychologists gaslight us about beneficial drug use DWP (up)
13: The Truth About Opium by William H. Brereton DWP (up)
14: Scribd.com: PIHKAL: A Chemical Love Story Shulgin, Alexander, Transform Press, New York, 1991 (up)
15: The Semmelweis Effect in the War on Drugs DWP (up)
16: RINVOQ RX List (up)







Ten Tweets

against the hateful war on US




I might as well say that no one can ever be taught to ride a horse safely. I would argue as follows: "Look at Christopher Reeves. He was a responsible and knowledgeable equestrian. But he couldn't handle horses. The fact is, NO ONE can handle horses!"

Rick Strassman reportedly stopped his DMT trials because some folks had bad experiences at high doses. That is like giving up on aspirin because high doses of NSAIDs can kill.

I looked up the company: it's all about the damn stock market and money. The FDA outlaws LSD until we remove all the euphoria and the visions. That's ideology, not science. Just relegalize drugs and stop telling me how much ecstasy and insight I can have in my life!!

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.

In fact, that's what we need when we finally return to legalization: educational documentaries showing how folks manage to safely incorporate today's hated substances into their life and lifestyle.

I'd like to become a guinea pig for researchers to test the ability of psychoactive drugs to make aging as psychologically healthy as possible. If such drugs cannot completely ward off decrepitude, they can surely make it more palatable. The catch? Researchers have to be free.

What is the end game of the drug warrior? A world in which no one wants drugs? That's not science. It's the drug-hating religion of Christian Science. You know, the American religion that outsources its Inquisition to drug-testing labs.

Materialist puritans do not want to create any drug that elates. So they go on a fool's errand to find reductionist cures for "depression itself," as if the vast array of human sadness could (or should) be treated with a one-size-fits-all readjustment of brain chemicals.

"There has been so much delirious nonsense written about drugs that sane men may well despair of seeing the light." -- Aleister Crowley, from "Essays on Intoxication"

The war on drugs has destroyed America's faith in the power of education. In fact, it has made us think of education as WRONG in and of itself. It has made us prefer censorship and fear-filled ignorance to education!


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






Three takeaway lessons from the use of morphine by William Halsted, co-founder of Johns Hopkins Medical School
How drug prohibition makes it nearly impossible to withdraw from antidepressants


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Thanks for visiting The Drug War Philosopher at abolishthedea.com, featuring essays against America's disgraceful drug war. Updated daily.

Copyright 2025, Brian Ballard Quass Contact: quass@quass.com


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