Oregon's drug policy is incoherent. They make psilocybin available to the rich and healthy, while locking up the poor and chemically dependent who could profit from it most. This half-baked attempt at a free market in psilocybin won't work until drug prohibition stops wildly distorting costs, thereby making psilocybin unavailable for those who need it most. (Psilocybin, after all, is available for free in mushroom form -- for free.2) For the latter demographic, it makes no difference if the price is reasonable in the long run: if they cannot afford it now when they need it, they are screwed.
Another problem is that Drug War fearmongering has taught us to treat psilocybin (and all other illegal drugs) like they were plutonium, causing liability costs to skyrocket, along with red tape. When I signed up for psilocybin therapy in Oregon, I complained about the endless paperwork. The facilitator apologized, noting that he himself had to fill out less paperwork when he purchased his first house. This implicit terror of drugs is so out of touch with common sense that it qualifies as a modern superstition.
That said, your point is well taken: the high prices are not a result of greed on the part of providers, but — like so many other problems in America today — are a result of an insane and counterproductive drug policy.
We need to start thinking of drug-related deaths like we do about car accidents: They're terrible, and yet they should move us to make driving safer, not to outlaw driving. To think otherwise is to swallow the drug war lie that "drugs" can have no positive uses.
How else will they scare us enough to convince us to give up all our freedoms for the purpose of fighting horrible awful evil DRUGS? DRUGS is the sledgehammer with which they are destroying American democracy.
We don't need people to get "clean." We need people to start living a fulfilling life. The two things are different.
Malcolm X sensed an important truth about drugs: the fact that it was always a self-interested category error for Americans to place medical doctors in charge of mind and mood medicine.
Had we really wanted to "help" users, we would have used the endless godsends of Mother Nature and related synthetics to provide spirit-lifting alternatives to problem use. But no one wanted to treat users as normal humans. They wanted to pathologize and moralize their use.
The "scheduling" system is completely anti-scientific and anti-patient. It tells us we can make a one-size-fits-all decision about psychoactive substances without regard for dosage, context of use, reason for use, etc. That's superstitious tyranny.
To say that taking SSRIs daily is better than using opium daily is a value judgement, not a scientific one.
The drug war is a slow-motion coup against democracy.
I have dissed MindMed's new LSD "breakthrough drug" for philosophical reasons. But we can at least hope that the approval of such a "de-fanged" LSD will prove to be a step in the slow, zigzag path toward re-legalization.
Scientists hold holistically working drugs to reductionist standards, thereby practicing a sort of pharmacological colonialsm.
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