
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.

America created a whole negative morality around "drugs" starting in 1914. "Users" became fiends and were as helpless as a Christian sinner -- in need of grace from a higher power. Before prohibition, these "fiends" were habitues, no worse than Ben Franklin or Thomas Jefferson.
Most people think that drugs like cocaine, MDMA, LSD and amphetamines can only be used recreationally. WRONG ! This represents a very naive understanding of human psychology. We deny common sense in order to cater to the drug war orthodoxy that "drugs have no benefits."
"They have called thee Soma-lover: here is the pressed juice. Drink thereof for rapture." -Rig Veda
(There would be no Hindu religion today had the drug war been in effect in the Punjab 3,500 years ago.)
Brits have a right to die, but they do not have the right to use drugs that might make them want to live. Bad policy is indicated by absurd outcomes, and this is but one of the many absurd outcomes that the policy of prohibition foists upon the world.
In a free world, almost all depressed individuals could do WITHOUT doctors: these adult human beings could handle their own depression with the informed intermittent use of a wide variety of psychoactive substances.
Politicians protect a drug that kills 178,000 a year via a constitutional amendment, and then they outlaw all less lethal alternatives. To enforce the ban, they abrogate the 4th amendment and encourage drug testing to ensure that drug war heretics starve.
If there is an epidemic of "self-harm," prohibitionists never think of outlawing razor blades. They ask: "Why the self-harm?" But if there is an epidemic of drug use which they CLAIM is self-harm, they never ask "Why the self-harm?" They say: "Let's prohibit and punish!"
The FDA is not qualified to tell us whether holistic medicines work. They hold such drugs to materialist standards and that's pharmacological colonialism.
I've found that no one thinks I "have standing" when I comment about drugs. I'm just a guy who's been turned into a patient for life thanks to drug prohibition. People think that the real experts are the doctors and scientists who profit from the status quo.
AI is like almost every subject under the sun: it takes on a very different and ominous meaning when we view it in light of the modern world's unprecedented wholesale outlawing of psychoactive medicine.

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