How drug prohibition turns Americans into children when it comes to healthcare
by Ballard Quass, the Drug War Philosopher
September 10, 2025
Drug policy has turned Americans into children. It deprives them of their time-honored right to take care of their own health. And this infantilization affects users of all controlled substances, not just illegal ones.
Take me, for instance. I am a 67-year-old who has been on the Big Pharma antidepressant called Effexor 1 for decades, and yet I am still required to visit the doctor every three months of my life in order to get refills. I am not even trusted to buy the drug without medical oversight. It is bad enough that drug prohibitionists gave Big Pharma 23 a monopoly on mind and mood medicine, thereby turning me into a patient for life with their dependence-causing "meds" -- but it adds insult to injury when they force me to visit a doctor every three months of my life to get a renewed prescription. They thereby constantly remind me that I am an eternal patient and a ward of the healthcare state. It is complete disempowerment, and yet like so many problems with modern drug policy, I seem to be the only person who is complaining about it.
This is a philosophical conundrum. How is it that Americans tolerate such enormous disempowerment when it comes to healthcare? Americans demand empowerment in all other areas of life: why not when it comes to their healthcare4?
The answer, I contend, is that they have a naive belief that they are receiving science-based healthcare and that their job is therefore simply to obey the doctors. They believe that science has developed proven cures for depression and that it is therefore Ludditism to complain about the status quo.
These contented masses seem to be unaware of the fact that there are plenty of medicines out there that could end depression in a trice -- and without causing a lifelong dependency. The wise intermittent use of a variety of drugs is all that an adult would need to take care of their own psychological health. But then that is the medical establishment's worst nightmare: a world in which human beings are allowed to take care of their own health. And so we are taught that we are children when it comes to psychoactive medicine. We are taught that we can never learn to use drugs wisely and that "doctor knows best" when it comes to mind and mood medicine. Thanks to this patronizing control of psychoactive substances, the medical establishment profits enormously from the disempowerment of Americans with respect to healthcare.
As Thomas Szasz writes:
Because these latter controls are ostensibly based on Science and aim to secure only Health, and because those who are so coerced and colonized often worship the idols of medical and therapeutic scientism as ardently as do the coercers and colonizers, the victims cannot even articulate their predicament and are therefore quite powerless to resist their victimizers.5
Drug warriors have harnessed the perfect storm. Prohibition caters to the interests of law enforcement, psychotherapy, Big Pharma, demagogues, puritans, and materialist scientists, who believe that consciousness is no big "whoop" and that spiritual states are just flukes.
"Drugs" is imperialist terminology. In the smug self-righteousness of those who use it, I hear Columbus's disdain for the shroom use of the Taino people and the Spanish disdain for the coca use of the Peruvian Indians.
Even prohibition haters have their own list of drugs that they feel should be outlawed. They're missing the point. We should not drugs "up or down" any more than we should judge penicillin or aspirin in that way.
The Holy Trinity of the Drug War religion is Janis Joplin, Jimi Hendrix, and John Belushi. "They died so that you might fear psychoactive substances with all your heart and with all your soul and with all your mind and with all your strength."
Both physical and psychological addiction can be successfully fought when we relegalize the pharmacopoeia and start to fight drugs with drugs. But prohibitionists do not want to end addiction, they want to scare us with it.
And we should not insist it's a problem if someone decides to use opium, for instance, daily. We certainly don't blame "patients" for using antidepressants daily. And getting off opium is easier than getting off many antidepressants -- see Julia Holland.
Mad in America publishes stories of folks who are disillusioned with antidepressants, but they won't publish mine, because I find mushrooms useful. They only want stories about cold turkey and jogging, or nutrition, or meditation.
Magazines like Psychology Today continue to publish feel-good articles about depression which completely ignore the fact that we have outlawed all drugs that could end depression in a heartbeat.
I hope that scientists will eventually find the prohibition gene so that we can eradicate this superstitious way of thinking from humankind. "Ug! Drugs bad! Drugs not good for anyone, anywhere, at any dose, for any reason, ever! Ug!"
Until prohibition ends, rehab is all about enforcing a Christian Science attitude toward psychoactive medicines (with the occasional hypocritical exception of Big Pharma meds).