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.
In 1886, coca enthusiast JJ Tschudi referred to prohibitionists as 'kickers.' He wrote: "If we were to listen to these kickers, most of us would die of hunger, for the reason that nearly everything we eat or drink has fallen under their ban."
Champions of indigenous medicines claim that their medicines are not "drugs." But they miss the bigger point: that there are NO drugs in the sense that drug warriors use that term. There are no drugs that have no positive uses whatsoever.
No wonder the "Justice" Department relies on plea deals; otherwise juries could use nullification to free those charged with mere drug possession.
Outlawing substances like laughing gas and MDMA makes no more sense than outlawing fire.
No substance is bad in and of itself. Fentanyl has positive uses, at specific doses, for specific people, in specific situations. But the drug war votes substance up or down. That is hugely anti-scientific and it blocks human progress.
After a long life, I have come to the conclusion that when all the establishment is united, it is always wrong. (Harold MacMillan)
Suicidal people should be given drugs that cheer them up immediately and whose use they can look forward to. The truth is, we would rather such people die than to give them such drugs, that's just how bamboozled we are by the war against drugs.
William James claimed that his constitution prevented him from having mystical experiences. The fact is that no one is prevented from having mystical experiences provided that they are willing to use psychoactive substances wisely to attain that end.
If opium were legal, then most of the nostrums peddled by drug stores today would be irrelevant. (No wonder the drug war has staying power!)
The Drug War is the most important evil to protest, precisely because almost everybody is afraid to do so. That's a clear sign that it is a cancer on the body politic.