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. Freud considered cocaine to be a godsend for depression3. Opium has been extolled by all the great ancient doctors -- including Galen, Avicenna and Paracelsus -- as a panacea4. 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.
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 GrownUps5" that "drugs" are not to be used for mental health issues -- even though Sigmund Freud himself was convinced that cocaine was a godsend antidepressant6.
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 drugs that cause lifelong dependency and are harder to kick than heroin7.
And so our materialist scientists are gaslighting us. 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. Consider the following positive drug use reports from Pihkal8 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 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.
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.
The main form of drug war propaganda is censorship. That's why most Americans cannot imagine any positive uses for psychoactive substances, because the media and the government won't allow that.
David Chalmers says almost everything in the world can be reductively explained. Maybe so. But science's mistake is to think that everything can therefore be reductively UNDERSTOOD. That kind of thinking blinds researchers to the positive effects of laughing gas and MDMA, etc.
The FDA tells us that MDMA is not safe. This is the same FDA that tells us that "shock therapy" is safe.
Folks point to the seemingly endless drugs that can be synthesized today and say it's a reason for prohibition. To the contrary, it's the reason why prohibition is madness. It results in an endless game of militaristic whack-a-mole at the expense of democratic freedoms.
America is insane: it makes liquor officially legal and then outlaws all the drugs that could help prevent and cure alcoholism.
Hollywood presents cocaine as a drug of killers. In reality, strategic cocaine use by an educated person can lead to great mental power, especially as just one part of a pharmacologically balanced diet.
First we outlaw all drugs that could help; then we complain that some people have 'TREATMENT-RESISTANT DEPRESSION'. What? No. What they really "have" is an inability to thrive because of our idiotic drug laws.
3:51 PM ยท Jul 15, 2024
NIDA is just a propaganda arm of the U.S. government -- and will remain so until it recognizes the glaringly obvious benefits of drugs -- as well as the glaringly obvious downsides of prohibition. We need a National Institute on Drug Use, not a National Institute on Drug Abuse.
There are no recreational drugs. Even laughing gas has rational uses because it gives us a break from morbid introspection. There are recreational USES of drugs, but the term "recreational" is often used to express our disdain for users who go outside the healthcare system.
Just think how much money bar owners in the Old West would have saved on restoration expenses if they had served MDMA instead of whiskey.
The main form of drug war propaganda is censorship. That's why most Americans cannot imagine any positive uses for psychoactive substances, because the media and the government won't allow that.