The best harm reduction strategy would be to re-legalize opium and cocaine. We would thereby end depression in America and free Americans from their abject reliance on the healthcare industry, meanwhile ending gang violence and restoring the rule of law in Latin America.
Americans are far more fearful of psychoactive drugs than is warranted by either anecdote or history. We require 100% safety before we will re-legalize any "drug" -- which is a safety standard that we do not enforce for any other risky activity on earth.
"Now, now, Sherlock, that coca preparation is not helping you a jot. Why can't you get 'high on sunshine,' like good old Watson here?" To which Sherlock replies: "But my good fellow, then I would no longer BE Sherlock Holmes."
Drug prohibition is a crime against humanity. It is the outlawing of our right to take care of our own health.
We should not be talking about the potential harm of drugs -- we should be talking about the well-established harm of drug PROHIBITION.
Daily opium use is no more outrageous than daily antidepressant use. In fact, it's less outrageous. It's a time-honored practice and can be stopped with a little effort and ingenuity, whereas it is almost impossible to get off some antidepressants because they alter brain chemistry.
So much harm could be reduced by shunting people off onto safer alternative drugs -- but they're all outlawed! Reducing harm should ultimately mean ending this prohibition that denies us endless godsends, like the phenethylamines of Alexander Shulgin.
I can think of no greater intrusion than to deny a person autonomy over how they think and feel in life. It is sort of a meta-intrusion, the mother of all anti-democratic intrusions.
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.
Philip Jenkins reports that Rophynol had positive uses for treating mental disorders until the media called it the "date rape drug." We thus punished those who were benefitting from the drug, tho' the biggest drug culprit in date rape is alcohol. Oprah spread the fear virally.
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