Comment by benreesman

We could also stop gerrymandering the use/abuse line and just make a call as a society: we use drugs (most people most places most of history) or we don't fuck with drugs (most of the Islamic world, certain subcultures).

America is a Puritan origin society with a temperance faction that has been everything from writing the Constitution to largely ignored, standards for alcohol, cannabis, scripts fluctuate like hemlines: a typical adulthood will see multiple incompatible regimes of acceptable use vs unacceptable abuse.

None of that is anything to do with compassionate provision of high-quality medical care to vulnerable people (a strict ethical and practical good). Compassionate provision of high quality support is both expensive and leaves no room for insider/outsider lizard brain shit, i.e. not a very American thing to do in the 21st century.

Our society needs to get its shit together on this, not further weaponize it.