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Sometimes I get the impression that just about everybody is pretty disastrously wrong about something, so much so that a layperson like me can't even determine which direction is up. I feel that way about drug abuse epidemics.
e.g. It's difficult to figure out which addictions are *treatable at all.* Yes, we have talk therapy & medical B&Bs, and for some things we have methadone or suboxone. But which of these work? How often? For whom? For how long? Shouldn't that stuff be central to the discussion?
We talk a lot about "stigma," but we also talk about "normalizing," and then we skirt around the obvious questions re: whether it's desirable to reduce the stigma on current users if it risks normalizing use. (Which is, ofc, a very big deal if we can't effectively treat addicts.)
People understand that LSD isn't the same as meth, but they don't necessarily get that 1990s meth may not be functionally equivalent to 2020s meth. And so on. Opioids have been with us for centuries, but the mortality rates we're seeing now are new. We need to zoom way, way out.
I do actually worry, for example, that broader **public** elite acceptance and utilization of some so-called "hard drugs" — LSD and mushrooms (for insight), ketamine & MDMA (for mental illness), etc. — may have paved the way for broader acceptance of more addictive drugs
It can simultaneously be true that mushrooms for end-of-life care, MDMA for trauma & ketamine for depression are all brilliant suppressed treatments, AND that street meth and heroin are zombifying and killing the less privileged at an alarming clip
Easily accessible drugs + weak social life = drug abuse. Not particularly complex.
You’re almost there. Just keep the heuristic when people are within their zone of expertise too. The hot science of today is the embarrassing mistakes of tomorrow.
I also feel this about the way people talk about 'freedom'
Thinking agency problems - addictions and treatments are profitable and their absence is not... William S. Burroughs gave a testimony to Congress along these lines in the 70’s after publishing ‘Naked Lunch’ Addiction, like other medical conditions probably has answers all over.
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