Frustrating, because moderate recreational drug use is fine and occasionally even beneficial as a social lubricant or creative spur. Have a beer, smoke a joint, do a bit of LCD, it won’t ruin your life.

But also, people do have real material health care needs - both physical and psychological. They need secure homes and nutritious foods and freedom from a certain degree of anxiety. A big driver of the opioid crisis wasn’t simply evil pharma companies (although they certainly played their role). It was amateur athletics, construction work, factory work, and other physically strenuous jobs responsible for chronic physical pain.

Rather than providing people reasonable work schedules, protective equipment, and physical therapy for their broken bodies, we just doped them up and sent them back on the jobs. And it work! Productivity surged! For a little while! And then these people became reliant on opioids to the point where they weren’t efficient workers. So they were fired and replaced with younger people who were given a new prescription of opioids to treat the next generation of chronic pain. And we did this for three generations. And now here we fucking are.

Now we’ve got folks in the tech sector telling their staff to start micro-dosing with LCD. We’ve got online hustlers who are told to stay up for days at a time continuously churning out new work product by leveraging the benefits of amphetamines. We’re got sales bros and bar service workers who are expected to drink their clients under the table night after night. We’ve got sex workers who are expected to endure physical and psychological abuse for a paycheck. We’ve got IT guys jacked up on whatever the fuck is in modern energy drinks who come off it by smoking a bunch of the most potent weed on the planet.

That’s modern drug use for you. Its not a means of lubricating social interactions or spurring personal creativity or taking the edge off pain. Its just a tool to get people to work past their natural limits.