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Small-Scale Question Sunday for July 23, 2023

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

Culture war topics are accepted, and proposals for a better intro post are appreciated.

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Mostly concur, but would like to add a dose of your own (well stated!) nuance.

I don't like the bright line distinction between "legal" drug and "illegal drug." The fact of the matter is that while it is easy to say "hey, if we all just use drugs safely and don't put ourselves in the position to harm others, we can legalize all but the most chemically addictive / mind altering," there is going to he a HUGE percentage of the population that just can't adhere to those guardrails and, worse, will cause disproportionate negative impact to the rest of society. It can't just be 0-or-100 legal versus illegal for substances. I much prefer the illegal-decriminalized-legal spectrum, as well as penalties on associated behaviors.

The best example is alcohol. If I'm hammered inside of a bar (legal) and then go outside, I'm now drunk in public. This is anywhere from a fine to misdemeanor offense in most jurisdictions but, most importantly, is often not aggressively enforced. It's used as an automatic gotcha when someone who is technically drunk in public starts engaging in antisocial behavior; accosting passers by, opening urinating / defecating, dangerous pedestrian conduct around traffic etc. For most people who just sort of stumble home - even if they're truly wasted - they probably won't catch the charge.

So, for substances like weed, psychedelics, MDMA, I'd like to see something similar and heavily tilted towards fines instead of "on your permanent record!" charges. Let's say you take some mushrooms and stare at your hand in the park for hours. Cool, guy. Have fun. But if you take a bunch of mushrooms and run around naked and shouting, I'd like to see not only the disorderly conduct charge, but also something along the lines of "psychedlic safety fine." This goes towards sending a signal - and imposing a real material cost - that might modulate the behavior of marginal users (hardcore addicts / abusers is a different story and I acknowledge that ... as should we all). If you're on the borderline between problem usage and harmless recreation fun, I really want there to be a feedback loop for you to conclude, "every time I take mushrooms, I get a ticket, a summons, and it costs be $300 extra bucks. I can't keep afford to act this way.)

I haven't totally thought through the second order effects of these ideas, so if I've missed an obvious anti-pattern, I'll wipe the egg off my face.

I like the idea of a “psychedelic safety fine”. You could even design it so that it escalates if you get repeat offenses. Maybe on the first offense the fine is very small and you have to take a drug education course. Then if you get fined again it goes up to $500 and any future offenses would increase in dollar amount.

As you have noticed there is a lot of nuance and things to be worked out when it comes to psychedelic policy. One other thing I think about a lot is how to you encourage people to take psychedelics with a sober trip sitter? I think that would prevent a lot of the bad outcomes, but at the same time there are many people who can take psychedelics without a trip sitter and not experience any problems.

For now I’m just in favor in anything that moves psychedelics directionally toward decriminalization or legalization. There will be many things to optimize as the legal status changes.

If psychedelics become legal here are some other policy optimization considerations:

  • Affordable access – If psychedelics can only be done in clinical settings and insurers don’t cover the cost then how do you make it affordable for those in need?
  • What to do about things like Peyote and the Sonoran Desert toad that produce psychedelic compounds but are in danger of being overharvested. Synthetic analog compounds exist so maybe different policies are needed from an environmental conversation perspective.