This is worth a watch on BBC Iplayer (it’s from 2017 so slightly out of date now I guess):
https://www.bbc.co.uk/iplayer/episode/b0991fsb/louis-theroux-dark-states-1-heroin-town
America’s love affair with prescription painkillers has led to widespread dependency on opiates. But following a crackdown on their over-prescription, where does this leave the two million Americans who have developed a habit for these high-strength painkillers?
With the pills now becoming increasingly expensive and scarce on the black market, vast numbers of Americans have turned to the cheaper and stronger opiate: heroin. The drug now claims more lives in the US than either car accidents or gun crime. And, for the first time in over two decades, life expectancy in the US is declining - largely attributed to the rise in fatal heroin overdoses.
It’s a sad an eye opening view of how this drug can effect people from all different backgrounds.
I don’t understand any of this enough, but I do believe different drugs (alcohol included) require diffeent approaches, both legally and for medicinal purposes. Some will be viewed as too damaging overall, and others would probably be viewed as having the potential to be legalised both for medicine (or removed from use as above) and recreational use, such as Cannabis as happens in other countries.
Legalisation brings some benefits like some form of quality control, potentially avoiding some tragic incidents, as well as tax revenue, reduced police resources, greater safety for all involved in the purchase and less related crime hopefully. I think the stigma attached to some elements of this, or being seen to support this, will be the largest barrier to some being legalised.
Others, I think, should clearly remained banned. For me however, alcohol has been my only drug as such, so I may have a different take to most!
The balance should really be between what will happen in each situation, and what will give the best outcome generally for people and society, with a level of acceptable risk. quite a few places that can be studied now, which is where this should start, not with people like me just guessing.