Ecstasy pills
Credit: portokalis

During the 1970s, the U.S. began what has now become known as the “war on drugs,” a reaction to the counterculture and drug-fueled climate of the 1960s. To the government’s dismay, these policies did nothing to quell the use of illicit drugs; rather, it opened a huge market for the illegal development, distribution and importation of psychoactive and hallucinogenic substances like marijuana, cocaine, LSD and, later, ecstasy and designer drugs.

Forty years later, the U.S. is facing a very different problem—a nation addicted to prescription drugs. And to make things a bit more complex, some of these illicit “street drugs” are now being hailed as potential breakthrough therapies for depression, post-traumatic stress disorder, and possibly even autism. With the FDA’s recent decision to designate MDMA (also known as ecstasy) as a breakthrough therapy for PTSD, the increasingly blurred lines between prescription and illicit drugs in the U.S. and their impact on health and society are becoming even more complex.

As a graduate fellow at Boston University, I helped teach an introductory course on […]

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