This means a move away from the nanny state and toward a society that deals with substance (ab)use as a normal part of the human condition. If we can't go that

This means a move away from the nanny state and toward a society that deals with substance (ab)use as a normal part of the human condition. If we can't go that far, let's at least start dealing with it as a medical issue — which it is — instead of as a criminal one. Yes, there's crime around drug use/abuse (leaving aside the use itself being criminal where it's illegal and criminalized). In many if not most cases, however, that crime would be mitigated, or even eliminated, if the use, itself, weren't criminal.