I'm pretty libertarian when it comes to recreational drugs, but I do worry that we're not exploring the mechanism of these drugs properly when there is polarization to either those seeking prohibition of recreational drugs or those seeking the pleasure from the same drugs. I'm of the opinion that if a root cause of your issues, and mine, could be established an optimized treatment could be determined that maximizes the beneficial outcome and minimizes the detrimental. My root cause is ADHD / dopamine dysregulation and I respond well to medication like Low Dose Naltrexone and Low Dose Modafinil. I think for people with my kind of issues we'd benefit much more from those than from MDMA even if they are much less fun medications to take. It's unfortunate that doctors do a terrible job here so the libertarian part of me is very thankful for the black/grey markets and I benefit from the self experimentation of others, at the same time I think it's incumbent on me to let others know about alternatives to MDMA that I think are worth exploring.