I found the question come up on both communist and anarchist subs, and the difference in responses was quite striking.
As a longtime PTSD sufferer who self-medicates to the hilt just to do simple things like fall asleep or leave the house, the idea that I would either lose access to, be forced underground, or prosecuted for my recreational habits terrifies me.
I understand the rationale is in a functioning communist state, I would no longer feel the need for those drugs. Does it follow the science of recreational marijuana, psychedelics, ADHD, anxiety, depression, etc.? Or is the ambition to ween everyone off? And does that apply for all manner of distraction and entertainment as well?
I'd imagine that in a communist society, self medication would be extremely rare and purely optional. Everyone would have free access to medical and psychological assistance that would be more effective than taking recreational substances by one self.
That said, it's hard for me to personally imagine no control over drugs. As an extreme example, something would have to be in place to stop young children from doing heroin or other opiates. However, the major difference would be that such regulations would not be criminal punishments in all but the most extreme cases (e.g. producing and selling kiddie heroin specifically targeted at children).
In the end though, I think this is more of a practical issue than an ideological issue. I'd imagine that even most anarchists would agree that if the problem became like China after the Opium Wars, and a quarter of the population was hooked on debilitating drugs, some sort of centralized legal measure would have to occur if education alone was not enough to prevent mass harm.
tbh i doubt that. self medication can be done after getting a prescription once so you dont have to waste time talking to a doc. i do this sometimes due to an anxiety+ptsd combo.
also, theres no guarantee the revolution will be trans friendly and i might have to self medicate.