Prescriptions aren't required in many countries of the world. Protecting people from themselves is not a good reason. If it were lots of dangerous activities would be illegal.
You can risk your life to make it more fun, but not more healthy?
Prescriptions in the USA have only really been a thing for the century since the Harrison act, which brought drug smuggling with it.
It'd be convenient if we could assume perfect personal responsibility, but human behavior doesn't align with that assumption.
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