Earlier quoted context omitted.
The only problem I see with legalizing all prescription drugs is that a lot of people would use them off label or in inappropriate context (ie taking antibiotics when you have a viral infection). I think this could be managed with an appropriate regularity framework that I think should probably apply to psychoactive drugs as well. This would be some sort of licensing system. Anyone can get a license to buy antibiotic…
Antibiotics would be far worse to deregulate than even the hardest recreational drugs, because widespread flawed use would harm other people at scale by promoting drug resistent strains. I think legalisation ought to be driven largely evidence of harm, not just by abuse of the drugs, but systemic harm both of legalisation vs. criminalization, but with a reasonably high level of ability to take personal risk. E.g. for…
That particular cat is well out of the bag as, according to the WHO[0], a full 1/3 of antibiotics users obtained their last doses without a prescription. In fact, many countries (unlike the US) don't require prescriptions for antibiotics.
Which really sucks, as antibiotic resistance will (barring some serious scientific breakthrough(s)) likely be a huge problem over the next century or so.
I don't have a good answer WRT that, but agree with much of what you wrote.
[0] https://www.who.int/europe/news/item/21-11-2022-1-in-3-use-a...