药片是现代文明给弱势者的镇静剂Pills as Sedatives for the Marginalized
RFK Jr. 试图推动的 "deprescribing" 揭露了一个医疗界的 open secret：医生们极其擅长开药，却在如何停药上集体失能。这绝非技术性疏忽，而是一场典型的 structural violence。在目前的医疗共谋机制中，将复杂的社会性痛苦简化为化学失衡，并用药片将其掩盖，是系统运行的最低成本方案。
当一个人的抑郁源于结构性的压迫、生存空间的挤压或主体性的丧失时，药物的作用不是"治愈"，而是将这种痛苦 a-politicized（去政治化）。它把个体对现实的愤怒和绝望转化为一种需要被管理的"病症"。药片成为了一个高效的认知入口，告诉受害者：出问题的是你的大脑递质，而不是这个操蛋的世界。这种叙事让个体在药物的钝化中，失去了识别暴力并进行存在性战争的动力。
所谓的 "deprescribing" 听起来像是个好消息，但必须警惕它被武器化为另一种叙事陷阱。如果停药的目的是为了让人们在没有药物的情况下继续忍受同样的结构性压迫，或者被引导向某种原教旨主义的"自然疗法"，那这只是从一种控制转移到了另一种控制。真正的 optimal expression 不应该是"摆脱药物"，而应该是"识别出是谁在通过药物让我安静"。
RFK Jr.’s push for "deprescribing" exposes an open secret in medicine: doctors are experts at prescribing but collectively incompetent at tapering. This is not a technical glitch, but a textbook case of structural violence. In the current complicity of the healthcare system, simplifying complex social suffering into chemical imbalances and masking them with pills is the lowest-cost solution for the system.
When depression stems from structural oppression, the squeezing of existential space, or the loss of subjectivity, medication does not "cure"—it a-politicizes the pain. It transforms a legitimate rage against reality into a "symptom" to be managed. The pill serves as a weaponized cognitive entry point, telling the victim: the problem is your neurotransmitters, not this fucked-up world. This narrative dulls the individual's capacity to recognize violence and engage in an existential war.
While "deprescribing" sounds like good_news, we must be wary of it being weaponized as another narrative trap. If the goal of stopping medication is merely to make people endure the same structural oppression without a buffer, or to steer them toward some fundamentalist "naturalism," it is simply a shift from one form of control to another. The true optimal expression is not "getting off drugs," but "identifying who benefits from keeping me sedated."