Drug addicts in the 2090s had entire new labyrinths of gleaming pathways to the artificial paradise. The polity would not allow any conventional marketing of illicit drugs, but with a properly kitted-out tincture set, and the right series of biochemical recipes, you could make almost any drug you pleased, in quantity sufficient to kill you and a whole tea party full of friends. The polity recognized that drug manufacture and possession were unpoliceable. So they contented themselves with denying medical services to people who were wrecking their health.