A nationally representative sample of 795 US Americans rated the moral status of psilocybin use in a licensed setting as morally positive for both treating a psychiatric condition and enhancing well-being, showing strong bipartisan support. These attitudes can inform policy-making around supervised psilocybin use. The study did not explore attitudes toward unsupervised or non-licensed use.
As interest in psychedelics like psilocybin, ketamine, and MDMA revives and their legal status changes in many places, ethical guidelines are urgently needed for both medical and non-medical use. This paper argues that focusing only on medical applications neglects potentially valuable uses in other contexts and raises ethical issues including hype, exceptionalism, informed consent, therapeutic touch, data collection, and balancing access with safety. The authors call for renewed attention to the treatment-versus-enhancement distinction from bioethics and stress that guidelines should be flexible and context-sensitive. They recommend incorporating diverse stakeholder perspectives and cross-sector collaboration in future research and policy for psychedelic bioethics.