Listen now | The drug war is a massive public health program, but that only raises the question of what public health is and what it should be.
Even beyond what's literally the government, the healthcare sector seems to assume you need to be told what to do and not informed of the tradeoffs and aided in decision making.
I couldn't get breastfeeding to work for my first kid, and I tried to an absolutely insane degree, where I wish I could go back and slap some sense into myself. But the advice is always "try as hard as you can" and never "here are the benefits, the costs are real, when they get to high it's probably smart for you to quit."
It's so focused on manipulation rather than information that a lot of the literature and prenatal classes contain outright lies about the benefits. A paradigm shift is certainly in order.