Gore Vidal presents a critical view of the government's seemingly contradictory stance on health and drug regulation. While the government spends considerable effort testing commercial drugs, it simultaneously arrests individuals for using "hard" drugs based on health concerns. This raises skepticism about the authenticity of their concern for public health, especially considering the government's long-standing refusal to provide a national health service like those in other First World countries.

Vidal's commentary highlights the irony of a government that appears tyrannical and uncaring while prioritizing health in specific contexts. It suggests that the true intentions behind drug policies may be questionable, leading to a sense of distrust among citizens regarding the government's commitment to their well-being.