"Drug misuse is not a disease, it is a decision, like the decision to step out in front of a moving car. You would call that not a disease but an error of judgment"
About this Quote
But the subtext is less “addicts are bad” than “systems are hungry for narratives that absolve everyone.” Dick, a writer obsessed with how reality gets edited by institutions, is suspicious of any framework that turns messy human behavior into a tidy diagnosis. “Disease” suggests inevitability, expertise, treatment industries, and a consoling removal of agency. “Error of judgment” drags agency back into frame, uncomfortably, and implies that the culture around the user - peers, dealers, cops, doctors, family - also participates in the conditions that make that error more likely.
Context matters because Dick is not theorizing from a safe distance. His life was threaded with amphetamines, paranoia, and the brutal productivity demands of pulp-era science fiction. That history gives the quote its unnerving edge: it reads like self-indictment as much as indictment of others. The car image also does double duty as science-fictional fatalism: once you step off the curb, physics takes over. The “decision” may be tiny; the consequences are not. That’s why it works: it compresses the whole debate - agency, responsibility, sympathy, prevention - into one irreversible moment.
Quote Details
| Topic | Ethics & Morality |
|---|---|
| Source | Help us find the source |
| Cite |
Citation Formats
APA Style (7th ed.)
Dick, Philip K. (2026, January 17). Drug misuse is not a disease, it is a decision, like the decision to step out in front of a moving car. You would call that not a disease but an error of judgment. FixQuotes. https://fixquotes.com/quotes/drug-misuse-is-not-a-disease-it-is-a-decision-76242/
Chicago Style
Dick, Philip K. "Drug misuse is not a disease, it is a decision, like the decision to step out in front of a moving car. You would call that not a disease but an error of judgment." FixQuotes. January 17, 2026. https://fixquotes.com/quotes/drug-misuse-is-not-a-disease-it-is-a-decision-76242/.
MLA Style (9th ed.)
"Drug misuse is not a disease, it is a decision, like the decision to step out in front of a moving car. You would call that not a disease but an error of judgment." FixQuotes, 17 Jan. 2026, https://fixquotes.com/quotes/drug-misuse-is-not-a-disease-it-is-a-decision-76242/. Accessed 12 Feb. 2026.




