Boris Gudenuf
Deity
Double-edged sword. It decreases productivity by increasing the number of
addicts, but it also contributes to long-term productivity by allowing people to
overcome some illnesses.
It could also be seen to increase the overall "wisdom" of a society by
increasing the number of grandparents who can pass on their experiences and
observations to the younger generations, as well as acting as cheap child care.
OTOH, those same old people and their beliefs can stifle innovations and social
progress through their unshakeable beliefs in the "old ways".
On the gripping hand, as Larry Niven put it, they help maintain lawns by keeping
young people offa them.
"I want a one-handed Economist, because whenever you ask them a question, they always say, '-on the other hand" - H. Truman
So, 'on the other hand', the Opiates made a big change in medicine, especially Battlefield Medicine, because they made it possible to perform surgery without needing 4 - 6 big men to hold the awake and screaming patient down while you cut him up. Unintended Consequences were an estimated 250,000 Opiate Addicts coming out of the American Civil War as wounded veterans, because the doses they were given were 'guesses' and almost invariably too high and too often.
On yet another hand, as the Octopii would say, virtually every human society has had 'substance abuse' problems of one kind or another: alcoholism is not new, nor is 'over indulgence' in other substances: the Greeks referred to the 'Smoke Eating Scythians' because the Scythians had a ceremony in which they let a large bonfire burn down to coals, threw 'plants' onto the fire, and danced through the smoke 'until they saw visions'. Modern archeologists doing pollen-count analysis of the southern Russian/Ukrainian steppes have found that a large percentage of the vegetation there was not only grasses, but hemp plants...
We recognize today the 'extremes' of addictive substances: tobacco, opiates, etc, but throughout history distilled alcohol, wine, hemp, coffee, tobacco, chocolate, cocoa/cocaine, opiates - just about anything with a psycho-active component has been identified as an addictive substance, with which their respective societies/cultures had to deal.