Americans were divided as to their choice for president, but much less so on their support for ballot propositions that legalized previously prohibited drugs.

In 2018, the leading cause of death under age 45 was accidental overdose. Even so, Arizonans voted to legalize recreational marijuana. Montana, New Jersey, and South Dakota voted to legalize the use and possession of recreational marijuana for those over 21 years of age. Washington, D.C., residents legalized the use of magic mushrooms and other psychedelic substances. Oregonians voted to decriminalize all drugs, including heroin.