There will be no dispensaries selling mushrooms for recreational use, as exist for cannabis in California and 15 other states. And Oregon will not be opening any legal psilocybin therapy centers until 2023 at the earliest, as the measure requires a two-year consultation with lawmakers. Since 2015 psilocybin retreats have been allowed to operate in the Netherlands, where dozens of them cater to affluent tourists. Even there the drug exists in a legal gray area, however: psilocybin mushrooms are illegal, but “truffles” (clumps of the fungus’s subterranean root-like filaments) are legal. “Rather than conduct more small trials,” she says, “I wanted to help set up something for people to access psilocybin therapy now.”Actions like this by clinicians around the world are nudging psilocybin from a fringe treatment toward mainstream medicine.