Not pretending but interpreting based upon what I see now to be a wildly different set of biases. The medications on the bottom row and their conditions are still in many places heavily stigmatized and the reality of their existence denied (it's "fun" to be treated like a junkie by pharmacies when trying to fill a prescription that helps you function). Also, my perception of cannabis for recreational and medicinal uses being "normal" definitely made me see it in a radically different light than it was intended.
Prozac (fluoxetine): An SSRI used to treat major depressive disorder, anxiety, OCD, panic disorder, PMDD, bulimia nervosa, and other psychological disorders.
Ritalin (methylphenidate): A CNS stimulant and dopamine/norepinephrine reuptake inhibitor used to treat ADHD and narcolepsy.
Valium (diazepam): A benzodiazepine used to treat anxiety, seizures, alcohol withdrawal syndrome (potentially lethal), muscle spasms, insomnia, restless leg syndrome, and various others.
Putting these in the same league as the others, which are recreational drugs of voluntary choice (though some highly addictive) implies that the disorders that they are used to treat lack seriousness.
That people with the well-studied major depressive disorder "just need to smile more/cheer up/spark up a joint and relax" and that they don't really need to choose medications to stabilize the chemical imbalances in their brains, despite its potential to cause their death.
Or that people with ADHD, which is literally a disability, people just need to not be lazy, they don't need to choose to use medications to help with their developmental disorder of the prefrontal cortex - just reward themselves when they do.
Valium is an important medication for people with severe, debilitating anxiety disorders like GAD that can allow them to function. For some, cannabis and isolates of its chemical constituents can be very helpful but others' brain chemistry can't tolerate it.
Hell, even the NSAID medications in the second row are often used for debilitating conditions like arthritis.
Beer, coffee, and cigarettes? Not so much. Though to be fair, coffee does get used as a marginally effective self-medication for those who who have either not yet been diagnosed with ADHD or are unable to use effective medications.
Honestly, considering the comm, cannabis would be right with the medications in the third row. Yes, it's used recreationally (no problem with that, to be clear) but, it is also a life-changing and life-saving medicine for people undergoing chemo, as well as people suffering from some psychological and physical conditions.
So, yeah...pretty shit meme that goes into similar territory to anti-vax.