The part that hasn't changed is "screw them." Nobody really cares about these people. They're viewed as an inconvenience and the debate is over the least costly way to either warehouse them or shove them aside somewhere. Most people view addiction as a moral failing and think addicts deserve whatever they get.
I've never been in favor of drug criminalization except possibly in the case of the most addictive and deadly hard drugs (crystal meth, fentanyl, concentrated opiates), but I always hoped that legalization would come with a redirection of funding from prisons and police into treatment. The latter part just isn't happening, or isn't happening with any effectiveness. My take is that nobody gives a damn and decriminalization is more about saving money than freedom or better treatment approaches.