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It has everything to do with what you wrote:
"Because the possible costs incurred upon the company is significantly different than welfare. A person working for a company while coked out can do something that harms a customer, their property, or w/e and that company risks being sued for a significant amount of money. Like...what do you think would happen at a hospital of a doctor makes some kind of mistake in an operation while high?"
All three bolded parts assume the person is intoxicated while at work, not just in their spare time. And the assumption is made not because of trends or past behavior, but simply because they use some drug other than alcohol. If a person has a few beers over the weekend, nobody assumes they're likely to show up to work drunk and pose a danger to others and therefore shouldn't be hired (or should be fired) due to liabilities. So why does that assumption get made when it comes to MJ or coke? That makes no sense at all, it's just prejudice.
Maybe you're not the one making that assumption, and you're just explaining the reasoning behind it on behalf of companies that do drug testing. In which case I stand corrected about YOU holding prejudice beliefs, but they are still prejudice regardless.
Well...a smart company would also take note if someone came in intoxicated as well. I also understand that alcohol is the most abused drug out there that results in thousands of deaths, rapes, domestic violence, ect. The main problem here, I think, comes with liability. If an employee does messes something up the company can be held liable on a greater scale if said person was working under the influence.