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The Financial Times has long held an editorial line broadly supportive of drug law reform, with frequent articles critical of the international war on drugs. The FT debate has developed in the last couple of weeks with two opinion pieces unambiguously calling for legalisation and regulation of all drugs, and yesterday, a counter-point prohibitionist response.
The first pro-reform piece by Willem Buiter
(professor of European political economy at the London School of Economics’ European Institute) is titled
'Legalise drugs to beat terrorists'(August 7 2007) makes a solid, if familiar, set of pragmatic economic arguments for legal regulation and control of drugs, concluding:
"So legalise, regulate, tax, educate and rehabilitate. Stop a losing war, get the government off our backs, beat the Taliban and deal a blow to al-Qaeda in the process. Not a bad deal!"
Much the same ground is then covered in another excellent comment piece, albeit from a broader political perspective, by Mathew Engel in the FT magazine, titled
'High Society' . He concludes:
"It is clear that drugs policy would be infinitely better conducted if governments actually had some influence on the business. Legalisation would enable them to tax the drugs, ensure quality control, cut out the most dangerous strains, help genuine addicts, try to prevent the sale to minors, de-glamorise the habit and, above all, deny the gangs and the terrorists their financial lifeblood. But, as so often, politicians find it safer to go in for posturing than useful action."
Yesterday (August 15th) saw a response defending the prohibitionist status quo from Joseph Califano (
chairman and president of the National Center on Addiction and Substance Abuse at Columbia University, and author of High Society: How Substance Abuse Ravages America and What to Do About It. He was US secretary of health, education and welfare from 1977 to 1979). It is titled
'Drug legalisation is playing Russian roulette' and is a veritable Aladdin's cave of factual inaccuracy and childish prohibitionist misunderstandings. I feel duty bound to challenge some of its more heinous misrepresentations of reality:
The opening salvo is that legalisation:
'...is a one-way ticket to destroying millions of children, increasing violent crime and pushing up healthcare costs.'
Is it not plain to see that this is exactly what prohibition has achieved with quite devastating effect over the past four decades? We then learn that:
"Teen smoking and drinking are at epidemic levels in the US and across much of the European continent. In Great Britain, keeping bars open has led to an explosion of drunkenness among teens so widespread that the government is likely to return to limited hours for pubs."
He is correct about the epidemic of drinking and smoking, but it should be pointed out that with more effective regulation of smoking (price controls, advertising bans, bans on public smoking, large scale public education about smoking risks, health warnings on packaging etc) smoking levels have been dropping since the 1970s. These are precisely the sort of pragmatic interventions that are impossible with illegal drugs, control of which has been entirely abdicated to criminal gangs and unregulated street dealers. (for more discussion see
'What about the kids?', page 49, and
'Talking about tobacco and alcohol', page 37, in Transform's new guide:
'After the War on Drugs, Tools for the Debate'). Next up:
"Experts such as Columbia University's Herbert Kleber believe that, with legalisation, the number of cocaine addicts alone could leapfrog beyond the number of alcoholics. The experience of European nations that have tried various shades of legalisation bears him out."
This is just utter nonsense. Not only is the cocaine-addiction-leapfrogging-alcoholism theory completely un-evidenced supposition of a single individual (who was the deputy US drug tsar), but there is nothing whatsoever in the European experience that
'bears him out'. Cocaine use is higher in the US than almost anywhere in the world and no country in Europe has legalised it. Alcohol remains the most widely consumed drug in Europe, as everywhere else, by an enormous margin. I have no idea what he is talking about. Next:
"Switzerland's "Needle Park", touted as a way to restrict a few hundred heroin users to a small area, turned into a grotesque tourist attraction of 20,000 heroin addicts and junkies. It had to be closed before it infected the entire city of Zurich."
Yet more classic prohibitionist sleight of hand. Firstly, Needle Park was not
'legalisation'. Heroin was not legally supplied in needle park, rather, its illicit use was tolerated within a specified zone. The experimental tolerance zone, and that it all it was, did indeed fail. However, As a result (disgracefully unmentioned by Califano), the Swiss Government then proceeded with a bold and pragmatic move towards
actual legalisation by setting up a network of heroin prescribing clinics for long term relapsing users to receive pharmaceutical heroin (of known strength and purity unlike illicit street supplies) to be consumed under medical supervision in a clinical setting. This policy:
- has been a great success on all public health and criminal justice indicators,
- has proved to be excellent value for money,
- has reduced public nuisance, street dealing and drug litter,
- has led many more long term users into rehab and abstinence than if they had remained in the clutches of illicit underground drug scenes
- and has -unsurprisingly- been copied by many countries including Canada, Australia and much of mainland Europe. Onwards....
'In the Netherlands, anyone over the age of 17 can drop into a marijuana "coffee shop" and pick types of marijuana just as they might choose flavours of ice-cream. As crime and the availability of drugs rose, and complaints from angry residents about the decline in their quality of life multiplied, the Dutch parliament trimmed back the number of marijuana shops in Amsterdam and the amount that can be sold to an individual.'
If there was a rise in crime there is nothing to suggest it was related to the coffee shop system. The availability of cannabis since 1976 has beentolerated and effectively licensed and controlled, with complaints being limited to a small area of Amsterdam frequented by rowdy tourists and stag parties. The system has recently been streamlined with some sensible new restrictions imposed, but it remains alive and well, enjoying broad (and increasing) support from the public, parliamentarians, and law enforcement. It should also be pointed out that cannabis use has risen everywhere since 1976 but has risen slower in Netherlands than many other countries: young people's cannabis use in the Netherlands is substantially lower than either the UK or the US.
"Under decriminalisation in Italy, possession of a few doses of drugs such as heroin has generally been exempt from criminal sanction. Today, Italy has about 200,000 addicts, the highest rate of heroin addiction in Europe."
Incorrect. The highest level of heroin addiction is in the UK (with 300,000+ addicts for a comparable total population) where there is very much
not a policy of tolerance, let alone decriminalisation. Califano further fails to mention the policies of Portugal, Germany, and the Netherlands, which have also de-facto decriminalised (and/or prescribe) heroin,
all of whom have equal or lower levels of use than Italy. "Most Aids cases in Italy are attributable to drug use."
A typically distasteful drug warrior misrepresentation of reality. Most cases of HIV transmission in Italy are attributable, very specifically, to
injection of
illicit drugs, mostly heroin. There is no HIV transmission or AIDS caused by non-injecting drug use, or any form of legal drug use, including the use of prescribed heroin with clean needles as discussed above re: the Swiss system (and its HIV/AIDS not 'Aids'). Drug related HIV transmission amongst injecting drug users is very specifically a result of prohibition. I find it faintly disgusting that Califano is defending the system that has caused such misery and death whilst attacking those who propose proven approaches that entirely eliminate the problem. With a heavy heart, on we go....
"England's foray into allowing any doctor to prescribe heroin was curbed as heroin use increased."
More laughable nonsense. Firstly, doctors can and do still legally prescribe heroin in the UK, and indeed the UK is trialling Swiss style drop in centres for supervised use of prescribed heroin following their success, with a view to substantially expanding the number of prescribed users. Secondly, what actually happened was the that the ability of General Practioners to prescribe heroin was removed in 1967 (replaced by a system where prescribers required a Government licence), following (primarily political driven) concerns about several rogue prescribing doctors, and diversion to the illicit market. Since that change a vast multi-billion pound violent illegal market has developed to serve the ever growing number of users, growing from between 5-15,000 in the late 60's to over 300,000 today.
Prohibition effectively 'curbing' heroin use in the UK
('notified addicts' are estimated to be between a third and a fifth of the total population)
So at least a 2000% increase under prohibition, not to mention a situation under which more than half of all property crime is committed by addicts raising funds to feed their expensive illegal habits (as opposed to none when it is prescribed), and indeed the corruption, violence and conflict the illicit opium market has spawned internationally. I would love to know what Califano thinks failure looks like. Soldiering on...
'Easy availability of drugs will increase criminal activity. Most violent crimes, such as murders, assaults and rapes, occur when the perpetrator is high or drunk, and much of property crime involves people seeking money to buy drugs. In the US, half the beds in most hospitals are filled with people sick or injured as a result of drug use, drinking and smoking.'
Illicit drugs are easily available now (indeed it is testimony to the failure of the enforcement approach that they are increasingly cheap and available year by year), and the vast majority of related criminal activity is created by the illegal markets (which are - deep breath- created by prohibition) rather than the result of intoxication. The vast majority of intoxication-related violence is alcohol related (it's legal), and the vast majority of drug related public health problems are alcohol and smoking related (er, legal). Califano is apparently getting very confused by this point in his rant.
There then follows a confused section about how awful it would be if legitimate regulated companies took over drug production from violent international criminal syndicates. I don't have the energy to deconstruct all this so will just direct you to the section in
'After the War on Drugs, Tools for the Debate' (page 51) titled '
Will profit motivated multinationals take over control from the Cartels?'.Professor Buiter touts taxes on the sale of illegal drugs as a great source of revenue for public purposes. This blithely ignores the history of tenacious opposition to tax increases that has marked the tobacco and alcohol companies. As a result, taxes collected on the sale of these products cover only a small fraction of the costs in healthcare and criminal justice attributable to smoking and drinking.
This may in fact be correct, if overstated (alcohol and tobacco revenues to the Treasury are enormous). But no one who advocates legalisation and regulation is claiming that alcohol and tobacco policy is perfect - far from it, as readers of this blog (or 'Tools', linked above) will know very well. The difference with legal drugs is that the Government is in a position to intervene on price and other regulatory controls / public health infrastructure. They can make policy choices based on evidence of what works. With illegal drugs they have no control whatsoever.
"Legalisation assures greater availability, and availability is the mother of use."
Again, wrong. As I have said, we need to get beyond the myth that prohibition prevents or reduces availability.
It clearly does not, as the ongoing increasing availability of drugs during decades of prohibition demonstrates with a clarity that surely cannot be denied by anyone but the most rabid of drug war zealots. Legalisation and
regulation allows controlled availability - (as discussed in the 'What about the kids' link above, and elsewhere in
'Tools for the Debate'). Once a market is established, and the criminals will see to that, levels of use are predominantly demand led: availability then follows demand rather than the other way around. This is particularly the case with problematic use, as noted by the
Prime Ministers 2003 strategy Unit report:
“Supply-side interventions have a limited role to play in reducing harm – initiation into problematic drug use is not driven by changes in availability or price:
- risk factors -particularly relating to deprivation -are the prime determinant of initiation into problematic drug use; price and availability play a secondary role
- there is no causal relationship between availability and incidence; indeed, prices and incidence often fall or rise at the same time” (p.79)
He finishes with a silly Russian Roulette gambling analogy, ignoring the fact that prohibition is not a gamble: we know with absolute certainty that it cannot be, and has never been, anything but a couterproductive disaster. There are bullets in every chamber.
In contrast to the level headed pragmatism of the two pro reform articles this prohibitionist screed is a carnival of ill informed daftness from start to finish.
It is interesting to note that the comments in discussion sections in the FT (
from leading economists, and
the public) are largely supportive of the reform position, the few anti's cropping up (notably only in the public forum) re-treading the same tired bunkum Califano wheels out.*
For the reform cause this all bodes rather well.
*Update 17.08.07: I have managed to get a comment (complete with typo) in the guest economists forum, which is nice (It is for the 'world's leading economists'). The Califano article above has also been added.