Showing posts with label parliament. Show all posts
Showing posts with label parliament. Show all posts

Thursday, January 22, 2009

Lords debate alternatives to drug prohibition


update: debate transcript below

Transform Drug Policy Foundation

Media release 20/01/09

No embargo

Lords to debate alternatives to drug prohibition

The House of Lords will be debating ‘the United Nations Declaration on countering the world drug problem’, in the Main Chamber, January 21st at 11am. The debate is led by Baroness Meacher (cross bench) who will call on the Government to follow the recommendation of the 2002 Home Affairs Select Committee to debate alternatives to prohibition at UN level (see notes to editors below) at this year’s upcoming 10 year review of UN drug policy in Vienna.

Baroness Meacher said:

“Criminalising drug users has clearly not reduced the problems we face, and has only served to exacerbate the harm caused by drugs. It is time for policy makers at all levels, including the UN drug agencies, to move away from the failings of drug war ideology and embrace a new approach guided by sound evidence and public health principles. There is now an urgent need for and mature and balanced exploration of policy alternatives, including the potential legal regulation of some or all currently illegal drugs”.

ends

Notes to editors:

Home Affairs Select Committee Report: “The Government's Drugs Policy: Is it Working?”

Recommendation 24:

"That the Government initiates a discussion within the Commission on Narcotic Drugs of alternative ways - including the possibility of legalisation and regulation - to tackle the global drugs dilemma."

----------------------

Read the debate transcript here

Media coverage:


Guardian news in brief

Tuesday, March 25, 2008

Help make the Parliamentary Bill process fit for the 21st century

Having witnessed at painfully close quarters the hideous gestation and birth 2005's appalling populist pre-election monstrosity that was the Dugs Bill (truly the Rosemary's Baby of modern drug legislation) I cannot help but applaud the latest effort from the internet democracy legends at TheyWorkforYou to drag the Parliamentary Bill process from the dark ages into the modern world. TheyWorkforYou already provide the most brilliant free service in making Hansard available to the world in a way that is accessible, user friendly , and allows feedback (y'know democracy etc.)

So commoners, don't forget that the big scary building with all the pointy towers you see on the news, the one full of all the bossy posh people shouting, well, it's actually your house, paid for by you, and all those people are in fact your servants, they do your bidding and can only produce horrors like the Drugs Bill bad things when you're not looking and let them get away it. So please read this, sign up, and pay attention.






The Nice Polite Campaign to
Gently Encourage Parliament to Publish Bills
in a 21st Century Way, Please.
Now.


Writing, discussing and voting on bills is what we employ our MPs to do. If enough MPs vote on bills they become the law, meaning you or I can get locked up if they pass a bad one.

Bills are, like, so much more important than what MPs spend on furniture.

The problem is that the way in which Bills are put out is completely incompatible with the Internet era, so nobody out there ever knows what the heck people are actually voting for or against. We need to free our Bills in order for most people to be able to understand what matters about them.

"Why?"

Being the people who run TheyWorkForYou we spend lots of our time taking rubbish, broken information from Parliament and fixing it up so that it makes a nice, usable site so you can find out whether your MP is actually working for you or not. Lots of people seem to like it, nearly 2 million came to visit last year.

It’s time for Parliament to improve its act and start publishing these vital documents properly in the first place. Quite apart from the fact that we’re a tiny charity without many resources to fix this information, you’re paying for them to produce it in a uselessly old fashioned way. Unless Parliament produces better bills:

  • We can’t give you email alerts to tell you when a bill mentions something you might be interested in.
  • We can’t tell you what amendments your own MP is asking for, or voting on.
  • We can’t help people who know about bills annotate them to explain what they’re really going on about for everyone else.
  • We can’t build services that would help MPs and their staff notice when they were being asked to vote on dumb or dubious things.
  • We can’t really give a rounded view of how useful your MP is if we can’t see their involvement with the bill making process.
  • We can’t do about 12 zillion other things that we’re not even bright enough to think of yet.

to find out more information click here.

Monday, March 10, 2008

Government defeated on prostitution drug rehab amendments

Planned amendments to the Criminal Justice and Immigration Bill that would have introduced a programme of ‘compulsory rehab’ for street prostitutes have been dropped in order to get the bill passed quickly. It would have meant that street prostitutes that are regularly caught would be forced into 'treatment'. If they missed three sessions they could be arrested and held for 72 hours before being brought before court.

Whilst this was largely a political move in order to get the bill through without delay (and apparently prevent prison officers from going on strike in the summer), credit must go to the English Collection of Prostitutes and others who campaigned against the offending clause.

For a detailed explanation of the pros and cons of the bill see The Safety First coalition.

Transform was also a supporter of the campaign because compulsory 'treatment' has a very poor efficacy record and the concept of coercion is offensive to the concept of 'treatment' as understood by medical practitioners. The inverted comas are appropriate; when it is coerced, then according the BMA you shouldn't call it 'treatment', which is by definition agreed between patient and doctor and not the result of coercion.

What would help these vulnerable women is first and foremost is an end to the criminalisation of their work and, euqally importantly the appropriate legal regulation and controlled availability (either on prescription or at affordable prices) of the drugs to which many, indeed most, are dependent.

Improved support from other agencies outside the criminal justice system would be far more helpful than new legislation. The example of the way Ipswich has dealt with its street prostitutes since the Steve Wright murders in 2006 shows this to be a much more viable way to help get women out of prostitution. After five women were killed by Steve Wright, a multi-agency group including police, drug workers and community support staff was given money in order to get the sex workers off the street (BBC report, Guardian report)

The Ipswich partnership produced a draft strategy aimed at helping such women.

click to read pdf

It acknowledges that any attempt to get the sex workers into treatment for drug use should not be coercive. It has been claimed that of the estimated 30 or so women who were working at the time of the murders, only two are still on the streets. Of the 30, 16 are in daily communication with drugs workers and seven more are in less regular contact (see here). Low threshold availability of treatment, including maintenance prescribing where appropriate, is the most effective way of bringing these vulnerable women into contact with services.

What has been highlighted in the debate surrounding both the Ipswich murders and the Criminal Justice Bill is something that Transform and others have been saying for a long time - the prohibition of drugs is inextricably linked to prostitution. Prohibition dramatically inflates drug prices (by several 1000%), meaning that many low income drug users turn to acquisitive property crime, low level fraud or prostitution in order to fund their habits. Most street sex workers turn to prostitution in order to raise money to buy drugs (the Home Office estimates 75-95%). Street prostitution is rarely a career choice.

Brian Tobin, director of Iceni, the small drugs charity that has spearheaded the project dealing with all the sex workers in Ipswich, describes the set of circumstances in the town as "pretty unique". He acknowledges that the killings themselves - one sixth of the town's prostitutes were murdered - were critical in persuading the women and the relevant agencies to work together.

However he goes on to say that, “Our hardest part is yet to come. Now we have got to sustain this. We are now getting to the root of the problem, which was hidden by drugs.”

He argues that such programmes could be replicated elsewhere but they need a great deal of resources and effort in order to succeed. Further criminalisation of these women – such as was called for in the CJB - is not going to help them get off the streets and improve their lives.

The Ipswich murders and the drugs debate (Transform blog at the time of the Ipswich murders)

Friday, November 02, 2007

Lords savage drug strategy consultation, and debate prohibition

Monday's Lords drugs debate provided some overdue parliamentary critique of the Government's woefully inadequate drug strategy consultation, as well as providing a forum for an all too rare debate on prohibition and legalisation/regulation. Apologies for the length of this post, but there was a lot of good material to cover.





The debate begins with Lord Bassam, representing the Government, reading a pre-prepared speech of rose tinted Home Office propaganda, heavy on the familiar mix of meaningless process success and statistical sleight of hand, amongst which we learn that:

"extraordinary progress has been made in delivering this strategy, with challenging targets often exceeded or achieved early."

"we have seen a sustained reduction in drug use and the harms caused by illegal drugs"
Transform have challenged many of these claims, here on the blog (see for example: Drugs minister gives a masterclass in drug policy spin and evasion and how to spin drug prevalence data: a beginners guide) and in recent briefings prepared for the consultation (Transform's Submission to ‘Drugs: Our Community, Your Say' (Drug Strategy Consultation Paper 2007 and Drug policy 1997-2007 - The evidence un-spun)

Evidently we are not alone in this critique, as Lord Mancroft opens the response to the Home Office minister. Discussing the consultation document:
"it contains no concrete strategic proposals of any sort, and merely invites readers to agree with the details of the plan. There is a bit of fine tuning here and there, but, to tell the honest truth, there is nothing of any substance. Indeed, the foreword by the Home Secretary could quite easily be interchanged with the forewords written by the previous three authors of drug strategies—David Blunkett, Jack Straw and Michael Howard. I looked them up and read them; they are almost the same."
Lord Mancroft then continues, pointing out that (a 'truly appalling figure') that the percentage of people leaving treatment drug free has fallen, and that drug deaths have increased (contrary to government claims)

"It is unarguable, however, that by any measure—overall drug use, drug-related crime, drug-related deaths, level of drug seizures, cocaine use, or whatever—the UK has the worst drug problem in Europe by a long measure and the second worst in the world after the United States. If the Home Secretary, as she writes in her foreword,

"draws confidence from this progress",

she and I have very different ideas of what constitutes progress."

Moving on to a broader critique of the failings of prohibition, Mancroft poses a question to the Minister:
"I would like the Minister to explain, when he comes to answer this debate, why the Government think that it is better for my kids or anyone else's kids to buy drugs at an artificially inflated price—probably paid for by crime—of unknown strength and purity, which increases the risk of overdose, from criminals who are often armed and dangerous. The Minister could also tell us why the Government think that it is a good idea to follow a policy that benefits only criminals, international drug dealers and the Taliban."
concluding thus;

"Yes, we can and should improve the quality and quantity of treatment and education. Yes, we must develop evidence-based prevention programmes. Yes, we can criticise the current system as too wasteful and too bureaucratic, with too many targets and too much central control. We can legitimately level those criticisms at all areas of government. But these issues are on the periphery. There is only one point to make. This drug strategy has not worked and cannot work. That is not because any Home Secretary is weaker or tougher than the last; it is because you cannot address health and social problems using the criminal justice system as your main weapon. We cannot devote the necessary resources to reducing the demand for drugs when we are pouring money into the criminal justice system at home and a mad foreign policy abroad, simply to deal with the unintended consequences of a policy designed 30 years ago to prevent drug use by restricting supply.

In other words, government policy has created a free-for-all in drugs, where only criminals benefit and the whole community—young people in particular—suffers as a consequence. Nothing in the current proposals leads one to conclude that this Government either understand this or have the courage to address it."

The next speech comes from the cross bencher Lord Cobbold. He picks up on similar themes to Lord Mancroft observing that:

"The [consultation] paper deals with all the issues on which there is general agreement: the importance of harm reduction, treatment and rehabilitation, education for the young on the dangers to health and the need to reduce re-offending. However, the problem is not in the areas where there is agreement but in those where there is disagreement, and the most important of these is the issue of prohibition. The consultation paper contains no rehearsal of the arguments for and against the present policy of prohibition; indeed, it seems to be a taboo subject.

Prohibition was expected to rid the world of drugs by now. It has manifestly failed, and the Government cannot possibly argue that it has been a success."
Then, following a more detailed consideration of the Government's weak and infrequent arguments against moves towards either decriminalisation or legalisation and regulation he notes:
"In his speech to the Labour Party conference a few weeks ago, Gordon Brown said that he would be sending out a clear message that drugs are never going to be decriminalised. Note the word "never". This statement is distinctly depressing and amounts to an open-ended licence to the criminal gangs that control the trade. We can only express the hope that Gordon Brown can be persuaded to change his mind and, as part of the 10-year policy review, at the very least support an open, independent, international inquiry into the pros and cons of legalisation and regulation versus prohibition."
Both Lords Mancroft and Cobbold have been long time supporters of Transform's position, and indeed attended the parliamentary launch of Transform's new publication 'After the War on Drugs, Options for Control' , very much designed for precisely this sort of intellectual engagement. The next speaker was Lords Richard, with whom we have not had previous contact, but who resumed the mauling of the consultation;
"I am disappointed with the Government's consultation paper. It asked a large number of questions, all on the periphery of the argument, and failed to ask the really important ones"
He gives a similarly blunt assessment of Lord Bassams rather absurdly rosy view of the past ten years:
"On any view of the matter, the Government's drugs policy has transparently failed"
he continues:

"I recommend that noble Lords look at the document issued by the North Wales Police Authority in response to the consultation paper we are considering today. Its view is clear, and interesting not only for what it says but whence it comes: that that police authority should urge the repeal of the Misuse of Drugs Act 1971 and its replacement with a "misuse of substances" Act based on a new "hierarchy of harm" that would also include alcohol and nicotine. It also advocates that the police authority should seek affiliation with the Transform Drug Policy Foundation, which is campaigning for the repeal of prohibition and its replacement with a legal system of regulation and control. These are bold recommendations, coming from a police authority.

I have not come to any conclusions easily or quickly. If the drug strategy were working, then it would clearly be much better that it should be allowed to work successfully. But it is not working successfully, and we must now accept the reality of its failure and start asking ourselves what alternative policies we could substitute which might be more successful. I am not in a firm position to suggest many such policies. My inclination now is much the same as that expressed recently by the noble and learned Lord, Lord McCluskey, in somewhat bold phrases:

"If people are addicted to heroin, give them heroin. I'm not suggesting you sell it at newsagents, but if you were to offer it to addicts in a medically controlled setting, there would be no criminal market".

That argument seems to me to be unanswerable."

Nice to see Transform getting a nod. The baton is then picked up by Lord Ramsbotham former chief inspector of prisons, who is good enough to quote extensively from Transform's consultation critique (Describing Transform as 'not just a back-street organisation' - thanks for that David -'it is extremely serious, involving a number of people coming together to discuss the problem, which they have done for many years' ). On the consultation he concludes:

Finally, my conclusion that prohibition has been excluded is derived from the fact that it is not mentioned in this consultation document at all; nor is legalisation or prescription. It assumes that this policy, which has been pursued and has failed, is to go on. I therefore do not believe that this consultation document is a worthy one on which a future strategy should be based. Too much of the evidence is suspect. Most particularly, I do not believe that all the things that have been proven to work, even though they cost money, have been included. I agree very strongly with my noble friend Lord Cobbold that a commission, rather than a consultation document that does not include proposals, is needed to go into not only the aspects which the Government choose to include but all the aspects that are known to people, including the problems of the prohibition, legalisation and prescription of drugs. The latter must have a role because, as sure as anything, what is happening now is failing, and we as a country cannot afford to go on allowing that to happen."
The debate then shifts more towards treatment provision with some useful contributions from Lord Brooke of Alverthorpe and Lord Adebewole (also director of leading treatment agency, Turning Point). Lord Jay then returns to the issue of drug supply considering the Senlis proposal to license Afghan opium production for medical use (and idea that Transform have actually been critical of), before concluding:
"None of this is easy but, to say the least, it is not obvious that the present policy of prohibition is working or will work in the future. Surely the Government now need to look, perhaps via a commission, as some other noble Lords this evening have proposed, with international partners and with a genuinely open mind at alternative approaches to supply, in particular in relation to the opium production in Afghanistan."
Another surprise was when Lord Errol enters the ring, opening with:

"I want to start with the old saying that laws seldom prevent what they seek to forbid. The real problem is the politicians' public posturing to try to get headlines that they are being tough on things, without thinking of the effect. That means that changes can be very tricky, because I can imagine the newspaper headlines screaming out the moment someone wants to take one of the more sensible approaches that have been recommended by several noble Lords, including the noble LordsBlogger: Transform Drug Policy Foundation: Media Blog - Create Post, Lord Cobbold and Lord Mancroft."
later noting:
"I am very much in favour of decriminalisation."
After a couple of other less interesting speeches, mostly repeating ground already covered, Lord Bassam returns to the stage for the unenviable task of defending the Government position. Inevitably he falls back on repeating his initial assertions, flim-flam and meaningless platitudes. On the prohibition debate he responds, I suggest rather hollowly:
"I think that most legalisers would acknowledge—they appeared in the confines of this debate—the harmfulness of many currently controlled drugs. Some called for an evidence-based approach to the law relating to the prohibition of such drugs in the hope of a move towards a regulated supply of those drugs. Although we understand that point of view, we as a Government have to make a judgment on what is best for public health. Central to our thinking is our responsibility for protecting the health and welfare of the British public. We have taken the position that prohibition is the best means to do that and we have been unequivocal in our stance of having no intention of either decriminalising or legalising currently controlled drugs for recreational purposes."
At this point he in interrupted and gives way to Lord Mancroft:
"The noble Lord has said, "This is the Government's position and the Government are not going to budge from it". Fine, I understand that, but can he answer a very simple question: why?"
Among the reasons given in reponse are:
"we believe that our policy is not only right but evidence-based and that we are making progress"

"Legalisation is not open to us in view of our international obligations."

"There is no effective cost-benefit analysis of such a policy, if one could be made."

and more specifically:

"The impact of legalisation on levels of consumption globally is key to any meaningful cost-benefit analysis. Without accurate figures for this, it is impossible to ascribe meaningful figures to the likely public and individual health cost or properly to assess the impact on productivity and industry or on the level of industrial or traffic accidents. Such fundamental difficulties call into question whether the task is an appropriate use of research funding. The impact of drugs on health is the only legitimate reason for control, and there is overwhelming evidence that the widespread use of these drugs worldwide results in enormous social harm and economic costs associated with that use. That includes the many thousands of drug-related deaths, the spread of HIV/AIDS and hepatitis B and C through injecting drugs, and the mental health disorders associated with the use of drugs."
Now this is starting to get interesting. Whilst self evidently true that you can't measure the outcomes of policies that have not been tried there is a great deal of speculative but informed cost benefit analysis that can be done by comparing outcomes from different responses to illegal drugs in different countries, in different states within countries, as well as comparing outcomes from illegal and legal drugs (some drugs are illegal in some places and not others for example). We have over a hundred years of lessons learnt from our experience of legally regulating 1000s of drugs - its not quite the leap in the dark the Government like to portray it as.

It is also worth noting that the suggestion that we can't move towards any form of legalisation because its illegal under UN law is bizarre and quite wrong (as discussed in chapter 5 of 'Tools for the debate' see p.55). If a law is unjust and ineffective the Government should challenge it in whatever arena required; UN conventions can be withdrawn from, recast and redrafted if and when the political will exists. Notably, decriminalisation of personal use, as has de-facto happened in numerous countries across Europe and beyond , is quite possible within the UN conventions.

The point on drug harms and drug deaths is also disingenuous. Prohibition demonstrably fails to reduce drug harms, rather it actively increases them, with blood borne diseases amongst injectors being the most visible and tragic manifestation of this. No one has ever contracted HIV from injecting of legal pharmaceutical drugs with clean needles in a clinical supervised setting. I repeat - not one. Bloood borne diseases amongst injectors are entirely the result of prohibition, a policy that, moreover, arguably helped fuel the explosion in injecting drug culture in the first instance.

Bassam makes the familair argument (again see 'Tools for the debate' chapter 5, page 47) that use of drugs, and therefore harm, would rise under a legal regime - citing tobacco as an example. Its not a good example as far as it goes - whilst use of almost all illegal drugs has risen consistently (with some small fluctuations) in the modern prohinitionist era since the 60s, smoking has fallen equally consistently over the same time period. the fall in smoking rates has been in response to effective public health education and sensible regulatory controls not a heavy handed enforcement approach.

Interestingly, Bassam make some concessions:
"We acknowledge that there are apparent benefits to an alternative system to prohibition, such as taxation, quality control and a reduction on the pressures on the criminal justice system"
before adding:
"but in our view these are outweighed by the costs to the physical and mental health of individuals and society that result from dependence on, and addiction to, what are mind-altering drugs."
finally he says something that perhaps we can all agree on:
"Many of the problems related to drugs are underpinned by poverty, unemployment and the erosion of family and community life. They are not created simply by prohibition."

Tuesday, October 30, 2007

Parliamentary non-Answer on classification from the Drugs Minister

.
The following PQ was tabled by Paul Flynn MP at the suggestion of Transform:

To ask the Secretary of State for the Home Department what research her Department has (a) commissioned and (b) evaluated on the effect of reclassifying drugs on their production, supply and use.

A huge political and media ballyhoo is made about drug classification, especially when a previously unclassified drug is classified (e.g. GHB, Ketamine and fresh magic mushrooms recently) or has its classification increased (Methamphetamine this year) or decreased (Cannabis in 2004).

Obviously, looking beyond all the rhetoric and political posturing, it would be useful to know whether these changes have any meaningful impact on on key indicators of policy success/failure (as was highlighted in some detail last years Science and Technology Select Committee Inquiry into the Classification System). Unfortunately we don't know, and we have no systematic review or useful published information provided by the Home Office that might arguably constitute a meaningful 'evaluation' of these much-hyped policy shifts.

So it seemed like a reasonable and simple question.

The following answer from the Minister responsible, Vernon Coaker, appeared on Hansard on October the 25th:

The Home Department undertakes and evaluates several surveys in order to monitor levels of illegal drug production, supply and use. These are not predicated on the ABC classification system but where they are drug specific, any changes are closely monitored following a drug's reclassification. Relevant published research is also routinely considered.

The record is available here on the excellent TheWorkForYou website (what Hansard online should look like). TheyWorkForYou also offer an opportunity to comment on all statements form parliamentarians, and vote on whether Parliamentary Answers do, in your view, answer the questions posed (get voting!)

In this case it's a typically uninformative and evasive answer from Coaker, in line with most of the pronouncements from the Home Office when they are challenged to produce evidence to support their drug policy decisions (See, for example: Drugs minister gives a masterclass in drug policy spin and evasion and Classification and Deterrence - where's the evidence? )

There is a useful online response to Coaker's non-answer contributed to TheyWorkForYou by Shan Morgain, which I reproduce below with thanks:
"An evasive answer.

The question was 'what research her Department has (a) commissioned and (b) evaluated.'

In reply we are told that the Department undertakes and evaluates 'several surveys.' No specific names of or links to surveys are given, and the comment is a general statement on normal practice, which does not state whether any surveys have actually been done on this issue. So all we are given is a vague statement that work is being done; but for some reason we are not to be told what it is.

We are then told 'where they are drug specific, any changes are closely monitored following a drug's reclassification.' Again this is just a vague statement that monitoring is done, as a general rule. Nothing is said on whether monitoring is actually taking place, who is doing it, how, and when the results are due.

The lack of information given here is a matter of grave concern in response to an MP's enquiry. Transparency is nonexistent here; Vernon Croaker is wasting Parliamentary time and resources on empty words.

Both MP and the public that he and Croaker serve, are being treated with paternalistic condescension, as if we are children not yet mature enough to be allowed a clear answer to an adult question.

Can we please have an informative answer to the question giving specifics on what research is being undertaken into the effects of changing drugs' classification? An honest answer would give the names of those in charge of the research, their sampling methods, and the date results will be available."

Further info:

Transform briefing on drug classification

Blog entry on the recent Lancet paper on drug classification

Note: I have an article on the classification system appearing in the next issue of Drugs and Alcohol Today

Thursday, August 02, 2007

drug prohibition / regulation debate in Parliamentary adjournment session


The following is a speech given by Harry Cohen MP (Labour, Leyton and Wanstead) during the parliamentary adjournment debate on July 26th. He uses the speech to draw attention to and quote extensively from a new book by Julia Buxton, called the Political Economy of Narcotics, before calling for a debate of legal regulation of drugs and the failure of prohibition.


Mr. Deputy Speaker, may I start by offering my humble apologies to you, to the Deputy Leader of the House of Commons and to the Opposition spokesman? I shall not be able to be here for the winding-up speeches, as I have to go to a local health meeting at a hospital in my constituency. However, I shall read the whole debate with interest.

It is customary to say that we should not adjourn until we have discussed a particular subject. I do want the House to adjourn today, but when we get back, I want us to have a full-scale, grown-up, informed debate on drugs policy, the drugs industry and the drugs trade. I am not talking about pharmaceuticals; I am talking about the illegal drugs trade and its domestic and international ramifications.

I should like to draw to the attention of the House the best book on the subject that I have seen for years. It was published last year, and it is called "The Political Economy of Narcotics" by Julia Buxton, a senior research fellow at the university of Bradford. She gives a history of the subject, along with masses of information and a very good analysis. I got the book from the House of Commons Library, and I can tell that it is a good book because its source, the British Library, demanded it back straight away. I read it through to the end, however, and it should inform the debate. If there is more in-depth analysis of the subject, however, we should bring it forward. Indeed, the Government should bring forward their own in-depth analysis.

Ms Buxton refers to the United Nations and the international drug institutions, and to "institutional crisis and decline". Yet I know, from a parliamentary answer that I have received, that the UK is a major donor to those institutions, and to this failing effort. She refers to the Commission on Narcotic Drugs, the UN international drug control programme and the International Narcotics Control Board. She talks of

"the inability of the apparatus to revolutionize its working practices or to refocus policy."

Because of the institutions' dependence on donor countries,

"the mechanisms for debate, policy evaluation and review within the UN were limited and this further impeded the reform of UN and drug control approaches."

She goes on to say that,

"while there might be a lively debate on changing aspects of the national drug laws in some countries, the reality is that national governments have very limited room for manoeuvre in terms of developing domestic drug strategies."

Importantly, she concludes:

"This situation is regrettable because the system of international drug control does not work. All the statistical information shows that, rather than decreasing, the number of people who are producing, distributing and consuming harmful drugs is increasing. The expansion of the trade in drugs has been particularly pronounced since the collapse of Soviet communism in the early 1990s and it has accelerated in line with the globalization process. On that basis alone, drug control policies have failed. Not only have they failed, they are also counter-productive...The current control model has not adapted to the enormous changes that have occurred in production and consumption trends during the 1990s and 2000s. As a result, drug control strategies are no longer simply counter-productive; they are doing more harm than good."

Four types of drugs are dealt with in the book: poppy for opium and heroin; coca for cocaine, crack and other derivatives; synthetic-type drugs such as LSD and ecstasy; cannabis and marijuana.

The book also provides valuable information about the financial value of the drugs sector—estimated by the UN as in the region of $300 billion to $500 billion a year, which is more than the market value of steel, cars, pharmaceuticals, meat, chocolate, wine, wheat, coffee and tea. In 2003, the global retail cannabis market was worth an estimated $140 billion a year; cocaine $70 billion; opiates $65 billion; and synthetics $44 billion.

In fact, the lucrative drugs market of north America accounted for 60 per cent. of amphetamine retail sales; 52 per cent. of ecstasy; and 62 per cent. of cocaine sales. That is interesting because America is the country most insistent on the prohibition policy—yet it has the biggest drugs market. What we have seen economically, because of the failure of the control system, is supply up, prices on the street down, demand up. Clearly, the current prohibition policy has failed.

What worries me most is the connection with crime. As with alcohol prohibition, which led to Al Capone and the US mafia, drug prohibition creates the most dangerous organised criminal gangs and threatens civil society beyond just drugs. For example, in Columbia, three presidential candidates were assassinated as a result of the drugs trade. The drugs industry almost went to war with the state in that particular case.

The book notes that drugs prohibition has been advocated by the US Christian evangelists, who also brought in alcohol prohibition: the US likes bans and prohibition. I see that its policy on drugs is "Just say no". That same phrase, by the way, applies to HIV/AIDS in Africa—but again it is not realistic. The British and US Governments have fallen out over that issue and we recommend supplying condoms. America says no to global abortion rights, but abortion should be a right. I note that our International Development Ministers are to address the Marie Stopes conference—again that shows that we are adopting a different position from that in the US. If the US will not change, we should be prepared to adopt a different policy on drugs. The book also points out that US foreign policy takes precedence over its counter-drugs policy. The US will condone drug states or drug players if that is seen to be in its best interests. That factor will be used against whoever the US regards as its enemy.

The drugs industry and the prohibition strategy, which makes it so profitable, lead to wars—Afghanistan is a clear example—and narco-states such as Columbia. That was the status of that country in the past and perhaps still now. The response is unreasonable militarisation and the mass denial of civil liberties; and environmental damage when crops are sprayed. There are also employment and livelihood issues. Bolivia is cited as having almost half a million people—16 per cent. of the work force at one point—employed in the drug industry. As we know from Afghanistan, people often have no other feasible livelihood. While the trade remains illegal, producers get a good price and the process is highly organised. There would be a better chance for alternative production to be pursued if the bottom were to fall out of the market.

Julia Buxton says that the prohibition conventions of international organisations are out of date. They were brought in before the HIV/AIDS epidemic, before the collapse of communism and before globalisation. She argues that they spread harm while the real policy should be one of reducing harm. She refers to HIV/AIDS and drugs in prisons. Clean needle supply would help to combat the disease, and even safe supply could be justified. That would be better than the current practice, which ends up causing more HIV/AIDS as a result of dirty needles. The choice does not have to be between total prohibition or total liberalisation; Julia Buxton suggests that we could have a third way through regulation and an element of control. That is attractive because it would remove the worst of the criminality.

Let the House consider the equivalent industries that are also often viewed as unsavoury. There is the sex industry, for example. There are some bans, quite rightly in some respects, but that industry is not totally banned; indeed, most of it is legal and highly profitable, however unsavoury. The arms industry—most of us detest it—is not illegal; it is regulated. Tobacco is another example; it is legal, but we are quite rightly imposing ever more constraints on it. Alcohol is licensed. There is a third way, a third option, that could be adopted for drugs policy.

Whenever this matter is discussed, the debate is seldom thorough. It is all about soundbites—a simple matter of whether we are tough or soft on drugs. I admit that drugs have an impact on our streets and even in people's homes when it affects their loved ones. It is, of course, a political issue, but we need to have a proper debate about it. I believe that we need to do what is best for public health and for society as a whole. I urge the House to have that discussion.





available here




Wednesday, June 20, 2007

Where is the drug policy reform debate up to today?


Below is an edited section from the introduction to the upcoming Transform publication 'After the War on Drug's - tools for the debate' A guide to making the case for drug policy reform. The Transform blog has secured exclusive serialisation rights for an undisclosed 5-figure sum. The guide will be available in print (and as a free pdf download) in July, but the blog will be serialising key sections over the coming weeks.....

Cover Design (an early draft...)

Where are we up to today?

The cause of drug law reform has been a prolonged struggle that began as soon as drug prohibition in its modern form came into being. Although prohibitions of various drugs stretch back into the 18th century (see Transform’s history of prohibition time line), the modern drug law reform movement began in earnest with the social movements of the 1960s. It was during this decade that the 1961 UN Convention on Drugs enshrined prohibition as a truly global policy, and recreational drug use in the West simultaneously began its dramatic rise toward current levels.

The drugs debate has moved on considerably since that time, with the political, social and cultural landscape shifting and evolving dramatically, both in the UK and in the wider world. All the problems associated with drug prohibition and illegal markets have continued to worsen over the past four decades: the prevalence of illegal drug use has risen steadily despite the many billions spent on enforcing a policy intended to eradicate it. As prohibition’s policy outcomes have deteriorated, the volume of calls for a rethink and serious consideration of alternative policy options has grown. This growth accelerated particularly rapidly during the 1990s as recreational use of illegal drugs became a truly mainstream youth phenomenon, and problematic use (of heroin in particular) ballooned to epidemic proportions. Problematic drug use now causes a level of secondary crime-related harms to wider society that is unprecedented in modern history, and was entirely unanticipated when drugs were prohibited.

It is now clear that our drug policy cannot continue down the same failed path forever. Prohibition’s failure is now widely understood and acknowledged among key stakeholders in the debate. Although politicians have thus far been the primary beneficiaries of the policy (the other beneficiaries being the mafia), the political benefits of pursuing prohibition are now waning and the political costs of its continuation are becoming unsustainable. The intellectual and political consensus supporting a ‘War on Drugs’ is crumbling rapidly, and calls for ‘more of the same’, or ever tougher enforcement responses, no longer go unchallenged. Since the 1990s, a vigorous network of domestic and international NGOs have been making the case for substantive pragmatic reform to drug policy and law.

However, although the failure of the current policy is now widely accepted, even within government, there is less consensus on 'so, where now?'. Those in a state of denial over the failure of the drug war typically argue that policy can be tweaked within the prohibitionist framework to make it more effective. This usually means directing more resources into treatment and harm reduction, and perhaps being more tolerant of low level drug users. There is considerable room for manoeuvre within UK and international law for policies that could improve the current situation and indeed many such changes are already underway. In recent years we have seen cannabis reclassification, the expansion of heroin and methadone prescribing, harm reduction programs such as the needle exchanges and ‘injecting kits’, and increased investment in drug treatment.

Internationally, reforms have gone much further. A number of countries have progressed to de facto decriminalision of personal possession of all drugs, including Russia, Portugal, Spain, Switzerland and Holland. Harm reduction measures have been widely adopted, including maintenance prescribing of heroin (and increasingly of stimulants), supervised drug consumption rooms, and even tolerance of low level ‘grey market’ sales of some drugs, such as the cannabis ‘coffee shop’ system in Holland.

The problem is that, for the most part, these reforms are merely reducing harms created by illegal markets and harshly enforced prohibition in the first place. They never address its fundamental problems: the creation of crime and illegal markets and the injustice of criminalising drug users. Tinkering with domestic policy under strict international prohibition is not a long term solution. It is an attempt to minimise harms within a legal framework that maximises them, and thus its successes will always be marginal ones.

By contrast, the truth that underlies the drug reform movement - that a punitive enforcement approach is actively counter-productive – is far harder to address directly. This prevents it being followed to its obvious logical conclusion: decriminalising consenting adult drug use and moving towards the legal regulation and control of some or all drug production and supply.

Yet this last taboo is now also crumbling, as Transform’s collection of quotes from supporters of reform so resoundingly demonstrates. The Transform quote archive also reveals that there have been strong arguments in favour of drug law reform in media as diverse as the Mirror, the Sun, the Daily Mail, the Telegraph, the Times, the Economist, The New Statesman and many others besides. You really do not have to wait for the reform position to gain mainstream traction – it already has it.

Whilst it remains important to support and encourage the process of incremental change away from harshly enforced prohibition towards a new evidence-based public health approach, there are already many groups dedicated to doing this and much change is already happening in this direction. The specific task of Transform and the movement for longer term reform is to make the case and campaign for a repeal of the absolute drug prohibition currently enshrined in domestic and international law. It is only this fundamental step that will make it possible to end the criminal free-for-all of the illegal drugs market by replacing it with appropriately regulated drug production and supply. That is what will lead to a real transformation of society, both for those who use drugs and those who don’t; and that is what the 'Tools for Debate' guide is all about.

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Thursday, June 14, 2007

Westminster Hall debate on drug classification: report



Overall, this debate on drug classification, following up on the Science and Technology Select Committee's 2006 highly critical report on the subject, was rather disappointing. Stretching out over more than three hours, with three 15 minute breaks for division-bell votes in the Commons, this was less of a debate than a restatement of existing positions. Some of it was very interesting but there was little added to previous written reports and committee sessions. For a far more incisive and informative debate I highly recommend reading the transcript of the committees follow up session last November in which they re-interrogated the Minister, the Chair of the ACMD and the Chair of the ACMD technical committee following the written responses to the committee's 'Making a hash of it' report .

see here for more details on the debate and background info

Unlike the cut and thrust of committee interrogations and cross examinations, which are far more feisty and unpredictable, this was in the classic parliamentary debate format with speeches from interested parties, followed by a response by the Minister Vernon Coaker, representing the Government. Whilst people were free to make interventions they generally didn't, and I personally found it all a bit flat and unrewarding. It will all be online on Hansard in a couple of days so you can make your own minds up then. In the mean time.....

Phil Willis, chair of the committee, gave an excellent introductory speech essentially summarising the committees findings and then critiquing the rather hopeless response from the Government.

Brian Iddon then gave a similar speech picking up on a few of the details of the report, using the risible lack of science or scrutiny behind the decision to classify magic mushrooms as a class A drug in 2005 as his central example.

Paul Flynn, not a member of the committee, then took the floor to lambast the failure of the Government's drug policy in the strongest of terms, reminding the Minister that he had sat through 20 years of empty promises from tough talking ministers hell-bent on an enforcement led drug policy despite the disastrous consequences for all to see. He referred to the Government's response to the inquiry as a disgrace and highlighted the harm, including drug deaths in his constituency that were the direct result of prohibition. (He also name-checked Transform - which was good to hear).

Dr Evan Harris
then took the floor, focusing on the response to the committee's report from the ACMD itself, which he rightly noted to have been defensive to the point of rudeness. The reports author, ACMD chair Sir Micheal Rawlins, had clearly taken exception to the committee's criticisms (which were arguably over-personalised), and had penned a terse and stroppy response that Dr Harris then critiqued (Rawlins, it should be acknowledged had made amends for this at the November follow up session). Harris also restated the Lib Dems progressive policy and tried rather lamely to claim they were fully behind it (actually it has hardly ever been mentioned and disappeared from their website during the general election. hmmm).

Finally there was a rather dull exposition from Vernon Coaker's Shadow, Edward Garnier, speaking for the Tories, who had a few vaguely interesting things to say about his experience as a judge, along with the new Tory policy (basically: send addicts to rehab not prison), but nothing useful to contribute to the debate about classification. This was presumably because the Tories daren't touch drug law reform whilst they still think there's tabloid capital to be made by hyping the 'skunk' panic and then making the Government look bad by endlessly twittering on about cannabis re-classification, or re-re-classification, to try and make the Government look bad. He was interrupted twice by the division bell and had to forfeit a couple of pages of speech, which, to be honest, was a relief.

After all that, and with only about 15 minutes of the 3 hour session remaining the Minister finally took the floor to respond. This he did predictably enough beginning with lots of platitudes about how wonderful the report, the committee and the debate were, and how there were passionate views on all sides and he respected etc. etc. This was then followed with a list of all the changes that had been made in response to the committee. These included:

on increasing transparency:

  • that ACMD minutes would henceforth be available online (on the Home Office website at some unspecified point in the future)
  • that ACMD meetings would, with a few exceptions, be open to the public, who would also be able to ask questions (times and dates will be on the Transform website when we learn them)
on reviewing classification:
  • The ACMD would be doing a systematic review of all drug classifications, including ecstasy and magic mushrooms (although no time scale was given on this, and to be honest that is their job anyway so its hardly a massive concession).
  • Coaker renewed his assertion that the Government had no intention of reclassifying ecstasy, but said, in a micro-concession perhaps, that they would 'wait and see' what the ACMD had to say, and also that the Government had never rejected a recommendation made by the committee ( perhaps overlooking the ACMD call to reclassify cannabis which they had been recommending since the seventies?)
And that was that. On all the substantive critique about the and lack of science and evidence base underpinning the system more generally he said nothing useful at all, except to repeat the line from the Government's written report that he believed the classification system was great and doing its job brilliantly, almost as if saying it enough times might somehow make it true. Evidence for this success was a list of cherry picked statistics, (some of which have been deconstructed here ) and meaningless process indicators (basically a re-run of this article).

The issue of a consultation/review of the classification was briefly addressed towards the end, having cropped up repeatedly in the speeches. Specifically why the Government had cancelled its plans (announced by the previous Home Secretary to the House of Commons last January) to have such a review despite calls from the ACMD itself, the Science and technology Select committee, The RSA, and many others, and despite the fact that the consultation document had been drafted and was days away from publication. We were given the preposterous fob off of answer that : ' there is no optimum system obviously better than what we have today'. This runs contrary to the conclusions of the Committee, the Lancet paper published by the head of the ACMD's own technical committee and the head of the Medical Research Council, not to mention our old friends logic and reason.

The minister was similarly dismissive on the issue of the lack of evidence base for classification as a deterrent to use or dealing. In a classic ministerial 'we'll get back to you on that' non-answer Coaker said that the Home Office was doing some 'scoping' work on deterrence and 'we are looking to how to take that forward'. Translation: we know there's no evidence so we are going to stall on this one until it hopefully goes away.

Coaker is a great politician and a likable chap, he does sincerity very well. But even if he buys into some of the Government's position on drugs (regards harm reduction and treatment perhaps where arguably progress has been made) it must be quite distressing to have to come before a Select Committee of scientists, who clearly know more about the issue than he does, and who have systematically and rather brilliantly critiqued one key aspect of drug policy which is transparently unscientific, and demonstrably a total failure - and then have to passionately defend it. The only option available (obviously excluding conceding the mistake and improving policy accordingly) is to spin the few crumbs of success where you can find them and then avoid all the substantive issues using the familiar ministerial armoury of rhetorical tricksyness.

This particular junior ministerial position appears more and more like a rite of passage for future cabinet ministers. It reminds me of a frat-house hazing ritual - survive it and you become one of the gang (Blears, Flint), mess it up and you're relegated (Howath, Ainsworth). If you can carry the poisoned chalice of drug prohibition, defend the indefensible, spin catastrophic failure as success, and keep your chin up and your smile in place whilst running the gauntlet of truth-seeking scientists and free-thinking backbenchers and NGO's, then maybe sonny-jim, there's a place at the big table for you.

Wednesday, May 16, 2007

Drugs and Health Alliance editorial in the Guardian

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Increment of Harm

Government obsession with drug crime has overshadowed the needs of the truly marginalised

Danny Kushlick
Wednesday May 16, 2007
The Guardian


UK drug policy is unique. In no other area of social policy do we criminalise at one stroke both recreation and disadvantage. In no other area have we seen so much evidence of the counterproductive effects of a predominantly criminal justice response to a public health problem. And we have seen almost no genuine debate or evidence-based scrutiny from ministers. The last 10 years of this parliament's tacit and active support for a policy based on moral panic has finally broken the camel's back. As the Home Office reviews its last 10-year strategy - results are expected next month - the Drugs and Health Alliance has been formed to bring together organisations committed to bringing about a public health-led approach for the next decade.

In the mid-80s the Conservative government, in the face of a potential HIV/Aids epidemic, initiated a proactive harm reduction strategy that led to the UK having one of the world's lowest rates of HIV. It was based exclusively on a pragmatic public health and harm reduction approach to dealing with unsafe sex and injecting. No one suggested that we should ramp up penalties for injecting drugs or make unsafe sex illegal. How times have changed. Twenty years later there are significant political taboos among senior policymakers who dare question the prevailing tough criminal justice line on drugs. The result has been that most of the drugs initiatives in the last decade have had draconian law-making at their core.

Our current policy is completely at odds with social and legislative norms, a strategy based on criminalising drugs in order to reduce social harm. Yet, as the PM's strategy unit drugs report of 2003 showed, it is the very illegality of the supply and use of drugs that causes harm. Despite our commitment to harm reduction, drug use exists within a political and legal framework that is harm maximising; hepatitis C remains at 80% among injecting drug-users and HIV, while still very low, is on the increase.

Throughout the last decade government has shown a pathological unwillingness to debate the efficacy of the current approach. Witness the lack of genuine engagement with the Police Foundation drugs report of 2000, the Home Affairs Select Committee report of 2002, the Science and Technology Committee report on drug classification of 2006 and the recent RSA report, as well as the announced and then withdrawn public consultation on the drug classification system and the lack of consultation or parliamentary scrutiny of the Drugs Act 2005. The list is endless. One concern is that the upcoming consultation on the future of the UK drug strategy will end up looking strikingly similar to the last one.

The frustration of many working in the drugs field is that the obsession with crime reduction has overshadowed the need for improvement of individual and public health. We are demonising some of the most marginalised people in the UK rather than offering them effective treatment. For commissioners of services, this ought to look perverse and bizarre: enforce the drug laws in such a way as to increase the offending of problematic users of the most dangerous drugs, "identify" them through the criminal justice system and finally spend money on "treatment", as ordered by the court, as a way of reducing their offending. The £13bn to £16bn in crime costs associated with the current drug policy should suggest an urgent reallocation of the billions spent on counterproductive heavyhanded enforcement, toward education, dealing with underlying social problems and treatment in a primary care setting.

Ultimately, we need a new paradigm for drug policy development, one based around health and wellbeing rather than macho posturing and knee-jerk, short-term responses to the failures of the current criminal justice-based policy. The UK sits atop the rankings for levels of problematic heroin and cocaine use. The Dutch, Spanish, Swiss, Portuguese and numerous other nations have all adopted a more public health-focused approach. The average age of heroin users in the Netherlands is 40. They have half the rate of cannabis use compared to the UK. Isn't it time that we joined them?

The consultation on the new strategy offers a window of opportunity for change that will close again soon. This is our chance to let government know that tough enforcement does not reduce harm, it creates it. We should grab the chance with both hands.

Danny Kushlick is spokesperson for the Drugs and Health Alliance
Drugshealthalliance.net
dannykushlick@yahoo.co.uk

Note: Danny Kushlick is also director of Transform Drug Policy Foundation



Tuesday, March 20, 2007

Prohibition 'not effective' claims Australian Crime Commission

This well written piece by The Age, reports on the Federal Parliamentary Joint Committee on the Australian Crime Commission. Their recent ‘Inquiry into the manufacture, importation and use of amphetamines and other synthetic drugs (AOSD) in Australia’ has a very interesting intro to the main conclusion: "prohibition, while theoretically a logical and properly intentioned strategy, is not effective".

This didn’t sit easy with the current Australian government. The Age suggests the sensationalised climate that politicians have to work within makes them fearful of entering a rational debate on drugs. A problem we’ve hit on time and time again.

However, there is a glimmer of hope. There is a train bound for a world based on reality and a growing number of politicians from across the political spectrum are happily taking luncheon in the dining carriage.

This is good news because coming soon is a major new document produced by Transform with the sole aim to aid rational debate on drug policy. ‘Tools for Debate’ will be a groundbreaking point-of-reference for anyone wishing to challenge non-rational policy positions, no matter how persuasive the rhetoric.

Watch this space.