Pubdate: Mon, 17 Jan 2005 Source: Businessworld (Philippines) Copyright: 2005 BusinessWorld Contact: http://bworldonline.com/ Details: http://www.mapinc.org/media/3483 Author: Dr. Benita Sta. Ana-Ponio, FPPA Note: Dr. Ponio is the executive director of Metro Psych Facility and Roads and Bridges to Recovery Drug Treatment and Rehabilitation Center. She is the founding and current president of the Group for Addiction Psychiatry in the Philippines. Bookmark: http://www.mapinc.org/pot.htm (Cannabis) Bookmark: http://www.mapinc.org/find?224 (Cannabis and Driving) Bookmark: http://www.mapinc.org/coke.htm (Cocaine) Bookmark: http://www.mapinc.org/testing.htm (Drug Test) THE BANE OF DRUG TESTING Another new year has unfolded. A new year that hopefully will be a better one than the last. The new year also means that two months from now I am going to observe another birthday that so happens to coincide with the expiry of my driver's license which I will have to renew perfunctorily. During the renewal process, I will need to undergo a mandatory drug test by virtue of Section 36 of the implementing rules and regulations (IRR) of the Comprehensive Dangerous Drugs Act of 2002 (RA 9165). It is upon studying this section of the republic act that I have often wondered how many have tested positive for drugs during such tests. An associate of mine went to verify the numbers with Pasig's DrugWatch and not surprisingly, as of November 2004, nobody has yet tested positive. In my own logic, if I were a drug user, I would not even think of renewing my license knowing that I would test positive for drugs; instead, postponing it until such time that I know I would be "substantially clean" to successfully undergo the drug test. The fine of P35 for late renewal is a small price to pay in lieu of suffering a six-month program in a government drug rehabilitation center for being reported as positive drug user under the same law. I have worked with recovering substance abusers for the last 13 years of my life. And among them, I have discovered the smartest and most paranoid people I have ever met among long-term drug users and I have yet to find one who would fall for this trap except maybe those who have just started to use illegal drugs. Yet when one takes recent vehicular accident statistics into account, only 18% of vehicular accidents can be attributed to drugs (e.g., marijuana and cocaine), these "drivers/drug-users" are not responsible for most vehicular accidents. In the United States, it is the alcohol-related vehicular accident that kills someone every 30 minutes and injures someone every two minutes. Nearly two-thirds of children under 15 who died in alcohol-related crashes between 1985 and 1996 were riding with an inebriated driver. More than two-thirds of the intoxicated drivers were old enough to be the parent of the child who was killed, and fewer than 20% of the children killed were properly restrained at the time of the crash. One can only speculate whether they were tested for drugs or alcohol during the issuance or renewal of their driver's license. Maybe, just maybe, the ones issuing licenses (the United States' DMV, in this case) find it irrelevant despite the staggering statistics. I am uncertain whether our esteemed lawmakers studied the Philippines' vehicular accident statistics before they came up with a law that makes taxpayers shell out P250 to have their urine tested prior to the renewal of their driver's license. If they did (which is doubtful, owing to the lack of any source for such information), they would probably realize that there is more sense in performing random testing of drivers involved in traffic accidents and violations for alcohol and drug levels. Note that, there are more alcohol-related vehicular accidents compared to those of other drugs. In conducting a standard premeditated drug test, the element of unpredictability or randomness is eliminated thus giving the "drug testee" a chance to postpone, avoid or prepare for an impending drug test. In most cases, since driving is a major source of income for those operating tricycles, jeepneys and taxicabs, postponing or avoiding the test could mean an abrupt halt in their means of livelihood; so preparation for the drug tests remains as the most viable solution to sustain their income. To prepare for a drug test is relatively easy if one is crafty enough to cheat the drug test by using any resourceful means whatsoever, or if one is ready to invest a small amount to bribe the drug tester. Since Filipinos are known to be highly inventive and resourceful people, it is not beneath them to invent a crude contraption that could secrete fake urine into the tester's bottle or devise a technique of swapping their own urine bottles with some others' containing "clean" urine. It does not help either to know that the Philippines is one of the many Third World countries where corruption in the government is ubiquitous, making it effortlessly convenient to relinquish money to an official to get what one wants. In medicine, we manage our patients guided by evidence based on treatment guidelines that have gone through rigorous scrutiny from those who proposed them, to the panel consumers, and by experts that have approved them prior to having it published. I am not a lawyer and I am supposed to trust those who craft our laws to have studied every aspect of any act that they propose in congress. But when I look at something as ridiculous as this, I begin to doubt the efficacy and reliability of our laws. Might we want to reconsider amending them? - ---