Pubdate: Fri, 19 Sep 1997 Source: International Herald A Lost Chance to Debate A Cruel Drug Policy By Richard Cohen WASHINGTON In the HelmsWeld heavyweight fight, almost everyone won. Jesse Helms won because he got his way. William Weld, the former Massachusetts governor, won because he got national exposure for his likely presidential run, and President Bill Clinton won because he split the Republican Party and managed, once again, to take a nonposition positionthis time in favor of both Mr. Weld and Mr. Helms. So who lost? We did. We the people of the United States lost, and not only because Mr. Helms, a man with a brick for a brain, was able to cow the entire Senate. We lost because the issues that so vexed Mr. Helms and caused him to deny Mr. Weld a hearingthe medicinal use of marijuana and needle exchange programs for intravenous drug userswere not even debated. Mr. Weld favors them both, and this, we are told, is why Mr. Helms hates him so. But Mr. Weld is right, and Mr. Helms is wrong. Mr. Helms's compassion and concern for human life, so evident in his furious opposition to abortion, nevertheless excludes drug addicts for some reason. Maybe he thinks they deserve to die. True, they are junkies, but the fact remains that they risk their lives every time they use a shared needle. With the drug, they may also be getting HIV. Their deaths, both cruel and protracted, are more often than not going to come at the expense of the public. Their lives could be saved with needle exchange programs. Study after study shows this to be the casefrom one by New York's Beth Israel Hospital to a review by a panel of the National Institutes of Health. It stands to reason that if drug users are going to share needles, they are also going to share an HIV risk. If, on the other hand, they use clean needles, they are not going to get anything more from an injection than the drug they so crave. The opposition to needle exchange programs is not so much scientific as it is moralistic. To some people, it seems just wrong to aid addicts in their addictions. But nq evidence suggests that needle exchange programs abet drug usage, while plenty of evidence suggests that addicts will use whatever is available to satisfy their craving. In this case, a perfectly understandable moral argument is rebutted by some hard facts. The argument in favor of the medicinal use of marijuana is nQt quite as strongbut nonetheless it is persuasive. Some studies indicate that marijuana has a medical benefit for cancer patients and glaucoma sufferers reducing pain and the ill effects of chemotherapy. Others suggest that anything that can be done by marijuana can be done just as well by otherlegaldrugs. But the fact remains that people who have used pot for medicinal purposes swear by it. Richard Brookhiser, a senior contributing editor at the very conservative National Review, used marijuana to relieve the nausea of chemotherapy for testicular cancer. It would be one thing if the drug under discussion was both rare and extremely addictive. But marijuana is as common as red ties in Washington. About 70 million Americans have, as they say, experimented. As for its addictive qualities, they are largely exaggerated. Some people, predisposed in some way, apparently do get hooked. The same case, though, can be made against alcoholand in spades, about cigarettes. In both casesneedle exchange and the medicinal use of marijuanaMr. Helms is not only dead wrong but also cruel. He personifies the unwillingness of the political establishment to distinguish between drugs that are very bad and drugs that are not so bad, and its insistence on treating our national drug crisis mostly as a criminal justice matter and not as a public health issue. It is silliness to the point of cruelty to make a criminal out of a desperate cancer patient. Mr. Weld gave Mr. Clinton an opportunity to make those points. But the president apparently once shared a needle with a political coward, and so he has said nothing on the subject. His drug policy has gone from nonexistent in his first termnot a single public service message to mindless in the second. As for Mr. Weld, he conducts himself like a pedigreed cat haughty, independent and sufficient unto himself. He lost his ambassadorship and, probably the patience of the White House but he did not lose as much as the rest of us didthe chance to discuss a drug policy that is both inhumane and illogical.