Source: Washington Post Address: 1150 15th St. NW Address: Washington DC 20071 0001 Pubdate: October 02, 1997, Thursday, Final Edition Section: OPED; Pg. A15 Author: Richard Cohen Up Against Moral Zealots By Richard Cohen My first indication that access to condoms did not lead to increased sexual activity occurred when I was a teenager and my friend Irv settled a poker debt by giving me a condom. I placed it in my wallet and there it stayed, unused for so long that, like the trees of the Petrified Forest, it turned to stone. Had I not lost that wallet, it would today be a tourist attraction. Now comes somewhat more scientific evidence that access to condoms a part of AIDS education programs in a few public schools does not increase the rate of sexual activity. It does, however, increase the rate of condom use by teenagers already sexually active, which is, after all, the whole point. The study was done in New York and Chicago. In due course, I expect another study to rebut the one just published, because that, it seems, is the way these things go. In the meantime, though, attention must be paid to what was published in the American Journal of Public Health. The study compared ninthgraders in New York who had access to condoms in school to ninth graders in Chicago who did not. The Chicago kids were just as sexually active about 60 percent in each case but the New York kids were more likely to use a condom. The difference was not dramatic 60.8 percent of the New Yorkers vs. 55.5 percent of the Chicagoans used condoms but that does not mean that it is insignificant. Some 40,000 new HIV infections annually occur among teenagers, not to mention about 3 million infections of other sexually transmitted diseases. It is not too much to suspect that the condom access program, available in an infinitesimal number of schools, has already saved some lives. The arguments against such a program and they are vociferously made are two: It will only increase sexual activity among teenagers, and it puts an official imprimatur on what, after all, is proscribed activity. As for the first argument, the recent study seems to disprove it. As for the second, it is beyond scientific analysis. It is essentially a moral argument. But even moral beliefs ought to make some sense. It stands to reason that condoms will reduce AIDS cases and other sexually transmitted diseases. Similarly, it stands to reason that needleexchange programs also will decrease AIDS, since used needles are often the culprit in the spread of HIV. Finally, it makes sense to allow cancer patients and other sick people to use marijuana for medicinal purposes even though the drug itself is illegal. In all these cases, a zealous moralism overwhelms clear thinking. Just this week, for instance, Joseph A. Califano Jr., the president of the National Center on Addiction and Substance Abuse at Columbia University, wrote an oped essay pleading with the residents of the District of Columbia to reject a proposal to make the medicinal use of marijuana legal. Califano is one of the smartest men I know, but in not one paragraph of the 10 in his essay [Sept. 30] does he explain why allowing cancer patients a medicinal toke is such an awful idea. The essay, really, is yet another attempt to show that pot is a gateway drug the inch that leads to the mile of heroin, cocaine and other addictions. Well, maybe. But what has that to do with an attempt to ameliorate the effects of chemotherapy or relieve the pressure of glaucoma? Nothing, I would submit except that the drug in question is illegal. It apparently induces such fervor in some people that they lose the capacity to distinguish between a teenager in a school bathroom and a cancer patient in a hospital room. We Americans are a moral lot always have been, probably always will be. We are forever telling the rest of the world what's right and wrong China, for instance, on human rights, France about whether it should trade with Iran. China scoffs, the French ooze scorn, but more often than not, we are right and they are wrong, although being right is not the same as being practical. Part of our charm, I think, is our naivete. But one cannot be a virgin over and over again. Once it is established that condom distribution does not lead to the Sodom and Gomorrization of our public schools (at least condoms don't increase it any), then it is a bit cruel to oppose the program and too bad about the kids who get AIDS. It is the same with needle exchanges and the medicinal use of marijuana. Sometimes, moral is not the same as right not when people suffer or die as a result.