Source: Foreign Affairs, Vol. 77 No.1. Author: Ethan A. Nadelmann Pubdate: January-February, 1998 Contact: http://www.foreignaffairs.org/ Editors note: Our newshawk writes: "Commonsense Drug Policy" as published in Foreign Affairs contained only one footnote. But over the next few weeks, we'll be adding dozens of footnotes & links to this article [at]: http://www.lindesmith.org/library/foreigna.html COMMONSENSE DRUG POLICY (2 of 2) REEFER SANITY Cannabis, in the form of marijuana and hashish, is by far the most popular illicit drug in the United States. More than a quarter of Americans admit to having tried it. Marijuana's popularity peaked in 1980, dropped steadily until the early 1990s, and is now on the rise again. Although it is not entirely safe, especially when consumed by children, smoked heavily, or used when driving, it is clearly among the least dangerous psychoactive drugs in common use. In 1988 the administrative law judge for the Drug Enforcement Administration, Francis Young, reviewed the evidence and concluded that "marihuana, in its natural form, is one of the safest therapeutically active substances known to man." As with needle exchange and methadone treatment, American politicians have ignored or spurned the findings of government commissions and scientific organizations concerning marijuana policy. In 1972 the National Commission on Marihuana and Drug Abuse-created by President Nixon and chaired by a former Republican governor, Raymond Shafer-recommended that possession of up to one ounce of marijuana be decriminalized. Nixon rejected the recommendation. In 1982 a panel appointed by the National Academy of Sciences reached the same conclusion as the Shafer Commission. Between 1973 and 1978, with attitudes changing, 11 states approved decriminalization statutes that reclassified marijuana possession as a misdemeanor, petty offense, or civil violation punishable by no more than a $100 fine. Consumption trends in those states and in states that retained stricter sanctions were indistinguishable. A 1988 scholarly evaluation of the Moscone Act, California's 1976 decriminalization law, estimated that the state had saved half a billion dollars in arrest costs since the law's passage. Nonetheless, public opinion began to shift in 1978. No other states decriminalized marijuana, and some eventually recriminalized it. Between 1973 and 1989, annual arrests on marijuana charges by state and local police ranged between 360,000 and 460,000. The annual total fell to 283,700 in 1991, but has since more than doubled. In 1996, 641,642 people were arrested for marijuana, 85 percent of them for possession, not sale, of the drug. Prompted by concern over rising marijuana use among adolescents and fears of being labeled soft on drugs, the Clinton administration launched its own anti-marijuana campaign in 1995. But the administration's claims to have identified new risks of marijuana consumption-including a purported link between marijuana and violent behavior-have not withstood scrutiny.(1) Neither Congress nor the White House seems likely to put the issue of marijuana policy before a truly independent advisory commission, given the consistency with which such commissions have reached politically unacceptable conclusions. In contrast, governments in Europe and Australia, notably in the Netherlands, have reconsidered their cannabis policies. In 1976 the Baan Commission in the Netherlands recommended, and the Dutch government adopted, a policy of separating the "soft" and "hard" drug markets. Criminal penalties for and police efforts against heroin trafficking were increased, while those against cannabis were relaxed. Marijuana and hashish can now be bought in hundreds of "coffeeshops" throughout the country. Advertising, open displays, and sales to minors are prohibited. Police quickly close coffeeshops caught selling hard drugs. Almost no one is arrested or even fined for cannabis possession, and the government collects taxes on the gray market sales. In the Netherlands today, cannabis consumption for most age groups is similar to that in the United States. Young Dutch teenagers, however, are less likely to sample marijuana than their American peers; from 1992 to 1994, only 7.2 percent of Dutch youths between the ages of 12 and 15 reported having tried marijuana, compared to 13.5 percent of Americans in that age bracket. Far fewer Dutch youths, moreover, experiment with cocaine, buttressing officials' claims of success in separating the markets for hard and soft drugs. Most Dutch parents regard the "reefer madness" anti-marijuana campaigns of the United States as silly. Dutch coffeeshops have not been problem free. Many citizens have complained about the proliferation of coffeeshops, as well as nuisances created by foreign youth flocking to party in Dutch border cities. Organized crime involvement in the growing domestic cannabis industry is of increasing concern. The Dutch government's efforts to address the problem by more openly and systematically regulating supplies to coffeeshops, along with some of its other drug policy initiatives, have run up against pressure from abroad, notably from Paris, Stockholm, Bonn, and Washington. In late 1995 French President Jacques Chirac began publicly berating The Hague for its drug policies, even threatening to suspend implementation of the Schengen Agreement allowing the free movement of people across borders of European Union (EU) countries. Some of Chirac's political allies called the Netherlands a narco-state. Dutch officials responded with evidence of the relative success of their policies, while pointing out that most cannabis seized in France originates in Morocco (which Chirac has refrained from criticizing because of his government's close relations with King Hassan). The Hague, however, did announce reductions in the number of coffeeshops and the amount of cannabis customers can buy there. But it still sanctions the coffeeshops, and a few municipalities actually operate them. Notwithstanding the attacks, in the 1990s the trend toward decriminalization of cannabis has accelerated in Europe. Across much of Western Europe, possession and even minor sales of the drug are effectively decriminalized. Spain decriminalized private use of cannabis in 1983. In Germany, the Federal Constitutional Court effectively sanctioned a cautious liberalization of cannabis policy in a widely publicized 1994 decision. German states vary considerably in their attitude; some, like Bavaria, persist in a highly punitive policy, but most now favor the Dutch approach. So far the Kohl administration has refused to approve state proposals to legalize and regulate cannabis sales, but it appears aware of the rising support in the country for Dutch and Swiss approaches to local drug problems. In June 1996 Luxembourg's parliament voted to decriminalize cannabis and push for standardization of drug laws in the Benelux countries. The Belgian government is now considering a more modest decriminalization of cannabis combined with tougher measures against organized crime and heroin traffickers. In Australia, cannabis has been decriminalized in South Australia, the Australian Capital Territory (Canberra), and the Northern Territory, and other states are considering the step. Even in France, Chirac's outburst followed recommendations of cannabis decriminalization by three distinguished national commissions. Chirac must now contend with a new prime minister, Lionel Jospin, who declared himself in favor of decriminalization before his Socialist Party won the 1997 parliamentary elections. Public opinion is clearly shifting. A recent poll found that 51 percent of Canadians favor decriminalizing marijuana. WILL IT WORK? Both at home and abroad, the U.S. government has attempted to block resolutions supporting harm reduction, suppress scientific studies that reached politically inconvenient conclusions, and silence critics of official drug policy. In May 1994 the State Department forced the last-minute cancellation of a World Bank conference on drug trafficking to which critics of U.S. drug policy had been invited. That December the U.S. delegation to an international meeting of the U.N. Drug Control Program refused to sign any statement incorporating the phrase "harm reduction." In early 1995 the State Department successfully pressured the World Health Organization to scuttle the release of a report it had commissioned from a panel that included many of the world's leading experts on cocaine because it included the scientifically incontrovertible observations that traditional use of coca leaf in the Andes causes little harm to users and that most consumers of cocaine use the drug in moderation with few detrimental effects. Hundreds of congressional hearings have addressed multitudinous aspects of the drug problem, but few have inquired into the European harm-reduction policies described above. When former Secretary of State George Shultz, then -Surgeon General M. Joycelyn Elders, and Baltimore Mayor Kurt Schmoke pointed to the failure of current policies and called for new approaches, they were mocked, fired, and ignored, respectively-and thereafter mischaracterized as advocating the outright legalization of drugs. In Europe, in contrast, informed, public debate about drug policy is increasingly common in government, even at the EU level. In June 1995 the European Parliament issued a report acknowledging that "there will always be a demand for drugs in our societies . . . the policies followed so far have not been able to prevent the illegal drug trade from flourishing." The EU called for serious consideration of the Frankfurt Resolution, a statement of harm-reduction principles supported by a transnational coalition of 31 cities and regions. In October 1996 Emma Bonino, the European commissioner for consumer policy, advocated decriminalizing soft drugs and initiating a broad prescription program for hard drugs. Greece's minister for European affairs, George Papandreou, seconded her. Last February the monarch of Liechtenstein, Prince Hans Adam, spoke out in favor of controlled drug legalization. Even Raymond Kendall, secretary general of Interpol, was quoted in the August 20, 1994, Guardian as saying, "The prosecution of thousands of otherwise law-abiding citizens every year is both hypocritical and an affront to individual, civil and human rights . . . Drug use should no longer be a criminal offense. I am totally against legalization, but in favor of decriminalization for the user." One can, of course, exaggerate the differences between attitudes in the United States and those in Europe and Australia. Many European leaders still echo Chirac's U.S.-style antidrug pronouncements. Most capital cities endorse the Stockholm Resolution, a statement backing punitive prohibitionist policies that was drafted in response to the Frankfurt Resolution. And the Dutch have had to struggle against French and other efforts to standardize more punitive drug laws and policies within the EU. Conversely, support for harm-reduction approaches is growing in the United States, notably and vocally among public health professionals but also, more discreetly, among urban politicians and police officials. Some of the world's most innovative needle exchange and other harm-reduction programs can be found in America. The 1996 victories at the polls for California's Proposition 215, which legalizes the medicinal use of marijuana, and Arizona's Proposition 200, which allows doctors to prescribe any drug they deem appropriate and mandates treatment rather than jail for those arrested for possession, suggest that Americans are more receptive to drug policy reform than politicians acknowledge. But Europe and Australia are generally ahead of the United States in their willingness to discuss openly and experiment pragmatically with alternative policies that might reduce the harm to both addicts and society. Public health officials in many European cities work closely with police, politicians, private physicians, and others to coordinate efforts. Community policing treats drug dealers and users as elements of the community that need not be expelled but can be made less trouble some. Such efforts, including crackdowns on open drug scenes in Zurich, Bern, and Frankfurt, are devised and implemented in tandem with initiatives to address health and housing problems. In the United States, in contrast, politicians presented with new approaches do not ask, "Will they work?" but only, "Are they tough enough?" Many legislators are reluctant to support drug treatment programs that are not punitive, coercive, and prison-based, and many criminal justice officials still view prison as a quick and easy solution for drug problems. The lessons from Europe and Australia are compelling. Drug control policies should focus on reducing drug-related crime, disease, and death, not the number of casual drug users. Stopping the spread of HIV by and among drug users by making sterile syringes and methadone readily available must be the first priority. American politicians need to explore, not ignore or automatically condemn, promising policy options such as cannabis decriminalization, heroin prescription, and the integration of harm-reduction principles into community policing strategies. Central governments must back, or at least not hinder, the efforts of municipal officials and citizens to devise pragmatic approaches to local drug problems. Like citizens in Europe, the American public has supported such innovations when they are adequately explained and allowed to prove themselves. As the evidence comes in, what works is increasingly apparent. All that remains is mustering the political courage. Note Lynn Zimmer and John P. Morgan, Marijuana Myths, Marijuana Facts: A Review of the Scientific Evidence, New York: Lindesmith Center, 1997. Copyright 1998, Foreign Affairs. Reprinted by permission. All rights reserved.