Pubdate: Tue, 10 Nov 1998 Source: Canberra Times (Australia) Page: 7-8 Contact: http://www.canberratimes.com.au/ Author: Michael Booth THE POLITICS OF PRESCRIBED PROHIBITION The evidence about drug use is often overlooked when it comes to making decisions about drug control, as MICHAEL BOOTH reports. GOOD politics, it is often said, is about good policy, and, good policy often depends upon our scientific knowledge of the relevant issues. One area where this adage definitely does not apply is drug policy. Here, unfortunately, the scientific and scholarly evidence we have about drugs and drug use are routinely overlooked in favour of policies based on ideas that are the intellectual and academic equivalent of a belief in witchcraft. It is difficult for many people to understand why another human might smoke tobacco, drink alcohol, or inject substances to the point where their wealth, health, or indeed their life itself is placed at risk. Regardless of what motivates people to use drugs, however, we do in fact know a surprising amount about the people who use different drugs, the drugs they use, and the ways they use them. The evidence tells us that the overwhelming majority of humans are drug users of one sort of another. Almost everybody consumes some sort of mood-altering drug, whether it is chocolate, tea or coffee, alcohol, tobacco, cannabis, opiates, stimulants, hallucinogens or a substance prescribed for them by a medical practitioner. The true deviants (statistically speaking), are those who never consume any mood-altering substance at all. Indeed, there has probably never been a human culture without some form of intoxicating substance available to its inhabitants. The same evidence also tells us that for the overwhelming majority of people, their drug use, whether illegal or legal, medical or non-medical, will remain a relatively harmless activity with few or no adverse consequences. Indeed, for many people drug use will be something from which they derive considerable benefits, both real and perceived. We also know that drug use is largely an activity for young people. The years of experimentation and exploration are largely restricted to the teenage years and the early 20s. If people get to their mid-20s without trying a drug then they will most likely go through the rest of their lives without ever trying it. Of people who do try a particular drug, only a minority will go on to become regular users, and an even smaller proportion, will develop any kind of dependence on a drug. Even dependent users retain the capacity to control and modify their drug taking in response to a variety of factors, the most powerful one of which appears to be age. By the time most dependent drug users reach their mid 30s they will modify and reduce their drug use of their own accord, and the rate at which they do this appears to be largely independent of the external conditions in which they are living. Opiate dependent people appear to give up the drug at approximately the same rate whether they are in a rehabilitation program, in prison, or left to their own devices with a regular and assured supply. The proportion of ex-smokers in a population increases as the population ages. As some authorities have put it, there appear to be natural levels of drug-use among people that are largely independent of the legal, economic, political and cultural conditions that have determined how and where drugs are grown, marketed and distributed. This is not to argue that these factors are unimportant - merely that there are probably natural limits below which is almost certainly impossible to reduce drug use, regardless of the persuasive or coercive efforts on the part of the state. The evidence also tells us about the various attempts by governments and states to control and restrict drug use. As late as 1900, all the drugs that we are now called to have zero-tolerance for were perfectly legal. Attempts to restrict and control drugs were motivated by baser political motives. Historical studies have dispelled the myth that some drugs were banned because of the damage caused by them. Rather the ban on some drugs emerged as the bastard child of social reform, the temperance movement, religious fundamentalism, out and out racism and the real politik of international diplomacy in the age of Empires. The early treaties aimed at curbing the opium trade, for instance, were motivated by as much by international pressure to curb the influence of the British in Asia as they were by the domestic need to exclude the cultural group most associated with opium - the Chinese. The bans on cannabis were first implemented in American states where large Hispanic populations lived and worked. The laws against cocaine can be traced in large part to fears of African-Americans in the southern states of America. Under the international auspices of the United States in particular, the world has become locked into an approach to drugs that is dominated by prohibition. This has been particularly evident in the years since the World War II, when America's undisputed superpower status enabled it to impose its prohibitionist domestic policies on the rest of the world as well. As a result of US influence, the world is now confronted by a towering wall of prohibition that is, to all intents and purposes, unassailable. We know that the availability and cost of illicit drugs do not appear to have been restricted by the world-wide legal prohibitions on manufacture, distribution, and consumption. On the contrary, all the available evidence about illicit drugs informs us that weaker and dilute forms of drug have been replaced by ever concentrated varieties - - opium by heroin, cocoa by cocaine and then crack, marijuana leaf by seedless buds. This is not new. During the prohibition of alcohol in America in the 1920s and 1980s, distilled spirits replaced beer and wine. At the same time as the potency of illicit drugs has increased, real prices have fallen, and ever increasing quantities are being produced and distributed. And this while ever increasing resources have been committed to enforcing the prohibition. The record of 80 or so years of prohibition as the major tool for governments to control and regulate drug use has been an abject failure. The overwhelming bulk of scientific and scholarly evidence suggests that prohibition has greatly exacerbated the problems associated with drugs, drug use and drug users. Even so there are still those who try to argue that reliance on prohibition has prevented an explosion in availability and usage, and that any change in policy would send out the wrong message. There is no evidence to support this. Indeed, what evidence there is suggests the exact, opposite. The Dutch experience shows that possession and small-scale trafficking of cannabis can be effectively ignored. Indeed it can be tolerated, permitted, and taxed without society failing apart in a cloud of marijuana smoke. The Dutch have lower levels of cannabis use among their citizens than countries where the ban on possession and small-scale trafficking is much more heavily enforced. Those people who think about drug policies must deal with one basic question: Do they agree that the overwhelming bulk of scientific and scholarly evidence suggests that our current approach to drugs is unscientific and inadequate? There are only two possible answers to this question. One is that they do agree with the scientific and scholarly evidence, in which case they should withdraw their opposition to any change in policy. The other is that they really believe that the scientific and scholarly evidence does not matter. Just why drug policy should be exempt from the normal criteria of evidence and best practice is seldom addressed by people in favour of the status quo and policies based on prohibition, but the fact is that every other area of contemporary life - the economy, agriculture, law, medicine relies on scientific and scholarly evidence. It is time that drug policy was similarly reliant. --- Michael Booth is an associate lecturer in the Faculty of Communication at the University of Canborra. He has worked for the Alcohol and Drug Foundation, Australia, the Drug Referral and Information Centre, and served on the Australian Federation of AIDS Organisations. He is currently attempting to become an ex-user of tobacco. - --- Checked-by: Rich O'Grady