Source: New Zealand Herald (Auckland) Contact: Wed, 22 Jul 1998 Author: Sally Jackman STRAIGHT DOWN THE MIDDLE ON DRUG USE AND ABUSE Efforts to combat drug abuse require a balance between personal liberty and social responsibility People have been taking drugs for no good medical reason since the dawn of history. For just as long, other people have raged against that. The official attitude to drugs can seem mysterious at first glance. For example, numerous drugs are illegal while tobacco, a known killer, is distributed legally. Television advertising of alcohol is okay but tobacco is not. Leaving a 13-year-old alone at home is an offence but poisoning infants by smoking in confined spaces is not. The full range of social thought is illustrated in the drug debate. At one end of the spectrum libertarians say depriving people of the freedom to use drugs such as heroin and cocaine has done more harm than good. They say jails have been filled, police corrupted, civil liberties lost and Third World peasants propelled into opium and cocaine production, all to stop people doing something they should be free to do. They also say illegality creates high prices and addicted people become criminals to pay inflated prices. They cite the spawning of organised crime as the legacy of alcohol prohibition in the United States. In the purest form they say the state has no role in protecting people from themselves. At the other end of the spectrum there are prohibitionists, who say that addictive drugs entrap human personalities so that arguments about human liberty are spurious. Prohibitionists say there are some human activities that are so socially destructive that even when the perpetrator is the victim they cannot be permitted. They say that to suggest an addict is making a free choice is to deny that the person has lost personal sovereignty and has become a slave to a substance that someone is selling for profit. Prohibitionists say that at times the strong must protect the weak, even when the weak do not wish to be protected. The New Zealand Drug Foundation favours a middle path. If all drugs were legal, human greed would see new products developed with the intent of maximising addiction through the population. On the other hand, a prohibitionist war on drugs is a hard one to win. Prohibition of alcohol in the 1930s is proof enough. Even in New Zealand prisons 35 per cent of inmates test positive for drug use. The foundation believes that society has a responsibility to express its values through the law and through public health policies. For example, we are disappointed with the recent decision of the Advertising Standards Authority to allow continued advertising of alcohol on television. We support a health curriculum in schools that helps young people faced with choices about drugs. We support pragmatic policies that reduce harm: for example, needle exchanges to avoid HIV/AIDS infection and activities for young people that divert them from drug use. Many foundation members believe that the current law is not working, and for that reason the foundation encourages debate about options. We have reservations about legalisation, however, because it may lead to the promotion of cannabis by companies as astute and vigorous as those that promote alcohol and tobacco products today. Meanwhile, individuals need help. Three hundred new assessments for alcohol and drug treatment are made monthly in the Auckland region alone. These people may represent just the tip of the iceberg. Schools advise that 12-year-old children are using cannabis. Early drug use is associated with a range of other problems, including higher rates of substance abuse later in life, juvenile offending, mental health problems, school dropout and unemployment. Survey evidence shows that young New Zealanders between 14 and 19 are drinking more alcohol in 1996 than they did in 1990. Young people are drinking to get drunk more often and experiencing more problems resulting from their own drinking. Use of tobacco by young women has risen slightly during the 1990s, from a low of 30 per cent in 1993 to 35 per cent in 1997. Clearly the public is concerned. The Government's national drug policy announced yesterday by Social Welfare Minister Roger Sowry, acknowledges that treatment services for young people and those on probation are difficult to access. It is time for facts, honest talk and continuing commitment to reduce harm. Sally Jackman is executive director of the New Zealand Drug Foundation. - --- Checked-by: (Joel W. Johnson)