Pubdate: Wed, 22 Dec 1999 Source: Ha'aretz (Israel) English Edition Copyright: Ha'aretz Daily Newspaper Ltd. 1999 Contact: (c) Ha'aretz Daily Newspaper Ltd. 1999 Fax: 03-5121156 Website: http://www3.haaretz.co.il/eng/ Author: Orna Coussin WHY KEEP OFF THE GRASS, WHEN YOU CAN HAVE PROZAC INSTEAD? Is There A Fundamental Difference - Morally, And In Terms Of The Harm They Cause - Between Illegal Drugs And Legal Ones, Such As Alcohol, Nicotine And Prozac? The Question Is Being Seriously Debated In The United States. A biting article in the latest issue of the prestigious American Harper's magazine asked its readers to note "How the war on drugs strangles your Bill of Rights." The article, part of an ongoing debate in recent years in U.S. publications, questions accepted concepts on drugs, pointing to several absurd aspects in the distinction between legal and illegal substances. "The 'war on drugs' began as a rhetorical flourish used by Richard Nixon to contrast his tough stand on crime with LBJ's 'war on poverty,'" write Harper's Graham Boyd and Jack Hitt. "But as the Reagan, Bush and Clinton administrations poured billions of dollars into fighting drugs, the slogan slipped the reins of metaphor to become just a plain old war - with an army (DEA), an enemy (profiled minorities, the poor, the cities), a budget ($17.8 billion), and a shibboleth (the children)." This is a blind war, argue the writers, and like all wars has no real victors - other than war industrialists. The state of Israel also invests large sums in this war - NIS 250 million a year, according to Shamai Golan, spokesperson for the Anti-Drug Authority - and just like in the United States, it was at the height of this war, during the 1990's, that an illegal drug culture has developed in Israel, flourishing more than ever before. More and more Israelis roll joints at home, take Ecstasy pills at clubs, and use cocaine or heroin at parties to relax, to feel happy or to cut themselves off for a short while from harsh realities. According to a survey conducted by the Anti-Drug Authority, 250,000 Israelis aged 12-40 use illegal drugs at varying degrees of frequency, and their share in the population has been steadily rising in the past decade. But the critics note that side-by-side with this there is also a flourishing legal drug culture, sanctioned by the state. These drugs are designed to cause the exact same affects: To help one relax, feel happy or cut off for a while from harsh realities. In just one year, from September 1998 to September 1999, for example, the private sales turnover of anti-depressant Prozac-style mediation in Israel (not including most of the sales, at the HMOs) was over NIS 31.5 million (according to data processed by IMS Health, a company that supplies information to the pharmaceutical industry, based on a sample of 140 privately owned pharmacies across the country). The Anti-Drug Authority, set up in 1989, states that it "strives to create a social-political-public climate that will view the use of drugs as a mark of shame and condemn those who use them." The authority's latest campaign, which appealed to parents on billboards and TV screens, asking them: "How will you know if it's your child?" recently ended and is to be replaced in several months with a new campaign, against the thriving Ecstasy culture at local clubs. Currently, an educational bus is driving between various youth hang-outs trying to persuade youngsters not to use drugs. The Anti-Drug Authority's intentions are undoubtedly good, and there is a lot of work to be done. The organization's spokesperson says that drugs prescribed by doctors - such as Prozac and Ritalin - are of course not part of its battle, and alcohol is also off limits. Its struggles are focused only against the use of illegal substances - such as marijuana and Ecstasy - judged by the state to be worthy of condemnation. But why is Prozac permitted and marijuana forbidden? Why are chemical anti-depressants a medication, those taking them considered upright citizens who are only alleviating their emotional pain, while natural drugs such as marijuana are illegal substances, and those taking them are considered dangerous criminals? What is the fundamental - moral - difference between the two? And whom does this distinction between "good" and "bad" drugs serve? These queries divert the debate from the question of whether or not the war on drugs is effective, to the question of whether it is justified, moral and necessary. The following points are raised for consideration by the writers of these articles: People have always - in different cultures and different periods - sought to ease their daily burden by taking tranquillising substances and substances that offer alternative perceptions of reality. Governments, too, have been concerned by different substances at different times: 17th century England was concerned over the effects of coffee, while Prohibition in the United States forbade the consumption of alcohol in the early part of the 20th century. In all cultures there were also many not concerned at all with the consumption of substances that influence the mind. The substances forbidden today, argue the critics, are not necessarily more addictive than the legal ones. Marijuana smokers do not become physically addicted to it (this fact is not disputed even by the Anti-Drug Authority), while heroin users, cigarette smokers, alcohol drinkers and those who take anti-depressant medication and tranquillisers can become physically addicted to these substances. The distinction between legal and illegal drugs is also not based on the degree of physical harm they cause: Excessive consumption of alcohol, everyone agrees, is more harmful to the body than excessive consumption of marijuana. In fact, excessive consumption of any drug - including Prozac and Ritalin on the one hand, and cocaine, on the other hand, is harmful. People have also, for example, died of using Viagra, and many have lost their sexual desire due to taking Prozac. The division between legal and illegal substances is also not directly linked to the level of danger they themselves pose to public safety. Alcoholic drunks are much more violent than marijuana smokers. The newspapers have not carried any reports recently, for example, about youths beating up a peer for no other reason than because they smoked a joint. In all the above mentioned aspects - danger to society, harm to the health of the consumers themselves and their ability to control the amounts they consume - there is therefore no clear-cut distinction between those drugs deemed legal and those categorized as illegal. But there are several points that differentiate between the two groups. For example, the legal substances produced by the pharmaceutical industry create seemingly docile people, quiet students, obedient workers and disciplined citizens. The outlawed substances - such as LSD and marijuana - are linked to a culture of social criticism, creativity, and rejection of the bourgeois order and culture of consumption. And there is one more distinct difference: The legal drugs - including alcohol, tobacco and medication such as Prozac and Ritalin - are produced by western conglomerates. When states choose, for the good of their citizens, to minimize the harm caused by the substances these conglomerates produce, they at the very most limit their consumption to adults, or to restricted areas, or levy fines on the corporations (in the tobacco industry) and collect taxes from them (in the alcohol industry). But under no circumstances do they outlaw them, even when the corporations use similar or identical chemicals to those outlawed. The writers of these articles also point out that all the information we receive about the legal drugs comes from the pharmaceutical industry that manufactures them, and is a clearly interested party. We therefore have no way of judging how much harm these drugs really cause (the Israeli Health Ministry and health maintainance organizations will not even give out statistics on the scope of consumption of Prozac-type drugs in Israel). The critics propose rethinking the entire field of drugs: Perceiving it as an integral part of human culture; sifting out the really dangerous substances and supervising their marketing, just as one supervises the marketing of any other legal consumption product; making a clear distinction between protecting minors and adults' free choice; denouncing the violent and dangerous, whether they use drugs or not; helping those who have difficulties functioning in society, whether their hardships manifest themselves in drug use or not; warning against the dangers of excessive consumption of various substances such as cigarettes, coffee, alcohol, chocolate, heroin, marijuana, Prozac and Ecstasy - and then leaving people to chose for themselves how to use this information for their own good. - --- MAP posted-by: Doc-Hawk