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Perspectives
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The drug policy
debate: prohibition versus legalization
By James A. Inciardi
Global Issues USIA Electronic Journals, Vol. 1, No. 7, July 1996.
The following
is the Postscript Summary of the above titled 153-page essay written
by the author and commissioned by the U.S. Information Agency. Its views
are those of the author and do not reflect the opinions or policies
of the United States Information Agency.
Portions of this
essay previously appeared in: James A. Inciardi, "Against Legalization
of Drugs," pp. 139-220 in Arnold S. Trebach and James A. Inciardi,
Legalize It? Debating American Drug Policy (Washington, D.C.: American
University Press, 1993).
The arguments for
legalization are seemingly based on the fervent belief that the country's
prohibitions against marijuana, cocaine, heroin, and other drugs impose
far too large a cost in terms of tax dollars, crime, and infringements
on civil rights and individual liberties. Though the overall argument
may be well-intended and appear quite logical, I find it to be highly
questionable in its historical, socio-cultural, and empirical underpinnings,
and demonstrably naive in its understanding of the negative consequences
of a legalized drug market. In counterpoint:
1. Although drug
prohibition policies have been problematic, it would appear that they
have managed to keep drugs away from most people. High school and general
population surveys indicate that most Americans don't use drugs, have
never even tried them, and don't know where to get them. Thus, the numbers
"at risk" are dramatically fewer than is the case with the legal drugs.
Or stated differently, there is a rather large population that might
be at risk if illicit drugs were suddenly available.
2. Marijuana, heroin,
cocaine, crack, and the rest are not "benign" substances. Their health
consequences, addiction liability, and/or abuse potential are considerable.
3. There is extensive
physiological, neurological, and anthropological evidence to suggest
that people are of a species that has been honed for pleasure. Nearly
all people want and enjoy pleasure, and the pursuit of drugs --whether
caffeine, nicotine, alcohol, opium, heroin, marijuana, or cocaine --seems
to be universal and inescapable. It is found across time and across
cultures. Moreover, history and research have demonstrated that "availability
creates demand."
4. Crack-cocaine
is especially problematic because of its pharmacological and socio-cultural
effects. Because crack makes its users ecstatic and yet is so short-acting,
it has an extremely high addiction potential. Use rapidly becomes compulsive
use. Crack acquisition thus becomes enormously more important than family,
work, social responsibility, health, values, modesty, morality, or self-respect.
Because of its chemistry, crack is easy and inexpensive to produce,
and it will likely remain so, regardless of its legal status. A benefit
of its current criminalization is that since it is against the law,
it doesn't have widespread availability, and proportionately few people
use it.
5. The research
literature on the criminal careers of heroin and other drug users have
convincingly documented that while drug use tends to intensify and perpetuate
criminal behavior, it usually does not initiate criminal careers. In
fact, the evidence suggests that among the majority of street drug users
who are involved in crime, their criminal careers were well established
prior to the onset of either narcotics or cocaine use.
6. There is a large
body of work suggesting that drug abuse is overdetermined behavior.
That is, physical dependence is secondary to the wide range of influences
that instigate and regulate drug-taking and drug-seeking. Drug abuse
is a disorder of the whole person, affecting some or all areas of functioning.
In the vast majority of drug offenders, there are cognitive problems,
psychological dysfunction is common, thinking may be unrealistic or
disorganized, values are misshapen, and frequently there are deficits
in educational and employment skills. As such, drug abuse is a response
to a series of social and psychological disturbances. Thus, the goal
of treatment should be "habilitation" rather than rehabilitation." Whereas
rehabilitation emphasizes the return to a way of life previously known
and perhaps forgotten or rejected, habilitation involves the client's
initial socialization into a productive and responsible way of life.
7. The focus of
the war on drugs can be shifted. I believe that we do indeed need drug
enforcement, but it is stressed far too much in current policy. Shift
a portion of those funds to criminal justice-based treatment programs.
8. Drug control
should remain within the criminal justice sector for some very good
reasons. The Drug Use Forecasting (DUF) program clearly demonstrates
that the majority of arrestees in urban areas are drug-involved. Moreover,
recent research has demonstrated not only that drug abuse treatment
works, but also that coerced treatment works best. The key variable
most related to success in treatment is "length of stay in treatment,
" and those who are forced into treatment remain longer than volunteers,
and by remaining longer, they benefit more. As such, compulsory treatment
efforts should be expanded for those who are dependent on drugs and
are involved in drug-related crime.
9. Since the "war
on drugs" will continue, then a more humane use of the criminal justice
system should be structured. This is best done through treatment in
lieu of incarceration, and corrections-based treatment for those who
do end up in jails and prisons.
Having said all
of this, where do we go from here? Is any purpose served by further
debating the legalization of drugs? People on both sides of the discussion
seem to be galvanized, unwilling to make substantial concessions to
one another. The government of the United States is not going to legalize
drugs at any time soon, if ever, and certainly not in this century.
So why spend so much time, expense, and intellectual and emotional effort
on a Quixotic undertaking? Aside from the positive or negative merits
of the legalization thesis, it represents a problematic approach to
a very complex predicament.
Finally, there
is far too much suffering as the result of drug abuse that is not being
addressed. Many things warrant discussion, debate, and prodding on the
steps of the U.S. Capitol and the White House lawn. More drug abuse
treatment slots, a repeal of the statutes designed to prosecute pregnant
addicts and prohibit needle exchange programs, and the wider use of
treatment as an alternative to incarceration -- all of these are worthy
of vigorous consideration and lobbying. But not legalizing drugs. It
is an argument that is going nowhere.
James A. Inciardi,
Ph.D., is a professor and the Director of the Center for Drug and
Alcohol Studies at the University of Delaware.
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