More Drugs, Less Damage
Mark Kleiman
responds to my
post on the way we treat alcoholics compared to other drug addicts:
The missing premise in that inference is that everyone who would be addicted to (e.g.) cocaine, if cocaine were legally available, is addicted (to cocaine or something else) now. But that seems hardly plausible. The United States has perhaps two million heavy cocaine users, and perhaps 15 million people with drinking problems. There's no reason to think that alcohol is either more fun than cocaine or more addictive. That suggests to me that making a drug legally available, or at least making it commercially available, is a population-level risk factor for addiction.
The task of reducing the damage done by our current drug laws and related policies requires detailed analysis on a drug-by-drug, policy-by-policy basis. The slogan "End the drug war" is no more likely to be a useful guide to action than the slogan "A drug-free society."
Prof Kleiman is correct. Legalizing currently illegal drugs and allowing their commercialization would result in more drug use (but not nearly as much as many would assume: net national acohol usage skyrocketed immediately after the repeal of Prohibition, but then sank down to levels only slightly higher than during Prohibition). From that drug use we would be likely to have more addicts. However, the overall rate of addiction to all substances wouldn't increase much, and whatever increase there was would be outweighed by lifting the costs and damages of prohibition from society's back.
As the cases of Noelle Bush, Robert Downey Jr, and Nick Nolte has shown us, drugs are readily available to anyone who wants them. I could walk out my front door and find drugs within a five minute drive anytime of day or night. The same holds true for most citydwellers, and suburbanites are only faced with a longer drive, not a harder time in buying drugs. In fact, it's much easier to buy drugs after alcohol sales legally end at 3am than it is to find booze. It is also as easy for minors to buy drugs as it is for them to buy alcohol. Drug legalization wouldn't change the availability of drugs as much as it would the purity of drugs, the dangers involved in buying them, and the negative externalities associated with the illegal drug trade. I believe these are the only reasons drug use would go up, and not the sudden availability of previously unavailable drugs.
Addictive personalities aren't monogamous. If one means of getting high isn't available, they'll gladly switch to another. This why most people susceptible to addiction are already addicted to alcohol, prescription drugs, or illegal drugs (or have the sense to stay the hell away from regular drug use). This is also why temporarily successful efforts to interdict particular drugs don't so much to lower overall addiction rates. Cut the supply of cocaine and crystal meth usage goes through the roof. Cut the supply of marijuana and alcohol usage goes up. The users most likely to be deterred by the unavailability of their favorite drug are ones we should be least worried about, casual users with no propensity to addiction. A real addict will just switch to something else. This is why many users, like Noelle Bush, have been arrested for more than one drug and why Brett Farvre's substance abuse counselors insisted he stop drinking. They knew he would be likely to switch his addiction from Vicodin to booze if given the chance.
After legalization, the rate of addiction to currently illegal drugs would be likely to rise, but the rate of addiction to alcohol and prescription drugs would be likely to decrease as well (as people who would previously have become alcoholics get addicted to something else instead). Heroin and cocaine can both have severe long term health affects, but neither is as hard to withdraw from as alcohol. I'd have to consider an increase in hard drug addiction with a corresponding decrease in alcohol and prescription drug addiction to be a negative outcome, but a relatively small one.
Some people who would otherwise become alcoholics would instead smoke marijuana , which isn't as physically destructive nor nearly as addictive as alcohol. This I would have to consider a net plus to society. Marijuana doesn't have the same association with violence, with spousal and child abuse, or with long term addiction as alcohol does.
Just as during Prohibition, most of the externalities we associate with drug use are due mainly to its illegality. Not only have we imprisoned hundreds of thousands of non-violent drug offenders who would otherwise be leading productive lives, but we've turned our inner cities into open-air drug markets and free fire zones. Just as the urban murder rate went up during Prohibition as mobsters battled for control of lucrative markets, many (if not most) of our inner city murders are the result of battles for drug turf. Take away the outsized profits to be made from the drug trade, and you take away the incentive to kill others over turf and markets. You don't see liquor distributors pulling drive-bys for market share, do you?
Our appetite for illegal drugs has helped corrupt and severely damage the societies of Mexico, Colombia, and other Latin American nations. Not only have the police, the army, and government officials become an integral part of the drug trade, but drug profits fuel a bitter and murderous civil war in Colombia. They also provide revenue for the brutal military dictatorship in Burma. Legalize drugs, and we can start to heal the damage done to those societies that furnish us with drugs.
Our own society has also been corrupted by drug profits. Every year we have more judges and police officers imprisoned for taking bribes from drug dealers. Every year we have greater and greater restrictions placed on our 4th and 5th Amendment rights in the name of "fighting the Drug War". Drug legalization would remove the impetus for the erosion of our civil liberties and the corruption of our criminal justice system.
The War on Drugs has also wasted billions of dollars and grossly distorted our priorities as a nation. In New Yok, it's common for drug traffickers to get much longer jail sentences than murderers. If we truly want to make the streets safer, we should stop prosecuting nonviolent drug offenders and keep the truly dangerous criminals in jail much longer. If we truly want to reduce drug dependency, then we should make treatment free to all who need it and spend money currently wasted in the WoD on education, economic development, and other things that give people a life worth living rather than one worth getting stoned to forget.
Legalization doesn't mean we should accept the level of commercialization currently seen in alcohol and tobacco sales. In fact, I'd prefer it didn't. I'd like to see something on the order of government run distribution centers with drugs of set potency available to adults only. Profits could go to drug treatment centers and healthcare. While not a perfect solution (and one I'd gladly junk in favor of a better idea if one came along), this would get rid of the negative externalities of current drug policy (violence of markets, mass imprisonment of non-violent offenders, systemic corruption) without actively marketing and encouraging drug use.