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1. A
system model of drug policy/control is needed:
- to show the
simplest overview of all essential
processes within the drug control system,
connecting all policy areas together into
an integrated system, allowing a 'whole
system' view. This model would outline
the relationships between health, law,
education and economics and link them
with human rights and the
responsibilities of authorities.
- to show
that UN drug Conventions divide drug
control policy into 2 very different
systems, one based on regulation, the
other on repression.
- to compare
the costs and benefits of regulation with
those of repression.
- to provide
prohibitionists and reformers with common
ground upon which debate can be based.
- to show how
organisations could cooperate to form
networks by defining their roles within
the system.
- to show
prohibitionists that legalisation should
not be feared as an unknown because it is
a tried and tested system that has proven
to be more effective than prohibition.
2. A model of
current drug control comparing legal drug
regulation with illegal drug repression
- UN drug
Conventions prohibit the production,
supply and use of non-medicinal drugs
that are harmful. The Conventions are
intended to result in harm reduction.
- The
Conventions impose a global illegal drug
policy on national governments to ensure
the prohibition of international illegal
drug supply.
- Regulation
of legal drugs: National governments
implement their own legal drug policies.
A cost-benefit analysis determines the
type of government intervention.
Education is used to encourage beneficial
use (e.g. moderate alcohol consumption),
tolerate reasonably safe use and
discourage use harmful to the consumer.
Education policy encourages informed
choice. The cost-benefit analysis also
identifies use, supply and production
harmful to others. Legislation and law
enforcement are used to limit this.
Legislation designed to prevent drug
production harmful to others can
include laws requiring a cost-benefit
analysis (e.g. clinical trials for
pharmaceutical drugs), quantity and
quality control, safe use instructions,
side-effects warnings, ingredients list
and sell-by date. Legislation designed to
prevent drug supply
harmful to others can include laws
requiring marketing restrictions (e.g.
advertising) and sales restrictions (e.g.
sales outlets, sales to young people).
Legislation designed to prevent drug
use harmful to others includes
laws against drink-driving, passive
smoking and drug-related violence. Drug
sales are taxed providing sufficient
income to cover all the costs of drug
education, regulation and law enforcement
as well as covering the costs of health
treatment for the harm caused by drug
use.
- Repression
of illegal drugs: Illegal drug policy
aims to reduce harm by repressing all
production, supply and use through
legislation and law enforcement.
Education is used to discourage demand
for illegal drugs. Authorities cannot
regulate black market production, supply
and use to limit the harm they cause so
there is no possibility of
quantity/quality control, of marketing or
sales control, or of taxing the trade to
pay for social costs. Considerable
amounts of money are spent attempting to
repress illegal drugs but the black
market has continued to expand. Harm
reduction policies are slowly being
introduced by some authorities, usually
through health and education services, to
limit the harm caused by illegal drug
production, supply and use (e.g.
quantity/quality control, safe use
instructions, needle exchanges). Other
authorities are reluctant to implement
such harm reduction policies for fear
they will encourage illegal drug use.
3. Criticisms
of the current divided drug control system:
- UN drug
Conventions fail to define 'drug', 'harm'
and 'non-medicinal use'. 'DRUG': They
fail to provide any evidence that illegal
drug use is more harmful than legal drug
use (alcohol and tobacco). The
Conventions fail to undertake a
cost-benefit analysis of all
non-medicinal drug use. They prohibit the
illegal drugs before any scientific
judgement. This pre-judgement, or
prejudice, results in the prohibition of
those drugs not traditionally used in the
West while permitting traditional drugs
equally, or more, harmful. As with all
unjust discrimination 'different from
traditional' is equated with 'bad' and
'same as traditional' is equated with
'good'. Recent scientific evidence
suggests that safer alternatives to legal
drugs have been prohibited suggesting
that the legal regulation of illegal
drugs may be a harm reduction policy. For
example evidence indicates that cannabis
is a safer relaxant/intoxicant than
alcohol in terms of risk of addiction,
overdose, accident and violence. The
Conventions encourage the use of more
harmful drugs by prohibiting safer
alternatives. This inconsistency leads
people, especially the young, to
disrespect the law and the authorities.
'HARM': The Conventions also fail to
distinguish harm to the consumer from
harm to others. They fail to recognise
that citizens have greater rights to risk
harming themselves than to risk harming
others. 'NON-MEDICINAL USE': The
Conventions fail to consider evidence
suggesting that all non-medicinal drugs
are mostly misused by those suffering
from stress - work-related stress or
stress from poverty and social exclusion.
Untreated stress may cause more harm than
the use of so-called non-medicinal drugs
for self-medication. The Conventions fail
to recognise the human right to
self-medicate for stress. They also deny
another unalienable human right, the
'pursuit of happiness' - so long as that
pursuit does not harm others.
- UN
Conventions cannot develop and adapt as
better evidence of drug harm emerges
because a single nation may veto any
change. As a result national governments
are prevented from exploring alternative
modern evidence-based policies designed
to optimise harm reduction, cost
effectiveness and informed choice.
- Legal drug
policies target actual harm both to
consumer and to others rather than trying
to prevent beneficial use and reasonably
safe use - they focus resources where
they are needed and do not waste them
where they are not needed. Self-harm is
not criminalised, only harm to others.
Citizens may risk self-harm not only from
legal drugs but also from food misuse
(obesity) and recreational activities
(e.g. sports accidents). Production and
supply regulations ensure that drugs are
as safe as possible. Legal drug policy
recognises the right of consumers to
informed choice and the right of
producers and suppliers to meet consumer
demand. Regulation also allows the drug
trade to be taxed to pay for the social
costs, making no demands on non-drug
using tax-payers.
- Illegal
drug policies: HUMAN RIGHTS: There is
repression of the rights of consumers to
use the illegal drugs beneficially or
reasonably safely. There is no
recognition that citizens have greater
rights to risk harming themselves than to
risk harming others. The prejudice and
use of law against illegal drugs leads to
producers, suppliers and consumers facing
discrimination, social exclusion,
persecution, prosecution, punishment,
imprisonment, even death. DEMOCRATIC
RIGHTS: tax-payers' money is not used
cost-effectively. There has been little
involvement of citizens in policy making.
Democratic mechanisms within the justice
system have been disabled primarily by
failure to inform juries of their right -
indeed legal duty - to judge whether or
not the law is just. TRADE RIGHTS:
Producer nations are denied the right to
sustainably exploit their natural
resources and provide their subsistence
farmers with a livelihood. Suppliers are
denied fair trade rights and consumers
are denied consumer rights (informed
choice and consumer protection).
ENVIRONMENTAL RIGHTS: Crop eradication
programs cause environmental damage. HARM
INCREASING: There are no regulatory
safeguards for production and supply
making illegal drug use more harmful than
if legally regulated (see 2.3 above).
Health and education authorities wishing
to implement harm reduction policies to
compensate for the lack of regulatory
safeguards are severely hampered by the
prohibition policy of governments.
ECONOMIC WASTE and FUNDING CRIME: The
reliance of illegal drug policy on law
enforcement is expensive but ineffective.
No income is possible from taxing the
trade to cover social costs so all
profits go to organised crime while the
additional law enforcement costs of
prohibition are wasted through lack of
focus on actual harm.
4.
Conclusions and recommendations:
- Prohibition
is not a cost effective form of
regulation. It ignores a major source of
income (tax) and requires large
additional expenditure (law enforcement
costs).
- Prohibition
causes more harm than it prevents. It
makes drug production, supply and use
more harmful (no regulatory safeguards),
harms the environment and the rights of
producers, suppliers and consumers.
- Regulations
for controlling drugs, whether medicinal
or non-medicinal, should target the
specific risks of harm at each stage of
production, supply and use. Repression of
a natural instinct and human right is
unjust and unsustainable. Harm reduction
strategies aim to fill the void left by
lack of regulation: testing
quality/quantity of illegal drugs,
supplying consumers with safe use
instructions and the means of following
those instructions (e.g. needle exchange
programs).
- Regulatory
frameworks for potentially harmful
activities should be reviewed to extract
the 'best practise' from each framework.
This integrated framework should then be
adapted to each potentially harmful
activity.
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