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- Subject: NYC Lawyers' Oppose War On Drugs
- Date: 27 Jun 1994 04:38:09 GMT
- Message-ID: <2ull3h$pf6@dockmaster.phantom.com>
-
-
-
- WARNING: THIS IS A LONG POST. DOWNLOADING IS RECOMMENDED.
-
- The June 1994 issue of "The Record," the official
- publication of the Association of the Bar of the City of New
- York, will include a recently released report by the Association's Special
- Committee on Drugs and the Law. The report is entitled "A Wiser Course:
- Ending Drug Prohibition" (the "Report"). In typewritten form,
- the Report is 83 pages long and has 203 footnotes of sources
- and authorities.
-
- On June 15, 1994, the New York Law Journal (the daily newspaper
- for lawyers in New York) printed on page one a news article
- about the Report. Unfortunately, the rest of the "media"
- (e.g., the New York Times, The Daily News, Newsday, ABC, CBS,
- NBC, C-SPAN, TBS) have failed, at least so far, to take any
- notice of this Report.
-
- To get the word out about this Report, the Association
- has given permission for the Report to be distributed on the
- Internet. A full-length copy of the Report (about 96,388 bytes
- but without the 203 footnotes) is posted here for your reading
- enjoyment. The dissent is also reproduced at the end.
-
- If anyone is interested in purchasing a hardcopy of "The
- Record" issue containing the footnoted version of the Report,
- please use the following information:
-
- The Association of the Bar
- of the City of New York
- 42 West 44th Street
- New York, New York 10036
- (212) 382-6600
-
- If you agree with opinions expressed in the Report,
- please tell the media, your state and federal representatives,
- your friends, and your family about the Report. Let's get the
- debate on the "War On Drugs" rolling!!!!
-
- ********************************************************************
-
- A WISER COURSE: ENDING DRUG PROHIBITION
-
- TABLE OF CONTENTS
-
-
- I. INTRODUCTION
-
- II. THE COSTS OF PROHIBITION
-
- A. DISTORTION OF THE JUDICIAL SYSTEM
-
- 1. New York State
- 2. Other States
- 3. Federal Courts
- 4. The Judiciary is Impatient with the Present System
- 5. Efforts to Handle Court Congestion
-
- B. THE PRISON STATE
-
- C. EROSION OF THE RULE OF LAW AND CIVIL LIBERTIES
-
- 1. Perception of Ineffectiveness
- 2. Perception of a Self-Perpetuating System
- 3. Police Corruption
- 4. Poor Children are Victims of the "War on Drugs"
- 5. Selective Prosecution
- 6. Erosion of Constitutional Rights
- 7. Forfeiture's Heavy Hand
- 8. Erosion of Privacy Rights
-
- D. PROHIBITION-INDUCED VIOLENCE
-
- E. PROHIBITION'S FAILURE TO LIMIT DRUG USE
-
- F. PROHIBITION THREATENS PUBLIC HEALTH
-
- 1. Spread of Disease
- a. Sharing Needles
- b. Trading Sex for Drugs
- c. Neglect of Health
- d. Avoidance of the Health-Care System
- 2. Lack of Information and Quality Control
- a. Adulterated Drugs, Designer Drugs, and Drugs
- of Unknown Potency
- b. Lack of Knowledge About Safer Use
- c. Using Alcohol and Tobacco Instead of
- "Soft Drugs"
- 3. Injuries Due to Violence
- 4. Diversion of Resources from Treatment and
- Prevention
- 5. The Sense of Treating Drugs as a Public
- Health Problem
- a. Treatment Works
- b. Self-Help Groups
- c. Therapeutic Communities
- d. Other Inpatient Drug-Free Treatment
- Programs
- e. Outpatient Methadone Maintenance
- Programs
- f. Outpatient Drug-Free Therapy
- 6. Empirical Research on Effective Drug
- Treatment
- a. Studies Examining the Effects of
- Treatment on Substance Abuse
- b. Studies Examining the Effects of Drug
- Treatment on the Consequences of
- Drug Abuse
- 7. Education Works
- a. Life Skills Training Program
- b. Students Taught Awareness and
- Resistance
- c. Project Healthy Choices
- d. Student Assistance Program
- e. Smart Moves
- f. Seattle Social Development Project
- g. Programs for Children of Addicts
-
- III. TOWARD A NEW DRUG POLICY
-
- IV. CONCLUSION
-
- **********************************************************************
-
- A WISER COURSE: ENDING DRUG PROHIBITION
-
- I. INTRODUCTION
-
- In 1986, the Association of the Bar of the City of New
- York, responding to a general perception that criminal and civil
- sanctions against the manufacture, distribution, or possession of
- drugs were not "solving," or even ameliorating, the problems
- associated with drug use in our society, formed a Special
- Committee on Drugs and the Law (the "Committee") to study our
- current drug laws and to report its recommendations on the wisdom
- of such laws.
-
- The Committee has considered the complex legal, social,
- medical, economic, and political issues raised by our nation's
- current drug control policies. Despite billions of dollars spent
- on law enforcement, criminal prosecution, and incarceration
- during the past 80 years, the United States has made little or
- no progress toward reducing drug use or solving its "drug
- problem." On the contrary, illegal drug use remains a pervasive
- and powerful influence in our cities and in the nation at large.
-
- Beyond the continuing availability and consumption of
- drugs, the unintended consequences of our current prohibition
- policy are ubiquitous: our courts, both state and federal, are
- jammed; our prison populations are burgeoning; urban and ghetto
- children, as well as adults, are frequent victims of violent
- "turf wars"; our civil liberties are being eroded, along with our
- society's respect for the rule of law generally; our public
- health is threatened; the enjoyment of urban life has declined;
- and our nation's institutions, as well as those of our South and
- Central American neighbors, are undermined by the immense wealth
- accumulated illegally under the current prohibition policies.
- The Committee has concluded, in some cases reluctantly, that the
- costs of drug prohibition are simply too high and its benefits
- too dubious.
-
- The Committee recognizes that calling for an end to
- drug prohibition cannot be either the end of our inquiry or the
- sum of our recommendations. There are several difficult
- questions that remain to be answered: What forms of governmental
- regulation, if any, are appropriate instead of prohibition? To
- what degree, if any, should private distribution of drugs be
- permitted? Is a regulatory regime similar to one now used to
- control alcoholic beverages appropriate for some, if not all,
- drugs? How should a new regulatory regime treat children,
- adolescents, or pregnant women? What kinds of prevention and
- treatment programs should there be and how should they be funded?
- These and other issues demand both the urgent attention and
- honest judgment of our Committee and, more broadly, our society.
-
- The Committee believes the necessary inquiry cannot
- begin in earnest so long as our nation remains committed to the
- illusion that drug use can be prohibited at an acceptable cost.
- Only by recognizing that this is no longer true can we fashion a
- method of controlling drugs other than the current coercive drug
- laws, which have been largely ineffective and which are sapping
- the vitality of our cities, our legal system, and our society as
- a whole. It is the Committee's hope that this report will
- advance the discussion of this important issue.
-
- II. THE COSTS OF PROHIBITION
-
- A. DISTORTION OF THE JUDICIAL SYSTEM
-
- At a time of ever-increasing competition for scarce
- public funds, the volume of drug prosecutions and convictions
- continues to increase, as does the strain on judicial budgets,
- personnel, and facilities in the federal and state systems. The
- added burdens on the judiciary due to drug prosecutions have
- substantially diminished the courts' capacity to manage the civil
- docket. Criminal cases take priority, with civil jury trials
- relegated to the bottom of an increasing waiting list. Some
- courts, for purely budgetary reasons, have been forced to suspend
- all civil jury trials for periods of time.
-
- 1. New York State
-
- The majority of drug cases are handled by state and
- local courts. Consequently, it is instructive to review first
- the impact of these increased caseloads and costs on New York
- State.
-
- In 1991, New York State spent a total of $8,641,418,000
- for all judicial and legal services (including police protection,
- $3,662,389,000; courts, $932,314,000; prosecution and legal
- services, $461,790,000; and public defense, $197,194,000). It is
- difficult to obtain specific dollar figures for the cost of drug
- arrests and prosecutions in New York State, but by combining the
- available data on caseloads and judicial costs it is possible to
- make some rough estimates. In 1987, total arrests in New York
- State were 481,676, whereas in 1991 the total was 506,710, an
- increase of 5.2%. During the same period, felony drug arrests
- rose from 42,655 (approximately 9% of total arrests) in 1987 to
- 54,184 in 1991 (11% of all arrests), a 27% increase. By
- contrast, between 1987 and 1991, misdemeanor drug arrests dropped
- from 53,621 to 36,489, a decrease of 32%.
-
- In 1991 a tremendous volume of caseload
- activity confronted the Judiciary's judges
- and nonjudicial personnel. Nearly 79,000
- felony indictments and superior court
- informations were filed in Supreme and County
- Courts throughout New York. That number
- represents a 54% increase compared with 1985.
- Most of the statewide increase was the result
- of phenomenal caseload increases in New York
- City. This year, the Supreme Court Criminal
- Term in New York City received over 52,000
- felony filings, an astonishing 70% increase
- since 1985. The remarkable level in felony
- filings is primarily caused by increases in
- drug-related filings.
-
- . . . Unquestionably, these caseload
- increases are the product of the drug crisis
- which, perhaps for the first time in our
- State's history, threatens to test our
- ability to administer justice on the local
- level, not just in New York City, but
- statewide.
-
- The increasing number of drug prosecutions in New
- York's courts has taken its toll on the judicial system. One New
- York State Supreme Court Justice has summarized the impact of the
- so-called "war on drugs" on New York's criminal justice system as
- follows:
-
- Our court calendars groan under the burden of
- ever-increasing new drug cases. New York
- City's Corrections Department estimates that
- 70 percent of its inmates are charged with
- drug-related crimes. Yet these ever-growing
- prosecutions and incarcerations are having
- little or no impact on drug crimes. In 1980
- only 11 percent of the total inmate
- population was incarcerated for drug
- offenses, yet by 1992 this figure rose to 44
- percent. At a cost of $30,000 per year to
- maintain each prisoner, our state spent over
- $195 million in 1992 to confine drug
- offenders alone. Last year the state's
- Office of Court Administration requested an
- additional $40 million just to cover the
- expense of drug cases. Since the advent of
- crack a decade ago, the city has hired 9,000
- new police, 700 additional assistant district
- attorneys, and has added 18,000 new cells on
- Rikers Island. The total cost: $591 million
- a year.
-
- 2. Other States
-
- State court convictions for drug law violations have
- increased dramatically nationwide since the mid-1980s. Between
- 1986 and 1988, there was a nearly 70% increase in the number of
- persons convicted of felony drug trafficking or possession
- charges (from 135,000 to 225,000). The number of persons
- convicted who received state prison sentences rose from 49,900 to
- 92,500. In 1988, drug offenses accounted for approximately
- one-third of all felony convictions in all state courts.
-
- 3. Federal Courts
-
- The case loads and concomitant costs of managing drug
- cases in federal courts also have increased substantially over
- the past decade. In 1982, the budget for prosecution of all
- federal drug cases in the United States was $78.9 million; in
- 1993, the budget was ten times as much -- $795.9 million.
-
- In federal district courts in 1989, a total of 54,643
- criminal cases were prosecuted; of those 16,834 (approximately
- 30%) were for drug offenses. In 1990, 19,271 defendants were
- prosecuted for drug offenses; of those 3,083 were not convicted,
- and 16,188 were convicted: 13,036 by guilty plea (81%), and
- 3,121 after trial (19%). Between July 1992 and June 1993,
- 50,366 defendants were convicted in the federal courts, and 27%
- of these (18,576) were convicted of federal drug offenses.
-
- Expenses associated with appeals of federal drug cases
- rose from $8.2 million in 1982 to $104.2 million budgeted in
- 1993. A significant portion of this increase resulted from
- appeals filings in drug-related cases, which totalled 1,583 in
- 1981, 4,386 in 1989, and 5,658 in 1990 (a 29% increase from the
- previous year alone and, overall, a 383% increase in ten
- years). In 1991, there were 5,570 federal drug-related appeals
- filed.
-
- 4. The Judiciary is Impatient with the Present System
- Federal and state judges throughout the United States have
- publicly expressed frustration with the present laws prohibiting
- drugs, and some senior federal judges have even refused to sit on
- drug cases. In the Southern District of New York and in the
- Eastern District of New York, Judges Whitman Knapp, Robert
- Sweet, and Jack Weinstein have spoken out publicly against the
- present laws and their associated draconian penalties, and
- Judges Knapp and Weinstein have refused, as is their right as
- senior judges, to preside over drug trials and sentences.
- State judges in New York have also protested the increasing time
- on their calendars that drug cases take and the Second Offender
- sentencing rule that compels them to give lengthy prison
- sentences to second-time drug offenders. These judges seek a
- solution to the "war on drugs" before the whole judicial system
- breaks down under the strain.
-
- 5. Efforts to Handle Court Congestion
-
- Because of the enormous increase in drug cases,
- especially in large urban areas, several stop-gap solutions are
- being pursued to balance limited court resources against the
- burgeoning caseloads. In New York City and New Orleans, for
- instance, special narcotics divisions have been established to
- expedite processing of drug felonies. These experimental
- programs are designed to hear cases just prior to grand jury
- proceedings with the goal of inducing defendants to accept plea
- bargains that are better than would be expected if the case
- proceeded through the grand jury process. Also, special court
- parts -- staffed by personnel with expertise in drug cases,
- addiction, and community treatment centers -- have been
- established in New York City to deal exclusively with drug
- cases. Unfortunately, none of these short-term solutions will
- correct the fundamental distortion of the priorities of the state
- and federal judicial systems caused by the "war on drugs."
-
- B. THE PRISON STATE
-
- One of the most tangible, measurable effects of the
- "war on drugs," has been the creation of a "prison state".
- According to the Federal Bureau of Investigation's statistics,
- one million arrests are made annually for violations of the
- federal and state drug laws.
-
- As a result of these massive numbers of arrests each
- year, "the United States has a higher proportion of its
- population incarcerated than any other country in the world for
- which reliable statistics are available."
-
- Incarceration in America is now at an all-time high.
- From 1925 through 1973, the American prison population fluctuated
- between 90 and 120 people in prison per 100,000 of the
- population; in 1973 the rate was 98 per 100,000, a ten-year low.
- Between 1973 and 1980, however, there was a 40% increase, to 135
- people in prison per 100,000; and by 1986, following the start of
- the modern "war on drugs," the incarceration rate had jumped to
- 200 per 100,000. In 1993, the rate of Americans serving prison
- time stood at 325 per 100,000. In 1993, the number of inmates
- in federal and state prisons in New York increased by 4.6%, to
- 64,600.
-
- On average, it costs $20,000 per year to maintain one
- prisoner, $100,000 to build a single prison cell, and $20,000
- per year to staff a prison cell.
-
- More than one in forty American males between the ages
- 14 and 34 are locked up.
-
- Between 1980 and 1990, the total prison population in
- the United States increased by 133% to over 771,000 prisoners.
- In 1993, the total prison population reached 949,000, nearly
- three times as many as in 1980. During the 1980s, new
- imprisonments on drug charges increased over 1,000%.
-
- Drug offenders have accounted for an
- increasing percentage of the population in
- State and Federal correctional facilities.
- Drug offenders constituted an estimated 22%
- of the State prison population in 1991, up
- from 6% of the population in 1979. In
- Federal correctional facilities, drug
- offenders accounted for 61% of the
- population, up from 16% in 1970, 25% in 1980,
- and 52% in 1990.
-
- The vast majority of the prison population increase
- during the 1980s, which doubled the number of persons under
- custody for all charges, involved drug law violations. Due to
- the great increase in drug-related incarcerations, the federal
- and state prison systems are overwhelmed, as reported almost
- daily in the newspapers. Prison overcrowding persists despite an
- unprecedented boom in prison construction. For example, between
- 1983 and 1992, New York State built 29 prisons, increasing the
- number of prisons in the state to 68 and the inmate capacity from
- 29,253 to 57,862.
-
- No one wants overcrowding. It riles inmates,
- strains prison guards, encourages the spread
- of illness and generally makes prisons more
- volatile places. In the past, when there was
- money to spend, the solution to overcrowding
- would have been clear -- create more space.
- Not any more. With money scarce and a sense
- that more prison beds have not resulted in
- less crime, many lawmakers are being forced
- to conclude they can no longer build their
- way out of the problem.
-
- According to the United States Department of Justice,
- "drug offenders" are becoming a larger share of the prison
- population for two reasons: first, the likelihood that a
- conviction will result in incarceration is increasing; and
- second, those convicted on drug charges are receiving longer
- prison sentences.
-
- Mandatory sentencing laws, such as the federal
- sentencing guidelines, exacerbate the problem by forcing judges
- to impose lengthy sentences for simple possession of small
- amounts of drugs. These laws, first passed in the 1970s but
- increasingly relied on as a weapon in the "drug war" in recent
- years, have in large measure been responsible for today's severe
- overcrowding. Mandatory minimum sentences require judges to
- impose a statutorily-defined minimum period of incarceration
- without the possibility of parole, with no consideration of the
- specific facts of the crime or any mitigating circumstances.
-
- Faced with mandatory sentences laws, there has been at
- a growing movement at the state level to minimize their draconian
- effects. In New York, for example, the courts had been
- cooperating with prosecutors and defense attorneys to avoid the
- harsh effects on second-time drug offenders. New York's
- Governor, Mario Cuomo, in his 1994 budget message has asked the
- Legislature to restore discretion to judges meting out second-
- time drug felony sentences "to relieve overcrowding in state
- prisons."
-
- For all of the extra burden on the prison and judicial
- systems and on the taxpayer caused by the "war on drugs,"
- American society has little to show for it. "If such toughness
- had much to do with crime, you'd think we'd have seen some
- results by now. But . . . overall crime has decreased only 6%
- since 1973; violent crimes are up 24%. The National Research
- Council of the National Academy of Sciences recently concluded
- that a tripling of time served by violent offenders since 1975
- had `apparently very little' impact on violent crime."
-
- With 61% of today's federal inmates incarcerated on
- drug law convictions, judiciary and corrections overcrowding
- and escalated costs would necessarily be reduced were the current
- drug policy altered toward a less punitive, more humane approach
- which removes the profit motive fueling the black market in
- illegal drugs.
-
- C. EROSION OF THE RULE OF LAW AND CIVIL LIBERTIES
-
- One of the more insidious effects of the "war on drugs"
- has been the gradual erosion of the rule of law and the public's
- civil liberties. Several interrelated elements contribute to
- this particularly destructive consequence of the current drug
- laws.
-
- 1. Perception of Ineffectiveness
-
- Politicians from the President of the United States to
- mayors running in local elections are importuned by the people
- for the assurance that increasing crime and the criminal element
- be contained in our society. Our country, with the highest rate
- of drug abuse of any industrial country in the world, also has
- the largest budget in the world to enforce its laws prohibiting
- drugs. Despite huge increases in the federal government's budget
- for the "war on drugs," the so-called "drug problem" with all of
- its ramifications, has not significantly abated. The public's
- perception of its political leaders' ineffectiveness in
- alleviating drug-related violence adds to the general atmosphere
- of lawlessness and breeds cynicism and disrespect for the law.
-
- Instead of progress since the first federal anti-drug
- law was passed in 1914, nearly 80 years of drug prohibition
- have yielded few inroads against the sale or use of drugs. This,
- understandably, suggests to the public that the law itself is an
- ineffectual tool for dealing with the issue.
-
- 2. Perception of a Self-Perpetuating System
-
- The large sums of money appropriated for
- law-enforcement create enormous, self-perpetuating bureaucratic
- agencies, such as the United States Drug Enforcement Agency
- ("DEA"), which fight for independence and scarce public resources
- while making little headway against the "drug problem." These
- agencies have ample motivation to exaggerate or distort the
- extent and danger of "drug abuse" so as to justify (and thereby
- insure) their continued existence. Being inherently biased, they
- have great potential to ignore the public's true welfare.
-
- 3. Police Corruption
-
- The fact that drug prohibition breeds corruption has
- been known for decades. Every day there are news stories of
- law enforcement officers being arrested for their involvement
- with drug dealers. The sums of money involved in the drug
- business are too great and too inviting for the law enforcers not
- to seek their share. Corrupt police behavior creates a further
- disillusioned public. In addition, just as organized crime
- became entrenched during Prohibition, the current prohibitionist
- regime is currently subsidizing the mafia and other organized
- crime groups because of the highly inflated prices on the black
- market.
-
- 4. Poor Children are Victims of the "War on Drugs"
-
- There is no reason to believe that recognized market
- forces cease to apply where the drug business is concerned.
- There is public recognition that youths and unemployed adults
- often cannot just say "no" to drugs when saying "yes" as a dealer
- or a dealer's helper is much more profitable than are the
- alternatives. Children living in poor, urban neighborhoods are
- particularly susceptible to being drawn into illegal drug-related
- activities by visions of status and easy money. Laws against
- drugs thus discourage many youths and adults from productive
- legitimate employment that would benefit society.
-
- 5. Selective Prosecution
-
- Criminal prosecutions for violations of the federal and
- state drug laws appear to be disproportionately directed against
- minorities. Understandably, there is widespread public concern
- that the drug laws are selectively enforced with vigor against
- the poor and disenfranchised, while rich and middle class drug
- users are permitted to indulge without serious fear of legal
- consequences.
-
- 6. Erosion of Constitutional Rights
-
- The pursuit of a "drug-free" society has resulted in a
- panoply of intrusions into the lives of United States citizens:
-
- The Bill of Rights is in danger of becoming
- meaningless in cases involving drugs.
- Tenants charged with no crime are evicted
- from homes where police believe drugs are
- being sold. Public housing projects are
- sealed for house-to-house inspections. The
- Supreme Court has permitted warrantless
- searches of automobiles, the use of anonymous
- tips and drug-courier profiles as the basis
- for police searches, and the seizure of
- lawyers' fees in drug cases. Property on
- which marijuana plants are found can be
- forfeited even if the owner is charged with
- no crime. Prosecutors have been allowed to
- try the same person at the state and federal
- levels for the same drug-related crime.
-
- A few examples will illustrate the erosion in
- individual civil liberties occasioned by the "war on drugs."
- In 1991, the United States Supreme Court in Florida v. Bostick,
- upheld the constitutionality of a police tactic of boarding long-
- distance buses and asking permission to search passengers'
- baggage, overruling the Florida Supreme Court's ruling that such
- an encounter with the police is so inherently coercive that no
- consent given for such a search could be truly voluntary. The
- Florida v. Bostick decision was merely one of a number of rulings
- since the early 1980s which authorized police stops and
- questioning of airline, train, and bus passengers without the
- level of suspicion generally required for Fourth Amendment search
- and seizure purposes.
-
- The search for tell-tale evidence of drug use has even
- descended to the level of compelling federal employees to give
- urine samples for analysis, without regard to whether such a
- privacy intrusion is related to job performance. The public --
- led by the government -- appears to be willing to jump on the
- bandwagon "to restrict civil liberties, and even accept
- warrantless searches of homes and cars, in order to reduce the
- use of illicit drugs."
-
- 7. Forfeiture's Heavy Hand
-
- Forfeiture has become one of the most publicized and
- controversial weapons in the government's anti-drug arsenal.
- Any assumption, however, that the law would be deployed only
- against "drug kingpins" and major players has proved unwarranted
- as small time dealers and marginal users are more often targeted:
-
- Under Zero Tolerance, which targets casual
- drug users, the government has seized
- thousands of cars, boats, and homes because
- occupants or guests allegedly carried drugs.
- In 1990, seizures exceeded $527 million, and
- they are expected to exceed $700 million in
- 1991. The U.S. Marshalls Services now has a
- $1.4 billion inventory of seized assets
- including more than 30,000 homes, cars,
- businesses and other property.
-
- In the fiscal year 1993, "the DEA made 14,430 domestic
- seizures of nondrug property, valued at approximately $669
- million." Moreover, forfeitures have become a popular way to
- generate additional revenue.
-
- The in rem nature of a civil forfeiture proceeding,
- replete with its many procedural pitfalls, rests on the legal
- fiction that the property itself is guilty of wrongdoing. The
- uneven burdens of proof assigned the parties reveals the
- imbalance in the system. To prevail, the government need only
- have reasonable grounds to believe the property is subject to
- forfeiture. It falls to the claimant to prove by a
- preponderance of the evidence the negative proposition that the
- property was "innocent."
-
- As a result of the over-zealous application of the
- forfeiture statutes, the judiciary has attempted to curb some of
- the more visible excesses. For instance, absent exigent
- circumstances, pre-hearing seizures of homes, where the tenants
- were either evicted outright or were permitted to stay at the
- sufferance of the United States Marshall, are no longer
- tolerated. And the forfeiture of real property is now
- expressly subject to the limitations of Eighth Amendment
- proportionality analysis.
-
- A claimant's ability to defend against a forfeiture has
- long been compromised by the maze of rules allowing for the
- freezing of assets, which alone often discourages private counsel
- from taking on a case. Too often, the failure to secure
- experienced counsel results in the loss of the property.
-
- Finally, with news accounts of law enforcement
- personnel driving around in expensive cars seized during drug
- operations, reports of police helicopters with sophisticated
- detection equipment hovering over homes, and the intrusive
- subpoenaing of records from bona fide businesses (such as those
- offering hydroponic gardening equipment), it is clear that
- forfeiture laws require an overhaul.
-
- 8. Erosion of Privacy Rights
-
- Although the Ninth Amendment guarantees that "[t]he
- enumeration in the Constitution of rights shall not be construed
- to deny or disparage others retained by the people," our
- society has struggled to find a balance between individual
- liberty and privacy and governmental intrusion. Although the
- United States Supreme Court has recognized certain activities as
- being beyond the reach of most state or federal governmental
- intrusion (e.g., birth control, abortion during the first
- trimester, and the possession of adult pornography in the
- home), drug use has never been found to be within the "right of
- privacy" that the Court has forged.
-
- Because the law, as it stands today, does not recognize
- the right to use drugs, the "war on drugs" has become "in effect,
- if not in intention, a war on drug users." Year after year,
- state and federal laws that prohibit the possession of drugs,
- demonize and criminalize the users of drugs, estimated to be at
- least 20 million in the United States alone. Yet, "[d]rugs
- have been used to alter consciousness in most societies
- throughout history, and different drugs have been considered
- acceptable at different times and places." As Lester Grinspoon
- and James B. Bakalar have stated:
-
- Of all the Prohibition era mistakes we are
- now repeating, the most serious is trying to
- free society of drugs by the use of force.
- There is no reason to believe that the
- inclination to ingest substances that alter
- consciousness can be eradicated. A drug-free
- society is an impossible and probably an
- undesirable dream. . . . Our present drug
- policies are immoral because they require a
- war of annihilation against a wrongly chosen
- enemy. We will never be able to regulate the
- use of consciousness-altering drugs
- effectively until our ends are changed along
- with the means that serve them.
-
- Ending drug prohibition would enable the Court and our
- society to recognize the right of individuals to alter their
- consciousness (the most private of matters), so long as they do
- not harm the persons or property of others.
-
- D. PROHIBITION-INDUCED VIOLENCE
-
- In New York and elsewhere in the United States, wild
- shootouts in urban areas are frequently publicized. These
- reports reveal that innocent bystanders in these areas are often
- caught in the cross-fire. It is, however, far from clear that
- the use of or need for prohibited drugs causes this sort of
- violent crime. Rather, the available evidence tends to support
- the conclusion that it is the prohibitionist laws against drugs
- that cause the violent crimes that people generally deplore.
-
- So-called "drug-related crime" is often related only
- indirectly to the drugs themselves, resulting instead from the
- illegal black market in drugs that is, in turn, spawned by laws
- prohibiting the legal sale of drugs. For example, the Los
- Angeles police have long known that the lucrative black market in
- cocaine has provided the incentive (as well as the financing) for
- the bloody gang turf wars in that city. Similarly, it is
- estimated that 40% of the homicides in a study of 414 homicides
- in New York City precincts were indirectly attributable to black
- market trafficking in drugs. Further supporting the fact that
- it is drug prohibition rather than drug use which is causing the
- alarming "drug-related" violence saturating our culture is the
- historical precedent of alcohol Prohibition which was accompanied
- by the same type of violence.
-
- There is no reason to believe that black markets would
- not disappear with the ending of drug prohibition. Common sense
- indicates that without the immense profits guaranteed by the
- necessarily restricted nature of the outlets, there would be
- little advantage to maintaining such black markets. The
- current patterns of drug-sale related turf violence would be
- substantially, if not wholly, undermined.
-
- E. PROHIBITION'S FAILURE TO LIMIT DRUG USE
-
- Proponents of the "war on drugs" often eagerly declare
- that the draconian prohibitionist laws of the state and federal
- government are causing a decline in drug use. The evidence,
- however, tends to show that "the number of heavy drug users in
- the United States is undiminished." In addition, recent
- surveys show an increasing number of high school students using
- marijuana and lysergic acid diethylamide ("LSD"). Even
- proponents of the "war on drugs" candidly admit that "drug abuse
- cannot be entirely eliminated." Some experts have estimated
- that the government has spent close to $500 billion dollars over
- the past 20 years to enforce the prohibitionist laws against
- drugs, while during the same period use levels rose and the
- number of arrests and the amounts of drugs seized increased
- unabated annually. 750,000 people were incarcerated for
- violating the prohibitionist drug laws during a twenty-year
- period, costing an average of $25 billion annually and $61
- billion for 1991 alone.
-
- Although the vast majority of Americans polled stated
- that they would not take now-prohibited drugs if they were
- legalized, many people voice the concern that use would
- escalate sharply upon legalization. Implicit in the idea that
- use of drugs would rise upon legalization is the assumption that
- the current prohibitionist laws discourage many people from using
- them. The available evidence tends to show that Americans can
- and do voluntarily control their use of drugs.
-
- The recent decline in middle class use of drugs as
- well as recent declines in alcohol and tobacco consumption have
- been attributed by many experts to factors (such as education,
- health and fitness awareness, and social pressures) other than
- the prohibitionist laws against drugs. Experts have recognized
- these other factors as the basis for the current levels of use of
- drugs (including alcohol and tobacco) rather than the existence
- of prohibitionist laws.
-
- Indeed some observers have cited the prohibitionist
- laws against drugs as a significant factor leading to increased
- use and greater numbers of addicts than we would otherwise have:
-
- [T]he growth of addiction over the last four
- decades in the US had little to do with price
- reductions or, for that matter, with the
- growth of real income. The crucial factor in
- the spread of the drug habit has been the
- unrelenting pressure exerted by legions of
- street pushers in the continuing endeavor to
- widen the circle of the customers. In other
- words, the crucial factor in spreading the
- drug habit has been the super profits made
- possible only by governments' illegalization
- of the trade."
-
- It is impossible to prove the levels of post-
- legalization use of now-prohibited drugs, but reasonable
- extrapolations may be made by referring to similar experiences in
- this country and abroad.
-
- Prohibition of alcohol in the United States earlier in
- this century is a basis for comparison, albeit an imperfect one.
- A review of alcohol consumption patterns during and after
- Prohibition shows that during most of the Prohibition era per
- capita alcohol consumption actually increased. After
- "Prohibition's repeal in 1933, consumption remained fairly stable
- until after the Second World War when, without any change in
- public policy, it began increasing." The prohibitionist laws,
- therefore, seem to have little impact on an individual's decision
- whether to use drugs.
-
- Another useful example is the experience of the ten
- states that decriminalized the possession of small amounts of
- marijuana for personal consumption in the 1970s. There was no
- increase in the level of marijuana use in those states. Indeed
- marijuana consumption declined in those states just as it did in
- states that retained criminal sanctions against marijuana.
-
- In 1976, the Dutch decriminalized marijuana
- consumption, although possession and small sales technically
- remained illegal. The level of use actually declined after
- decriminalization. Indeed marijuana use in the Netherlands is
- substantially lower than in countries waging a "war on drugs,"
- including the United States and, at least until recently,
- Germany. Among Dutch youths aged 17-18, only 17.7% used
- marijuana at least once in their lifetimes, as opposed to 43.7%
- of Americans. Only 4.6% of the Dutch had used marijuana at least
- once in the past month, as opposed to 16.7% of the Americans.
- While indicating clearly that prohibitionist laws do not prevent
- the use of drugs, these statistics also tend to show that
- legalizing now-prohibited drugs, at least marijuana, does not
- inevitably cause an increase in use.
-
- Under an exception to the British prohibitionist
- system, doctors may provide prohibited drugs to addicts. Dr.
- John Marks of Liverpool commenced such a program in 1982, and, to
- his astonishment, he noted that the number of new addicts
- decreased in Liverpool while in a nearby town operating under
- prohibition the rate of new addicts was twelve-fold higher.
- Dr. Marks attributed the decline in the number of new addicts to
- the fact that addicts received their needed drugs from his
- program for pennies, thus there was no longer any need for
- addicts to bring in new customers to raise enough money to
- support their habits.
-
- Others addressing the issue of whether the levels of
- use of now prohibited drugs would escalate to overwhelming
- proportions after legalization (as many prohibitionists have
- predicted) have likened possible patterns of illegal drug use to
- patterns of alcohol use, with which we have a solid familiarity.
- They point out that Western cultures have handled alcohol
- consumption with tolerable skill for centuries and point out
- that most of the American population that drinks occasionally, or
- even every day, exercises moderation.
-
- Indeed the available data indicate that the vast
- majority of the American population that uses now-prohibited
- drugs does so with moderation. According to United States
- government statistics, more than 75 million persons in the United
- States household population have used prohibited drugs. The
- National Institute on Drug Abuse estimates that close to 40
- million Americans continue to consume these substances. Yet,
- only a comparatively minuscule number of deaths due to drug
- overdoses, 4,242, occurred in 1991 according to medical examiner
- data compiled by the Drug Abuse Warning Network.
-
- Once the distinction between use of prohibited drugs
- and abuse is acknowledged, the available statistics show that the
- vast majority of Americans who use drugs do not abuse them.
- Based on our experience with American states' and foreign
- decriminalization of marijuana, it appears that decriminalization
- does not lead to greater levels of use nor to abuse. Likewise
- there is evidence to support the proposition that the
- decriminalization of the so-called "hard drugs" does not lead to
- increased rates of addiction. Perhaps most importantly, data
- analysis strongly indicates that social factors wholly apart from
- the criminalization of drugs account in the greatest measure for
- reduced rates of use. Based on the evidence, it would not be
- unfair to say that the predicted, post-legalization explosion in
- the use of drugs has been greatly overstated and that use in
- continued moderation would be the much more likely result.
- European countries, such as the Netherlands, have benefitted from
- an approach to drugs that focuses on "harm reduction" rather than
- draconian measures to enforce prohibition.
-
- F. PROHIBITION THREATENS PUBLIC HEALTH
-
- 1. Spread of Disease
-
- a. Sharing Needles
-
- Because the possession of hypodermic needles is
- generally illegal, users of injectable drugs routinely share
- needles and syringes with one another, often in "shooting
- galleries" where dozens of addicts may line up to use a single
- needle rented out by the dealers and not sterilized between uses.
- This sharing of needles has become a major source of transmission
- of blood-borne diseases such as acquired immune deficiency
- syndrome ("AIDS") and hepatitis. According to a recent
- national review, "more than 33% of new AIDS cases occur among
- injecting drug users or people having sexual contact with
- them." In New York State, the majority of new AIDS cases since
- 1988 have been reported among users of injectable drugs and their
- sexual partners. Both the Centers for Disease Control and the
- New York State Department of Health have estimated that more than
- 75% of pediatric AIDS cases are children whose mothers either
- injected drugs or were the sexual partners of persons who
- injected drugs. The data suggest, at the very least, that
- sterile hypodermic needles should be readily and freely available
- to drug users. So long as drug use remains unlawful, however,
- free needle distribution is not likely to attract a substantial
- portion of the user population. In response, some courts have
- circumscribed laws dealing with the unlawful possession of
- hypodermic needles by applying defenses of medical necessity.
-
- b. Trading Sex for Drugs
-
- Because illicit drugs are expensive, many addicts turn
- to prostitution to make money to support their habits, or
- exchange sexual services directly for drugs. Prostitute drug
- addicts often do not protect themselves from contracting sexually
- transmitted diseases carried by their customers, and they pass
- such diseases on to other customers, their lovers, and their
- children. The crack epidemic, in particular, has been blamed
- for the recently noted resurgence of syphilis and other sexually
- transmitted diseases. Dr. Robert Rolfs of the Centers for
- Disease Control placed the blame squarely on cocaine and its high
- cost:
-
- People -- especially women -- have high-risk
- sex and practice prostitution to support
- their habits. And it is occurring in a
- relatively poor population where people have
- a lot of things that prevent their access to
- treatment. Therefore, they stay infected
- longer and are more likely to pass their
- infections on to others.
-
- Fewer addicts would be forced to resort to prostitution if the
- current prohibitions against drugs were lifted.
-
- c. Neglect of Health
-
- Because of addicts' preoccupation with obtaining and
- using drugs, and the debilitating effects of some of the drugs
- themselves, many addicts are in very poor health. Malnutrition
- is a frequent problem and, in turn, contributes to many others.
- Addicts' poor health makes them especially susceptible to
- diseases ranging from scurvy and shingles to tuberculosis and the
- flu. Addicts are also more likely to contract communicable
- diseases and therefore more likely to spread them. The
- interrelated urban problems of homelessness and illegal drug
- abuse have contributed to the development of multi-drug-resistant
- strains of diseases such as tuberculosis, which was once thought
- to be on the verge of eradication. These more virulent
- diseases know few geographical limitations and pose risks to the
- general population.
-
- d. Avoidance of the Health-Care System
-
- Individuals who use illegal drugs often put off
- addressing their health problems for fear of prosecution or other
- adverse consequences (e.g., rebuffs by doctors, loss of job).
- This reluctance to seek medical care is compounded by the fact
- that many drug addicts have no private physicians and rely
- instead on public hospitals or clinics for any care they might
- get.
-
- Prohibition, therefore, has perverse results on health;
- drug abusers tend to enter the health-care system only if and
- when their need for care is acute, which is also when care is
- most costly to deliver. If, for example, a woman avoids
- pre-natal care, she may give birth to a baby with low birth
- weight and other medical difficulties. If a drug abuser puts off
- seeking treatment for illnesses and injuries, he or she may end
- up in the emergency room and the intensive care ward.
-
- Mothers and pregnant women face the additional and
- justifiable fear that any detectable drug use may be reported as
- a possible indication of child abuse or neglect. In many large
- city hospitals, the urine of newborn babies is tested for
- prohibited drugs, and mothers whose babies test positive for
- pre-natal exposure are reported to the child abuse authorities.
- Until recently, in New York City, such babies were routinely kept
- from their mothers pending investigations that often lasted many
- months, interfering with normal bonding and necessarily adversely
- affecting the infant's development and relationship with the
- parent. Moreover, these women have, in some jurisdictions, been
- prosecuted for pre-partum distribution of prohibited drugs.
-
- In addition to the obvious costs to the individuals who
- become infected with catastrophic illnesses directly through drug
- use, and the high costs to the health care system of treating
- them, prohibition contributes to the spread of such diseases
- throughout society, particularly to the sexual partners and
- children of infected drug users. Left untreated, users and
- addicts are more likely to give birth to unhealthy children, to
- abuse or neglect their children after they are born, or to have
- their children placed in foster care.
-
- 2. Lack of Information and Quality Control
-
- a. Adulterated Drugs, Designer Drugs, and Drugs
- of Unknown Potency
-
- Because drugs are manufactured and distributed in
- secret, it is impossible for users to guard against adulteration
- or to determine the purity and potency of the drugs they use.
- The problem is compounded by drug growers, manufacturers, and
- distributors who, to minimize the risks of apprehension, develop
- and purvey the drug varieties that pack the most intoxicating
- effect into the smallest package. According to an experienced
- New York City researcher,
-
- The fact that cocaine, heroin and
- related drugs are illegal encourages the use
- of injection. Severe statutory restrictions
- greatly increase the cost of illicit
- substances to nonmedical users. Injecting
- provides a way to economize. Injectable
- forms of opiates and coca are much more
- concentrated than traditional forms, such as
- opium or coca tea. Injection provides an
- intense and economical effect by maximizing
- the amount of drug that reaches the brain.
- People who sniff or smoke drugs say that if
- they inject they need only one third of the
- amount of the drug to maintain a habit.
-
- Because the injection forms of illicit
- drugs are concentrated, they are [also]
- relatively easier to ship.
-
- It has been demonstrated that, as law enforcement and
- criminal penalties intensify, dealers also find other ways to
- economize by inventing new drugs -- so-called "designer drugs" --
- that are not yet prohibited. This places the ill-informed
- consumers of such drugs at greater risk of overdose and other
- health problems. Illnesses and deaths have resulted from (1) the
- introduction of dangerous substances into drugs that could
- otherwise have been used with greater safety, (2) inadvertent
- overdoses due to variations in potency, and (3) the development
- of "designer drugs" intended to give the effect of familiar
- intoxicants with new chemical compositions that put them beyond
- the reach of current laws. Just as the prohibition against
- alcohol led to sales of poisonous wood alcohol and the
- prohibition against abortion led to coat-hanger abortions, the
- prohibition against drug manufacture, sale, and possession
- results in unnecessary deaths due to adulteration, variable
- purity, and "designer drugs." This contrasts sharply with the
- government's current regulation of alcoholic beverages, which
- ensures that the beverages are pure and that buyers know how
- strong they are and what some of their health effects may be.
- Experts have noted that heightened efforts to enforce drug laws
- and amend them to encompass new formulations or ban precursor
- substances may only push dealers to take greater risks, selling
- ever more potentially dangerous substances.
-
- b. Lack of Knowledge About Safer Use
-
- Because many drugs are outlawed, individuals
- considering drug use rarely have access to accurate information
- about the effects of drugs. While a cautious user may err on the
- side of avoiding certain activities while under the use of
- drugs, he or she may have no way of knowing, beyond trial and
- error, the possible adverse health consequences of certain
- combinations of drugs and his or her individual tolerance for
- particular substances. Because of its penchant for exaggeration
- and cartoonish treatment of the issues, most current education
- about drugs is not taken seriously by young people. As a result,
- it is far less effective than other health education (e.g., about
- nutrition, fitness, and smoking cigarettes).
-
- c. Using Alcohol and Tobacco Instead of "Soft Drugs"
-
- Alcohol and tobacco are completely legal yet do much
- more harm, statistically speaking, than illegal drug use. It
- is also generally recognized that alcohol, at least when used to
- excess, can cause aggressive, anti-social behavior. The
- current prohibitionist laws against marijuana, generally
- considered an "a-motivational" drug, and other so-called "soft
- drugs" have the effect of influencing some people to choose
- alcohol over these "soft drugs." Peter Reuter, an economist at
- the Rand Corporation, concludes that "If marijuana is a
- substitute for alcohol . . . , alcohol is, by definition, a
- substitute for marijuana. Thus tough marijuana enforcement must
- increase drinking." Similarly, Frank Chaloupka, an economist
- at the University of Illinois, found through statistical analysis
- "that states without criminal sanctions against marijuana
- possession suffered fewer auto fatalities." Finally, Karen
- Model, a Ph.D. candidate at Harvard, found that "states
- decriminalizing marijuana reported lower overall rates of drug-
- and alcohol-related emergencies." To the extent that users are
- choosing alcohol rather than marijuana or other "soft drugs," the
- overall public health effects are probably worse than they would
- be otherwise.
-
- 3. Injuries Due to Violence
-
- The high prices commanded by prohibited drugs create
- competition among groups and individuals willing to break the law
- to supply drugs to consumers. Their competition often becomes
- violent and has contributed to the build-up of arms and the
- pervasiveness of violence in many areas. Gunshot wounds and
- other traumas due to the illegal drug business have become
- commonplace in big-city hospital emergency rooms. Not only
- traffickers, but also law enforcement officers and innocent
- bystanders are often the victims. Mayor Rudolph Giuliani
- recently noted:
-
- The victims of the[] gun battles [of
- street-level drug dealers] are innocent
- bystanders -- and often young children. Last
- year alone, about 500 New York City children
- were shot; of these, 89 were innocent
- bystanders hit by crossfire.
-
- The cost of prohibiting drugs must be measured in terms of lost
- lives and expensive medical care and include the hidden costs of
- lost productivity and the psychological damage to individuals and
- entire communities living in fear, helpless and hopeless.
-
- With the possible exceptions of cocaine and PCP, drugs
- themselves do not generally cause violent behavior. It is,
- instead, turf wars for the control of black markets and the drug
- users' need for money to purchase such substances that leads to
- violence. Indeed, marijuana and heroin have been shown to
- render their users disinclined to violence or incapable of
- violence while under the influence. These substances are much
- less dangerous in this regard than alcohol.
-
- 4. Diversion of Resources from Treatment and Prevention
-
- Prohibition diverts money that could otherwise be used
- for preventing and treating drug abuse. Federal anti-drug
- legislation provides a single budget for "supply reduction" and
- "demand reduction" efforts. Law enforcement agencies have always
- received much more than prevention, treatment, and research
- programs combined. The ABA recently reported that "[s]ince the
- early 1980s, treatment has been a declining priority. In 1991,
- treatment received 14% of the $10.5 billion federal drug budget
- compared to 25% ten years earlier." During the same period,
- "federal spending on law enforcement increased 737%, with
- interdiction efforts leading the increase." Ending drug
- prohibition would, by definition, eliminate the need for any
- special law enforcement funds for drug interdiction. It would
- also allow for the redirection of law enforcement resources to
- concentrate on violent crime and quality of life issues.
-
- 5. The Sense of Treating Drugs as a Public Health Problem
-
- a. Treatment Works
-
- The vast majority of resources in the United States
- available to meet this country's "drug problem" have been
- utilized for interdiction rather than education and treatment.
- This allocation of resources has skewed the public's perception
- of the problem, which is seen largely as one of law enforcement.
- However, drug abuse and drug addiction are fundamentally a public
- health problem.
-
- Reallocation of resources away from interdiction and
- into education and treatment is essential to the successful
- management of this problem. Drug abuse and drug addiction are
- health problems that can be treated. Dr. Herbert D. Kleber,
- former Deputy Director of the Office of National Drug Control
- Policy, now Medical Director of the Center on Addiction and
- Substance Abuse and lecturer in psychiatry at Columbia University
- College of Physicians and Surgeons, has identified a basic
- fallacy responsible for the predominant pessimistic outlook:
-
- Drug dependence has been viewed as a chronic
- relapsing illness with an unfavorable
- prognosis. However, there are thousands of
- formerly dependent individuals in the United
- States and elsewhere who have remained off
- both illicit drugs and excess use of licit
- drugs like alcohol for decades, functioning
- as productive citizens . . . . [T]here are
- already effective methods of treatment if the
- right approach [and] the right person can be
- brought together.
-
- No one should conclude that treatment is not effective just
- because drug abuse, like alcohol abuse and cigarette smoking,
- often cannot be "cured" with a single treatment effort. Most
- people who do conquer drug addiction succeed only after multiple
- efforts and relapses. Because effective treatment depends on
- finding the best method of helping a particular person at a
- particular time, several attempts may be needed to discover what
- will work.
-
- b. Self-Help Groups
-
- Some substance abusers manage their problem with the
- help of Alcoholics Anonymous ("AA"), Narcotics Anonymous ("NA")
- or similar groups. These voluntary self-help associations offer
- the structure of a program following "twelve steps" to sobriety
- and the support of fellow abusers in different stages of
- recovery. Since these groups maintain members' confidentiality
- and do not keep records of attendance at meetings, their success
- has not been measured statistically; however, anecdotal evidence
- of their effectiveness is strong. Additionally, many respected
- treatment programs rely on methods developed by the self-help
- groups and prescribe attendance at AA and NA meetings for their
- patients.
-
- c. Therapeutic Communities
-
- One of the best-known methods of professional treatment
- for drug abuse is a highly structured, long-term residential
- inpatient program known as a therapeutic community. The
- Committee visited three therapeutic community facilities in New
- York City -- programs operated by Daytop Village, Project Return
- and Phoenix House. Patients in therapeutic communities
- generally spend one to two years, sometimes more, living and
- working in the facility. Through individual counseling and group
- therapy, the patients address the causes and effects of their
- substance abuse and other problems and attempt to rebuild their
- lives free of drugs. Education, vocational training and work
- experience are important components of the treatment, because
- therapeutic community patients frequently lack necessary skills
- for making their own way in society. Successful patients
- gradually re-enter the outside world, first obtaining jobs and
- ultimately moving to homes outside the program.
-
- While many patients drop out of these challenging and
- restrictive programs, research has shown that three-quarters of
- the patients who stay for the prescribed course of treatment
- remained drug-free seven years later. One study found that 56%
- of the individuals entering residential treatment (including
- those who dropped out) no longer used heroin or cocaine one year
- later. By the end of the study, more than 80% of the patients no
- longer used any prohibited drug other than marijuana. Another
- different national study that focused on opiate addicts revealed
- that nearly three quarters (74%) of the addicts who entered
- therapeutic communities were not using opiates regularly (i.e.,
- on a daily basis) three years later.
-
- d. Other Inpatient Drug-Free Treatment Programs
-
- Substance abusers with health insurance or other means
- of payment often seek residential treatment in less restrictive
- settings and for shorter periods of time. Two of the best-known
- programs providing this sort of inpatient treatment are the Betty
- Ford Center in Palm Springs, California, and the Hazelden program
- in Minnesota. Patients usually participate in intensive
- individual counseling, group therapy, and AA or NA meetings.
- Patients most commonly stay for four weeks and are then
- discharged to "aftercare" programs for continuing outpatient
- treatment or are advised to seek AA or NA meetings in the
- community. Many prominent citizens have testified publicly to
- the efficacy and value of these sorts of treatment programs.
-
- e. Outpatient Methadone Maintenance Programs
-
- Methadone maintenance is the most widely used treatment
- for narcotics addiction in the United States. Drs. Vincent P.
- Dole and Marie Nyswander developed the treatment at Rockefeller
- University in the early 1960s. Heroin addicts who are medicated
- with an appropriate daily dose of methadone, a long-acting
- synthetic opiate, lose the desire to use heroin but do not
- experience either withdrawal symptoms or the euphoric or
- impairing effects of narcotic use. Methadone patients can
- function normally and perform successfully in the workplace in
- jobs ranging from attorney to architect to bus driver.
-
- In the early stages of treatment, methadone patients
- visit the program daily to receive their doses. They are granted
- more flexible schedules as they show progress in treatment by
- remaining free of other drugs, maintaining steady employment, and
- making progress in other areas. Methadone programs also provide
- counseling and other health care and usually arrange for
- vocational rehabilitation, education, and other services.
- Successful methadone patients may remain in treatment for many
- years, often at reduced doses; and some eventually leave
- treatment entirely.
-
- A high proportion of methadone patients stay in
- treatment (more than two-thirds, by many reports), and more than
- 85% of those remaining in treatment for a year never use heroin
- again. A substantial proportion also stop using alcohol and
- other drugs. The results of research assessing the
- effectiveness of methadone maintenance have been strikingly
- consistent. One major study found that, within a year of
- beginning treatment, 70% of those who had entered methadone
- treatment were no longer using heroin. After three years, use by
- patients who had remained with the program for at least three
- months had declined by almost 85%. Another study examining
- AIDS infection among injection drug users found that methadone
- maintenance treatment effectively reduced intravenous drug use by
- 71%. An earlier study had found that more than three quarters
- of the patients who entered methadone maintenance treatment were
- still not regularly using opiates three years later.
-
- f. Outpatient Drug-Free Therapy
-
- Substance abusers who cannot commit themselves to
- inpatient treatment and do not want methadone treatment (or would
- not benefit from it because their primary drug of abuse is not
- heroin) can participate in a variety of outpatient drug-free
- therapies, including the full range of "talk" therapies,
- supervised twelve-step programs, and programs that use
- acupuncture to reduce the craving for drugs. Outpatient programs
- often are recommended as follow-ups to short-term hospital-based
- "detoxification" programs, which generally are effective only for
- short-term crisis intervention purposes.
-
- The Committee visited the Lincoln Hospital Substance
- Abuse Division in New York City, which has been treating drug
- abuse patients with acupuncture for more than 15 years.
- Acupuncture treatment, which involves the insertion of five
- needles in the outer ear while the patients sit quietly in a
- common room for 30 to 45 minutes, is meant to control withdrawal
- symptoms and the craving for drugs and to have a general calming
- effect. At Lincoln Hospital it is used in combination with group
- counseling on the Narcotics Anonymous model, as well as
- urinalysis monitoring. Like methadone treatment, acupuncture
- begins as a daily treatment, with successful patients
- "graduating" to less frequent schedules. Outpatient drug-free
- treatment programs, whether they employ acupuncture or not,
- differ in the nature, length and frequency of treatment sessions.
- The usefulness of acupuncture treatment for substance abuse has
- been demonstrated in several studies.
-
- Outpatient programs, generally, have demonstrated a
- fair amount of success in treating substance abusers. One
- national study found that nearly three-quarters of the patients
- who entered outpatient drug-free programs for opiate abuse were
- not using opiates regularly three years later. A later study
- of similar scope revealed that, after a year in treatment, 42% of
- the regular cocaine users who stayed in outpatient drug-free
- treatment for at least three months had stopped using cocaine
- completely. Over three to five years, regular heroin use by
- patients who had received treatment for at least three months
- fell by half, and fewer than 20% of the patients who stayed in
- treatment for at least three months were regular users of any
- prohibited drug except marijuana.
-
- 6. Empirical Research on Effective Drug Treatment
-
- Virtually all studies conducted over the last 20 years
- show that the most commonly practiced methods of treatment do
- work. Treatment has been shown to reduce substance abuse and
- ameliorate its consequences. The outcome of treatment has not
- been found to differ significantly with the type of treatment
- received. Methadone programs, inpatient residential programs,
- and outpatient drug-free programs all show dramatic results.
-
- a. Studies Examining the Effects of
- Treatment on Substance Use
-
- The most comprehensive study of the effectiveness of
- drug treatment, the Treatment Outcomes Prospective Survey
- ("TOPS") funded by the National Institute on Drug Abuse ("NIDA"),
- strongly confirmed the efficacy of treatment in reducing drug
- use. For up to five years after their treatment, TOPS followed
- 10,000 substance abusers who had been admitted to 37 different
- treatment programs across the country. The programs included
- residential and outpatient drug-free programs and outpatient
- methadone maintenance programs. Heroin and cocaine use declined
- significantly for patients in all treatment modalities. After a
- year in treatment, heroin use by patients in methadone
- maintenance programs declined by 70%, while 75% of outpatient
- drug-free patients and 56% of residential treatment patients had
- stopped using heroin or cocaine. By the end of the study, fewer
- than 20% of the patients regularly used any illegal drug except
- marijuana, and 40% to 50% of the patients abstained altogether.
-
- Other studies have reached virtually identical
- conclusions. A study sponsored by NIDA to address the risk of
- AIDS infection for injection drug users found that methadone
- maintenance treatment effectively reduced intravenous drug use by
- 71% among those who remained in the program for one year. An
- earlier NIDA study based on the Drug Abuse Report Program
- ("DARP") tracked the drug use of 44,000 opiate addicts admitted
- to treatment between 1969 and 1974. The study found that most
- patients stopped using opiates daily and had not resumed daily
- use three years after they were discharged from treatment. More
- than three quarters of the patients who entered methadone
- maintenance treatment (76%) and nearly three quarters of the
- patients who entered therapeutic communities (74%) or outpatient
- drug-free programs (72%) were still not using opiates regularly
- three years later. A recent follow-up study of 405 of the
- original 44,000 addicts found that 74% were not using heroin
- regularly twelve years after their treatment ended.
-
- Researchers have uniformly concluded that the three
- most common forms of treatment are effective despite "the variety
- of problems suffered by clients, their long histories of deviant
- and debilitating lifestyles, and a lack of support in the
- community" that lead so many addicts not to complete treatment
- programs at all. Researchers also agree that the longer
- addicts remain in treatment, the better their chances of success.
- National studies of the behavior of thousands of addicts have
- shown that, while one-third of the patients who stay in treatment
- for more than three months are still not using drugs a year
- later, two-thirds of those who stay in treatment for a year or
- more stay off drugs.
-
- b. Studies Examining the Effects of Drug
- Treatment on the Consequences of Drug Abuse
-
- Researchers have studied the impact of drug treatment
- on many of the health and social problems that drug abuse
- contributes to -- the spread of AIDS and other diseases,
- premature death, crime, unemployment, costly medical care -- as
- one way of assessing the success of drug treatment. Their
- studies have shown that treatment reduces these associated
- consequences of drug abuse.
-
- Treatment prevents the transmission of HIV and other
- blood-borne diseases that spread when addicts share needles or
- sell sex for drugs. Two studies have shown that the rate of HIV
- infection among heroin addicts in New York City not in treatment
- (46%-47%) is twice the rate of infection among addicts in
- methadone treatment programs (23%-27%), and a recent study found
- that none of a group of methadone patients with ten or more years
- in treatment tested positive for HIV.
-
- Research has shown that treatment also prevents crime.
- The TOPS survey found that, in the six months following
- treatment, 97% of the residential therapeutic community clients
- and 70% of the outpatient clients who had admitted committing
- predatory crimes in the year before they entered treatment
- engaged in no criminal activity at all. Three to five years
- after treatment, the proportion of addicts involved in predatory
- crimes had fallen by one half to two-thirds. The DARP study
- found that arrest rates fell by 74% after treatment, for all
- treatment modalities.
-
- Research reveals that treatment helps recovering
- addicts work, as well. Only 33% of the 44,000 patients in the
- DARP study worked in the year before admission to treatment, but
- 57% were employed in the year following their discharge. Two-
- thirds of therapeutic community patients were gainfully employed
- after discharge. The employment rate of clients tracked in the
- TOPS study also surged. Three to five years after patients
- entered treatment, the employment of patients admitted to
- residential programs had doubled over pre-treatment levels, while
- the employment of addicts receiving outpatient treatment rose by
- more than half.
-
- The costs of medical treatment for all sorts of health
- problems decline when addicts receive treatment. As noted
- earlier in this report, addicts themselves suffer many costly
- illnesses as a result of drug use, ranging from hepatitis,
- syphilis and tuberculosis to shingles, malnutrition and
- psychiatric problems. In 1989, general hospital stays in which
- drugs or alcohol were identified as a major factor accounted for
- 1.9 million days of hospitalization in New York State alone.
- Using a conservatively estimated average cost of $500 a day,
- that amounts to $9.5 billion worth of medical care. Successful
- drug treatment starts addicts on their way to physical recovery
- and therefore reduces these medical costs. Successful drug
- treatment also prevents the spread of diseases to others, such as
- children born to addicted mothers, and stems the cost of medical
- care for them, as well as the cost of foster care for children
- whose addicted parents cannot care for them.
-
- Other benefits of treatment flow from its effects on
- criminal behavior and employment. Treated addicts are much more
- likely to be employed and therefore to contribute to the public
- coffers rather than receive welfare. They make more productive
- employees and are less likely to have accidents at work. Treated
- addicts are far less likely to commit crimes and therefore will
- save society the cost of property loss and prosecuting criminal
- activity. One study that calculated the cost of crime, poor
- employment activity, and medical treatment attributable to drug
- addiction found that the total of these costs was ten to
- twenty-five times the cost of treating drug addiction, depending
- on the cost of the treatment chosen. The cost of treating an
- addict in a long-term residential drug-free program, for example,
- was found to amount to only four percent of the cost to society
- of not treating the addict.
-
- A comparison of costs also shows that treatment is much
- more cost-effective than incarceration. In New York City,
- residential drug treatment costs approximately $17,000 a year per
- treatment bed, and outpatient treatment costs only $2,300-$4,000
- a year per treatment slot; the annual operating cost of a prison
- bed is about $40,000, and the cost of building new prison cells
- exceeds $100,000 each. Diverting drug abusers from prison to
- treatment therefore saves New York State or City half the
- operating costs of incarceration. It also alleviates the need to
- build expensive new prisons. If the proven effect of treatment
- on criminal recidivism is included, the savings to the criminal
- justice system in the future would be even more substantial.
-
- Treatment works and is, in fact, a much more
- cost-effective way of dealing with substance abuse than arresting
- drug offenders and locking them in prison. Successfully treated
- drug addicts give up crime, become productive and more healthy
- citizens, and ultimately make fewer demands on the public for
- social and medical services throughout their lives. Their cure
- also reduces the overall demand for drugs.
-
- 7. Education Works
-
- One way to reduce the demand for illegal drugs is
- to prevent individuals at an early and impressionable age from
- initiating drug use. Using the school system and community
- programs to educate children about drug use and its destructive
- consequences is an idea that would undoubtedly be supported by
- many segments of society. Logic suggests that education programs
- should be effective in diverting young people from experimenting
- with drugs.
-
- Mathea Falco, in her book The Making of a Drug
- Free America, details both school-based and community-based
- educational programs which have proven results in preventing
- drug, alcohol and tobacco use. Education has been shown to be
- effective in preventing and reducing drug as well as tobacco and
- alcohol use among children and teenagers. Simply to advocate
- "education," however, may not be enough; the assumption that
- "education," and any type of education program, will be effective
- may be erroneous. Studies of the effectiveness of drug
- education and prevention strategies seem to suggest that long-
- term programs geared towards examining the "social influences"
- leading to drug, alcohol, and tobacco use are more successful in
- diverting and reducing subsequent use of drugs, alcohol, and
- tobacco. These successful educational programs are generally
- coupled with community and home prevention and education
- programs. In contrast, certain short-term education programs,
- which lack the corresponding community programs, have not proven
- effective in actually reducing drug use.
-
- a. Life Skills Training Program
-
- This 15 session curriculum, which is geared
- towards junior high school students, is designed to teach
- students personal coping skills so that they may be better able
- to make decisions and feel more confident in social situations.
- Evaluations of this program, which has been taught in 150 junior
- high schools in New York and New Jersey for the past ten years,
- show that rates of smoking and marijuana use are one-half to
- three-quarters lower among students who have participated in this
- program than those who have not.
-
- b. Students Taught Awareness and Resistance
-
- This program, taught to first-year high school
- students, combines a thirteen session classroom curriculum with
- coordinating community, media, and family programs in an effort
- to teach resistance skills to teenagers and reinforce the social
- desirability of not using drugs. The program is followed-up with
- a five-session booster course the following school year. This
- program, in a five-year follow-up study, has been proven
- effective in reducing the rate of tobacco, marijuana, and alcohol
- use by 20% to 40% and cocaine use by 50%.
-
- c. Project Healthy Choices
-
- This program, geared towards sixth and seventh
- graders, integrates discussions about drugs and alcohol into the
- everyday curriculum by training teachers to incorporate the
- discussion of drugs and alcohol into their teaching of academic
- subjects. This program is currently implemented in approximately
- one hundred New York City schools. It is believed that this
- approach will reinforce prevention messages as the students will
- hear this discussion as part of their learning on a wide variety
- of subjects. The long-range effectiveness of this approach has
- not yet been determined.
-
- d. Student Assistance Program
-
- This program, which has been implemented in junior
- and senior high schools in twenty states, offers counseling
- during the school day on a voluntary, confidential basis. A
- study of the Westchester County, New York school system where the
- program was originally implemented showed a significant reduction
- in alcohol and marijuana use. More significantly, studies showed
- that the rates of drinking and drug use were 30% lower among
- students at schools which implemented the SAP program.
-
- e. Smart Moves
-
- "Smart Moves" is a program operated out of Boys
- and Girls Clubs in the inner-cities where children live in high
- crime neighborhoods. By offering after-school prevention
- programs and recreational, educational, and vocational
- activities, this program attempts to teach children to recognize
- the pressures to use drugs and how to develop the verbal and
- social skills to resist these pressures. Again, studies have
- shown that this type of program can reduce cocaine and crack use
- and improve school behavior and parental involvement.
-
- f. Seattle Social Development Project
-
- This comprehensive program seeks to strengthen the
- bond between children from high crime neighborhoods and their
- families and schools. The program provides to parents techniques
- to monitor their children better; teachers get better training to
- maintain order and resolve conflicts; and children, as in the
- other programs, are taught skills to resist peer pressure.
- Interestingly, while the program has shown results in deterring
- girls from alcohol, tobacco, and drug use, it has not shown
- similar effectiveness with boys.
-
- g. Programs for Children of Addicts
-
- Finally, a number of cities are attempting to
- develop prevention programs geared towards the children of drug
- addicts. These programs attempt to teach parents communication
- and parenting skills and provide children with support and social
- skills. Two such programs are "Strengthening Families," which
- has been implemented in Salt Lake City, Detroit, and Selma,
- Alabama, and the "Safe Haven" program in Detroit. Evaluations of
- the "Strengthening Families" program suggest it strengthens
- family and school relationships and affects attitudes towards
- alcohol and tobacco use.
-
- This provides a summary of the types of successful
- programs already available in the communities. Their success
- depends upon a school and community commitment to implementing
- comprehensive programs geared towards preventing drug use by
- children. The diversity of the structure of the programs
- illustrates the complexity of the problem. In addition to
- reaching out to the "average" school age youth and warning them
- about the dangers of substance abuse, there are children in
- high-risk homes and crime-ridden neighborhoods who need
- additional support structures to resist the pressures of drug
- use.
-
- III. TOWARD A NEW DRUG POLICY
-
- Joycelyn Elders, the United States Surgeon General, has
- suggested that a study be made of our current drug policies and
- perhaps a new drug policy adopted. Despite the
- Administration's rejection of her suggestion, public perception
- is that she may be right. Our government tried to prohibit
- alcohol consumption and found it did not work. As demonstrated
- in this report, drug prohibition is also a failure that causes
- more harm than the drug use it is purportedly intended to
- control. The obvious answer is that we must take the necessary
- steps towards a new approach to drug policy.
-
- Several different alternatives to drug prohibition are
- being discussed. Federal District Judge Whitman Knapp suggests
- that Congress should repeal all federal laws banning drug sales
- or possession and permit states to devise alternatives to
- prohibition. This is the present approach to alcohol in the
- United States since the repeal of the 18th Amendment and the
- Volstead Act. Federal District Judge Jack Weinstein suggests
- "standing down" and making fewer arrests, having fewer
- prosecutions, and spending more money on treatment. M.A.R.
- Kleiman of the Kennedy School of Government at Harvard suggests
- as a solution to the drug problem a "grudging toleration"
- allowing for sale of certain drugs through state-regulated
- stores, but the strategy would be to discourage consumption.
-
- These and other alternatives to drug prohibition should
- be thoroughly considered so that our society may choose a new
- approach that will avoid the widespread evils caused by the
- current drug laws. Any alternative to drug prohibition should
- allow continued criminal sanctions against conduct affecting
- others (the most obvious example being operating a vehicle while
- under the influence).
-
- It is the Committee's belief that a new approach to
- drug policy should leave state and local governments free to
- employ the full panoply of coercive penal sanctions when drug use
- is relevant to conduct affecting others. For instance, as
- mentioned above, operating any vehicle while under the influence
- of drugs is not tolerated and that should not change. Although
- in New York, voluntary intoxication remains relevant to negate
- specific intent, the Legislature may wish to restore individual
- liability in this area and make any intoxication that is
- voluntary irrelevant as to mitigation, on the theory that by this
- voluntary act the actor will be held responsible for the
- consequences of his conduct while under the influence. Such a
- sanction is hardly unreasonable, nor would it strike anyone as
- being unfair, especially if facilities to deal with cases of
- actual addiction were readily available.
-
- Finally, any alternative to drug prohibition should not
- preclude state and local governments from addressing "quality of
- life" issues. Government should not be powerless to control
- persons who are obviously and publicly intoxicated. Through
- enforcement of the existing laws dealing with public behavior, or
- appropriate amendments to such laws to include specific conduct,
- government intervention would have greater effect and would be
- readily accepted as appropriate by the overwhelming majority of
- the population.
-
- IV. CONCLUSION
-
- The Special Committee on Drugs and the Law has spent
- the better part of a decade examining this country's "drug
- problem" and the mechanisms utilized to manage it, principally a
- federal and state system of criminal proscription.
-
- In recent years, the criminal penalties for possession
- and distribution of proscribed drugs have increased, with
- mandatory sentences being imposed at both the state and federal
- levels. The prison population in the United States has more than
- doubled in the past ten years, largely as the result of these
- prohibitionist laws. The scarce resources of the federal and
- state judiciary have been increasingly devoted to drug cases.
- Despite all of these efforts, the drug war rages on.
-
- The Committee recognizes the urgent and compelling
- need to make additional resources available for education and
- treatment. We believe that even at increased levels, however,
- treatment and education are not enough to control this country's
- drug problem. The Committee opposes the present prohibitionist
- system and recommends the opening of a public dialog regarding
- new approaches to drug policy, including legalization and
- regulation.
-
- KATHY HELLENBRAND ROCKLEN, CHAIR*
- ANN ROBERTSON, SECRETARY
-
- Hon. Harold Baer Jr. Stephen L. Kass
- Nancy A. Breslow Charles Edward Knapp
- Kenneth A. Brown Daniel Markewich
- Ellen M. Corcella Eleanor Jackson Piel
- Edward John Davis James Warwick Rayhill
- Eugene R. Dougherty Chester B. Salomon
- John H. Doyle, III Hon. Felice K. Shea
- Virginia M. Giddens John Trubin
-
-
- * The Committee wishes to express its special thanks to the
- Honorable Robert W. Sweet, the former Chair of the Committee and
- a tireless advocate for drug policy reform.
-
- Justice Shea and Ms. Corcella abstained from voting on the report.
-
- Mr. Doyle and Mr. Markewich dissented, in part. See, Separate
- Statement, infra.
-
-
- SEPARATE STATEMENT TO A REPORT OF THE SPECIAL COMMITTEE ON
- DRUGS AND THE LAW ENTITLED "A WISER COURSE: ENDING DRUG PROHIBITION"
-
- We are in agreement with the Report insofar as it calls
- for the opening of a public dialog regarding new approaches to
- drug policy but disagree with its conclusion that drug
- prohibition should be ended. Our disagreement is based upon our
- concern that the legal sale of drugs would increase substantially
- the number of persons who use and/or become addicted to drugs,
- causing harm not only to themselves but to society. Such harm
- would, in our view, outweigh the benefits of eliminating drug
- prohibition.
-
- 1. Legalizing Drugs Would Reduce Their Cost to the Public,
- Thereby Increasing Demand, Use and Addiction
-
- The theory of drug legalization is that it would take
- the profit motive out of illegal drug dealing, eliminating the
- evils of drug prohibition. In order to accomplish this result
- drugs would have to be sold at prices lower than their present
- illicit levels. Many commentators have reached the conclusion
- that lower prices would increase the demand for drugs. In
- Searching For Alternatives - Drug-Control Policy in the United
- States, Edited and With Introduction by Melvyn B. Krauss and
- Edward P. Lazear, Hoover Institution Press, Stanford University,
- Stanford, California (1991), the authors have compiled commentar-
- ies from both proponents and opponents of drug legalization, most
- of whom acknowledged that lessening cost and increasing access
- may create higher drug use. See, e.g., id. at 22-25; 83; 107.
-
- 2. The Report Fails to Provide a Concrete Proposal
-
- The Report states that "The Committee opposes the
- present prohibitionist system . . . ." However the Report
- provides no concrete proposal that would permit us to determine
- whether any net benefit to society would result from legaliza-
- tion. Should we endorse either (i) the legal sale of crack,
- amphetamines, hallucinogens and similar dangerous drugs or (ii)
- the sale of drugs to minors? Certainly, if we accept the propo-
- sition advanced by many commentators that the legal sale of
- drugs, at lower prices than the prices of illegal drugs, would
- greatly widen demand, we should reject the proposal that such
- harmful substances as those mentioned above be legally sold or
- that any drugs be sold to minors. On the other hand, prohibition
- of sale of those substances, or of drugs generally to minors,
- would give illegal drug traffickers a continuing opportunity to
- exploit these markets, and thus by definition the proposal would
- not end the evils of drug prohibition.
-
- The Report's failure to provide a specific proposal
- leaves these critical issues unresolved. We agree with the
- Report's statement that "These and other alternatives [types of
- legalization proposals] should be thoroughly considered so that
- our society may choose a new approach that will avoid the wide-
- spread evils caused by the current drug laws." A simple end to
- drug prohibition, however, cannot be accepted as a solution to
- these evils, because the "solution" would produce greater social
- harm than the present system.
-
- 3. The Report Does Not Set Forth Any Convincing
- Basis for Its Conclusion That "Use in
- Continued Moderation" Would Be The "Much More
- Likely Result of Decriminalization"
-
- The Report states that "the available evidence does not
- support [the] assumption" that the current prohibitionist laws
- discourage many people from using drugs, citing: rising levels
- of drug use, arrests and seizures; recent declines in alcohol and
- tobacco consumption; the role of drug pushers in boosting demand;
- a description of Prohibition suggesting no correlation between
- prohibition and use; the results of a 1970's experiment in which
- 10 states decriminalized possession of small amounts of
- marijuana; and a poll taken of the general public. The Report
- also cites drug use trends in the Netherlands and England, where
- the problems are less severe than in the United States.
-
- Since neither the United States nor any other developed
- country has legalized the sale of drugs, there is, of course, no
- empirical evidence directly on point. None of the evidence cited
- in the Report refutes the strong likelihood that reducing prices
- and facilitating access would significantly increase demand for
- drugs.
-
- Recent reductions in use of tobacco and alcohol are not
- reliable guidelines for legalized drugs because the pleasure-
- enhancing and tolerance-producing (i.e., addictive) characteris-
- tics of cocaine, crack and heroin are far more powerful than
- those of tobacco and alcohol. See, id. at 18, 24, 78.
-
- The results of Prohibition suggests a correlation
- between prohibition and use. Alcohol use declined at the outset
- of Prohibition and then increased to only 60% to 70% of pre-
- Prohibition levels. Immediately after Repeal, alcohol use re-
- mained the same, but it increased to pre-Prohibition levels
- during the next decade. See, Miron, "Drug Legalization and the
- Consumption of Drugs: An Economist's Perspective", published in
- Searching For Alternatives - Drug-Control Policy in the United
- States, at id., pages 74 to 75.
-
- England and the Netherlands both prohibit drug traf-
- ficking and have relaxed enforcement only at the level of the
- consumer or patient. The experiences in those countries do not
- provide any basis for predictions as to the impact of drug
- legalization in the United States where there are far higher
- levels of both supply and demand of illegal drugs. See id. at
- 172-188. Similarly, the ten states where possession of small
- amounts of marijuana was decriminalized are not reliable indica-
- tors because trafficking and sale continued to be prohibited.
-
- 4. The Report is Mistaken in Characterizing Drug
- Abuse as an Individual "Right" rather than
- as a Social Evil
-
- The Report argues that "Ending drug prohibition would
- enable the Court and our society to recognize the right of indi-
- viduals to alter their consciousness (the most private of mat-
- ters) so long as they do not harm others." Consistent with this
- approach, the Report notes that "Any alternative to drug
- prohibition shall allow the continued minimal control of conduct
- affecting others (the most obvious example being operating a
- vehicle while under the influence)."
-
- In characterizing drug abuse as a "right of individu-
- als" the Report ignores its social costs, which include physical
- damage to babies born of drug using mothers; abuse and/or neglect
- by users of parents, offspring, friends and relatives; death by
- overdose; teen suicides; homelessness; drug-induced altered
- states of consciousness producing violence, particularly from the
- use of cocaine and crack; loss of productivity of drug-using
- workers; waste of educational resources used in attempts to teach
- drug-abusing students; the ripple effect on the economy from the
- presence of large numbers of incapacitated or impaired individu-
- als; and the enormous cost of drug treatment programs. See,
- Commentary by various authors in Krauss and Lazear, supra, at
- pages 97-107; 202-206; 227-236.
-
- 5. The Report Should Stress the Need to Reduce
- Demand for Drugs Without Endorsing Legalization
-
- The Report is enormously thoughtful and comprehensive
- and deserves the most serious study. It describes accurately and
- completely the importance and effectiveness of harm reduction and
- drug treatment programs. For the reasons stated above, however,
- the Report should not recommend ending drug prohibition. Because
- of the risk of catastrophic social harm from legalization, many
- of the most thoughtful recent works on this topic do not recom-
- mend this approach. Mathea Falco, in The Making of a Drug-Free
- America (1992), cited in the Report, urges against a "bigger drug
- war" (emphasis supplied) and that "[w]e need an entirely differ-
- ent approach" . . . "one that puts into practice what we have
- learned in recent years about reducing the demand for drugs."
- Id. at 191, 201. The author points out that ". . . law enforce-
- ment plays an important role, but it should not be the center-
- piece of drug policy." Id. at 199. In Reckoning Drugs, the
- Cities, and the American Future (1993), Elliot Currie, while
- noting the same evils of drug prohibition relied upon in the
- Report, states:
-
- ". . . no one seriously doubts that legalization
- would indeed increase availability, and probably
- lower prices for many drugs. In turn, increased
- availability, as we know from the experience with
- alcohol, typically leads to increased consumption,
- and with it increased social and public health
- costs."
-
- Id. at 187. In Addiction From Biology to Drug Policy (1994), Dr.
- Avram Goldstein recommends retaining the present prohibition on
- heroin, cocaine and the amphetamines while endorsing a variety of
- harm reduction and drug treatment methods aimed at reducing
- demand. Id. at 268-285. In Drug Use in America (1994), (Peter
- J. Vesturelli, Editor) Prof. Patricia A. Adler recommends a
- "middle ground . . . between the extremes of legalizing all drugs
- and bearing the costs of the zero tolerance approach." Id. at
- 260. The author endorses the regulated sale of marijuana with
- the use of law enforcement savings for anti-drug abuse programs
- aimed at heroin and cocaine. Id. at 262. Prof. Nadelmann has
- commented, and we agree, that: "Today, studies similar to that
- of the Wickesham Commission and the Rockefeller Foundation report
- [on prohibition and alcohol-control strategies respectively] are
- necessary to any systematic evaluation of drug prohibition and
- its alternatives." Krauss & Lazear, supra, at 242.
-
- CONCLUSION
-
- For the reasons above stated we agree with the emphasis
- of the Report on further public dialog, harm reduction and drug
- treatment but disagree with its conclusion that drug prohibition
- should be ended.
-