Let’s Tear Apart This Repugnant Statement About Harm Reduction

tear apart
Mar 27 2016

Let’s Tear Apart This Repugnant Statement About Harm Reduction

March 28th, 2016

As we approach April’s UNGASS special summit on drugs, it can feel like the momentum for worldwide drug policy reform is unstoppable. Just in the past week we’ve seen the US media remind itself that a key Nixon aide openly admitted that the War on Drugs began as a way to target “the anti-war left and black people.”  We’ve seen prestigious health experts from The Lancet and John Hopkins University issue a condemnation of prohibition and call for decriminalization. And we’ve seen former presidents of Brazil, Mexico, Colombia, Nigeria and Switzerland renew their call for change.

“It is the definitional activities of the state and the media, rather than the reported incidence of crime or drug use and abuse, that has shaped public concern regarding those issues,” wrote Professor Katherine Beckett of the University of Washington in 1994. Nixon’s War on Drugs, expanded and continued by his successors, is a prime example of how politicians construct emotional arguments to create a fear of lawlessness in our society, aided by effective media messaging. The American public and our institutions—and subsequently, those around the world—were duped into accepting a construct that was never about the harms of drugs but was rather a means of social control, a way to consolidate political power.

And despite all the progress and encouraging noises, it isn’t over yet—not by a long way. Influential people in the US and abroad are still spreading messages of fear and ignorance (one of the reasons that UNGASS is very unlikely to achieve actual change of the relevant international treaties).

For example, to coincide with the UN’s Commission on Narcotic Drugs session that was held in Vienna this month, an organization called the International Task Force on Strategic Drug Policy released a truly awful statement directed at world leaders, attacking harm reduction and drug policy reform.

We’ll get to the statement itself in a moment. But first, what is the Task Force that issued this letter, with signatories from 17 countries? It’s an off-shoot of the Drug Free America Foundation (DFAF), an organization supported and started by Mel and Betty Sembler, founders of Save our Society from Drugs (SOS), and Calvina Fay, DFAF’s executive director.

The Semblers have a notorious record. As well as bankrolling opposition to marijuana legalization, their drug-warrior bona fides have included profiting from their company Straight, Inc, which ran abusive addiction treatment centers for teenagers. Straight Inc. was closed after lengthy investigations in multiple states resulted in civil lawsuits and settlements. The brutal treatment recounted by victims who described “episodes of…beatings, rape and systematic psychological abuse” is horrifying. But the Semblers’ ideology has also been supported through a government-funded drug testing development program for small businesses, giving them a clear vested interest in maintaining prohibition.

Other signatories include Kevin Sabet, founder of Smart Approaches to Marijuana. SAM ostensibly promotes the view that our national and international drug policies should be founded on science—an example of Orwellian doublespeak if ever there was one—and claims to conclude from this that marijuana should remain illegal. As we shall see, Sabet and the other signatories merrily ignore decades of scientific research and historical fact.

So given the identities of some of the statement’s authors, its damaging falsehoods should not surprise us. But because such points of view still carry weight on the international scene, and encourage countries like Russia, China and Indonesia to continue to pursue drug policies even worse than our own, it’s worth the effort of explaining why everything in the statement is wrong.

It begins:

We support the United Nations position that the goal of national and global drug policies and strategies must be to prevent or stop drug use. We agree with the United Nations that drug demand reduction is a fundamental pillar to sound drug policy. We support abstinence from drug use as a reasonable and achievable goal for public health policy. We support a policy of no use of illegal drugs or destructive use of legal drugs.

Really? After almost a century of drug prohibition, after the US alone has spent one trillion dollars over the past 40 years, at a current rate of $51 billion annually, with the precise aim of ending the use of illegal drugs, you’re still claiming it’s possible? It hasn’t gone well so far, has it?

No one disputes that for many individuals, abstinence from certain drug use is possible, and often preferable. But can you name a single human society of any size in history where various kinds of drug use have not been present? No? That’s because it has never happened. And it never will. Drug use is an eternal human reality.

There’s a contradiction, too, in the statement’s different positions on illegal drugs (always bad) and legal ones (ok in moderation). Because at different times (think alcohol in Prohibition-era America) and in different places (think alcohol in Saudi Arabia today), the legality of certain drugs changes.

That’s because there is no reason that can be justified by logic, science or ethics for some drugs to be banned and others not. And that’s one of the important things that drug policy reformers point out.

The statement continues:

Rational drug policies which recognise that the temporary use of measures to reduce harm with the goal of ultimate abstinence are fundamentally different from so-called `harm reduction ́ drug policies which accept the inevitability of drug use.

The phrase `harm reduction ́ and its obvious meaning has been hijacked and cynically employed by those whose goal is to legalise drugs. They use the obvious, universal desire to reduce harm to promote the legalisation of drugs. Drug legalisers use the phrase to gain the sympathy of well-meaning people and government officials.

We oppose so-called `harm reduction ́ strategies as endpoints that promote the false notion that there are safe or responsible ways to use drugs. That is, strategies in which the primary goal is to enable drug users to maintain addictive, destructive, and compulsive behaviour by misleading users about some drug risks while ignoring others. These strategies give the message that society has given up on the addict, condones their drug use, and condemns them to a life of drug dependence. So-called `harm reduction ́ as a drug strategy undermines drug prevention efforts and messages by taking advantage of drug addiction and deadly diseases like HIV to advance the political agenda of drug legalisation lobbyists and billionaire advocates.

Where to start? There are safer, more responsible ways to use drugs. Take marijuana: Nearly 50 percent of the US population has used it. Have more than a small fraction of all those millions of people experienced significant problems as a result? Of course not. Take even opioids, the cause of such understandable concern in the US right now: Most of us have been prescribed them at some point. And the majority use them as prescribed and then stop using them, with no additional problems. According to figures provided by the UN’s own Office on Drugs and Crime, the great majority of drug use in the world is not problematic.

In this context, note the statement’s lazy, inaccurate and stigmatizing equation of all people who use drugs with “the addict.” And note the incorrect assumption that a person who is addicted is therefore condemned “to a life of drug dependence”—actually, most people who do become addicted will “age out” of it, even without receiving treatment. Claiming otherwise, against all the evidence, is a form of the scaremongering that prohibitionists so love.

Then there’s the claim that the whole harm reduction movement is just a front for legalization. Despite the countless lives saved or improved by harm reduction measures like naloxone access or methadone programs, for example, we’re expected to believe that it’s all done merely as a devious ploy.

Add to that the fact that legalization or decriminalization are forms of harm reduction—at least, if you admit that the bloody wars fought by criminal gangs over control of illicit markets, and the mass incarceration that devastates individuals, families and communities, are sufficiently damaging to qualify as “harm.”

And finally, of course the drug policy reform movement has wealthy supporters, such as George Soros. But to take a swipe at “billionaire advocates” on behalf of an organization funded by drug-warrior billionaires Mel and Betty Sembler? Please.

The statement then asserts:

We support the International Narcotics Control Board (INCB) position on so-called `harm reduction ́ that does not support stand alone needle exchange programs and taxpayer-funded shooting galleries (so-called safe injection rooms) because such policies encourage drug use and violate UN Conventions. Article 4 of the 1961 Convention, which: …obliges State parties to ensure that the production, manufacture import, export, distribution of, trade in, use and possession of, drugs is limited exclusively to medical and scientific purposes. Therefore, from a legal point of view such facilities violate international drug control conventions.

Science demonstrates that the INCB position on syringe exchange programs (SEPs) and supervised injection facilities (SIFs) is utterly wrong. Reams of studies, including from the World Health Organization (WHO), the American Medical Association, and our own government, which has funded no fewer than seven studies, show that SEPs do not cause any increase in drug use. In fact, evidence shows that their deployment can help decrease drug use, and that SEP participants are five times more likely to enter treatment than non-participants.

SIFs, meanwhile, have resulted in positive health outcomes and helped to reduce crimes in many countries where they have been implemented. Insite, the only legal SIF in North America, has been endlessly scrutinized by dozens of studies, which prove beyond doubt its beneficial impact on the lives of people who use drugs and on the wider community in Vancouver.

Saying that you do not support changing the law because it goes against current international law is a piece of circular reasoning. It could be used to argue against changing any law, however bad.

Dishonest messaging about harm reduction measures perpetuates stigma while ignoring the successes in countries such as Switzerland, Portugal, Canada and many more. It also insults the amazing work of the people who contribute to harm reduction on the ground, like the people I recently met working at Orange County Needle Exchange Program—the  first stand-alone SEP where I live.

In combination with the Solace Foundation, we have introduced naloxone as well as clean needles to our community. Last Saturday, we trained two dozen substance users and provided and gathered hundreds of clean and used needles. And we spoke with five people who had either used naloxone to either save a life or had been saved by it themselves. The training in the use of the naloxone auto-injector that we were able to provide means that individuals don’t have to rely on accessing public safety or health services to save a life.

Thanks to volunteers and experts, incredible things like this are happening all over the world.

The statement concludes:

We oppose usurping multi-national treaties and agreements and replacing the goal of preventing and reducing drug use with a strategy by whatever name (e.g. so-called `harm reduction ́) that seeks to normalise various forms of drug use. We support comprehensive prevention, treatment, and enforcement strategies to prevent and eliminate illegal drug use, and thereby their undeniable harm. We support harm prevention and harm elimination through expanding treatment, outreach, and social services for drug users, addicts, and those with infectious diseases. We support research into effective outreach and treatment techniques for addict populations.

It is insufficient, illogical, and inhumane to proclaim that drug dependence should be maintained in the name of so-called `harm reduction.’ History, science, and reason tell us that drug use can be prevented, and drug dependence can be overcome and its attendant consequences reduced, if not eliminated.

“Various forms of drug use,” as we have already seen, are normal. Normalization has happened not because drug policy reformers willed it to happen, but because using drugs is what vast numbers of people all over the world already do. If we’re in denial about that, we can’t effectively reduce the associated risks.

Prevention of problematic drug use, treatment, outreach programs and social services are all important elements of a sensible drug policy—but they are not, on their own, enough. We desperately need the changes to national and international laws that will allow people who continue to use drugs to take all available measures to protect their health, while not having their lives ruined by the criminal justice system.

History, experience and reason tell us that a drug-free world is a myth. Let’s deal with that fact like adults.

***

It is infuriating and depressing to read this statement. Betty Sembler, Calvina Fay, Kevin Sabet and the other signatories would rather deny people access to lifesaving, evidence-based public health strategies than admit that their ideological support for prohibition helps to perpetuate unnecessary disease and deaths.

And it’s not just this misinformation that should concern us, but the way Sabet and the others ignore many of the social justice issues surrounding the drug war. Drug prohibition across the world has resulted in countless human rights violations, including discriminationmass incarceration and executions. There is no collateral consequence of the drug war of which world leaders should not feel ashamed.

In a month when scientists have condemned drug prohibition and historians have recalled once again its racist and repressive roots, and as we build up to April’s UNGASS summit, will “drug-free” organizations like SAM and DFAF continue to ignore, not just the inaccuracy, but the deep immorality of their positions?


Lieutenant Commander Diane Goldstein (Ret.) is a board member of Law Enforcement Against Prohibition, a group of law enforcement officials opposed to the war on drugs. You can follow her on Twitter: @dianemgoldstein.

Will Godfrey is the editor-in-chief of The Influence: @GodfreyWill.

  • Gary Thompson

    Live human study Ontario, Canada majority of harm is happening to non drug overdoses. Perpetuating a war on humanity on purpose. New program started Ontario, March 22 ‘Face the Fentanyl’ life threatening protocol. https://www.linkedin.com/pulse/our-minds-have-been-poisoned-accepted-beliefs-bryant-mcgill-thompson

    My letter Emergency Medicine News Dec. 2015
    http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

    One of my articles in the 2015 AHA & ILCOR CPR guidelines
    https://volunteer.heart.org/apps/pico/Pages/PublicComment.aspx?q=891

    Best Wishes @GaryCPR

  • Olmy Olm

    They would be well-advised to read some actual informative material on things they seem to have a great deal of misconceptions about. For example: http://www.drugtext.org/Table/Opium-and-the-People/

    ‘…In a particular historical period and in the social context of a particular country, and with opium as a drug available only in oral form, we can begin to see the outline nature of the equilibrium reached between the society and the drug – a plateau at a high general level of usage and with regional variation, no persuasive evidence of large-scale social incapacity, but with associated mortality levels which, though not too disastrous when matched against certain modem drug experiences, were nonetheless cause for concern…

    …One might also argue that the nineteenth-century British opium experience has something to say to the contemporary problems and policies of the East. Even with advancing industrialization, with growing cities such as Bangkok, opium is a drug with which a reasonable equilibrium might be expected to be established, even with minimal formal controls. Twentieth-century Bangkok and nineteenth-century Manchester are different contexts, motor traffic and horse trams set different problems, smoked opium and opium pills or laudanum may bring
    different consequences, but one might at least conclude that endemic opium use in the developing world should not be cause for panic, or for repressive measures which upset the balanced ecology with consequences
    worse than the original situation.’

    And this: https://www.jrf.org.uk/sites/default/files/jrf/migrated/files/1859354254.pdf

    ‘…The report deconstructs some of the myths surrounding heroin use and heroin dependence. It is relevant to policy-makers, those working in the drug treatment field, academics and drug researchers.

    The experience of our respondents shows that dependency is not an inevitable consequence of regular heroin use nor is uncontrolled use an inescapable consequence of dependency. Some people can use heroin in a non-dependent way for long periods of time, and others are able to control and regulate their dependency. How are
    some people able to use heroin in a relatively problem-free way, whilst others are not? This chapter aims to provide some answers to this question, drawing on our in-depth interviews.

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  • Nick Wallis

    No mention of this, but I suspect it is a key underlying driver of this prohibitionist ideology. Nearly every “drug free” group is run by evangelicals of one kind or another. Whether Christians, Muslims, Scientologists etc… It’s nearly always a fairly fundamentalist group of religious folk sitting behind it.

    Does drug use threaten something they gain from? Social capital through attempted control of social order? The control over theological and ontological discourse?

    There’s a deep philosophical battle at the heart of this.

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  • The Addictive Podcast

    We don’t need to tear it apart. If we can now turn our heads back to the evidence please.. These arguments are no longer guess work. It’s either stay the course or change and we know the outcomes of both. What a disgusting uninformed statement “for drug users, addicts, and those with infectious diseases.” As if the drugs cause disease. Stay away from me you infectious alcoholics!

  • foodforthought

    No one should promote the canard that marijuana is dangerous, like pharmaceutical drugs. Or even that it is a ‘drug’, except in Merriam-Webster’s third and broadest definition, as something which alters the mind. By that definition, religion and television (‘the plug-in drug’) should also be included. In truth marijuana is a medicinal herb, cultivated, bred, and evolved in service to human beings over thousands of years.

    “The Nixon campaign in 1968, and the Nixon White House after that had two enemies: the anti-war left and black people. We knew we couldn’t make it illegal to be either against the war or black, but by getting people to associate the hippies with marijuana and blacks with heroin, and then criminalizing both heavily, we could disrupt those communities. We could arrest their leaders, break up their homes, break up their meetings, and vilify them night after night on the evening news. Did we know we were lying about the drugs? Of course we did.” –John Ehrlichman

    Prohibition of marijuana is a premise built on a tissue of lies: Concern For Public Safety. Our new laws save hundreds of lives every year, on our highways alone. In November of 2011, a study at the University of Colorado found that in the thirteen states that decriminalized marijuana between 1990 and 2009, traffic fatalities have dropped by nearly nine percent—now nearly ten percent in Michigan—more than the national average, while sales of beer went flat by five percent. No wonder Big Alcohol opposes it. Ambitious, unprincipled, profit-driven undertakers might be tempted too.

    In 2012 a study released by 4AutoinsuranceQuote revealed that marijuana users are safer drivers than non-marijuana users, as “the only significant effect that marijuana has on operating a motor vehicle is slower driving”, which “is arguably a positive thing”. Despite occasional accidents, eagerly reported by police-blotter ‘journalists’ as ‘marijuana-related’, a mix of substances was often involved. Alcohol, most likely, and/or prescription drugs, nicotine, caffeine, meth, cocaine, heroin, and a trace of the marijuana passed at a party ten days ago. However, on the whole, as revealed in big-time, insurance-industry stats, within the broad swath of mature, experienced consumers, slower and more cautious driving shows up in significant numbers. A recent Federal study has reached the same conclusion. And legalization should improve those numbers further.

    No one has ever died from an overdose of marijuana. It’s the most benign ‘substance’ in history. Most people—and particularly patients who medicate with marijuana–use it in place of prescription drugs or alcohol.

    Marijuana has many benefits, most of which are under-reported or never mentioned in American newspapers. Research at the University of Saskatchewan indicates that, unlike alcohol, cocaine, heroin, or Nancy (“Just say, ‘No!’”) Reagan’s beloved nicotine, marijuana is a neuroprotectant that actually encourages brain-cell growth. Researchers in Spain (the Guzman study) and other countries have discovered that it also has tumor-shrinking, anti-carcinogenic properties. These were confirmed by the 30-year Tashkin population study at UCLA.

    Drugs are man-made, cooked up in labs, for the sake of patents and the profits gained by them. Often useful, but typically burdened with cautionary notes and lists of side effects as long as one’s arm. ‘The works of Man are flawed.’

    Marijuana is a medicinal herb, the most benign and versatile in history. “Cannabis” in Latin, and “kanah bosm” in the old Hebrew scrolls, quite literally the Biblical Tree of Life, used by early Christians to treat

    everything from skin diseases to deep pain and despair. Why despair? Consider the current medical term for cannabis sativa: a “mood elevator”. . . as opposed to antidepressants, which ‘flatten out’ emotions, leaving patients numb to both depression and joy.

    The very name, “Christ” translates as “the anointed one”. Well then, anointed with what? It’s a fair question. And it wasn’t holy water, friends. Holy water came into wide use in the Middle Ages. In Biblical times, it was used by a few tribes of Greek pagans. And Christ was neither Greek nor pagan.

    Medicinal oil, for the Prince of Peace. A formula from the Biblical era has been rediscovered. It specifies a strong dose of oil from kanah bosom, ‘the fragrant cane’ of a dozen uses: ink, paper, rope, nutrition. . . . It was clothing on their backs and incense in their temples. And a ‘skinful’ of medicinal oil could certainly calm one’s nerves, imparting a sense of benevolence and connection with all living things. No wonder that the ‘anointed one’ could gain a spark, an insight, a sense of the divine, and the confidence to convey those feelings to friends and neighbors.

    I am appalled at the number of ‘Christian’ politicians, prosecutors, and police who pose on church steps or kneeling in prayer on their campaign trails, but cannot or will not face the scientific or the historical truths about cannabis, Medicinal Herb Number One, safe and effective for thousands of years, and celebrated as sacraments by most of the world’s major religions.

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  • Joe Minella

    “There is no collateral consequence of the drug war of which world leaders should not feel ashamed.” A world of truth in one sentence.

  • Maurice Dutton

    Statistics show us that the enforcers whether evangelists or DEA or other suffer the same pitfalls that life puts in front of all of us. Their children succumb to the same temptations as ours so I am dumbfounded why they are so intractable. Is it that their jobs depend on enforcing these laws that are tearing families apart ? From another position, I am happy to have the government regulate the substances, pay taxes for making sure that me & my children are not being poisoned with any adulterants that are usually way more toxic than the substance itself. To that end, I would agitate for education & harm reduction. Drugs are fun but they are not my life.

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