Drug War Heresies : Learning from Other Vices, Times, and Places (RAND Studies in Policy Analysis)

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Summary: A Careful and Honest Look at Alternative Drug Policy
Review: "In Drug War Heresies, Robert J. MacCoun and Peter Reuter ask whether drug prohibition makes sense and whether legalization might achieve a better balancing of the costs and benefits associated with drugs and drug policy. They draw on a broad range of social science literature, and they emphasize the lessons provided both by drug prohibition in other places and by prohibitions of other goods, such as alcohol and prostitution. In discussing this evidence, they raise most of the key issues that should be considered in evaluating drug policy. Their book is an excellent starting point for anyone who wishes to understand the debates about prohibition versus legalization.

MacCoun and Reuter make a compelling case that many evils typically attributed to drugs result instead from drug prohibition and its enforcement. According to their analysis, prohibition causes increases in property crime because users face elevated prices; increases in violent crime because traffickers cannot resolve disputes using the courts; diminishments of civil liberties owing to the difficulty of detecting crimes without natural complainants; increases in corruption of police and politicians; disruption of countries that produce coca and opium; diminishments of users' health because of poor quality control; increases in the spread of HIV because of prohibition-induced restrictions on clean needles; excessive restrictions on medical uses of drugs; and reductions in respect for the law bred by widespread violation of prohibition-among other consequences.

And yet the authors do not endorse legalization. They find great fault with the heavy emphasis on criminal sanctions in current U.S. prohibition, and they believe substantial deescalation to, say, the level of enforcement in western Europe, Canada, or Australia would diminish many of the harms of prohibition while causing only small increases in drug use. Still, they do not endorse legalization. Why not?

Their position rests on four arguments: that moving from weak, European-style prohibition to legalization would produce a substantial increase in drug use; that this increase would be a bad thing; that most of the benefits from legalization are achieved simply by deescalating prohibition; and that the effects of legalization are uncertain."

"The authors' basic points move in the right direction. They have done a great service in carefully, honestly, and scientifically considering both theory and evidence on the effects of alternative drug policies. Room remains for reasonable persons to disagree about certain pieces of evidence, but if more persons were to analyze drug policy as dispassionately as MacCoun and Reuter, both drug policy and the country would be in far better shape."

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Summary: Drug War Heresies
Review: Drug War Heresies may be the best book ever written about modern U.S. drug policy. Written by a psychologist and an economist, the authors draw on attempts to control other substances (such as alcohol prohibition in the U.S.) and exhaustively examine the alternative and experimental European drug policies that most American readers will find particularly useful. The authors are careful to not impose their values and beliefs into their work, instead focusing on the consequences of alternative drug policies. The result is a persuasive case for policy reform in America that is not doctrinaire. Required reading for all who are interested in illicit drug policy in America.

Rating:
Summary: Drug War Heresies
Review: Drug War Heresies may be the best book ever written about modern U.S. drug policy. Written by a psychologist and an economist, the authors draw on attempts to control other substances (such as alcohol prohibition in the U.S.) and exhaustively examine the alternative and experimental European drug policies that most American readers will find particularly useful. The authors are careful to not impose their values and beliefs into their work, instead focusing on the consequences of alternative drug policies. The result is a persuasive case for policy reform in America that is not doctrinaire. Required reading for all who are interested in illicit drug policy in America.

Rating:
Summary: Top quality analysis
Review: The 'War on Drugs' in the United States grew from a million dollar acorn absentmindedly planted by President Nixon to a thriving 18 billion dollar oak three decades on.

The outcome of the 'war' is not satisfactory. The prevalence of illicit drug use is down but the substances are still readily available for people who really want to use them. The collateral damage is alarming, including one of the highest per capita rates for imprisonment in the world and regular reports of ghastly mistakes by law enforcement officers.

This book presents a massively researched and dispassionate cost/benefit analysis of the likely effects of various forms of legalisation for the major categories of illicit drugs. The subtitle of the book signals that the conceptual framework is enriched by a survey the international experience in the control of prostitution, gambling, alcohol and tobacco as well as the illicit drugs.

Drug War Heresies is a really excellent source for a wide range of literature and for the standard arguments that are likely to be bandied backwards and forwards for some time to come. It is clearly written and it provides a model of policy analysis in a deeply controversial field where the authors articulate a position of their own without apparently biasing the analysis.


The centrepiece of their analysis is the estimation of the Total Harm from a drug as the product of Prevalence (number of users) x Intensity (average number of doses) x Harmfulness (harm caused by each dose). This is a complex equation because the intensity is not uniform in the drug-using population and the harms arising from particular levels of drug use depend on the public health provisions and other policies (such as policing) that are in place.

The highly nuance stance that they adopt calls for modest law reforms that would result in increased prevalence (more users) in conjunction with other policies which would moderate both the intensity of use and the harms that result from drug use. The harms include the cost of crimes to support expensive habits, and other costs that result from policing zero-tolerance prohibition policies.

The analysis is far from complete, partly because the financial costs and benefits cannot be calculated accurately, also because the attractiveness and the political feasibility of the options depends on highly subjective (and widely divergent) appraisals that different people apply to drug use and its consequences.

The authors concluded that there is very little likelihood in the near future for reform, even for cannabis. All the problems in the analysis favour the status quo. So far only one major political figure, the Republican Governor of New Mexico, was prepared to put the ball of reform into play in the political arena and he was rebuffed by the Democratic majority in his legislature. This was a most unfortunate outcome from a scientific point of view because some of the imponderables that dog the cost/benefit analysis might have been illuminated in the light of experience in one state.

After the authors put down their pens both terrorism and Iraq became major issues, hence the prospects for change in drug policy are even more dismal, partly due to the diversion of attention to other areas and partly on account of the deterioration in the civility of public debate in general. This does not detract from the value of this excellent book, merely from the impact that it is likely to have in the short term.


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Summary: An astonishing analysis of the dark side of public policy
Review: This is one of the most comprehensive, objective or "bi-partisan," and current studies available to the general public. Although it is indeed an academic study and is written to influence policymakers, the educated public can easily follow most of the arguments posited by MacCoun and Reuter. Both thinkers have extensive experience in the area of drug policy, both are senior consultants with RAND (Drug Policy Research Center) and have published a considerable amount of literature on the nature of drugs and drug laws. This dynamic text attempts a comparative analysis of vices, such as gambling and prostitution, with that of recreational drug use, including alcohol and tobacco. The purpose of this study is to research whether or not there are any correlations between vices and, if so - can they assist in our understanding of how to regulate drugs and the desires of individuals for drugs. For example, of the kind of comparisons made, is that of prostitution and gambling. Both are legal in Las Vegas, NV - both are thought to be harmful vices, nevertheless, the law has provided a place for them in a legal context - can the same be done for drugs? The text also evaluates extensively, the European models of drug law enforcement and treatment and compares them to America's own models of law and treatment. The authors do not offer any solutions to the drug problem, but what they have done is contribute a comprehensive study with an extensive and diverse amount of data on the subject, something of which has not been achieved as thoroughly as it has been done in this study. The authors also analyze many of the drug reformer's arguments and parse them for consistencies and/or inconsistencies; in the conclusion, they offer a sympathetic gesture to the reformer's contentions because the authors admit to realizing the inanity and harm current drug laws are causing society, but they do so cautiously. They realize that something "must change," but what? and the future can only hold speculations. This book is highly recommended.

Another interesting companion study is the Consumer Reports study that was released in 1972. It is comprehensive and treats the many aspects of the "drug problem" in America. See:

Breacher, Edward M. et al., Licit and Illicit Drugs: the Consumers Union report on narcotics, stimulants, depressants, inhalants, hallucinogens, and marijuana - including caffeine, nicotine, and alcohol. (Boston: Little Brown, 1972).