Monday, March 23, 2009

Drug cartel-fueled violence along the U.S./Mexico border has renewed the debate over legalizing marijuana and other recreational drugs. Linda Valdez, editorial columnist, recently called for legalizing marijuana, citing it as a primary profit- maker for drug cartels. She argues that consumers enjoy the intoxicating effects of marijuana in the same manner that they enjoy alcohol, and that potential addiction is something that users believe they control. As with past efforts such as Prohibition, she judges this war unwinnable. Legalization and taxation, she writes, will reduce the influence of organized crime and help to pay for the social costs of addiction (Arizona Republic, March 15, 2009). Robert Robb, another editorialist, affirmed her stance on the grounds of protecting the liberty of the individual from specious definitions of criminal conduct. He argues that recreational drug use “should be treated as a matter of personal responsibility and personal and public health.” (Arizona Republic, March 19, 2009).

An opposing opinion piece by John Walters of the Hudson Institute noted a gradual drop in the numbers of young users of illegal drugs in the U.S., citing 900,000 fewer now than in 2001. He credits this to the success of current education, treatment and workplace testing programs and to the diversionary practices of the criminal justice system, as well as policies aimed at reducing supply. He notes, however, that legalization of alcohol has not eradicated addiction, citing alcoholism rates of approximately 10% among the 100 million Americans who drink at least monthly (Arizona Republic, March 19, 2009).

In February, three former presidents of Latin American countries, Ernesto Zedillo of Mexico, Fernando Henrique Cardoso of Brazil and Cesar Gaviria of Colombia called the war on drugs a failure despite years of enforcement efforts and billions of dollars in U.S. aid. They cite 5,000 violent deaths related to narcotics within the past year in Mexico alone (Wall St. Journal, February 23, 2009).

Since alcohol is a recreational drug often utilized to illustrate the benefits of legalization, I thought I’d check some statistics on its use and abuse in the U.S. The Centers for Disease Control lists the number of alcohol-induced deaths for 2005, excluding homicides and accidents, at 21,634. (Source: http://www.cdc.gov/nchs/fastats/alcohol.htm.) Mothers Against Drunk Driving reports that every 40 minutes on average, a drunk driver kills someone and estimates that 12,998 people died in crashes related to driving drunk in 2007. (This is the good news – deaths down from 13,491 in 2006.) The cost of crashes related to alcohol in 2000 was approximately $114.3 billion, and 63% of this was borne by the public rather than the driver who was drinking. (Source: http://www.madd.org/Drunk-Driving/Drunk-Driving/Statistics.aspx.)

All of this makes me wonder about rights and obligations, freedom of choice and taxation. I’m accustomed to liberties grounded in the Constitution, and to viewing issues in terms of personal freedom. But as Amesbury and Newlands point out, “…The notion of rights is meaningless if a person’s rights do not make some sort of corresponding demand on the behavior of others;” and rights can be immunities as well as liberties (Faith and Human Rights, p. 25). So… Does a citizen’s right to recreational drug use (including legal drugs) obligate other citizens to pay for treatment and rehabilitation if addiction takes over? (If I’m addicted and need help, shouldn’t I expect that assistance just as an effort to benefit the social fabric, if not to care for me personally?) Can the social and personal costs of abuse and addiction be adequately addressed by treatment efforts in a therapeutic field yielding mixed results and high rates of recidivism? Is the government’s need for funds to pay for regulation, treatment, education, etc., sufficient justification for legalization and taxation of commonly used illegal drugs? Do rights to be free of drug-related violence, here and abroad, support a policy of legalization or a policy of interdiction? …What do you think?

8 comments:

  1. Three attempts at posting, the third time was the charm!

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  2. I tend to approach this as a practical rather than ethical question. Regardless of whether a person has a right to use any mind-altering substance they wish, laws against the use of such substances have not historically been reliably enforceable. Since making certain drugs illegal has not been an effective method of controlling their use, it is reasonable to look for another approach. This is particularly true for marijuana, which is commonly seen as no more, and possibly less, dangerous and harmful than alcohol or cigarettes. The laws against its use seem to incline people to have less respect for laws in general, since this one can appear arbitrary and is frequently broken without consequence.

    On the ethical side, I believe that it is unethical to make marijuana illegal for medicinal use because this situation causes unnecessary suffering, encourages otherwise law-abiding people to visit drug dealers out of desperation, and directly results in narcotic addiction. Although I do not see the legalization of recreational drug use as an ethical question, our responsibility to people who become addicted to drugs, are injured in drug-related accidents, or develop lung cancer due to long-term drug inhalation is certainly an ethical issue. As a Christian, I would say that contributing, according to our means, to care for people in such circumstances is necessary because the most basic commandment is to love God with all of our heart, soul, and mind and to love our neighbors as ourselves. These apparently two commandments are as impossible to seperate as our good is from our neighbor's good, since whatever we do for the people who seem to be the least, we also do for Jesus.

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  3. When I think of the continuing debate on the legalization of marijuana, i always think of the argument that it is a gateway drug. That if you start smoking weed you will certainly become hooked to what is always described as harder drugs, etc.
    My personal opinion is there are no gate way substances but only gateway people.
    Experimenting with soft or hard drugs does not doom anyone individual to a downward spiral of addiction and dependancy. Genetic research is certainly opening our eyes to the fact that people are predispositioned to certain physical alments and time will show genetics bring the same predispositions to other personality and developemental traits.
    As history shows legalizing any substance will not eradicate crime and human greed.
    What is not even addressed here is the homegrown efforts of the so called "Hippie Mafia" that has been growing marijuana within the borders of the United States for years.
    This too has become a "revolving door" policy of the monumental waste of our policing services.
    I would also like to extend an extrapolation of the effects of our economy on the self entrepreneurial spirit of self preservation during extreme times.
    And what about the synthetic distilled marijuana that is prescribed for cancer patients? Why not let persons grow there own and save millions of dollars to an already bloated and mismanaged prescription drug industry?
    Ultimately I agree with Jens observation that caring for people whatever the circumstance is the ethical thing to do. Does policing their lives fall into that category? I am not so sure.
    "To lend each other a hand when we are falling, perhaps that's the only work that matters in the end." Frederick Buechner

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  4. I would like to specifically address two of Sande's questions. First,"Is the government’s need for funds to pay for regulation, treatment, education, etc., sufficient justification for legalization and taxation of commonly used illegal drugs?" The government currently pays for education and regulation on legal drugs. When I was in elementary school we had to take D.A.R.E. classes, as I'm sure many of you did too. We learned about cigarettes and alcohol as well as illegal drugs. There is literature and billboards out there against both drinking and against cigarettes, just as there is about illegal drugs. In terms of rehab, I think some parents are quick to teach their children a lesson so instead of marking up their child's criminal record, they throw their child into rehab when they find out that their child has been smoking pot. Now, I am not saying that this is a large percentage of parents, but regardless, I think it marijuana was legalized it would eliminate the harsh overreactions of some parents, resulting in less unnecessary rehab. However, I find it suspect that anyone would need rehab for marijuana. Personally, I feel that it is a matter of choice. Anyway, if the government is already going to pay for much of the above mentioned whether legal or illegal, on those grounds, I would have to argue that it would be most logical for the government to legalize and tax marijuana. At least they would stand to gain something financially rather than spending money on all of the above, as well as spending tax money patrolling the streets and incarcerating small time marijuana dealers.

    This leads straight into the second question that I would like to address, "Do rights to be free of drug-related violence, here and abroad, support a policy of legalization or a policy of interdiction?" I would argue that legalizing marijuana will lower crime and violence, so the right to be free of drug violence and the legalization of marijuana do not necessarily need to be mutually exclusive. The violence on the streets that small time drug dealers engage in over territory would be greatly eliminated. Additionally, I would suspect that the amount of drunk driving would decrease if people were allowed to legally smoke marijuana. I am not saying that people do not get in accidents while driving high, but I would imagine the amount of accidents attributed purely to marijuana are far less than those attributed purely to drinking. My guess is there might even be a lack of motivation to be up and driving around for many people who decide to smoke.

    In sum, I do not think the ethics of legalizing marijuana will be that different than the ethical issues we face regarding alcohol and cigarettes today. Oh, except for the fact that marijuana isn't known to cause cancer and contain rat poison. I feel that used responsibly, the legalization of marijuana could significantly help our country.

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  5. To add to Heather's comment. We could highly tax marijuana and use that money for defense spending. It seems like a happy medium for conservatives and liberals.

    On a more serious note I would like to address drug addiction and treatment. In my view, more attention should be given to why people engage in risky drug behavior instead of simply treating the addiction, which is a symptom. As Sande pointed out there is a high rate of recidivism after drug treatment which should raise efficacious questions about the approaches to treatment and addiction. If it frequently fails how accurately can it be called treatment?

    Recently, I have been diagnosed with ADD and like most people encountering a serious medical issue I have been forced to rethink my approach to life. Naturally, as a wannabe scholar I began researching the minutia of my "condition" to find some answers. I came across a very informative book (Delivered From Distraction, by Edward M. Hallowell and John J. Ratey) which helped shed light on this topic. Impulse control and addictive behavior are part of the struggle for people with ADD. Dr. Hallowell, based on his professional experience in Psychiatry, points out that many people with undiagnosed ADD resort to drug use as a form of self medication and that when the ADD is diagnosed and treated drug rehabilitation is often more successful.

    I think this is an important point that helps undermine the whitewashing of drug use to a moral question. Though there are moral aspects for people with ADD there is a physiological basis for their behavior. The capacity to exercise choice and control is not the same. Simply put we are not wired to feel pleasure in the same ways. (pg. 161)

    As a side note the only time I tried smoking cigarettes was during the D.A.R.E. program, if that's any indication of the effectiveness of the program.

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  6. 5 Prohibition proved that, legal or not, use of, abuse of and addiction to mind-altering substances is going to occur. Since this is a fact, I think that discussion of addiction blurs the issue with which we started, namely dealing with the drug war by legalizing the pertinent drugs. If legalizing drugs caused drug abuse, then this would be a determining issue. However, I don’t think such is the case. If drugs were legalized, I don’t think our citizens would hit the streets in wild-eyed masses searching for dealers. Also, from the preceding comments, there is evidence that education and role models are the more powerful deterrents to addiction. Since addiction is not an effect of legalization and use is going to occur in any case, and criminalization of drug use is leading to thousands of deaths, terror and exponential suffering, legalization seems the most logical course.
    Prohibition showed us that organized crime can use trafficking in the banned substances to build wealth and power. What we are seeing, on a grander scale, is a repeat of the Mafia wars that occurred during Prohibition. Repeal of Prohibition showed us that legalization removes the use of the banned substance to build illegal wealth and power. I would think, therefore, that the drug cartels would be the ones least desirous of legalization because it would deprive them of wealth and power. I think, therefore, that legalization is the answer to the drug war.
    Also, legalization would criminalize fewer people which would take some of the burden off our already buckling criminal justice system and thereby save tax dollars. This would occur in two ways. Firstly, people would be not be jailed for dealing, possession or use. Secondly, the cost of the substances would most probably go down thus decreasing the crimes committed to obtain money for drugs. We could then redirect our funds and efforts toward addiction and its concomitant problems which are in existence whether the substances are legal or not.

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  7. It is about time that our leaders start paying attention in our own backyard. I think the National Guards should be deployed to guard our borders than sending them to Iraq.
    I also agree with Seth as to more attention needs to be paid, in the prevention or study of what lures people into drugs. Brut force is necessary to deal with the cartels which force many innocent people into the line of fire.
    Although I do not support doing drugs in any shape or form, legalizing it with control and taxation may actually help in reducing the burden on the justice system and society.

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  8. I hesitate to post because I may go on too long. Those not interested in personal accounts, please feel free to SKIP this entirely.

    You see, this topic cuts very close to home as the past three years our family has been dealing actively with my 30 yo nephew's journey in recovery from meth addiction and alcoholism. I can say that today he has 6 months of being clean of marijuana, meth, cocaine, and alcohol. Even he would agree, he has many years ahead before he's really sober in his thinking, reactions, and coping with life. He started drinking at age 13 and began with on/off use of meth and cocaine during high school. He's bright, was a star athlete with a number of state records in track and field, but barely made it out of highschool. And he participated in the DARE stuff and other prevention programs.

    He's also endured more losses and destroyed dreams by the age of 24 in life than many of us will face in a lifetime and more than I can go into here. He had two brothers in Desert Storm (one in special forces), then lost his 18 yo brother the next year, followed by parental divorce, and his dad's death within the next two years--all during high school--and that's not all of it. Each person in my sister's home was just trying to keep it together each day. His dad was an alcoholic who had 13 years of being clean from alcohol, but never got the sober part. Alcoholism also exists on my and my sister's side of the family. So, my nephew had many risk factors including some traumatic events and recently diagnosed anxiety and bi-polar disorders.

    The road has been very rocky the past three years including two inpatient hospitalizations, one residential 30 day alcohol tx program, 3 month stay in half-way home, and one unsuccessful suicide attempt. Part of his tx was covered by his health insurance through work before he lost his job. The remaining tx was covered by federal Medicaid. Up until his first inpatient stay, he had participated in no treatment or 12 step programs. He's working hard now at recovery on a daily basis due to accurate diagnostics, appropriate medication, a great 30 day program, a half-way house owner who had 50 years in AA, a SUPER sponsor around his own age, and a forgiving family--all instruments of God.

    Ask my nephew what would have made a difference, and he surely doesn't even go to legalizing or not legalizing drugs. Rather, he says that maybe if he just could have learned how to deal with the anxiety he experienced (which got worse over time), he wouldn't have self-medicated. He says that once he began the downward spiral, nothing mattered other than getting his hands on what he perceived he needed to function. If there were a tax, he would have figured out a way to deal with it to get the drugs. Also, he worked in the financial industry with other young adults who made it part of the daily routine to go out after work.

    Professionally and personally, I agree with Bob about "gateway people" (I really like that, Bob!!)--one or two risk factors are just that, risk factors. However, we know that 3+ risk factors exponentially increase (not guarantee) the potential of a person sliding into active pursuit of substance abuse with the potential for addiction.

    I also agree with Seth about attending to people's behavioral presentations early as many people do self-medicate. When we observing disruptive, withdrawn, and/or maladaptive behaviors, we may find the behaviors easily explained by the context of the situation. However when these behaviors continue over time, we need to pay attention!!

    I don't have answers, just a story. Research repeatedly has shown that no one approach will work for all people. Some people have to repeatedly face their ghosts and their addictions before anything takes root. I just know that there for the grace of God go I . . . and just for today I can do something that I probably couldn't do if you asked me to do if for a lifetime.

    Thanks for reading . . .

    PS. Seth, you're not alone. I too, got diagnosed first with anxiety disorder, followed by ADD at the age of 45. I didn't have disruptive behaviors, but almost worked myself to literally to death. With the proper medication and self-care, life is so much better.

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