Sides' take on cannabis: the inside dope

Responding to the previous post on marijuana, "Paddington" directs us to an article in the June issue of National Geographic, and "Cherrypie" has kindly emailed me the link.

The writer, Hampton Sides, emphasizes the fun and funniness of smoking the weed: "good for shoe-gazing" said The Stoner, lifting one of his ready-to-wear phrases. Yet if you read carefully, there are warnings in the piece. It includes an interview by Hampton Sides with Israeli professor and cannabis researcher Raphael Mechoulam, said to be the holder of "about 25 patents.*"

"... he’s not particularly in favor of legalizing cannabis for recreational use. He doesn’t think anyone should go to jail for possessing it, but he insists that marijuana is “not an innocuous substance”—especially for young people. He cites studies showing that the prolonged use of high-THC strains of marijuana can change the way the developing brain grows. He notes that in some people cannabis can provoke serious and debilitating anxiety attacks. And he points to studies that suggest cannabis may trigger the onset of schizophrenia among those who have a genetic predisposition to the disease.

If he had his way, what Mechoulam regards as the often irresponsible silliness of recreational pot culture would give way to an earnest and enthusiastic embrace of cannabis—but only as a medical substance to be strictly regulated and relentlessly researched."

Sides slaps a little verbal salve on sore news. So not in favour becomes "not particularly" in favour, and when Mechoulam reveals that he has never smoked it himself, Sides adds a gently sceptical "he says." For one has to remember the "prodigious amounts of fan mail" that the Professor receives as a result of his celebrity in the "pot world"; there's no particular need to court unpopularity.

Why not "particularly" in favour? It's unsuitable for:

1. Potential schizophrenics - estimated as 1% of the population.
2. Those liable to anxiety disorders at some time in their lives - prevalence estimated at 14.6% of the population. - with signficant comorbity between cannabis use and anxiety.
3. Young people - i.e. 100% of the population for a proportion of their lives.

So despite his fan mail, the Professor's studies of chemical extracts are not an argument for recreational intoxication. Similarly, aspirin is useful, but there is no great movement to have us all chewing willow bark.

Having said that, perhaps if we have really given up on the idea of arresting the West's decline, maybe THC extract will do as a soma for the ever-growing number of losers; including, of course, a number who could have become winners.

_________________________________

*Actually, it's 58 patents, every one of which relates to cannabinoids and their derivatives, but strictly for medical applications, and a number of the outlines (e.g. this one) are careful to stress the absence of psychotropic effects.


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A little weed...

(found on...)

Cheech and Chong tirelessly propagandise on FB on behalf of dope, and quite separately one sees multiple claims of cannabis curing ASD, killing cancer cells etc - it seems only a matter of time before it's legalised.

And yet... did it give Bob Marley the cancer that killed him? Is it why Tommy Chong has had prostate cancer and is now fighting rectal cancer - in his own way: "I’m using it all. I’m using cannabis as a painkiller and I’m using cannabis oil as a preventative. I use a lot of oil and a lot of painkilling - you know, smoking the flower"?

Does cannabis relieve anxiety or increase it?

Is it a question of reasonable, limited use?

Or is it - as with alcohol - that the people that most want it are the very ones who shouldn't have it?...

Michael Gove, giving evidence to the Parliamentary Justice Committee on 17 July:

One of the biggest problems contributing to violence is drugs. First, it is still the case that there is an unacceptable level of illegal drugs use in our prisons. I remember the very first time that I visited Wormwood Scrubs being told that the mandatory drug-testing regime meant that one in 10 prisoners tested positive for drugs at that time. I simply could not believe that, in what should have been a secure environment, drug use was so rife. A subsequent chief inspector’s report into Pentonville showed that 9% of prisoners there leave with a drug habit, having entered without any evidence of drug use—terrible.

More than that, one thing that makes the danger of violence worse is that there has also been an increase, as the chief inspector pointed out, in the use of psychoactive substances. These are, as I am sure the Committee knows, synthetically manufactured drugs—cannabinoids and others. They have ridiculous names like Spice or Black Mamba. They are sometimes referred to as legal highs; my colleague Andrew Selous has pointed out that they are actually lethal highs. These drugs can have a dramatic effect, as the chief inspector recorded, on individuals. They can lead to psychotic episodes and examples of violence.
 

"And I think the little house knows something about it. Don't you?"

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Drugs, games and talent

"90% of the adults I know are on drugs because of what they think is the normal stress of life. Here I am counting the doctor-prescribed meds, the binge-drinking on weekends, the medical marijuana, porn, tobacco, wine before dinner, or even the exercise addiction that gooses the body to release feel-good chemistry." - Scott Adams: http://blog.dilbert.com/post/127569040096/digital-distraction-syndrome#ixzz3juvGloFN

Dumb kids go for drugs, my brother tells me, but modern temptations - e.g. computer-based role-playing games - trap the bright ones. His daughter knows several lads who were thrown out of college because RPG stopped them working.

Actually I think clever kids go for drugs and booze and all the other vices, too. Horace's "Genus irritabile vatum" (which I would paraphrase as "excitable creative types") often try to fight fire with fire, adding more stimulation to an already over-stimulated mind. Writers are infamous for the indulgences that have often burned up their gifts.

A combination of academic dilution and anti-elitism, with a cornucopia of distractions for the young, could lead to poor harvests of the talent we need to sustain our civilisation.


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Hari's rats: is drugs liberalisation the answer?

"Powerful interview with Johann Hari, author of Chasing the Scream.
This will completely change the way you look at the war on drugs:
http://bit.ly/1yrYMlD - ‪#‎EndTheDrugWar"

Hari has his own agenda, but I agree with him and Russell Brand that addicts (of all kinds) need treatment.

I worry that decriminalising drugs will lead to a massive increase in their use among children - you have only to see how porn and violent fantasy have spread down the age brackets. And of course, there are millions of stressed and depressed adults who will be tempted to lean on any available - if ultimately disabling - crutch.

Hari argues (from a 70s rat experiment) that a well-balanced society produces individuals who are unlikely to abuse drugs. I think he misses the logic of his own argument: it implies that we shouldn't liberalise until we have such a society.

I see every day traumatised young people who are prime potential victims of illegal and prescription drugs, alcohol and tobacco. Billionaires are waiting in the wings, ready to develop another market in exploiting weakness. These lions are eager for us to tear down the fence between them and the lambs.

Yes, a purely punitive approach is not enough. But until that sane and loving society has been established - somebody tried it 2,000 years ago and we see how long that lasted - we need some way to protect addicts and potential addict-recruits from themselves, plus therapeutic help for those who are already caught in the trap.

This may not please those who call themselves libertarians, but I don't agree with the latter that you can do exactly as you please to yourself without in any way impacting on others.

 

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Stonerz

(Click to expand your consciousness)

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Two questions on productivity

A couple of quick ones:

1. Turn on, tune in, drop out

Robin Hanson says we are living in a "dream time", when survival instincts have been dulled by wealth so that Nature has (temporarily) let us get away with acting stupidly. I recall the old saying, "From clogs to clogs is only three generations" (i.e. the middle generation spends it all).

In this context, it's also interesting to note how at a time when we're drugging children and old people to stop them being a nuisance, libertarians are calling for young adults to have the right to zombiefy themselves with "harmless" mind-altering substances. Yes, they will still be able to work, some of them, for some time; I guess the same argument goes for functioning alcoholics. Dream on... until, as the Germans say, "Aus der traum, lieber Freund."

I've known black people who maintain that drugs liberalisation (and the associated laissez-faire approach to law enforcement) is a plot to keep their children in subjection. I tend to put it down to middle-class selfishness, instead; but I can see why they might think that.

2. Think big, think small

As higher taxation looms, some are already trying to draw a distinction between "productive" and "unproductive" workers. Well, effectively, practically everybody (including the poor) pays 40% tax already, when you look at the combination of income tax, National Insurance and sales taxes; though I do agree that a proposed 50% higher-rate income tax rate is likely to generate various avoidance strategies that will mostly wipe out the hope-for extra revenue.

But if Mish's friend "BC" is right, we are entering a "Schumpeterian Depression", during which big biz uses its access to finance to crush small enterprise; and so it may be a decade before young entrepreneurs develop the muscle to get out from under and start to succeed.

Besides, how much big business is founded on destroying small businesses and the self-employed? What, for example, if we looked at it closely, would be the real, total net benefit of the giant supermarkets? Weigh up the cheaper prices against the exploitation of their suppliers and the ruination of small shopkeepers - and the smashing of one of the ladders by which the aspirant working class - and their children - could rise and become self-supporting.

Stimulus

(htp: QandO)

Go drugs!

Gary Becker thinks we should legalize and tax drugs. Look at how this approach has decimated alcohol and tobacco usage, for example.

And the joys to be had from drugs! As the Moroccan saying goes,"A pipe of khif before breakfast is worth a hundred camels in the courtyard." Though I think the Devils' Dictionary needs updating: we need slogans like, "A six-pack of wife-beater in the morning is worth a hundred business calls", "Sixty a day is worth death before sixty", "Dropping a tab is worth the risk of grinning at the backs of your hands for the rest of your life."

So what's it to be, Falstaff or the pain-in-the-mule Puritans?

I think it's to do with work. In the old days, the ordinary person couldn't afford (financially or otherwise) to be almost constantly intoxicated; now, most of us are richer than Roman Emperors: central heating, carpets, hot water, ice cream, multimedia entertainment 24/7, no starvation if you don't work. Once, the Tree of Idleness was for the few surviving old men, who were past it; now, while we still have The Energy of Slaves (ie. machines and fossil fuels) to do the hard stuff for us, we don't know what to do with ourselves.

Freedom makes you fall apart.

And as the Baby Boomers lindy-hop into old age...

Drugs are the answer to everything. Or maybe not, James wonders. What a spoilsport. Awww, maaaan...

Unity rebuts

The drugs debate continues. Some will say that I have misunderstood the thrust, the tendency of the original 15,000-word salvo; others may say that some subsequent participants did not thoroughly read or understand Theodore Dalrymple's 1997 contribution (he does tend to over-write, I grant you).

Misunderstanding is an important factor. I remember the confused glee of a group of 15-year-olds when cannabis was reclassified as a Class C drug - they were part of a project I was involved with, rehabilitating youngsters for college and work (lovely kids, essentially). They didn't understand the rubric, but they thought they understood the message that dear hip Tony Blair was sending. Though the message was not aimed directly at them, of course, but to their middle-class fellows. Who gives a damn about pasty, ill-nourished white trash, self-protectively aggressive black thuglets-in-training, and Muslim kids for whom only born-again Islam is the way off bud? They don't vote, much less contribute to Party funds.

And when cannabis was re-elevated to the minor peerage, it was ostensibly for the benefit of young people, but perhaps also - perhaps more - for the readers of the Daily Mail.

Though it may be step-by-step rather than in a single bound, crossing the Rubicon is a momentous decision. Though it may be slice by slice, the salami will get eaten. Policy-makers, policy-proposers, note that you may be more sensitive to the faults of present arrangements than to the defects of the alterations you propose; and a process may be easier to start than halt.

Drugs: a doctor writes

It's stuff like this (from 1997) that gives me pause for thought, whenever I'm tempted down the road towards the Hellfire Club (motto: Fay ce que voudras). The author has wide experience of the effect of drugs on his patients, in and out of the prison context, and if you've read him in the Spectator you'll know he's not remotely left-wing. It's long (4,700) but very readable, and still only a third the length of Unity's recent piece. Do give it a go.

Don’t Legalize Drugs

Theodore Dalrymple

Advocates have almost convinced Americans that legalization will remove most of the evil that drugs inflict on society. Don’t believe them.

There is a progression in the minds of men: first the unthinkable becomes thinkable, and then it becomes an orthodoxy whose truth seems so obvious that no one remembers that anyone ever thought differently. This is just what is happening with the idea of legalizing drugs: it has reached the stage when millions of thinking men are agreed that allowing people to take whatever they like is the obvious, indeed only, solution to the social problems that arise from the consumption of drugs.

Man’s desire to take mind-altering substances is as old as society itself—as are attempts to regulate their consumption. If intoxication in one form or another is inevitable, then so is customary or legal restraint upon that intoxication. But no society until our own has had to contend with the ready availability of so many different mind-altering drugs, combined with a citizenry jealous of its right to pursue its own pleasures in its own way.

The arguments in favor of legalizing the use of all narcotic and stimulant drugs are twofold: philosophical and pragmatic. Neither argument is negligible, but both are mistaken, I believe, and both miss the point.

The philosophic argument is that, in a free society, adults should be permitted to do whatever they please, always provided that they are prepared to take the consequences of their own choices and that they cause no direct harm to others. The locus classicus for this point of view is John Stuart Mill’s famous essay On Liberty: “The only purpose for which power can be rightfully exercised over any member of the community, against his will, is to prevent harm to others,” Mill wrote. “His own good, either physical or moral, is not a sufficient warrant.” This radical individualism allows society no part whatever in shaping, determining, or enforcing a moral code: in short, we have nothing in common but our contractual agreement not to interfere with one another as we go about seeking our private pleasures.

In practice, of course, it is exceedingly difficult to make people take all the consequences of their own actions—as they must, if Mill’s great principle is to serve as a philosophical guide to policy. Addiction to, or regular use of, most currently prohibited drugs cannot affect only the person who takes them—and not his spouse, children, neighbors, or employers. No man, except possibly a hermit, is an island; and so it is virtually impossible for Mill’s principle to apply to any human action whatever, let alone shooting up heroin or smoking crack. Such a principle is virtually useless in determining what should or should not be permitted.

Perhaps we ought not be too harsh on Mill’s principle: it’s not clear that anyone has ever thought of a better one. But that is precisely the point. Human affairs cannot be decided by an appeal to an infallible rule, expressible in a few words, whose simple application can decide all cases, including whether drugs should be freely available to the entire adult population. Philosophical fundamentalism is not preferable to the religious variety; and because the desiderata of human life are many, and often in conflict with one another, mere philosophical inconsistency in policy—such as permitting the consumption of alcohol while outlawing cocaine—is not a sufficient argument against that policy. We all value freedom, and we all value order; sometimes we sacrifice freedom for order, and sometimes order for freedom. But once a prohibition has been removed, it is hard to restore, even when the newfound freedom proves to have been ill-conceived and socially disastrous.

Even Mill came to see the limitations of his own principle as a guide for policy and to deny that all pleasures were of equal significance for human existence. It was better, he said, to be Socrates discontented than a fool satisfied. Mill acknowledged that some goals were intrinsically worthier of pursuit than others.

This being the case, not all freedoms are equal, and neither are all limitations of freedom: some are serious and some trivial. The freedom we cherish—or should cherish—is not merely that of satisfying our appetites, whatever they happen to be. We are not Dickensian Harold Skimpoles, exclaiming in protest that “Even the butterflies are free!” We are not children who chafe at restrictions because they are restrictions. And we even recognize the apparent paradox that some limitations to our freedoms have the consequence of making us freer overall. The freest man is not the one who slavishly follows his appetites and desires throughout his life—as all too many of my patients have discovered to their cost.

We are prepared to accept limitations to our freedoms for many reasons, not just that of public order. Take an extreme hypothetical case: public exhibitions of necrophilia are quite rightly not permitted, though on Mill’s principle they should be. A corpse has no interests and cannot be harmed, because it is no longer a person; and no member of the public is harmed if he has agreed to attend such an exhibition.

Our resolve to prohibit such exhibitions would not be altered if we discovered that millions of people wished to attend them or even if we discovered that millions already were attending them illicitly. Our objection is not based upon pragmatic considerations or upon a head count: it is based upon the wrongness of the would-be exhibitions themselves. The fact that the prohibition represents a genuine restriction of our freedom is of no account.

It might be argued that the freedom to choose among a variety of intoxicating substances is a much more important freedom and that millions of people have derived innocent fun from taking stimulants and narcotics. But the consumption of drugs has the effect of reducing men’s freedom by circumscribing the range of their interests. It impairs their ability to pursue more important human aims, such as raising a family and fulfilling civic obligations. Very often it impairs their ability to pursue gainful employment and promotes parasitism. Moreover, far from being expanders of consciousness, most drugs severely limit it. One of the most striking characteristics of drug takers is their intense and tedious self-absorption; and their journeys into inner space are generally forays into inner vacuums. Drug taking is a lazy man’s way of pursuing happiness and wisdom, and the shortcut turns out to be the deadest of dead ends. We lose remarkably little by not being permitted to take drugs.

The idea that freedom is merely the ability to act upon one’s whims is surely very thin and hardly begins to capture the complexities of human existence; a man whose appetite is his law strikes us not as liberated but enslaved. And when such a narrowly conceived freedom is made the touchstone of public policy, a dissolution of society is bound to follow. No culture that makes publicly sanctioned self-indulgence its highest good can long survive: a radical egotism is bound to ensue, in which any limitations upon personal behavior are experienced as infringements of basic rights. Distinctions between the important and the trivial, between the freedom to criticize received ideas and the freedom to take LSD, are precisely the standards that keep societies from barbarism.

So the legalization of drugs cannot be supported by philosophical principle. But if the pragmatic argument in favor of legalization were strong enough, it might overwhelm other objections. It is upon this argument that proponents of legalization rest the larger part of their case.

The argument is that the overwhelming majority of the harm done to society by the consumption of currently illicit drugs is caused not by their pharmacological properties but by their prohibition and the resultant criminal activity that prohibition always calls into being. Simple reflection tells us that a supply invariably grows up to meet a demand; and when the demand is widespread, suppression is useless. Indeed, it is harmful, since—by raising the price of the commodity in question—it raises the profits of middlemen, which gives them an even more powerful incentive to stimulate demand further. The vast profits to be made from cocaine and heroin—which, were it not for their illegality, would be cheap and easily affordable even by the poorest in affluent societies—exert a deeply corrupting effect on producers, distributors, consumers, and law enforcers alike. Besides, it is well known that illegality in itself has attractions for youth already inclined to disaffection. Even many of the harmful physical effects of illicit drugs stem from their illegal status: for example, fluctuations in the purity of heroin bought on the street are responsible for many of the deaths by overdose. If the sale and consumption of such drugs were legalized, consumers would know how much they were taking and thus avoid overdoses.

Moreover, since society already permits the use of some mind-altering substances known to be both addictive and harmful, such as alcohol and nicotine, in prohibiting others it appears hypocritical, arbitrary, and dictatorial. Its hypocrisy, as well as its patent failure to enforce its prohibitions successfully, leads inevitably to a decline in respect for the law as a whole. Thus things fall apart, and the center cannot hold.

It stands to reason, therefore, that all these problems would be resolved at a stroke if everyone were permitted to smoke, swallow, or inject anything he chose. The corruption of the police, the luring of children of 11 and 12 into illegal activities, the making of such vast sums of money by drug dealing that legitimate work seems pointless and silly by comparison, and the turf wars that make poor neighborhoods so exceedingly violent and dangerous, would all cease at once were drug taking to be decriminalized and the supply regulated in the same way as alcohol.

But a certain modesty in the face of an inherently unknowable future is surely advisable. That is why prudence is a political virtue: what stands to reason should happen does not necessarily happen in practice. As Goethe said, all theory (even of the monetarist or free-market variety) is gray, but green springs the golden tree of life. If drugs were legalized, I suspect that the golden tree of life might spring some unpleasant surprises.

It is of course true, but only trivially so, that the present illegality of drugs is the cause of the criminality surrounding their distribution. Likewise, it is the illegality of stealing cars that creates car thieves. In fact, the ultimate cause of all criminality is law. As far as I am aware, no one has ever suggested that law should therefore be abandoned. Moreover, the impossibility of winning the “war” against theft, burglary, robbery, and fraud has never been used as an argument that these categories of crime should be abandoned. And so long as the demand for material goods outstrips supply, people will be tempted to commit criminal acts against the owners of property. This is not an argument, in my view, against private property or in favor of the common ownership of all goods. It does suggest, however, that we shall need a police force for a long time to come.

In any case, there are reasons to doubt whether the crime rate would fall quite as dramatically as advocates of legalization have suggested. Amsterdam, where access to drugs is relatively unproblematic, is among the most violent and squalid cities in Europe. The idea behind crime—of getting rich, or at least richer, quickly and without much effort—is unlikely to disappear once drugs are freely available to all who want them. And it may be that officially sanctioned antisocial behavior—the official lifting of taboos—breeds yet more antisocial behavior, as the “broken windows” theory would suggest.

Having met large numbers of drug dealers in prison, I doubt that they would return to respectable life if the principal article of their commerce were to be legalized. Far from evincing a desire to be reincorporated into the world of regular work, they express a deep contempt for it and regard those who accept the bargain of a fair day’s work for a fair day’s pay as cowards and fools. A life of crime has its attractions for many who would otherwise lead a mundane existence. So long as there is the possibility of a lucrative racket or illegal traffic, such people will find it and extend its scope. Therefore, since even legalizers would hesitate to allow children to take drugs, decriminalization might easily result in dealers turning their attentions to younger and younger children, who—in the permissive atmosphere that even now prevails—have already been inducted into the drug subculture in alarmingly high numbers.

Those who do not deal in drugs but commit crimes to fund their consumption of them are, of course, more numerous than large-scale dealers. And it is true that once opiate addicts, for example, enter a treatment program, which often includes maintenance doses of methadone, the rate at which they commit crimes falls markedly. The drug clinic in my hospital claims an 80 percent reduction in criminal convictions among heroin addicts once they have been stabilized on methadone.

This is impressive, but it is not certain that the results should be generalized. First, the patients are self-selected: they have some motivation to change, otherwise they would not have attended the clinic in the first place. Only a minority of addicts attend, and therefore it is not safe to conclude that, if other addicts were to receive methadone, their criminal activity would similarly diminish.

Second, a decline in convictions is not necessarily the same as a decline in criminal acts. If methadone stabilizes an addict’s life, he may become a more efficient, harder-to-catch criminal. Moreover, when the police in our city do catch an addict, they are less likely to prosecute him if he can prove that he is undergoing anything remotely resembling psychiatric treatment. They return him directly to his doctor. Having once had a psychiatric consultation is an all-purpose alibi for a robber or a burglar; the police, who do not want to fill in the 40-plus forms it now takes to charge anyone with anything in England, consider a single contact with a psychiatrist sufficient to deprive anyone of legal responsibility for crime forever.

Third, the rate of criminal activity among those drug addicts who receive methadone from the clinic, though reduced, remains very high. The deputy director of the clinic estimates that the number of criminal acts committed by his average patient (as judged by self-report) was 250 per year before entering treatment and 50 afterward. It may well be that the real difference is considerably less than this, because the patients have an incentive to exaggerate it to secure the continuation of their methadone. But clearly, opiate addicts who receive their drugs legally and free of charge continue to commit large numbers of crimes. In my clinics in prison, I see numerous prisoners who were on methadone when they committed the crime for which they are incarcerated.

Why do addicts given their drug free of charge continue to commit crimes? Some addicts, of course, continue to take drugs other than those prescribed and have to fund their consumption of them. So long as any restriction whatever regulates the consumption of drugs, many addicts will seek them illicitly, regardless of what they receive legally. In addition, the drugs themselves exert a long-term effect on a person’s ability to earn a living and severely limit rather than expand his horizons and mental repertoire. They sap the will or the ability of an addict to make long-term plans. While drugs are the focus of an addict’s life, they are not all he needs to live, and many addicts thus continue to procure the rest of what they need by criminal means.
For the proposed legalization of drugs to have its much vaunted beneficial effect on the rate of criminality, such drugs would have to be both cheap and readily available. The legalizers assume that there is a natural limit to the demand for these drugs, and that if their consumption were legalized, the demand would not increase substantially. Those psychologically unstable persons currently taking drugs would continue to do so, with the necessity to commit crimes removed, while psychologically stabler people (such as you and I and our children) would not be enticed to take drugs by their new legal status and cheapness. But price and availability, I need hardly say, exert a profound effect on consumption: the cheaper alcohol becomes, for example, the more of it is consumed, at least within quite wide limits.

I have personal experience of this effect. I once worked as a doctor on a British government aid project to Africa. We were building a road through remote African bush. The contract stipulated that the construction company could import, free of all taxes, alcoholic drinks from the United Kingdom. These drinks the company then sold to its British workers at cost, in the local currency at the official exchange rate, which was approximately one-sixth the black-market rate. A liter bottle of gin thus cost less than a dollar and could be sold on the open market for almost ten dollars. So it was theoretically possible to remain dead drunk for several years for an initial outlay of less than a dollar.

Of course, the necessity to go to work somewhat limited the workers’ consumption of alcohol. Nevertheless, drunkenness among them far outstripped anything I have ever seen, before or since. I discovered that, when alcohol is effectively free of charge, a fifth of British construction workers will regularly go to bed so drunk that they are incontinent both of urine and feces. I remember one man who very rarely got as far as his bed at night: he fell asleep in the lavatory, where he was usually found the next morning. Half the men shook in the mornings and resorted to the hair of the dog to steady their hands before they drove their bulldozers and other heavy machines (which they frequently wrecked, at enormous expense to the British taxpayer); hangovers were universal. The men were either drunk or hung over for months on end.
Sure, construction workers are notoriously liable to drink heavily, but in these circumstances even formerly moderate drinkers turned alcoholic and eventually suffered from delirium tremens. The heavy drinking occurred not because of the isolation of the African bush: not only did the company provide sports facilities for its workers, but there were many other ways to occupy oneself there. Other groups of workers in the bush whom I visited, who did not have the same rights of importation of alcoholic drink but had to purchase it at normal prices, were not nearly as drunk. And when the company asked its workers what it could do to improve their conditions, they unanimously asked for a further reduction in the price of alcohol, because they could think of nothing else to ask for.

The conclusion was inescapable: that a susceptible population had responded to the low price of alcohol, and the lack of other effective restraints upon its consumption, by drinking destructively large quantities of it. The health of many men suffered as a consequence, as did their capacity for work; and they gained a well-deserved local reputation for reprehensible, violent, antisocial behavior.

It is therefore perfectly possible that the demand for drugs, including opiates, would rise dramatically were their price to fall and their availability to increase. And if it is true that the consumption of these drugs in itself predisposes to criminal behavior (as data from our clinic suggest), it is also possible that the effect on the rate of criminality of this rise in consumption would swamp the decrease that resulted from decriminalization. We would have just as much crime in aggregate as before, but many more addicts.

The intermediate position on drug legalization, such as that espoused by Ethan Nadelmann, director of the Lindesmith Center, a drug policy research institute sponsored by financier George Soros, is emphatically not the answer to drug-related crime. This view holds that it should be easy for addicts to receive opiate drugs from doctors, either free or at cost, and that they should receive them in municipal injecting rooms, such as now exist in Zurich. But just look at Liverpool, where 2,000 people of a population of 600,000 receive official prescriptions for methadone: this once proud and prosperous city is still the world capital of drug-motivated burglary, according to the police and independent researchers.

Of course, many addicts in Liverpool are not yet on methadone, because the clinics are insufficient in number to deal with the demand. If the city expended more money on clinics, perhaps the number of addicts in treatment could be increased five- or tenfold. But would that solve the problem of burglary in Liverpool? No, because the profits to be made from selling illicit opiates would still be large: dealers would therefore make efforts to expand into parts of the population hitherto relatively untouched, in order to protect their profits. The new addicts would still burgle to feed their habits. Yet more clinics dispensing yet more methadone would then be needed. In fact Britain, which has had a relatively liberal approach to the prescribing of opiate drugs to addicts since 1928 (I myself have prescribed heroin to addicts), has seen an explosive increase in addiction to opiates and all the evils associated with it since the 1960s, despite that liberal policy. A few hundred have become more than a hundred thousand.

At the heart of Nadelmann’s position, then, is an evasion. The legal and liberal provision of drugs for people who are already addicted to them will not reduce the economic benefits to dealers of pushing these drugs, at least until the entire susceptible population is addicted and in a treatment program. So long as there are addicts who have to resort to the black market for their drugs, there will be drug-associated crime. Nadelmann assumes that the number of potential addicts wouldn’t soar under considerably more liberal drug laws. I can’t muster such Panglossian optimism.

The problem of reducing the amount of crime committed by individual addicts is emphatically not the same as the problem of reducing the amount of crime committed by addicts as a whole. I can illustrate what I mean by an analogy: it is often claimed that prison does not work because many prisoners are recidivists who, by definition, failed to be deterred from further wrongdoing by their last prison sentence. But does any sensible person believe that the abolition of prisons in their entirety would not reduce the numbers of the law-abiding? The murder rate in New York and the rate of drunken driving in Britain have not been reduced by a sudden upsurge in the love of humanity, but by the effective threat of punishment. An institution such as prison can work for society even if it does not work for an individual.

The situation could be very much worse than I have suggested hitherto, however, if we legalized the consumption of drugs other than opiates. So far, I have considered only opiates, which exert a generally tranquilizing effect. If opiate addicts commit crimes even when they receive their drugs free of charge, it is because they are unable to meet their other needs any other way; but there are, unfortunately, drugs whose consumption directly leads to violence because of their psychopharmacological properties and not merely because of the criminality associated with their distribution. Stimulant drugs such as crack cocaine provoke paranoia, increase aggression, and promote violence. Much of this violence takes place in the home, as the relatives of crack takers will testify. It is something I know from personal acquaintance by working in the emergency room and in the wards of our hospital. Only someone who has not been assaulted by drug takers rendered psychotic by their drug could view with equanimity the prospect of the further spread of the abuse of stimulants.

And no one should underestimate the possibility that the use of stimulant drugs could spread very much wider, and become far more general, than it is now, if restraints on their use were relaxed. The importation of the mildly stimulant khat is legal in Britain, and a large proportion of the community of Somali refugees there devotes its entire life to chewing the leaves that contain the stimulant, miring these refugees in far worse poverty than they would otherwise experience. The reason that the khat habit has not spread to the rest of the population is that it takes an entire day’s chewing of disgustingly bitter leaves to gain the comparatively mild pharmacological effect. The point is, however, that once the use of a stimulant becomes culturally acceptable and normal, it can easily become so general as to exert devastating social effects. And the kinds of stimulants on offer in Western cities—cocaine, crack, amphetamines—are vastly more attractive than khat.

In claiming that prohibition, not the drugs themselves, is the problem, Nadelmann and many others—even policemen—have said that “the war on drugs is lost.” But to demand a yes or no answer to the question “Is the war against drugs being won?” is like demanding a yes or no answer to the question “Have you stopped beating your wife yet?” Never can an unimaginative and fundamentally stupid metaphor have exerted a more baleful effect upon proper thought.
Let us ask whether medicine is winning the war against death. The answer is obviously no, it isn’t winning: the one fundamental rule of human existence remains, unfortunately, one man one death. And this is despite the fact that 14 percent of the gross domestic product of the United States (to say nothing of the efforts of other countries) goes into the fight against death. Was ever a war more expensively lost? Let us then abolish medical schools, hospitals, and departments of public health. If every man has to die, it doesn’t matter very much when he does so.

If the war against drugs is lost, then so are the wars against theft, speeding, incest, fraud, rape, murder, arson, and illegal parking. Few, if any, such wars are winnable. So let us all do anything we choose.

Even the legalizers’ argument that permitting the purchase and use of drugs as freely as Milton Friedman suggests will necessarily result in less governmental and other official interference in our lives doesn’t stand up. To the contrary, if the use of narcotics and stimulants were to become virtually universal, as is by no means impossible, the number of situations in which compulsory checks upon people would have to be carried out, for reasons of public safety, would increase enormously. Pharmacies, banks, schools, hospitals—indeed, all organizations dealing with the public—might feel obliged to check regularly and randomly on the drug consumption of their employees. The general use of such drugs would increase the locus standi of innumerable agencies, public and private, to interfere in our lives; and freedom from interference, far from having increased, would have drastically shrunk.

The present situation is bad, undoubtedly; but few are the situations so bad that they cannot be made worse by a wrong policy decision.

The extreme intellectual elegance of the proposal to legalize the distribution and consumption of drugs, touted as the solution to so many problems at once (AIDS, crime, overcrowding in the prisons, and even the attractiveness of drugs to foolish young people) should give rise to skepticism. Social problems are not usually like that. Analogies with the Prohibition era, often drawn by those who would legalize drugs, are false and inexact: it is one thing to attempt to ban a substance that has been in customary use for centuries by at least nine-tenths of the adult population, and quite another to retain a ban on substances that are still not in customary use, in an attempt to ensure that they never do become customary. Surely we have already slid down enough slippery slopes in the last 30 years without looking for more such slopes to slide down.

Standing your ground

Libertarians enjoy challenging others' assumptions, and it's invigorating. But it's also time to challenge the assumptions of libertarians: freedom-lovers, make your case.

Here's a couple of shots between the redoubtable Devils' Kitchen and myself, from a couple of posts back. To me, this isn't about drugs, essentially; it's about whether we are, or can be, free.

Devil's Kitchen said...

Sackerson, "How is it reactionary to wish to protect young people from habits that impoverish and enslave them (and this is what black communities object to)? I think perhaps some libertarians haven't really defined what they mean by liberty."

I am all for proper drugs education; however, it is worth noting that I had a considerable amount of it, and it hasn't stopped me from taking just about every drug on the planet*.

And do you know what? I have never had to have any kind of hospital or other treatment; I have never lost a job; I have never even been late for work, after having taken drugs.

I have never assaulted anyone (most drugs, other than alcohol, put you in a frame of mind in which violence is the last thing you want to indulge in), nor hurt anyone, nor even caused a public nuisance whilst on drugs either.

I am not addicted to drugs either, despite heavy usage of a few of them (most are self-limiting, in that the effects begin to wane after a period heavy usage).

I have, on the other hand, laughed like a demon, make some excellent friends, danced, thrilled, been immersed in music in a way that's not possible sober, and had many fantastic times whilst on drugs.

You see, what I chose was to take the education that I was given, and the advice of friends, and my own experience, and indulge in a free and informed choice.

That is libertarianism, and it is still no business of yours what I put into my body, as long as I am willing to pay the consequences. And I am: that's why I am privately insured up to the hilt.

DK

Sackerson said...

DK: thanks for visiting, I'd have drawn a chalk circle if I'd known you were coming.

I agree that alcohol is pernicious and have argued that rather than attempt to ban it, we should reduce its availability a bit - currently you can get it from the supermarket, post office, petrol station etc. And it does make many people horribly aggressive, so there is an incentive for others to band together and act in this way.

I do understand that there are many functioning drug users (as indeed there are functioning alcoholics), and the question of product purity is certainly one of the arguments propounded for legalisation and regulation. Set against that is what might then happen. If the research referred to by Paddington above is correct, the tendency to addiction is genetic, so the principal factor is opportunity. If only 5% have the fatal flaw, and these products become as available as a six-pack of wife-beater from Tesco Express, we could go from thousands of addicts to millions.

So one issue is how do you weigh your wish for a certain kind of pleasure, against the awful suffering of some other people? Is this corner of libertarianism less a struggle to be free of oppression than it is callous selfishness?

And there is a deeper question of the founding assumptions of libertarians: are we really free and rational in any case? If half our behaviour is genetically determined, and much of the rest conditioned by social expectations, drug-taking is not the blow for liberty that it was represented to be from the 1960s onwards. You yourself say "...I chose was to take the education that I was given, and the advice of friends, and my own experience...", which makes me think that your "free and informed choice" was conditioned by the example and advice of your friends, and the opportunity to take part yourself. Indeed, this is how I started on cigarettes and it took me a decade to get back off them, so I have some idea how unfree we really are. You'll see from my next post that I query whether public schools such as Eton had a drug problem as early as the 1960s, and "as the twig is bent, so the tree will grow".

I think we are in an age where the Enlightenment philosophy is as under threat from geneticism (and determinism generally), as Creationism was when evolutionary theory was formulated. Sartre refused to accept Freud's theory of the unconscious, because it fatally undermined his own position on existentialist free will.

So I think libertarians should move from questions of law, taxation, social liberty etc to re-examine the ground they are standing on.

The public school connection

Gosh, people get fussed when you suggest that complete licence isn't a good idea. Where did that start? Apparently I'm a 95-year-old reactionary, and a 21-year-old "righteous" (same accuser).

In 1969, I went to Cambridge University for an interview, and met my friend who'd just gone up. In general conversation, he told me that a third of the undergraduates at his college were Old Etonians, and that they were (a) a tight clique and (b) well into cocaine parties. This, at a time when I'd only recently heard of "pot", which for me conjured up the mental image of a Marmite jar.

That's 40 years ago now, just about. Eton was criticised a few years ago for taking a tough line on drugs. Wrong issue: their critics should have asked them just how long the problem had existed. What was going on in the study and the common room? Just don't ask Dave.

Drugs: a rope to hang ourselves with

Unity at the Ministry of Truth offers 15,000 words to justify the legalisation of drugs, and is cheered on by Devil's Kitchen and (or am I mistaken?) by James at Nourishing Obscurity.

On the other hand, ex-Birmingham prison medic Theodore Dalrymple points out that no-one has ever died from coming off opiates; de-addiction can be achieved in a limited time; and it's criminals who turn to heroin, not heroin-users who turn to crime.

"Ah, but we only want the same treatment as smokers and drinkers," will be the cry. Well, seeing the damage that fags and booze did to my 20-years-too-early departed parents (and friends and acquaintances, and Looked After Children I've worked with), I'm inclined to agree; but not in the way the libertarians wish.

I'd be interested to know all the costs, expressed financially, of the harm done by "cigareets and whisky". I very much doubt that the tax covers the expense of the disbenefits. Here's an example, relating to alcohol: "For the UK, the external costs are likely to be in excess of the £20 billion figure and indeed taking loss of life into account and using more usual figures to value this loss could bring the total closer to £45 –50 billion for the UK as a whole. This is clearly way in excess of the revenue yield of £12 billion in 2000/01."

Instead of battening on the addictions of its citizens, the government could easily forego the £18 billion revenue on tobacco and alcohol - that's only the same cost as the ludicrously expensive and probably unnecessary NHS IT project, "Connecting for Health". Then, freed from this compromising financial interest, it could begin to tackle the problems seriously - not through the unimaginative approach of Prohibition, but through better education, and limiting the outlets of these harmful substances, as I have already suggested here.

As for other drugs, what is this campaign to encourage us to spend half our lives in a doze, daze or haze? Is there a plan to subvert society, to leave us in the land of the Lotus Eaters? Are we to sleep like the hare, while the Eastern tortoise wins the race? Is the opiate of the masses to be opiates?

B*lls to the Politics of Ecstasy; it's just an excuse for the spoiled end of the middle classes to indulge themselves further, leading (like the Pied Piper) hordes of less safety-netted proles into oblivion.

And why should libertarians support addictions, which imprison the will and distort reason?

Crime and punishment

Henry Wallis: "The Stone Breaker" (1857)

(I've brightened Wallis' painting above, but the foreground in the original is very dark, making a contrast with the gleaming, unreachable beauty of the twilit sky and its reflection on the lake.)

In a country with proper justice, nobody would dare intimidate a witness.

In such a country, wrongdoers are afraid of the law. They'd know that such a crime would certainly be prosecuted and that they'd end up doing at least 15 years breaking rocks.

... says Peter Hitchens in today's Sunday Grumbler.

"Pitee renneth sone in gentil herte," said Chaucer, sometimes ironically. The worthy compassion shown to unfortunates by the Victorians has, gone too far, some argue.

But there are now different reasons to pity. Prisons do not punish the wrongdoer in the old-fashioned ways, but the incarcerated man is no longer protected against bullying, beating, buggery and theft. In how many movies do we hear the police threaten a criminal with what his fellows will do to him in prison? Judge Mental does not put on his black cap and say, "You will be taken from here to a place of detention where you will have your arm forced up your back and..."

Then there's life outside, for the neglected underclass. "Theodore Dalrymple", a doctor who has dealt with many prisoners in Birmingham (UK), used to note in the Spectator magazine that prisoners' health improved considerably in prison, because of no (or reduced) access to drugs. Read the good doctor here on how the liberal approach to mind-altering substances is pretty much a sentence of death (prolonged and degrading). Here's an extract on alcohol:

I once worked as a doctor on a British government aid project to Africa. We were building a road through remote African bush. The contract stipulated that the construction company could import, free of all taxes, alcoholic drinks from the United Kingdom...

Of course, the necessity to go to work somewhat limited the workers’ consumption of alcohol. Nevertheless, drunkenness among them far outstripped anything I have ever seen, before or since. I discovered that, when alcohol is effectively free of charge, a fifth of British construction workers will regularly go to bed so drunk that they are incontinent both of urine and feces. I remember one man who very rarely got as far as his bed at night: he fell asleep in the lavatory, where he was usually found the next morning. Half the men shook in the mornings and resorted to the hair of the dog to steady their hands before they drove their bulldozers and other heavy machines (which they frequently wrecked, at enormous expense to the British taxpayer); hangovers were universal. The men were either drunk or hung over for months on end.

Our soft-handedness on crime and drugs, is really an extreme hard-heartedness.