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Patrick Dieter’s Presentation for
 AODA Independent Study Class
           03/18/2013


   Drug Legalization
   Can We Make It Work?
RESEARCH:
46 peer-reviewed articles & 8 websites
  „   Comparison -- 8 years ago vs. now:

      ‟ THEN:

        » Most research = Anti-Legalization

        » Average response = “You’re NUTS!”

      ‟ NOW:

        » Most research = Pro-Legalization

        » only 5 of 46 were Anti-Legalization
                                                2
IDEA NOW TAKEN SERIOUSLY
               BY:
         „   Government
         „   Medicine
         „   Society
         „   Religion
         „   Education
         „   Law enforcement
         „   Treatment
             ‟ Harm Reduction Model
         „ Cannabis is nearly legal
                                      3
MAJOR POINTS:


„ Most problems due to underground status of drugs
  ‟ Secrecy = inability to control it effectively

„ Criminalization = multi-billion-dollar black
  market
  ‟ Profits irresistible to predatory street dealers

     „ Let’s put them out of business!

  ‟ Contributes to overall economic inflation

                                                       4
POTENTIAL BENEFITS:

„ REMOVE PROFIT MARGIN
  ‟ Who would buy on the street, when
    safe, pure products are available?

„ Eradicate Black Market

„ Street dealers DONE

„ Illicit labs SHUT DOWN

                                         5
HEALTH BENEFITS:

„ Users Feel Safer
 ‟ Willing to seek treatment for:

   „ Medical

   „ Addiction

   „ Mental health
                                6
HEALTH BENEFITS:

•Reduced diseases

 ‟Clean needles

 ‟Sterile drugs

 ‟Preventable diseases:
                          7
PREVENTABLE DISEASES:




 „ HIV       „ ABSCESS

 „ AIDS      „ MRSA

 „ HEP C     „ TB
                         8
HEALTH BENEFITS:

„ Purity regulated by FDA
 ‟ Street adulterants include:
   „ Cheaper chemicals
     ‟ (Replacing “X” with speed)
   „ Strychnine
   „ Industrial solvents
   „ Toxic cutting agents
 ‟ END of “Bathtub Drugs”
                                    9
Bathtub Drugs:

„ No profit in “cooking”
   „ Quaaludes
   „ Home Meth Labs
   „ Designer drugs
   „ “Bath salts”
   „ “Legal” Marijuana

                           10
HEALTH BENEFITS:

„ Dosage regulated by FDA
  ‟ Will end most accidental OD’s

     „ No “surprises” in the bag
        ‟ No “Hot Shots”

  ‟ Slower tolerance development

     „ Empowers management of dosage increases


                                                 11
HEALTH BENEFITS:
„ Bringing the market out of the shadows
  ‟ Greater motivation to practice self-care

    „ Hygiene
    „ Health care


  „ Currently ZERO control of the market

    „ Market continues to grow exponentially

    „ Improved control over access by kids
                                               12
SOCIAL BENEFITS:

„ Drug use loses its “cool” factor
  ‟   Becomes establishment/govt. approved
  ‟   No longer seen as rebellious
  ‟   Loses romantic “antihero” mythos
  ‟   Rebellion = POWERFUL motivator
„ No more “chasing” a fix
  ‟ Most addicts not normally criminal
  ‟ Could (and would)work simple jobs


                                             13
SOCIAL BENEFITS:
„ Reduced stigma
  ‟ Increased self-esteem
  ‟ Increased self-awareness
  ‟ More effective treatment
      „ NOT shame-based
„ Will greatly reduce:
  ‟ Prostitution
     „ Kids forced into it
  ‟ STD’s
  ‟ Sexual trauma

                               14
SOCIAL BENEFITS:

„   VASTLY reduces:
     ‟ Racially biased enforcement
        „ Huge racial imbalance in prisons
    ‟ Generational recidivism
        „ Prison as a “family value”
    ‟ Hero worship of dealers
        „ Glorification of “Gangsta” Culture
    ‟ Fear of theft or assault
    ‟ Toxic shame and self loathing
        „ Shame causes self-destructive behavior



                                                   15
SOCIAL BENEFITS:
Reduced stigma toward social “hot spots”
„ Methadone clinics

„ Meth Labs

„ Halfway houses

„ Drug corners




                                           16
LEGAL BENEFITS:

„ Legal benefits
  ‟ Reduce profit-motivated crime

  ‟ Bring down drug prices GREATLY

  ‟ Decrease crime

  ‟ Put dealers out of business quickly

  ‟ Destroy incentive to start kids on drugs



                                               17
LEGAL BENEFITS:
„ End waste of Police resources
„ Dismantle the DEA
  ‟ Will free billions
     „ Treatment
     „ Prevention
„ Unclog the courts
„ Close many prisons
  ‟ Massive revenue savings
„ Sanity in sentencing
  ‟ War On Drugs has distorted this


                                      18
ECONOMIC BENEFITS:


„   Potential for tax revenues
„   Interdiction costs gone
„   Users can enter the work force
„   Black market stops causing inflation
„   Reducing petty crime saves money
       „   For government
       „   For private citizens
       „   For social support entities
       „   For hospitals

                                           19
POLITICAL BENEFITS:




Improve global
perception of USA:

                        20
POLITICAL BENEFITS:
DEFUND terrorism




                   21
POLITICAL BENEFITS:




 Put cartels out
   of business
                      22
POLITICAL BENEFITS:

   Government can attend
to more important matters:




                             23
POLITICAL BENEFITS:


 Restore Constitutional Rights
‟ Drugs are a personal choice
‟ State NOT qualified to address health problems
‟ Punishment destroys lives and doesn’t work.
   „ We don’t punish diabetics, cancer patients, etc.
‟ Addicts must be ready or treatment will do harm     24
POTENTIAL DRAWBACKS:

Drug czars & DEA dispute benefits of legalization
‟ Problems with their claims (as per research):
   „   Arguments not fact driven
   „   Hard evidence, statistics ignored/suppressed
   „   Expert reports ignored & suppressed.
   „   Articles use defensive, inflammatory language
   „   Arguments don’t stand up to semantic analysis
        ‟ Many semantically null or undefined terms used
   „ Virtually NO peer-reviewed evidence


                                                           25
POTENTIAL DRAWBACKS:

CLAIM: Drug use will increase
‟ Evidence from other countries refutes this
   „ Drugs become anathema to rebellious kids
     ‟ Drugs no longer romanticized
         » “normal” is boring
         » Users are seen clearly as losers
     ‟ Drug subculture fades
         » becomes mainstream
     ‟ Pushers out of business
     ‟ Stop recruiting new customers (kids)

                                              26
POTENTIAL DRAWBACKS:
            CLAIM: Drug use will increase
           Evidence from other countries (cont.)
„   Addicts dislike IV heroin administered by nurses
    ‟ They say pharmaceutical heroin doesn’t feel “right”

„   Drug abuse is already at epidemic proportions
    ‟ War On Drugs has consistently failed
       „ Wasted a trillion dollars over 40 years
       „ Caused exponential increase in drug abuse
       „ Drug abuse doubled (at minimum) every year since started




                                                              27
POTENTIAL DRAWBACKS:
                   CLAIM:
Social & family problems will get worse
„ Only arguments are emotional appeals
   ‟ Few facts to back up this assertion
„ Problems still happening now, but in secrecy
   ‟ Currently very difficult to address abuse, neglect
      „ Legalization would open the door for counseling
„ Laws against abuse already in place
   ‟ Current laws harm children
      „ Removal from home
      „ Parent in prison
      „ Single parent is the norm with adults in prison

                                                      28
POSSIBLE SOLUTIONS:
        Making It Work:
   Treatment modernized (evidence-based)
         »   Free of charge
         »   Strength-based
         »   On-demand
         »   Devoid of allusions to “character flaws”
‟ Easily afforded once interdiction funding stops
‟ Public will be educated about the disease model
   „ Use modern advertising & marketing
      ‟ i.e. anti-smoking campaign
‟ Addicts more likely to see treatment as attractive
      ‟ End forced treatment before the person’s ready


                                                         29
POSSIBLE SOLUTIONS:
               Making It Work:
   Legal Issues ‟ Address offense directly
‟ Treat family issues separately
   » Drug use not necessarily child abuse/neglect
   » Fact based, rather than hysteria
‟ Expand DUI laws to include drugs
‟ Still prosecute:
   » Petty theft
   » Prostitution
   » Illicit manufacture of impure drugs (FDA)
       » May allow homegrown poppies, coca, etc.

                                                    30
REQUIRED FOR SUCCESS:
              “MUSTS” TO MAKE IT WORK:
„   Legalization must be total ‟ ALL substances
„   Government will only regulate purity, dosage
„   Government will NOT distribute substances
„   Drug manufacturers will be STRICTLY price-controlled
„   Dr’s will still advise, but prescriptions unrestricted
     ‟ Extensive training in addiction required for MD, DO
„ Must include free, on-demand treatment
     ‟ Residential centers will be comfortable and inviting
     ‟ End harsh interventions
         » Replaced by strength-based outreach counselors
             » Counselors onsite at adults-only “drug stores”

                                                                31
FUTURE TREATMENT CENTER:

YOUR TAX DOLLARS AT WORK




                           32
REQUIRED FOR SUCCESS:
   “MUSTS” TO MAKE IT WORK:
„ Legalizing possession = legalizing sales
      » No such thing as a “miracle stash”
   ‟ Must include:
         » ALL aspects of drug market
             » Growing
             » Manufacturing
             » Sales
„ NO marketing or advertising allowed
         » Similar to alcohol/tobacco


                                             33
REQUIRED FOR SUCCESS:
  “MUSTS” TO MAKE IT WORK:
  „ Manufacturers must:
     ‟   Be compliant with FDA
     ‟   Make predictable doses
     ‟   Assure purity
     ‟   Not be allowed to advertise
          » Education/Prevention:
              » Learn from tobacco/alcohol example
              » Smoking GREATLY reduced since 1973
                  »   Only media ads are PSA’s
                  »   Warnings on packs
                  »   Education
                  »   Minor local laws only
                  »   Bans by private business
                                                     34
A DAY IN THE LIFE
OF A FUTURE DRUG
      USER:

                35
FRIDAY, JUNE 3, 2015
11:00 am ‟ WAKING UP:




                        36
FRIDAY, JUNE 3. 2015
12:00 PM ‟ OFF TO WORK    37
FRIDAY, JUNE 3, 2015
 12:00 PM ‟ LUNCH      38
FRIDAY,
 JUNE 3, 2015
     8:00 PM
QUITTING TIME   39
FRIDAY, JUNE 3, 2015
8:30 PM ‟ THE DRUGSTORE   40
FRIDAY
               JUNE 3, 2015




8:00 PM:
HOME AT LAST
                         41

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Drug Legalization -- Can We Make it Work?

  • 1. Patrick Dieter’s Presentation for AODA Independent Study Class 03/18/2013 Drug Legalization Can We Make It Work?
  • 2. RESEARCH: 46 peer-reviewed articles & 8 websites „ Comparison -- 8 years ago vs. now: ‟ THEN: » Most research = Anti-Legalization » Average response = “You’re NUTS!” ‟ NOW: » Most research = Pro-Legalization » only 5 of 46 were Anti-Legalization 2
  • 3. IDEA NOW TAKEN SERIOUSLY BY: „ Government „ Medicine „ Society „ Religion „ Education „ Law enforcement „ Treatment ‟ Harm Reduction Model „ Cannabis is nearly legal 3
  • 4. MAJOR POINTS: „ Most problems due to underground status of drugs ‟ Secrecy = inability to control it effectively „ Criminalization = multi-billion-dollar black market ‟ Profits irresistible to predatory street dealers „ Let’s put them out of business! ‟ Contributes to overall economic inflation 4
  • 5. POTENTIAL BENEFITS: „ REMOVE PROFIT MARGIN ‟ Who would buy on the street, when safe, pure products are available? „ Eradicate Black Market „ Street dealers DONE „ Illicit labs SHUT DOWN 5
  • 6. HEALTH BENEFITS: „ Users Feel Safer ‟ Willing to seek treatment for: „ Medical „ Addiction „ Mental health 6
  • 7. HEALTH BENEFITS: •Reduced diseases ‟Clean needles ‟Sterile drugs ‟Preventable diseases: 7
  • 8. PREVENTABLE DISEASES: „ HIV „ ABSCESS „ AIDS „ MRSA „ HEP C „ TB 8
  • 9. HEALTH BENEFITS: „ Purity regulated by FDA ‟ Street adulterants include: „ Cheaper chemicals ‟ (Replacing “X” with speed) „ Strychnine „ Industrial solvents „ Toxic cutting agents ‟ END of “Bathtub Drugs” 9
  • 10. Bathtub Drugs: „ No profit in “cooking” „ Quaaludes „ Home Meth Labs „ Designer drugs „ “Bath salts” „ “Legal” Marijuana 10
  • 11. HEALTH BENEFITS: „ Dosage regulated by FDA ‟ Will end most accidental OD’s „ No “surprises” in the bag ‟ No “Hot Shots” ‟ Slower tolerance development „ Empowers management of dosage increases 11
  • 12. HEALTH BENEFITS: „ Bringing the market out of the shadows ‟ Greater motivation to practice self-care „ Hygiene „ Health care „ Currently ZERO control of the market „ Market continues to grow exponentially „ Improved control over access by kids 12
  • 13. SOCIAL BENEFITS: „ Drug use loses its “cool” factor ‟ Becomes establishment/govt. approved ‟ No longer seen as rebellious ‟ Loses romantic “antihero” mythos ‟ Rebellion = POWERFUL motivator „ No more “chasing” a fix ‟ Most addicts not normally criminal ‟ Could (and would)work simple jobs 13
  • 14. SOCIAL BENEFITS: „ Reduced stigma ‟ Increased self-esteem ‟ Increased self-awareness ‟ More effective treatment „ NOT shame-based „ Will greatly reduce: ‟ Prostitution „ Kids forced into it ‟ STD’s ‟ Sexual trauma 14
  • 15. SOCIAL BENEFITS: „ VASTLY reduces: ‟ Racially biased enforcement „ Huge racial imbalance in prisons ‟ Generational recidivism „ Prison as a “family value” ‟ Hero worship of dealers „ Glorification of “Gangsta” Culture ‟ Fear of theft or assault ‟ Toxic shame and self loathing „ Shame causes self-destructive behavior 15
  • 16. SOCIAL BENEFITS: Reduced stigma toward social “hot spots” „ Methadone clinics „ Meth Labs „ Halfway houses „ Drug corners 16
  • 17. LEGAL BENEFITS: „ Legal benefits ‟ Reduce profit-motivated crime ‟ Bring down drug prices GREATLY ‟ Decrease crime ‟ Put dealers out of business quickly ‟ Destroy incentive to start kids on drugs 17
  • 18. LEGAL BENEFITS: „ End waste of Police resources „ Dismantle the DEA ‟ Will free billions „ Treatment „ Prevention „ Unclog the courts „ Close many prisons ‟ Massive revenue savings „ Sanity in sentencing ‟ War On Drugs has distorted this 18
  • 19. ECONOMIC BENEFITS: „ Potential for tax revenues „ Interdiction costs gone „ Users can enter the work force „ Black market stops causing inflation „ Reducing petty crime saves money „ For government „ For private citizens „ For social support entities „ For hospitals 19
  • 22. POLITICAL BENEFITS: Put cartels out of business 22
  • 23. POLITICAL BENEFITS: Government can attend to more important matters: 23
  • 24. POLITICAL BENEFITS: Restore Constitutional Rights ‟ Drugs are a personal choice ‟ State NOT qualified to address health problems ‟ Punishment destroys lives and doesn’t work. „ We don’t punish diabetics, cancer patients, etc. ‟ Addicts must be ready or treatment will do harm 24
  • 25. POTENTIAL DRAWBACKS: Drug czars & DEA dispute benefits of legalization ‟ Problems with their claims (as per research): „ Arguments not fact driven „ Hard evidence, statistics ignored/suppressed „ Expert reports ignored & suppressed. „ Articles use defensive, inflammatory language „ Arguments don’t stand up to semantic analysis ‟ Many semantically null or undefined terms used „ Virtually NO peer-reviewed evidence 25
  • 26. POTENTIAL DRAWBACKS: CLAIM: Drug use will increase ‟ Evidence from other countries refutes this „ Drugs become anathema to rebellious kids ‟ Drugs no longer romanticized » “normal” is boring » Users are seen clearly as losers ‟ Drug subculture fades » becomes mainstream ‟ Pushers out of business ‟ Stop recruiting new customers (kids) 26
  • 27. POTENTIAL DRAWBACKS: CLAIM: Drug use will increase Evidence from other countries (cont.) „ Addicts dislike IV heroin administered by nurses ‟ They say pharmaceutical heroin doesn’t feel “right” „ Drug abuse is already at epidemic proportions ‟ War On Drugs has consistently failed „ Wasted a trillion dollars over 40 years „ Caused exponential increase in drug abuse „ Drug abuse doubled (at minimum) every year since started 27
  • 28. POTENTIAL DRAWBACKS: CLAIM: Social & family problems will get worse „ Only arguments are emotional appeals ‟ Few facts to back up this assertion „ Problems still happening now, but in secrecy ‟ Currently very difficult to address abuse, neglect „ Legalization would open the door for counseling „ Laws against abuse already in place ‟ Current laws harm children „ Removal from home „ Parent in prison „ Single parent is the norm with adults in prison 28
  • 29. POSSIBLE SOLUTIONS: Making It Work: Treatment modernized (evidence-based) » Free of charge » Strength-based » On-demand » Devoid of allusions to “character flaws” ‟ Easily afforded once interdiction funding stops ‟ Public will be educated about the disease model „ Use modern advertising & marketing ‟ i.e. anti-smoking campaign ‟ Addicts more likely to see treatment as attractive ‟ End forced treatment before the person’s ready 29
  • 30. POSSIBLE SOLUTIONS: Making It Work: Legal Issues ‟ Address offense directly ‟ Treat family issues separately » Drug use not necessarily child abuse/neglect » Fact based, rather than hysteria ‟ Expand DUI laws to include drugs ‟ Still prosecute: » Petty theft » Prostitution » Illicit manufacture of impure drugs (FDA) » May allow homegrown poppies, coca, etc. 30
  • 31. REQUIRED FOR SUCCESS: “MUSTS” TO MAKE IT WORK: „ Legalization must be total ‟ ALL substances „ Government will only regulate purity, dosage „ Government will NOT distribute substances „ Drug manufacturers will be STRICTLY price-controlled „ Dr’s will still advise, but prescriptions unrestricted ‟ Extensive training in addiction required for MD, DO „ Must include free, on-demand treatment ‟ Residential centers will be comfortable and inviting ‟ End harsh interventions » Replaced by strength-based outreach counselors » Counselors onsite at adults-only “drug stores” 31
  • 32. FUTURE TREATMENT CENTER: YOUR TAX DOLLARS AT WORK 32
  • 33. REQUIRED FOR SUCCESS: “MUSTS” TO MAKE IT WORK: „ Legalizing possession = legalizing sales » No such thing as a “miracle stash” ‟ Must include: » ALL aspects of drug market » Growing » Manufacturing » Sales „ NO marketing or advertising allowed » Similar to alcohol/tobacco 33
  • 34. REQUIRED FOR SUCCESS: “MUSTS” TO MAKE IT WORK: „ Manufacturers must: ‟ Be compliant with FDA ‟ Make predictable doses ‟ Assure purity ‟ Not be allowed to advertise » Education/Prevention: » Learn from tobacco/alcohol example » Smoking GREATLY reduced since 1973 » Only media ads are PSA’s » Warnings on packs » Education » Minor local laws only » Bans by private business 34
  • 35. A DAY IN THE LIFE OF A FUTURE DRUG USER: 35
  • 36. FRIDAY, JUNE 3, 2015 11:00 am ‟ WAKING UP: 36
  • 37. FRIDAY, JUNE 3. 2015 12:00 PM ‟ OFF TO WORK 37
  • 38. FRIDAY, JUNE 3, 2015 12:00 PM ‟ LUNCH 38
  • 39. FRIDAY, JUNE 3, 2015 8:00 PM QUITTING TIME 39
  • 40. FRIDAY, JUNE 3, 2015 8:30 PM ‟ THE DRUGSTORE 40
  • 41. FRIDAY JUNE 3, 2015 8:00 PM: HOME AT LAST 41