President Obama has unveiled a series of steps aimed at addressing the epidemic of opioid addiction in the United States. In 2014, a record number of Americans died from drug overdoses, with the highest rates seen in West Virginia, New Mexico, New Hampshire, Kentucky and Ohio. Many states reported even higher death tolls in 2015.
Michael Collins talking:
I think the best thing we can say about the proposal is it’s two steps forward and one step back. I mean, there is a lot of positives in the announcement—emphasis on harm reduction, treatment, overdose prevention—but at the same time the Obama administration is still beholden to the criminalization of drug users. And we see that in the announcement: There is funding in there for law enforcement, for heroin task force. And we know that that is the epitome of the failed war on drugs. So, as I say, there are parts of the announcement that we like and we applaud, but there are also parts of the announcement that are very disappointing.
back in the ’70s when heroin was spreading throughout the inner-city neighborhoods of the United States, and we got the Rockefeller Drug Laws, and we got all of this crackdown on the victims of the heroin epidemic.
If anyone ever doubted that the drug war was a war on people of color and the drug war was racist, then, you know, they should look no further than the discussion that’s going on just now, where, as you point out, for years, decades even, communities of color have been affected by heroin, by overdoses and legal handcuffs, not hugs, and now we’re seeing this compassion around white people in rural communities. And, you know, it’s something that I think we have to recognize, that this is very symbolic of the fact that the war on drugs has been a war on people of color. And, you know, while it is positive that the Obama administration and even Republicans are talking about compassion towards drug users, we should bear in mind that there are communities of color who have suffered as a result of the war on drugs, and, you know, we shouldn’t try and escape that.
A recent article in Harper’s Magazine revisits the start of the war on drugs under President Nixon. The article cites a 1994 interview with John Ehrlichman, who served as President Richard Nixon’s domestic policy chief. He revealed why the war on drugs began. He said, “The Nixon campaign in 1968, and the Nixon White House after that, had two enemies: the antiwar left and black people. … We knew we couldn’t make it illegal to be either against the war or black, but by getting the public to associate the hippies with marijuana and blacks with heroin, and then criminalizing both heavily, we could disrupt those communities. We could arrest their leaders, raid their homes, break up their meetings, and vilify them night after night on the evening news. Did we know we were lying about the drugs? Of course we did.”
Maia Szalavitz talking:
the racism in the drug war goes even further back than that. It starts in 1914 with the Harrison Narcotics Act. And at that time, there were literally headlines in The New York Times about “Negro cocaine fiends” who were causing problems in the South. And the idea was actually that that cocaine made them impervious to bullets. So, the drug war has always not been about fighting drugs, because if we actually wanted to deal with addiction problems, we would see it as a health issue, and we would not be trying to focus relentlessly on supply.
addiction involves learning. And what I’m saying is that we’ve been looking at it all wrong throughout the course of our drug policy, largely because of race. You cannot become addicted without learning, because if you don’t know what fixes you, you can’t crave it and you can’t seek it compulsively. And by leaving out learning, we have misunderstood what goes wrong in addiction. What basically happens is you fall in love with a drug rather than a person or your child, and the relentless pursuit that people have to take care of their kids and be with their loved ones gets turned into that pursuit of drugs. And so, when you look at it that way, you realize that it’s a problem of something that was mislearned, not a problem like Alzheimer’s where this pathology is eating your brain. And that’s a much more hopeful message for recovery, and it’s actually much more accurate about what goes on in the brain during addiction.
I became addicted to cocaine and heroin in the ’80s when I was at Columbia College. And I had been an incredibly geeky kid for most of my life and was—had a hard, hard time with socializing. And I would always sort of have these obsessive interests—I was really interested in opera or science fiction—and nobody wanted to hear me go on about that, but they did want to hear me go on about drugs, especially if I could provide them. And that made me feel like I had something to bring to the party and that I wasn’t this horrible, isolated, bad person who couldn’t connect with people. And so, that was really dangerous for me. I got into coke in the ’80s, when 80—50 percent of all young adults tried cocaine during the ’80s, which is an astonishing figure. So it was very prevalent. And then I got suspended from school, and I thought my life was over. And I thought, “Well, I may as well do heroin now.” And that turned out to be my drug of choice, because it actually finally gave me the feeling of safety and love and comfort that I had always been missing.
Then I wound up shooting up dozens of times a day. I was selling coke, so I always had it around, and then that always led to heroin. Eventually, I got busted and was facing 15 to life under the Rockefeller laws. And eventually, two years after I got arrested, I realized that I needed help and that, you know, I was going to die. And so I sought treatment and, fortunately, have been in recovery since 1988 now.
the judge saw me a year after I voluntarily chose to go into treatment—I wasn’t mandated—and I looked very, very different. I had gone into treatment sort of 80 pounds, grey, covered with tracks, looking like I was dying of something, and I came out tan, fat and blonde. And, you know, she just saw. She said, “Well, OK, if you can manage to stay off drugs, I will try to keep you out of jail.” And that was very difficult because the mandatory minimum. And so, there was just years and years of negotiation with the prosecutors, but finally she dismissed the case in the interest of justice, because the prosecutors continued to insist that I go to jail or prison, and she was like, “This woman has been in recovery for five years now. This really doesn’t make any sense.” So, you know, I was extraordinarily lucky. And being white and female and middle-class had a lot to do with it. If we are really to deal with the heroin problem that we have now, we have to, you know, acknowledge the racism that drives our drug laws, and create drug laws that don’t criminalize people for having a medical problem.
President Obama’s announcement is a good step forward. It doesn’t do some of the important things that I would like to see. For example, medication-assisted treatment with buprenorphine or methadone are the only things that actually cut the overdose death rate by 50 percent. And we need people to stay on those medications indefinitely in order for that to happen. Yet we restrict methadone to these horrible clinics. And doctors formerly could only prescribe to a hundred patients for buprenorphine; Obama has just raised it to 200, which is great, but they can still prescribe to thousands of people if they’re treating pain, rather than addiction. So, it makes no sense to restrict the treatment.
Michael Collins talking:
I think that disappointed us about the Obama administration’s announcement is, if this is truly a crisis, which we believe it is, then all options should be on the table, and I think we didn’t see all options on the table yesterday from the Obama administration. And so, for example, there are a lot of interesting initiatives and proposals in places like Ithaca, New York, around safe injection facilities. Maryland has a proposal around a safe injection facility. There is interesting programs in places like Seattle and Santa Fe called Law Enforcement Assisted Diversion—much more of a harm reduction approach to drug use.
A safe injection site is essentially a safe place where an injection drug user can go and use drugs. They are therefore not using drugs on the street. They’re not using drugs in a rush. They’re not using drugs in a situation where, you know, they could cause themselves harm. They’re doing it under medical supervision. And this is not something new, when you look at it globally. This is something that has existed in Canada for a number of years now. There’s strong evidence to show that safe injection facilities result in a reduction in overdose use, you know, principally because, as I say, you are engaging drug users in medical help. And, you know, the bottom line here is, I think we have to get to a place where we are treating drug users as human beings. And it’s not enough just to show them compassion. Drug users really should be at the table when we’re having these policy discussions. They should have a voice. And I think that’s the direction, certainly, the Drug Policy Alliance wants to go in.
the sort of changing face of heroin has resulted in more compassion. You know, the president has spoken out a lot on criminal justice reform and on the need for sentencing reform and reductions in mandatory minimum sentences. Unfortunately, now there is legislation being held up by Senate Leader Mitch McConnell. We’re awaiting a floor vote on a comprehensive criminal justice reform bill that would roll back mandatory minimums, but he will not allow the bill to come to the floor. So, as I say, we are making progress, but, you know, one thing that’s true about the U.S. is that it’s very easy for the U.S. to get involved in wars—and the war on drugs is a war—but it’s far more difficult to unwind these wars, and we’re seeing that right now.
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Maia Szalavitz
journalist who’s covered addiction for almost 30 years. Her recent piece in The Guardian is headlined “Curbing Pain prescriptions Won’t Reduce Overdoses. More Drug Treatment Will.” Her book, Unbroken Brain: A Revolutionary New Way of Understanding Addiction, will be out next week.
Michael Collins
deputy director of national affairs at the Drug Policy Alliance.
— source democracynow.org