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Whether “Traffic” wins the Academy Award for Best Picture
is now almost academic but the lessons of the picture
have prompted an important national dialogue. In last
week's Senate Judiciary Committee hearing on drug policy,
“Traffic” played a leading role. Recent articles by
former drug czar William Bennett, and by former HEW
Secretary Joseph Califano, used “Traffic” to teach about
drugs. ABC News "Nightline" and The New Republic are
using the movie to study drug policy this week. Hardly
any discussion about drug policy takes place now without
referring to “Traffic.”
Surprisingly, two months after the inauguration, there
is an unembarrassed silence from the Bush White House
about the identity of the next drug czar, the last cabinet-level
position unfilled.
Three-quarters of the American public say the war
on drugs is being lost, according to a survey released
by the Pew Research Center on March 21. The annual data
released by the White House documents that failure clearly:
Illicit drugs are causing more deaths, illicit drug
prices are lower while purity is higher and drugs are
widely available to youth.
In the climax in “Traffic,” the new drug czar steps
up to White House microphones to unveil a “new” 10-point
anti-drug package. Knowing his daughter is a desperate
addict, he is unable to utter the predictable cliches
and suddenly walks out. He realizes that every addict
is someone’s kid whose life is worth saving.
We need to abandon “sacred cows” that are obstacles
to an effective anti-drug effort. We need new ideas
to save lives, to help keep kids from being hurt by
drugs and to reduce violence and corruption. Following
is a 10-point package the new drug czar should adopt.
1. Narcan (naloxone) terminates the coma of a heroin
overdose. All emergency personnel should be trained
and equipped to use it. We should provide opiate users
with Narcan to inject when overdoses occur. This will
save thousands of lives a year.
2. Establish a “no questions asked” policy when overdosing
drug users go to emergency rooms or call 911 for an
ambulance. In “Traffic” we saw high school kids dump
an overdosing friend in a hospital driveway to avoid
police. Parents should tell their children that if something
terrible is happening to call immediately and that they
will help them, not punish them.
3. Prevent overdoses and poisonings by enabling drug
users to test drugs for potency and impurities. The
“rave” culture tries to protect itself by testing ecstasy
pills for dangerous impurities. Teach recovering addicts
that they have lost their tolerance to opiates. If they
relapse, their old doses may kill them.
4. To catch drug dealers who sell adulterated or counterfeit
drugs, give immunity and incentives to drug users to
turn them in.
5. Reduce the spread of HIV/AIDS, hepatitis, and other
diseases by promoting and funding sterile syringe exchange.
This common sense idea saves lives and has been supported
by every research body that studied it, including President
Bush’s AIDS Commission, the Centers for Disease Control,
the Institute of Medicine, the American Medical Association,
and others.
6. Protect travelers and motorists by assuring that
pilots and vehicle operators do not fly or drive while
impaired by testing for actual impairment. Testing blood
or urine for past use of illegal drugs does not find
impairment. After every accident, complete drug testing
should be done.
7. Expand drug treatment availability and effectiveness
by providing methadone, LAAM and other maintenance drugs
through general practitioners and to addicts in prisons
and jails. Drug treatment health insurance should be
on a parity with other coverage. Coordinate local drug
treatment intake to maximize access to programs and
to match addicts to the most suitable treatment. Permit
parents to keep and care for their young children while
parents are in treatment.
8. Assure that anti-drug education is evaluated and
effective. America’s largest teen-age anti-drug program
has been the ineffective D.A.R.E. curriculum. Like sex
education, drug education should include abstinence
and reality-based, harm reduction elements and should
encourage honest dialogue with parents and teachers.
9. Focus federal criminal justice resources only on
the biggest, most violent and dangerous traffickers.
Only ten percent of federal drug cases have been high-level
offenders. Repeal mandatory minimum sentences that give
minor offenders kingpin sentences.
10. Medical patients with serious or terminal illness
should never be denied the proper medication, whether
opiates or marijuana.
To carry out such a lifesaving, prevention and public
health oriented plan, the next drug czar should have
at least one quality: a background in public health.
He or she should be unafraid of entrenched drug enforcement
bureaucrats and anti-drug blow-hards and not looking
for a promotion.
Someone like former Surgeon General C. Everett Koop
comes to mind.
Mr. Sterling, president of the non-profit Criminal
Justice Policy Foundation in Silver Spring, MD was counsel
to the House Judiciary Committee, principally responsible
for anti-drug legislation, from 1979 to 1989.