Thought this would appropriate to post on 4/20.
Last week I moderated a panel at the Conference on World Affairs on drugs. The title was Drugs: enlightening, illegal, fun and addictive. I had about 15 extremely interesting topics to choose from, and I usually moderate panels on immigration, but I wanted to mix it up this year and the title captivated me because I’ve known people who’ve had good experiences with them and others who’ve had very bad experiences.
The first speaker was Dr. Glenn Treisman, who is world-renown for his work with HIV and an expert on addiction. He explained how and why people get addicted. He basically said that any of us could become addicts given the right circumstances. He mentioned a study where there was a rat that was heavily addicted to cocaine. They left the rat in a gym inside the cage with cocaine, but they opened the cage to see if it would leave or stay near the supply of drugs. The rat left the cage and never returned.
He explained the difference between a real coffee addict and people who claim to be coffee addicts. He mentioned how 1 in 20 to 40 people become addicted to marijuana, 1 in 8 to heroine, and 1 in 3 to cocaine. I thought about the meth commercials they have, where they powerfully and graphically portray meth as a really bad thing that will ruin your life. Someone told me that while those commercials may discourage people from trying meth in the first place, they may actually encourage meth addicts to use because they show meth in the commercial, and physically seeing it on the TV, even in a negative light, stimulates craving.
He talked about a patient to whom he once prescribed pain killers. He warned her of the addictive nature, and when she came to him and claimed that she had lost a bottle of pills, he immediately knew that she became addicted and had to work with her on a plan to overcome it. I discussed with him the importance of doctors sufficiently forewarning patients about the addictive qualities of drugs they prescribe. He talked about how we are so quick to try to eliminate pain, but that sometimes temporary pain, as long as it’s not too severe, may be a better alternative.
He discussed how addicts always relapse at least once, because they always think they have their addiction under control and can have just a little bit, but true addicts can’t use in moderation.
Sanho Tree talked about the policy aspect, and how the war on drugs has put way too many non-violent offenders in prison. The cost to treat an addict is around $7-8K, while the cost to incarcerate them is way more. The prohibition of drugs keeps costs up and high profits for the drug dealers. He mentioned how prices of opium soared when the Taliban made it illegal for people to grow it in their backyards. Who profited when the prices soared? The Taliban.
They argued a bit about which drugs should be legal, but they all concurred that at least marijuana should be legal. They also agreed that we should invest more in treatment than incarceration.