Harm Reduction




HARM REDUCTION


JOHN ENTWISTLE: Europe, in a nutshell, tried the prohibition model, and they modeled it just like us, and they tried it, they did contracts with us, and they tried to prohibit all drug use, including all marijuana use in general. With the exception of Amsterdam they were pretty successful--the problem is they were successful in obtaining everything you get with prohibition: crime, terrible incidents of other drug abuse, complete anarchy in the market, the spread of diseases like tuberculosis, AIDS, hepatitis, liver disease.

As of about five years ago, a movement started in Europe that was based in the cities, that was started by various people who were fighting drug abuse and the effects of that, and sociologists who were concerned with improving the health of society in general by reducing crime and reducing spread of disease. They had some indicators and gauges they were going by. They started putting stuff through that set of criteria. They came up with a harm-reduction model in Europe that spread to way over 25 cities--it's a big movement. It hasn't run in North America at all: it's been fully co-opted. But in Europe, the harm-reduction movement fully embraces the concept of making marijuana as available as alcohol, with the specific intent of competing with alcohol and with the specific intent of, beyond that, of competing with heroin in the marketplace. With the specific desire of replacing those two very dangerous drugs with one that is less dangerous, based on the hope that people, for no other reason than availability, will make that choice to live safer. They are presuming that people will not make the choice to do without any option in that area, and by giving them a safe option in addition to the harmful ones, less harm will be done to the individual and to society. You will see less disease and crime.

They've been employing this model with limited success in Europe, but limited only in the sense of how far they can go how fast. Everything they've done in the spirit of that harm-reduction, which starts at that point, where you actually try to influence the consumption of drugs in society by influencing availability across the board and regulating it that way as opposed to trying to reduce marijuana's availability and then trying to stomp out the use of other drugs.

That's what going on in Europe. Here we're continuing with the same basic prohibition. To the extent that harm reduction concepts have entered America, it's extremely limited and tends to be only the subset of harm reduction that deals with methodone maintenance and with heroin addiction.