Pubdate: Tue, 20 Aug 2013
Source: Independent  (UK)
Copyright: 2013 Independent Newspapers (UK) Ltd.
Contact:  http://www.independent.co.uk/
Details: http://www.mapinc.org/media/209
Author: Charlie Cooper

WHY BRITAIN MUST KEEP A CLEAR HEAD IN THE DEBATE ON DRUGS

Dame Sally Davies' important contribution to the discussion about the 
UK'S drugs laws has been lost in a tabloid frenzy. Charlie Cooper reports

It all stemmed from such a civilised conversation. Sunday lunchtime, 
and Dame Sally Davies, England's highly-respected chief medical 
officer, was the guest of Michael Berkeley on BBC Radio 3's Private 
Passions programme.

As Dame Sally explained her admiration for Vaughan Williams' viola 
pieces, no one could have predicted that the discussion would soon 
take a turn that would lead to screaming tabloid headlines. But then 
she started talking about drugs.

"I never smoked so I couldn't smoke joints," Dame Sally said of her 
university days (shortly after chuckling at Mr Berkeley's observation 
that, for some people, "Wagner is a drug").

"But I did have some cookies, until on the third or fourth occasion I 
had hallucinations and I've never touched it since."

While most listeners probably smiled, many recalling a similar 
youthful misdemeanour, and got on with cooking Sunday lunch, the 
editors at the Daily Mail decided to run Dame Sally's words on the 
front page  under the headline: "Shock admission from UK's top 
doctor: I've taken cannabis".

It might be argued that we really should not be shocked any more when 
public figures born from the 1940s onwards confess to having taken 
drugs in their youth. Two US presidents have done so (although one 
"did not inhale"). The Mayor of London admits to having had "some 
drugs" (cocaine and cannabis specifically) and while the Prime 
Minister has never confirmed stories of a sneaky spliff during his 
Eton days, he has never issued a denial either.

The only truly unfortunate thing about Dame Sally's confession is 
that it may have overshadowed the serious point she made immediately after.

"I think I understood through that what my father said to me when I 
said I was going to try it. He said: 'drugs decivilise you, you stop 
being a civilised person,'" she said. "And I understood why so many 
people were against even the soft drugs."

Asked whether, as a doctor, she saw drugs as "a medical problem 
rather than a criminal one", she was clear: "Of course it's a medical 
problem. Addiction is a medical problem and it becomes a public 
health problem and then our society is choosing to treat that as a 
criminal justice issue."

Increasingly, the debate on drugs is being polarised between these 
two camps: those who see drug abuse and addiction as a criminal 
problem to legislated against, and those who see it as a medical 
syndrome to be treated at a public and a personal level.

Dame Sally did not elaborate any further on Private Passions, 
allowing the Department of Health to claim that she was "not saying 
anything new" and that the UK "already approached drug use as both a 
health and criminal issue".

However, her intervention is a meaningful one. The Government has 
been under pressure, sometimes from within its own ranks, to overhaul 
the UK's drugs laws, which are seen by a growing number of doctors 
and frontline support workers as overly punitive, counter-productive 
and stigmatising; criminalising thousands for harmless misdemeanours, 
and at the same time failing to reduce rates of genuinely harmful 
substance abuse.

At the end of last year, Nick Clegg called for a Royal Commission to 
look at options for reform, including decriminalisation  a call that 
was firmly rebuffed by the Prime Minister. Then in January a 
cross-party group of peers called for the possession and use of all 
illegal drugs to be decriminalised.

The powerful Home Affairs Select Committee also backed calls for a 
Royal Commission, but again, pressure for major reform was rejected, 
with the Home Secretary Theresa May saying in March that there was no 
case for "fundamentally rethinking the UK's approach to drugs".

Cross-bench peer Baroness Meacher, who chaired the all-party group, 
disagrees. "Most countries in Europe have the health department as 
the lead department on drug policy rather than the interior ministry 
or the home office - which is a statement in itself," she told The Independent.

"It's not just me, it's not just Dame Sally Davies, it is a generally 
accepted view now across the western world that drug problems are a 
health problem and should not be seen as a criminal problem.

"Once you treat dependent drug users as having a medical problem, not 
criminalising them, then after they get better they are able to get 
into work and normal life much quicker, saving the taxpayer money."

Calls for major reform have gathered momentum recently, championed by 
the very vocal comedian  and former heroin addict  Russell Brand, and 
attracting the support of high profile figures including Sir Richard 
Branson and a number of MPs. Labour's Keith Vaz, chair of the Home 
Affairs Select Committee, said he wanted Dame Sally's words to spark 
"a much-needed debate about the way we treat drug addiction in this country."

"The Committee spent a year scrutinising UK drugs policy, and it was 
very clear to us that many aspects of it are simply not working and 
should be fully reviewed by a Royal Commission," he said.

"Drugs need to be treated as a medical as well as a criminal issue, 
and the Government should seriously consider our recommendation that 
ministerial responsibility for drug policy should be held by the 
Department for Health as well as the Home Office."

Although a full-scale review has been put on hold, Ms May did 
announce a "what works" study, which would look at the impact of 
different drug laws in other countries. Liberal Democrat crime 
prevention minister Jeremy Browne is in the process of visiting 
several jurisdictions, including the US states of Washington and 
Colorado, as well as Portugal and the Czech Republic, where drug laws 
have been loosened to varying extents.

He is expected to report back by the end of the year. Even if he does 
propose that the UK could learn a thing or two from Portugal  where 
criminal penalties for possessing small quantities of drugs were 
abolished in 2001  it is hard to see any liberalising measures being 
adopted while an election looms, in which the Conservative Party must 
appease right-wing voters. In other words, the conversation about 
drugs - civilised or otherwise - looks set to continue for many years yet.

[sidebar]

Criminal or Medical? the Experts Have Their Say

Dr Clare Gerada, chair of the Royal College of General Practitioners

"Substance misuse is predominately a health issue. Of course criminal 
justice needs to be involved somewhere along the way, but not as it 
is at the moment for users who are feeding a habit and sometimes 
dealing to feed their own habit. I've worked with drug users for more 
than 25 years and nobody has ever done well going to prison. I've 
never ever known the criminal justice to promote recovery."

Baroness Meacher, chair of All-Party Parliamentary Group on Drug Policy Reform

"I don't believe the Daily Mail is surprised [by Dame Sally's hash 
cake confession]. They know as well as any of us that many people in 
senior positions in politics and elsewhere have taken drugs. It is a 
very normal thing, these days, to have done. One may not praise it, 
one may not respect it but it is something we must accept as a 
society. Our job as a society must be, as much as possible, to reduce 
dependency on hard drugs  heroin and cocaine.

Keith Vaz MP, chair of the Home Affairs Select Committee

"I hope Dame Davies' comments will spark a much-needed debate on the 
way we treat drug addiction in this country...Drugs need to be 
treated as medical as well as a criminal issue, and the Government 
should seriously consider our recommendation that Ministerial 
responsibility for drug policy should be held by the Department for 
Health as well as the Home Office."

Niamh Eastwood, executive director of the drugs charity Release

"It's even broader than just treating it as a health issue. Does the 
criminal justice system work in bringing the outcomes the government 
would like to see in terms of reducing levels of drug use? Repeatedly 
evidence has shown that the use of criminal laws to achieve that aim 
doesn't work."
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