Pubdate: Wed, 05 Feb 2014
Source: Columbus Dispatch (OH)
Copyright: 2014 The Columbus Dispatch
Contact:  http://www.dispatch.com/
Details: http://www.mapinc.org/media/93
Author: Eugene Robinson, Washington Post Writers Group.

DRUG ADDICTION NEEDS TO BE TREATED AS A MEDICAL PROBLEM

Oscar-winning actor Philip Seymour Hoffman is yet another victim of
the war on drugs. Prohibition is not working. It is time to try
something new.

Hoffman, 46, was found dead in the bathroom of his Manhattan apartment
Sunday morning, apparently the victim of a heroin overdose. According
to widely published reports, there was a syringe in his arm.

Hoffman had lived through a familiar pattern: experimentation,
addiction, rehab, abstinence, relapse, more rehab, more abstinence,
another relapse.

Why would a man held in such high esteem, a man with so much going for
him and so much to live for, risk it all by buying illegal drugs from
a criminal on the street and then injecting them into his veins? For
the same reason any addict uses drugs: to get high.

Perhaps this desire was a moral failing on Hoffman's part. Perhaps its
origin lies buried in his personal history, with some trauma having
triggered it. Perhaps it is written in his genetic code. I doubt we'll
ever know for sure.

What we do know is that this need to get high is beyond some people's
control. Our drug policy of prohibition and interdiction makes it
difficult and dangerous for people like Hoffman to get high, but not
impossible - and makes these tragic overdose deaths more common than
they have to be.

The obvious problem is that when an addict buys drugs on the street,
he or she has no way of knowing how pure the product is and what else
it might contain. In recent months, according to health officials, 37
people have died in Maryland, 23 in western Pennsylvania and several
others in Ohio and New York from injecting heroin adulterated with
fentanyl, a synthetic opioid that can be up to 100 times more potent
than morphine.

It makes sense that addicts would try to purchase only from dealers
they trust. It also makes sense that dealers selling a heroin-fentanyl
mix would warn buyers of its potency, since killing the customers is
bad for business. But remember that addicts use drugs to get high.
Being told a certain batch of heroin would get them higher than usual
might sound to their ears like a promise, not a threat.

The idea is supposed to be that authorities will somehow keep the
drugs from entering the country. This would be a joke if it weren't
such an epic tragedy.

In the 1990s, when I was The Washington Post's correspondent in South
America, I watched as U.S. Drug Enforcement Administration agents
played Whac-A-Mole with the cocaine industry. They'd harass the coca
growers in Peru, only to see more acreage planted in Bolivia. The
agents would go to work in Bolivia, only to see coca plantations
sprout up in Colombia. By the time the DEA had marshaled its assets in
Colombia, the fields were lush and green once more in Peru.

A couple of times, authorities in these countries flew me out to see
fields of opium poppies they had discovered - the drug lords were
diversifying into heroin. But the epicenter of poppy cultivation is
Afghanistan, where U.S.backed officials turn a blind eye.

When you talk to leaders in the countries that produce or ship illegal
drugs, they all say the same thing: We wouldn't have a drug industry
if there were no demand. You're the ones who put this stuff in your
veins and up your noses.

They're right. And since we obviously don't know how to eliminate this
demand, we need to try some new approaches.

For marijuana, we should follow Colorado and Washington toward
decriminalization. Addiction to harder drugs should be considered a
medical problem, period - a chronic illness, like diabetes, that might
not be curable but can be managed.

There would be times when managing addiction meant prescribing to
addicts pharmaceutical-grade heroin and other drugs and then medically
monitoring them. There would be other times when it meant treatment to
get clean. Philip Seymour Hoffman had tried and failed, tried and
failed. But who knows? Next time, he might have made it. 
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