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- Drug testing identifies substance ‘use’ rather than any substance disorder/problem. This misguidedly widens the net of concern, which should be directed towards the person with a drug problem not towards the recreational user.
- Most people with a chronic drug problem have endured damaging personal and social circumstances before drugs became an issue and need considerable help and support in life, more generally. Drug testing can lead to a pre-occupation on drug presence, and this narrow focus risks overlooking the real underlying issues, which if not addressed, will almost certainly lead to drug problem relapse.
- Women drug users with child care responsibilities are often forced to undertake regular or even daily drug tests to prove they are ‘drug’ free, this disproportionately focuses attention on drug presence rather than fitness to parent. Regular positive drug tests are then used wrongly as evidence as to why the child should be ‘looked after’ by the state. Any assessment of a mothers parental capability to care for her child should never be reduced to a drug test.
- A pre-occupation with drug testing by key stakeholders can result in a paradigm shift in which abstinence and so-called ‘clean’ drug tests become the desired measure of any successful outcome. Not only does harm reduction get marginalised in the process, but the messy and challenging process of rehabilitation and social reintegration may be forgotten in the satisfaction that the person appears to be drug free.
- Around 30-70% of young people in most western countries have used illicit drugs and the vast majority manage to avoid: a criminal record; a drug problem; harm to themselves or harm to others. Widespread random drug testing in schools, at the roadside, in employment, on benefit claimants etc., will only waste resources and result in capturing mainly non-problematic drug users who then risk being ascribed damaging labels as ‘deviant’ or ‘addicts’ that will pose serious damage to future life opportunities (education, employment, travel, insurance, housing etc) and in relationships.
- Resources for public and voluntary services are limited and money that could be used to deliver much needed harm reduction services is wasted on expensive drug testing for people who don’t use drugs, or those who use drugs in a non-problematic recreational manner.
- Random drug testing of pupils, students and children often accompanied by police and sniffer dogs as a health promotion strategy is misguided. Cultural behavioural change is not achieved through policing, confronting and punishing, but it is facilitating by meaningful, culturally relevant, reliable information exchange, harm reduction education, relationships and peer dialogue.
- The most widely used illicit drug (cannabis) is much less harmful than the promoted legal drugs alcohol and tobacco, it is therefore, untenable or indeed hypocritical to pursue drug testing and punish cannabis use and not drug test and punish alcohol and tobacco use.
- Drug testing regimes with sanctions, such as random drug tests in schools to exclude students who test positive, create a ‘cat and mouse’ game in which an adversarial relationship is established, both sides then seek to out-smart the other with new technology or deceptive techniques. The winners in this game are the drug testing businesses and underground laboratories; but the losers are honesty, trust and communication.
- Tougher drug testing regimes to stamp out illicit drug use, such as drug testing in employment, have spawn the proliferation of new synthetic designer ‘legal’ highs to avoid detection (such as Spice). However, once these new drugs have been detected and subsequently outlawed the drug testing ‘net’ widens, then new legal highs are further developed and the never ending spiral continues. These ‘legal highs’ may be considerably more dangerous than commonly used illicit drugs.
- Some drugs such as cannabis can stay in the body for over four weeks whereas drugs like cocaine can be out of the body within 48 hours. Random drug testing regimes (such as those in prisons) have inadvertently pressurised people to switch from the less harmful cannabis to the more dangerous heroin, spice or cocaine.
- Drug testing concentrates attention towards illegal drug use and unhelpfully firms up the misguided bifurcation between licit and illicit substances. It is not the use of any illicit drug that warrants attention but rather the misuse of any drug legal and illegal that should warrants attention. The legally promoted drugs (alcohol, caffeine, tobacco and sugar) can pose serious risks, sometimes greater than their illegal counterparts.
- A positive drug test may reduce the risk of people who are intoxicated from using machinery, driving a car or flying a plane, however, testing positive for a drug doesn’t necessarily mean that the person is intoxicated or impaired – for example cannabis can be detected a month after not using, so a positive drug test could result in misguided concern, and unfair dismissals.
- Some maintenance opioid substitute prescribing regimes rooted in harm reduction engage in regular drug testing, but as a consequence of a positive drug test for illicit drug use some automatically suspend or even terminate prescribing. The use of drug testing in this manner transforms what was a low threshold harm reduction prescribing philosophy into a punitive abstinence only regime.
- A positive drug test indicates drug presence but not necessarily drug impairment, but as in the case of drug driving government campaigns are often conflating drug presence with drug impairment, ascribing much more to drug testing than it is telling us. Association does not mean causation.
- A positive drug test may be incorrect due to a small percentage of ‘false positives’ caused by equipment failure or human error, and conversely ‘false negative’ can occur.
- An accurate positive drug test still maybe misleading. It is assumed that the person has taken illicit drugs when those drugs may have been ingested legally. For example, consuming poppy seeds in bread can lead to a positive drug test for opiates, or if the person took a paracodeine tablet for a headache they’d show positive for opiates.
by Julian Buchanan (updated Dec 2016)
While it can be argued that some groups have benefitted from drug prohibition, this divisive and ill-founded strategy has caused untold harm to many. Yet despite the unequivocal evidence of social damage, severe law enforcement measures to deter the use of certain substances have continued unabated for over five decades. In their eagerness to end the draconian drug war and replace it with a policy rooted in evidence, science and reason, should Drug Reformers accept and embrace any policy improvement as a step in the right direction? Before we consider the issue of drug reform in terms of incremental change versus abolition, we need to distinguish between individuals, and the organisations/leaders/spokespeople who have an interest in drug policy. With regard to individuals who may have shifted from once embracing the dominant discourse of prohibition to a more informed and enlightened view of drugs, any incremental move warrants encouragement and supportive discussion. In respect of organisations, leaders, and spokespeople with an interest in drug policy, however, I think we need to be more much more questioning and critical.
An incrementalist approach, which perceives any step away from the traditional drug war model as an inherently positive move, is at best naive. It mistakenly assumes that incremental changes to Prohibition should automatically be supported, as key steps towards ending the Drug War. Herein lies a major issue. So, for example – imagine that one ‘Reform’ organisation campaigns to get drugs ‘out of the hands of gangsters‘ and wants drugs to be regulated.
On the face of it, this sounds good – as if we are on the same page, heading in the same direction. If, however, the proposed changes promoted by this ‘Reform’ organisation mean that some drugs will be legalised, but will only be available via BigPharma or Big Business, and new laws will be rolled out to make possession of ‘unregulated’ drugs a criminal offence – then we are definitely not on the same page: I can’t support replacing prohibition with Prohibition 2.0.
For me, the wrongful policing, criminalisation, and incarceration of people for possession of banned drugs is the most important issue in the Drug War, and I think it is paramount, from a human rights perspective, that in the course of any reform, the State shouldn’t decide what a person can and can’t consume, and shouldn’t seek to prevent such consumption, or to punish people for personal possession of unapproved drugs. Such enforcement has always been selective, repeatedly and unfairly targeting disadvantaged people, indigenous people, Black people, women and ethnic and minority groups. So, what might appear to be a step in the right direction could end up being a lost opportunity for genuine reform. If reformers aren’t careful, they could wind up supporting the launch of a new regime of Prohibition.
The example above highlights the importance of clarity and transparency concerning what individuals and organisations who ‘sit around the table’ to tackle the drug war, are actually seeking to replace it with, and why. Inevitably, abolition will involve a process of change, but it is vital to support only those changes that are clearly part of the bigger process of abolition.
A further example would be a shared concern regarding the huge number of people going to prison for drug-defined crimes (such as possession, cultivation, and supply). An organisation comes along and says prison for drug-defined crime is wrong. Yes, this appears to be another incremental step in the right direction that we should support. On the surface it is; but this penal reform organisation seeking to keep offenders out of prison, later also disturbingly argues that we can stop drug users going to prison by setting up Drug Abstinence Courts, random drug testing, scran tags and 12-step rehabilitation programmes. In our shared efforts to produce incremental reform, we risk supporting new oppressive regimes rooted in prohibition and abstinence.
Should we support this ‘incremental improvement’ away from prison to Drug Abstinence Courts? I don’t think so. Drug Abstinence Courts are new prohibition, utilising quasi-compulsory methods to enforce abstinence and impose a blanket ban on drug use. In the USA, this apparent step in the right direction has spawned a huge rehab and drug-testing business that profits from these drug ‘offenders’. There are now around 3,000 Drug Courts, with more being rolled out in other Anglophile countries.
A third example would be a reform organisation promoting the view that drug use is not a crime problem, but a public health issue. In our gratitude at the prospect of drugs moving out of the law enforcement arena to which they should never have been consigned, it would be easy to lend support to this change. Further examination and discussion, however, reveals that while the ‘reform’ organisation supports decriminalisation of all drugs, it sees the use of all currently-banned drugs as a public health issue, and fails to distinguish between recreational use and problematic use, or between different drugs. The risk here is that the oppression for so long endured at the hands of law enforcement could be replaced by oppression at the hands of the medical and health professions coercively ‘treating’ people for their ‘public health’ problem.
A fourth example is that of campaigns to legalise particular drugs, such as the growing move to legalise cannabis. While this is laudable, and a move I wholeheartedly agree with in principle, selectively privileging particular drugs, based upon their popularity, to join the licit market in alcohol, caffeine and tobacco does not signal an end to Prohibition – on the contrary; it arguably bolsters prohibition. Granting pardons for particular drugs is a dangerous and uncertain pathway towards drug reform. Instead, we should challenge the very foundations of prohibition and push for the legal right to possess any substance for personal use, without threat, intimidation or punishment from the state.
The trouble with combating a major injustice such as the Drug War, and then settling for incremental adjustments, is that it compromises, complicates and confuses the reform movement and message, it dilutes and divides the drive for reform, and it establishes a new regime which then gains its own momentum, and poses its own problems, which are even harder to correct.
The Drug War will be remembered in history as one of the greatest social policy disasters in modern times, an ill-founded and ill-conceived approach, a serious breach of human rights which has devastated the lives of individuals, families, communities, and indeed whole countries. There is only one acceptable solution to Prohibition and that is Abolition.
*With thanks to Jerry Dorey for helpful edits and suggestions!
The so called ‘War on Drugs’ never existed. The idea that there is or has been a war against drugs is a lie, it’s classic prohibition propaganda. There has never been a campaign against drugs. Let me explain. Society and governments have always appreciated the wide ranging benefits and pleasures derived from drugs. Drugs have never been as popular as they are now. The availability, promotion and use of pharmaceutical and legally approved drugs such as caffeine, alcohol, tobacco and sugar, has never been greater. However, prohibition propaganda has conveniently resulted in these drugs escaping under the radar of the prohibitionist drug discourse, and these substances are incorrectly, not perceived as drugs.
Rather than a War on Drugs, what we have is a Drug War, a hostile war waged by the proponents of approved drugs against anyone using unapproved drugs. More accurately, a process better conceptualised as a politically driven Drug Apartheid; an arbitrary and illogical separation, not of people, but of drugs. This distinction between these two sets of drugs has no rational basis, it has no science or evidence to support it, neither is it based on the risk of harm. Under the strictly enforced Drug Apartheid alcohol, sugar, tobacco and caffeine enjoy privilege, power and promotion, while unapproved drugs are outlawed and anyone found involved in possession, production or supply risks stigma, criminalisation and punishment, including life imprisonment and the death penalty. This brutal, inhumane and damaging system that impacts negatively on individuals, families, communities and nations, is perpetuated because society has been successfully indoctrinated (at a personal, cultural and institutional level), to believe a social construction of ‘drugs’.
Anyone seeking to expose or challenge the drug apartheid, risks being ridiculed, and is vulnerable to public humiliation, as experienced by Professor David Nutt. The unwarranted and ill-founded attack on David Nutt was no isolated incident. Further, to deter any association with outlawed drugs, armed forces, customs officials, and police invest massive energy and resources, while magistrates and Judges impose some of the severest sentences available to the courts for drug violations. Such is the power of the drug apartheid, that a criminal conviction for using the ‘wrong drug’ results in life-long consequences for travel, employment, housing, relationship and opportunities. The ever increasing business opportunities and technologies, spawned from the drug apartheid, drug testing (urine, blood, hair, sweat, saliva, and waste water!), has enabled the oppressive regime to extend beyond law enforcement agencies, to the civil arena, so that surveillance, monitoring and sanctions to maintain the drug apartheid are now carried out by employers, benefit agencies, schools, colleges and even in homes by parents on their children.
This untenable and indefensible position, of outlawing some drugs and privileging others, was enshrined in the 1961 UN Single Convention, a law that is rooted in moral and politically ideology from the 1930s, 40s & 50s. The decision to isolate a group of substances was never based upon science, reason or evidence. Yet ironically, since it’s inception, drug reformers have tried to end this drug war by engaging ideologically driven politicians, governments and UN bodies with endless streams of evidence, inquiries, research, reports and debates.
This considerable drug reform effort, has for five decades (1960-2010), resulted in no significant drug law or policy change by any major advanced western capitalist country, – apart from some US state privileging cannabis for entirely different reasons. The vast array of campaigns, reports, research, presentations, inquiries, reviews, and publications have for decades been consigned to a vacuum, while the increasingly wealthy and all powerful multi-national companies with a vested interest in maintaining the drug apartheid, have worked closely alongside politicians and government agencies, to maintain drug policy inertia through propaganda, procrastination, misinformation and distortion. Indeed prohibition benefits many groups and organisations.
A recent US opinion poll (the General Social Survey), that explores support for cannabis legalisation, indicates that for almost 40 years (1970-2007) public interest in legalising cannabis changed little, fluctuating between 16% and 33% during that period. However, in the seven year period since 2007, support for legalisation has risen rapidly from 31% to 52%. How do we make sense of this dramatic shift?
One influential contributing factor over this period, has been the global and widespread increased access to the internet, and the mass engagement with social media such as Twitter, Facebook, Scoop.it, LinkenIn and YouTube. Social media provides an alternative source to information, evidence and peer exchange, and has I believe, played a significant part in enabling the wider public to gain access to independent, research based knowledge and reason, necessary to critically consider and question the basis of the Drug Policy Sham. In particular, the widespread dissemination of research evidence, facts and case stories (such as Charlotte Figi), about cannabis to the public, has resulted in long overdue, and much needed calls for decriminalisation and legalisation, to allow people suffering with life limiting illnesses, that fail to respond to medicine, to explore possible benefits from cannabis, and sensibly too, to allow recreational use of cannabis. Personal possession of cannabis should never have been outlawed, but neither should personal possession of any substance. Every person should in principle have totally rights over their own body and what they consume without threat of harassment, punishment or incarceration. The risks associated with personal consumption of any substance is a health and social care issue, not a law enforcement issue (if it’s an issue at all!).
The public acceptance of cannabis is a very significant shift, indeed, it could mark the ’tipping point’ – the start of the process that could see the end of the drug apartheid. But let’s be clear here, cannabis reform in the US is not occurring because fifty years of research, evidence and debate has finally persuaded politicians the drug war was a mistake, and the politicians are seeking legislative change. No, cannabis is being embraced, essentially because public insight and awareness has significantly increased since 2007, and there has been a shift in public opinion, that has resulted in serious electoral pressure upon politicians to enact cannabis law reform. The drive is coming from the grassroots, it’s not being led by politicians, instead governments are being forced to change by the public and ballot box.
In an era where the interests and activities of multi-national companies and politicians are becoming increasingly enmeshed. An era where democracy seems unresponsive to the needs of the vulnerable, and shows little interest in the protection of the common good, another four decades of inquiries, reports, reviews towards incremental change, would be a grave strategic mistake. The leverage for drug reform will be found, not in trying to persuade politicians or the INCB, UNODC, UNGASS, CND to lead the way on incremental changes which fail to address the underlying fallacies, but rather, by winning over mass public support, by utilising social media to distribute evidence, developing well-informed community movements, regularly disseminating accurate information, sharing influential case studies and rallying a huge social movement and public outcry that demands political change and transformation. The Drug War fallacies spawned by UN, have created a global system of propaganda and prohibition. This system needs exposing and ending, it is misguided to imagine it can provide foundations that can be adjusted and reformed incrementally to deliver drug legalisation.
Despite this encouraging drug law reform development, in respect of cannabis, the attempts towards genuine global drug reform could easily be thwarted. If, as drug reformers, we are not clear in our arguments and strategies for reform, which should be firmly rooted in protecting human rights and promoting harm reduction, cannabis will simply be invited to join the other privileged legal drugs in the drug apartheid. This could be a positive outcome for: big business, who can extend their repertoire and profit from the commercial sale of cannabis; for the state, who can profit from taxes, as well as continue to utilise drug laws as a key control mechanism for stopping, searching, arresting and punishing the poor, indigenous and minority ethnic groups; and the business enterprises spawned from the drug wars, (the industrial penal complex, the drug testing industry and the drug treatment industries). In this pivotal period for drug reform, simply privileging cannabis and failing to address the fundamentally flawed system of drug control would amount to colluding with a corrupt system.
Some drug reform entrepreneurs may attempt to hail privileging cannabis as an incremental step in the right direction, but the widespread and growing public support for decriminalisation, (and ultimately the regulation of all drugs), could be dissipated by this tokenistic gesture to invite cannabis to sit around the table of the powerful. While alcohol, tobacco, caffeine and maybe cannabis enjoy privileged status, the scourge, oppression and madness of a drug apartheid, remains an affront to human rights, a system of punishment and control that will continue to haunt this generation and future generations to come, one that will be remembered shamefully in history. The international system of drug control is deeply flawed and damaging to individuals, communities and countries. There is no ‘World Drugs Problem’ what we have is a UN led World Drug Policy Problem. It needs naming, exposing and dismantling. There can be no minor adjustments, or so-called incremental steps to accommodate the status quo, abolition is what is required not compromise.
This period of history will be recalled for the needless self-inflicted harm, imposed across the globe by a drug apartheid, in which drug laws and drug policy have caused considerably more harm than the drugs ever could.