Showing posts with label heroin prescription. Show all posts
Showing posts with label heroin prescription. Show all posts

Sunday, 30 May 2010

Heroin prescription can be a vaccine against a broken society

In the couple of days between the arrest and the charging of Stephen Griffiths this week I made desperate attempts to contact all 3 Bradford MPs, driven by the knowledge that I would struggle to forgive myself if the arrested man was not the killer and if further women were to die.

On reflection I am struggling to convince myself that I'm not partially responsible for their deaths anyway. I've known for over a year now how to prevent young women engaging in street prostitution to fund a drug habit, but in that year I have failed to effect change in our drug policies towards heroin and the poor people who find themselves needing to take it. It's not a happy place to be. But I can't imagine how it must feel to know the solution as I do, have considerably more power to effect the necessary change, but yet choose to say nothing for "political" reasons. Perhaps such people hold the same prejudices that they project onto the population and genuinely see the street prostitutes of the UK as not worth the hassle.

So to the solution. How do we stop young women dependent on heroin from working on the streets to pay for it? It's simple really. We look at the evidence on the most cost-effective way to treat their condition and we apply the solution that we know works. The results of the British trials of maintenance heroin have finally been published and they confirm the results from all of the other trials carried out in the last 10 years. Heroin works. Methadone is a poor second best.

If such disparity was demonstrated between the effectiveness of two drugs for any other medical condition - and the NHS continued to resist offering the more effective option - the sufferers, their families and friends would go nuts. In all likelihood the general population wouldn't be happy either.

Dependent drug users as a group on the other hand might struggle to summon the self-esteem, their families might struggle to break through the stigma and large sections of the population would quite likely express considerable revulsion at "their" taxes being spent on people who have "chosen" to take drugs.

Hang on a minute. If using heroin is a choice is smoking tobacco an innocent mistake? In the interest of consistency should we not cease the treatment of smokers for lung cancer, chronic pulmonary diseases, heart disease, stroke etc? Hmm, how long do we let them burgle, prostitute and generally make a nuisance of themselves to pay for their treatment privately before we decide to give them a chance on the NHS? And smoking is an educated choice. It says it's going to give you cancer on the bloody packet! Surely by Daily Mail comment contributor logic all the smokers visiting GPs saying "I have breathing difficulties" should be greeted with "Well Duh!" and shown the door. No drug dealer is going to last very long in the trade if he passes on similar health warnings to his clients. Imagine "Before you try your first hit I should say that heroin is an extremely physically addictive drug and with your economic and social situation as it is you will likely be considering prostituting yourself to feed your habit within a month." If heroin is a choice, then eating lots and sitting on the couch is a choice. Raising your blood pressure ranting at liberals who want to give junkies heroin on the NHS is a choice. To hate the prospect of heroin on the NHS is to hate the NHS itself and the assistance it gives to all those who need it regardless of colour, creed or the ill-advised choices that cause you to need it.

And it's not just the dependent user who benefits from prescription. Obviously the families of addicts would be saved considerable anguish. The children especially might not be removed by authorities now that the parents have chaotic money and drug-seeking removed from their daily routine. The parents might be able to hold their children as their number one priority.

The communities that dependent users live in might be spared the up to 80% of domestic burglaries that dependent users commit and the over 50% of acquisitive crimes in general. They might be spared the desperate sight of street prostitutes working in their neighbourhood.

Most importantly though, bringing a heroin addict into the care of the state removes a customer for the local dealers. The more problem drug users you treat, the less customers there are for the local dealers and the less viable their occupation. In many cases the dealer will themselves be dealing to fund a habit of their own. Give them prescribed heroin and the need to fund their habit in that way disappears. Give a whole heroin-using community prescribed heroin and the dealers who would seek to expand that community lose their livelihood and need to find something else to do with their time. Effective treatment of heroin addicts can end further recruitment of young people into that lifestyle. The risk of further daughters becoming drug-addicted street prostitutes becomes infinitessimal.

The debate on heroin prescription is currently centred around whether we should make it available as a second-line treatment for people who have failed to cease street heroin use while receiving methadone. The progressive goal here is really uninspiring though. There are tens of thousands of unemployed, vulnerable young people who are at risk of falling into the dependent user lifestyle. I believe we should make a concerted effort to block that path. I believe we should be identifying as many problem drug users as possible and giving them their drug of addiction for free (at least at first). Only then do we have an opportunity to end the culture of street heroin and its capacity to spread into another generation. It is utterly bizzarre that we should tolerate people stealing from us, prostituting themselves and trying to get our children hooked on heroin. We have to consider vaccinating our society to halt the spread of this menace.

We did nothing to improve the way in which we treat addiction after 5 addicts who worked as prostitutes were murdered in Ispwich in 2006. We have done nothing to halt the drug-related death rate doubling in Scotland over the last 10 years. Another 3 addicted women have now been murdered by a serial killer in Bradford. This is not the time to play catch-up with the progressive policies of our European neighbours. It is time to make up for lost time and innumerable lost lives. It is time to treat addicts with humanity, treat addiction as an illness, and credit the British people with the intelligence and the compassion to understand why such action is required.

Sunday, 25 April 2010

It's unclear which of Clegg and Cameron most supports drug policy reform.

The Telegraph has uncovered Nick Clegg's past support for drug policy reform http://bit.ly/bxJNC2, but has it uncovered David Cameron's http://bit.ly/c8a9ee

The party leaders are both very sensible on the issue of course... at least they were before they had an election to fight.

I suppose the Telegraph was intending to put Clegg on the back foot with this. He should express no regret. Rather he should ask why David Cameron expressed similar opinions in the past and has chosen to retreat back to the supposedly populist standard political position.

Only the liberal democrats are willing to consider evidence on drugs policy. Gordon Brown has stated clearly that considering evidence is not something he is interested in (http://bit.ly/8UfYgK). And the conservatives remain committed to fanciful notions of enforcement-led intervention and abstinence-based Drug Rehabilitation Orders.

The Telegraph may also kick themselves when they realise they have timed their article (I presume unintentionally) to coincide with a dramatisation of the lives of the five young women murdered by Steven Wright in Ipswich in 2006.

Five Daughters will start tonight at 9pm on BBC1 and its relevance to drug policy is highlighted by executive producer Susan Hogg's words on BBC Breakfast earlier in the week explaining why she wanted to make the film:

"Paula Clennell (one of the murder victims) gave an interview where she talked about having to go out on the streets because she needed the money and I suddenly realised that this was about drugs and not about these girls being on the street. Up until that point everyone had talked about them being prostitutes... there was nothing to do with who they were and I really felt I wanted to explore the victims and who these young women were and particularly because i knew it was about drug addiction and that was really really important."

A TV writer who has seen it already has confirmed to me that the film could have a really big impact on people's prejudices about drug abuse and street prostitution. The Telegraph has handily highlighted Nick Clegg's support for heroin to be made available under medical supervision. I hope many voters will recognise that the best way to ensure more daughters do not end up addicted to heroin and funding their habit through street prostitution is to implement that very policy.

Tuesday, 13 April 2010

The need for a Project "Project Prevention" Prevention

There have been a couple of articles in the Herald newspaper recently on the "Project Prevention" charity, most recently this morning under the headline "Social workers urged to refer addicts for sterilisation." http://www.heraldscotland.com/life-style/real-lives/social-workers-urged-to-refer-addicts-for-sterilisation-1.1020204

Barbara Harris, the Founder of the project - which hopes to pay addicts £200 each to go through a sterilisation procedure - appears to be motivated by a genuine concern for the wellbeing of children born with the same addiction as their mother and/or subjected to neglect and other abuse over the course of their childhood.

On the face of it sterilisation would achieve some positive outcomes: Fewer babies born with serious addictions and needing considerable hospital treatment, and fewer babies born into households where the parents' primary motivation is drug-seeking rather than their child's welfare. Many people will find the proposal morally abhorrent. But is this a morally dubious proposal that might just be an answer to some of our society's problems? Could projects such as these produce knock-on effects similar to those highlighted in the book "Freakonomics" following the legalisation of abortion in the US? The economist responsible for the research found that the considerable drop in crime in the US in the early 1990s could be almost entirely explained by the nationwide legalisation of abortion following the Roe vs. Wade Supreme Court ruling in 1973. The implication was that lower numbers of unwanted children being born led to lower numbers of people being brought up in an environment that fostered criminality. Could sterilising addicts not only prevent child suffering, but prevent the future crime that these damaged children might commit?

What then are the objections to this plan that could have such potential benefits? We could liken the procedure to the selling of a kidney in that you would be reducing your fitness for the benefit of others and for financial gain. But with Project Prevention's proposals the "client" might not only be motivated by poverty, but also by the physical pain of withdrawal. Were the procedure to be offered without financial incentive, judgement might still be clouded by the feelings of worthlessness and general low self-esteem that so often occur alongside addiction problems. For these reasons I am not confident that addicts are in a position to make a rational decision on their future suitability or desire to become a parent. This has both moral and legal implications, with it being unclear whether it is possible for informed consent to be given for a sterilisation procedure in the circumstances in which Project Prevention seeks to operate.

The word "eugenics" has been used to describe Project Prevention, but as a man who studied evolution with great interest at undergrad level, I am uncomfortable with this description. The term implies that drug addiction is a genetic trait which can be eliminated from the gene pool. While it is true that there may be a genetic predisposition to addiction and risk-taking behaviours, drug addiction is far more environmental in nature. Perhaps we could invent the term "euenvics" to describe the prevention of reproduction of individuals who would likely provide a poor environment for their children and thus risk those children becoming a greater burden to society than the average child.

Unlike genetic traits, drug addiction is something which need not be permanent. With the right intervention in addicts' lives, it is very possible for them to end their drug use and to become capable of parenting that need not lead to their child's suffering and/or criminality. The thought of sterilising addicts strikes me as jumping straight to plan Z following the failure of plan A.

I would suggest we should try to find a morally, economically and politically viable plan B instead. I believe this should be a plan that recognises that addicts should be able to seek treatment without fear of criminalisation or the removal of their children into care. For there to be positive outcomes for mother and child, the mother needs to feel she can trust the police, social services and health services to be doing everything they can to help her:
a) stabilise her lifestyle without the need to commit acquisitive crime, prostitute herself or deal in drugs to fund her addiction.
b) (if she wishes to have a family) come off drugs in a controlled fashion whilst using contraception that she is comfortable with.
c) raise the child in an environment conducive to a happy, healthy life.

I believe passionately that such conditions are more likely to come about if drug use is decriminalised and addicts have the option of stabilising on prescribed heroin.

To instead pay these women to be sterilised is to reinforce their feelings of worthlessness and low self-esteem and to demonstrate we have given up hope that they can turn their lives around. Sterilisation also deprives these women of a great life-changing event and the responsibility to stay clean not only for their own benefit, but for the benefit of a child that they love dearly and that would be utterly reliant upon their care.

We should be seeking to minimise the number of babies born to addicted mothers. An addicted baby goes through excruciating pain and requires considerable medical attention as they go through withdrawal. But the most humane way to achieve this is to treat addicts as just another patient group with a treatable medical condition. If we fail to assist women to cease drug use, then we need to recognise that addicts can hold down jobs and raise families just as well as the rest of us if they know when and where to get their next fix and they don't have to pay massively inflated prices for an illegal supply.

A facebook group has been started to resist "Project Prevention" in the UK.

http://www.facebook.com/home.php#!/pages/No-to-eugenics-in-the-UK-Keep-Project-Prevention-Out-of-the-Country/100654733311568?ref=ts

And if you agree with me that we need to try a Plan B then why not join Liberal Democrats for Drug Policy Reform at http://act.libdems.org.uk/group/liberaldemocratsfordrugpolicyreform

Thursday, 18 February 2010

An emergency motion on anthrax-contaminated heroin and draft supporting speech

Conference notes with concern:

That 21 injecting heroin users have contracted anthrax infections from contaminated heroin in Britain since December last year, with 10 of these infections proving fatal.

That the Health Protection Agency advice issued in response to this developing crisis is unlikely to reach injecting heroin users and unlikely to significantly change their behaviour, and that treatment service availability is often insufficient if users do seek help.

Conference further notes:

A growing number of European states are providing treatment-resistant heroin addicts with pharmaceutical heroin for supervised consumption and have observed considerable benefits both to the patient and to the wider community as a result of this practice.

That experience from these countries and from trials in the UK show heroin to be considerably more effective than methadone in improving patient and societal outcomes.

Conference believes:

The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.

Provision of alternative pharmaceutical sources of heroin to injecting heroin users in the geographical areas affected would not only protect them from the risk of anthrax infection, but protect the communities in which they live from the criminality they are often compelled to engage in to service their addiction.

Conference therefore calls for:

The United Kingdom authorities to expand provision of clinics where addicts can use pharmaceutical heroin under medical supervision, with urgent priority given to regions affected by anthrax-contaminated heroin.

Potential speech:

The killer stalking heroin addicts in Britain today is the same killer that provoked me to found Liberal Democrats for Drug Policy Reform last year. There are eerie parallels between the health authority's current pleas to heroin addicts to stop taking heroin and the police pleas in 2006 asking girls working on the streets of Ipswich to “look out for each other”. Both are utterly inadequate in the face of an unfolding tragedy.

The final victim of Steven Wright gave an interview with ITV news 5 days before she disappeared. When Paula Clenell was asked “Despite the dangers, why have you chosen to come out tonight?” she replied “Because I need the money. I need the money.” When someone is a heroin addict, and knows they run a high risk of being murdered if they continue to try to fund their habit, but they work the streets anyway... surely we can learn from this that heroin addiction isn't something you can just stop.

So what is the killer stalking heroin addicts today? Is it incompetence in the relevant government authority? Or is it public indifference failing to demand that action is taken? How much do we really care when a prostitute goes missing or a heroin addict dies? I know I cared a great deal more after watching a documentary that profiled the young women who died in Ipswich. They were just ordinary girls living ordinary lives who made one mistake in taking heroin and couldn't escape its clutches. Heroin addicts aren't feral animals, they are people's sons and daughters, sisters, brothers, mothers, fathers and friends. Their mistake in taking heroin does not exclude them from their right to health laid down in the constitution of the World Health Organisation and restated in the body of this emergency motion.

In order to illustrate what prescribed heroin might bring to our communities I shall now read an excerpt from a journalistic piece written in 1995 by Mike Gray about the closure of a clinic in Widnes. Heroin prescription used to be widespread in the UK, but had been scaled back under diplomatic pressure from the US.

“In March of last year I visited the Chapel Street Clinic and met with several of the patients. I sat in on a group session where eight heroin users discussed their lives and problems with a counselor before picking up their prescriptions for pharmaceutical heroin. Unlike the junkies we are used to seeing, this group was virtually indistinguishable from any other bunch of young adults on the streets of Liverpool. They were well dressed, talkative, energetic -- they had jobs -- and they used heroin daily.

One was a young woman named Juliette who had been an addict for 13 years. She came from a middle-class background, married a rich kid who got her into heroin, then left her with two kids and no money. She tried desperately to kick but couldn't make it. Somehow for ten years she managed to stay afloat through petty theft and prostitution, with the authorities breathing down her neck. Finally, terrified that they were about to take her kids away, she happened to find the right doctor and he sent her to John Marks. Marks gave her a check-up, satisfied himself that she was indeed a heroin addict, and wrote her a prescription.

"For the first time in ten years," she said, "I had spare time. I didn't have to worry that my dealer wouldn't show -- I didn't have to worry about the price or where to steal the money. So for the first time in ten years, I had a minute to look in the mirror. I looked and I said, `Oh, my God.' Then I looked at the kids, and I said, `What have I done?' All these middle-class values came flooding back in on me.

" Today Juliette has a job, a house, and a mortgage. The kids are in school and doing well. Everybody's in excellent health. And once a week she comes to Chapel Street for her prescription. I asked John Marks what will happen to Juliette on April 1 (when the clinic closes). He said, "Well, she'll go down the tubes."

This isn't going to be an easy process. Each addict will suddenly have free time to reflect on the shameful things they have done over the course of their addiction. But tens of thousands of families can be reunited with loved ones they may have thought lost forever.

I suspect there are very few of these people in the audience today (this is a Liberal Democrat conference after all), but if you are ruled by your wallet and not your compassion, then the cost of providing safe heroin to addicts is tiny relative to the estimated £60,000 yearly cost to society that the average problem drug user constitutes at present. They don't want to die a slow, painful death from an anthrax infection. I'm fairly sure they don't want to be stealing, dealing and prostituting themselves either. Provision of safe heroin under medical supervision means they really don't have to.

Friday, 8 January 2010

Why should Women Liberal Democrats support a motion calling for control and regulation of drugs?

The stories of how prohibition affects women give the drug policy reform movement the strongest arguments we have. The one experience more than any other that motivated me to campaign for drug policy reform was watching the documentary film: "Killer in a Small Town" The film tackled the story of the 5 young women who were murdered by Steve Wright in Ipswich in 2006. The film-maker spoke to their families and friends and attracted attention to the fact that these young women were seemingly ordinary girls from ordinary families who had apparently just made a few bad decisions in their life and found themselves addicted to heroin and selling sex on the streets. It struck me at the time that any unhappy or rebellious girl making a few mistakes could quickly find themselves in a similar situation, a thought that sickened me.

One of the most distressing scenes of the film was the playing of footage from the ITV news showing a journalist talking to a young woman after it was apparent a serial killer was preying on prostitutes in the town. The interviewer asked "Despite the dangers, why have you chosen to come out tonight?" to which she replied "Because I need the money. I need the money." The young woman interviewed was Paula Clennell, who was to become Wright's fifth victim.

Around 95% of street prostitutes in the UK are considered to be problem drug addicts according to Home Office estimates, and nearly two thirds cite funding drug use as their primary motivation, suggesting that the vast majority could leave prostitution if they could obtain their drug of addiction at an affordable price. Having recently met some former prostitutes at a conference and witnessed them struggle to confront their past and the effect it has had on their lives, I would say that our humanity compels us to do everything we can to ensure few others have to go through similar experiences. I certainly don't want to hear anyone else standing in front of me saying "I was lucky... I was only raped once."

Were the majority of street prostitutes to leave sex work, basic economics dictate that conditions for remaining prostitutes should improve. Sex workers should be able to increase prices, work less hours and be more choosy about the clients they take business from if "supply" of sex workers doesn't meet "demand" from punters. Some of the tens of thousands of police freed up by the massive reduction in acquisitive crime rates that should accompany controlled, regulated drug supply could be diverted into shutting down exploitative brothels, and ensuring demand is not met by trafficking from overseas.

The sad truth is that there are male heroin and crack addicts out there who are identifying vulnerable teenagers, seducing them, offering them drugs and sending them out on the streets to raise money to fund both their habits. I would much prefer any decision to take hard drugs to be based upon education provided by a trained pharmacist or counsellor rather than the extent of your education being contained in the phrase "Try some of this, it's awesome." spoken by the first man you think you love.

It is also true that many of the currently illegal drugs have the potential to cause great distress to families. They can bring about changes in personality and values that create awful dilemmas in mothers and other family members, torn between the pain of holding a drug-affected family member close and the pain of pushing them away. A system combining licensing and drug tagging might be very effective in restricting provision of drugs to children in the first place and the absence of criminal sanctions for use should make it much easier to seek and receive help, as has been the case in Portugal, where drugs have been decriminalised since 2001. In Portugal prevalence rates of use of all the major drugs by 13-18 year olds reduced between 2001 and 2006.

Another tragic feature of the relationship between women and drugs is the routine removal of the children of drug addicts. There are around 10,000 children of heroin addicts in care in the UK and addicted mothers who are having serious problems are resisting seeking treatment in the fear that their children will be taken from them. Current prohibitionist policy just increases harms for both the mother and the child. Removing the chaos from addicts lives by ensuring they don't have to be constantly chasing money to fund their habit can allow them to hold their children as their number one priority. What chance does a woman have of escaping the spiral of despair and addiction if she is living in constant fear of losing her kids?

The passage below is taken from a piece written in 1995 by Mike Gray about the closure of a clinic in Widnes. Heroin prescription used to be widespread in the UK, but had been scaled back under diplomatic pressure from the US.

"In March of last year I visited the Chapel Street Clinic and met with several of the patients. I sat in on a group session where eight heroin users discussed their lives and problems with a counselor before picking up their weekly prescriptions for pharmaceutical heroin. Unlike the junkies we are used to seeing, this group was virtually indistinguishable from any other bunch of young adults on the streets of Liverpool. They were well dressed, talkative, energetic -- they had jobs -- and they used heroin daily.
One of the most attractive was a young woman named Juliette who had been an addict for 13 years. She came from a middle-class background, married a rich kid who got her into heroin, then left her with two kids and no money. She tried desperately to kick but couldn't make it. Somehow for ten years she managed to stay afloat through petty theft and prostitution, with the authorities breathing down her neck. Finally, terrified that they were about to take her kids away, she happened to find the right doctor and he sent her to John Marks. Marks gave her a check-up, satisfied himself that she was indeed a heroin addict, and wrote her a prescription for a week's supply.
"For the first time in ten years," she said, "I had spare time. I didn't have to worry that my dealer wouldn't show -- I didn't have to worry about the price or where to steal the money. So for the first time in ten years, I had a minute to look in the mirror. I looked and I said, `Oh, my God.' Then I looked at the kids, and I said, `What have I done?' All these middle-class values came flooding back in on me.
" Today Juliette has a job, a house, and a mortgage. The kids are in school and doing well. Everybody's in excellent health. And once a week she comes to Chapel Street for her prescription. I asked John Marks what will happen to Juliette on April 1 (when the clinic closes). He said, "Well, she'll go down the tubes."

Many of the young women who get involved with drugs have had difficult lives and can only find comfort in drugs, despite what their addiction makes them do. We have turned our backs on their plight for too long. Regulating and controlling drugs sensibly can take the chaos from these young women's lives and allow us to offer them comfort that will not damage them. Careful pricing has the potential to put drug dealers out of business, removing the pushers that try to recruit children as customers. Control and regulation is not throwing in the towel in the "War on Drugs", it is moving the war onto ground that we understand and can control in order to limit the damage drugs can do to our society. Supporting the Liberal Democrats for Drug Policy Reform motion for Spring conference could help the Liberal Democrats take a massive step forward in tackling the terrible effects of prohibition in the UK and beyond.

If you are a rep for your local party and would like to support the motion (found at http://lddpr.blogspot.com) please get in touch with me at ewanhoyle@gmail.com

Sunday, 8 November 2009

How do we open up a home front against the Taliban?

In World War II it seemed the whole of society was mobilised to support the war effort around the world. As we remember today the men and women who have fallen in all the wars this nation has fought, it is time to ask whether we are doing all we can to support our effort in Afghanistan.

The uncomfortable truth is that there are around 250,000 of us who are actively undermining that effort. People who, when combined with their fellows around the world, provide around 50% of the Taliban's funding. For the vast majority it is not their intention to fund the insurgency of religious fundamentalists, and even if you told them they were funding the Taliban, they would struggle to stop. These people are heroin addicts. 92% of the world's heroin originates in Afghanistan, and the Taliban's taxes on the trade and heroin stockpiles are what accounts for around 50% of their income.

So what is the best way of breaking this link between British heroin addicts and the Taliban?

We have tried eradicating poppies in Afghanistan, an act which unfortunately has much the same impact as disrupting trafficking in and around the UK. Namely, the price for the remaining heroin goes up and the Taliban makes the same amount or more money. Indeed the Taliban themselves suppressed opium growing in Afghanistan in 2000 and apparently reaped great financial reward from their efforts "The total farm-gate value of opium rose from US$56 million in 2001 to US$1,200 million in 2002" (UNODC (2004), ‘Presentation to the International Crisis Group on Afghanistan’, Brussels, 5/VII/2004). http://bit.ly/19OsRn

Efforts to get addicts off heroin have been successful up to a point, but methadone is a more harmful drug to an addict's health, and is often ineffective in reducing demand for street heroin. Prison is an ineffective deterrent, and rehab is expensive and often unsuccessful.

There is one option available to us that we have yet to try on any great scale. Opium poppies are already being grown in Britain to provide medical opiates in the treatment of our sick. If we were to expand the growing of opium poppies and treat our addicts medically with prescribed heroin, and if other countries were to do the same, we could remove the demand for Afghan opium, and so remove half of the Taliban's current funding, reducing their ability to buys guns, explosives and bullets with which to resist democratic reform and attack British soldiers trying to help Afghanistan rebuild after Taliban rule.

It is the government's short-sighted drugs policy that is funding the Taliban, not the hapless drug-addicted wretches in our cities and towns.

Monday, 28 September 2009

Where is the junkie rights movement?

I've just finished watching the movie "Milk" and I'm wondering where the junkie rights movement is. Addicts don't choose to be addicts. They are just people who were sad, bored or ignorant at one point in their lives, made a really bad decision and found themselves imprisoned in an addiction from which they find it impossible to escape. Homosexuality is nothing to be ashamed of, but addiction is. There's no way you can imagine a crowd marching down the street singing "Say it loud, I'm a junkie and I'm proud." Heroin and crack are illegal for starters, but I suspect it's not the addiction that is the source of shame. Prohibition is compelling these people to go against their moral values and break social taboos by stealing and prostituting every day of their lives. How could they not feel shame? How would you feel if you had to steal or sell your body every day of your life to fend off great physical or emotional pain? Addicts are living that life every day. No wonder they seek escape in their next fix. If I were living like that every minute of sobriety would gnaw away at my conscience.

We now know that they don't have to live this life of shame. Prescribing heroin (and/or cocaine) can break the cycle of chaos and allow them to reflect on their lives with the knowledge that they need not go back to stealing and/or prostituting themselves. But yet we hesitate to embrace this new initiative. In the Daily Mail the Taxpayers Alliance states:

"Many taxpayers will have a massive problem paying for addicts’ heroin, particularly at a time when the NHS is unable to provide them with doctor’s appointments or life-saving cancer drugs."

But the Taxpayer's Alliance fails to recognise that in the status quo everyone continues to unwittingly play the "victims of crime" lottery.

Release the balls please.

And the first ball out is BURGLARY! Yes, Janet from Wokingham, you'll go home to find your new flatscreen TV, your Wii, and all your heirloom jewellery gone and your house in a bit of a state. There hasn't been a day when Burglary hasn't been drawn, and 80% of domestic burglaries are motivated by drug use. Hard luck Janet.

Next ball is MUGGING! Angela from Poole, it appears your husband has been stabbed by a drug addict because he wouldn't give up his watch and wallet. Ooh, it says here he's in intensive care so yes Angela, you are excused.

And the third ball out is PROSTITUTION! You won't like this Dave from Milton Keynes. That new boyfriend your 14 year old daughter mentioned just happens to be a drug addict, has your daughter hooked on drugs and she won't be home tonight because she's working the streets in your wife's favourite minidress to fund their addiction. Woah, hard luck Dave...

...you get the idea...

So commiserations to our losers and we'll see you in about 5 minutes time when we start all over again. We're here 24/7 year after year until the Daily Mail , the Taxpayer's Alliance and the rest of the country's prejudiced individuals remove their blinkers and realise what's really going on.

So, back to my point. The addicts may be too ashamed to fight for their own rights so we should fight for them. And frankly, I think we have a right to live in neighbourhoods with vastly reduced levels of burglary, mugging and prostitution do we not? Also, a (few years old now) leaked Downing Street strategy unit report found a yearly £16bn cost of crime committed by addicts to fund drug use. We could really be doing with that money right now.

Addicts' rights to live a life free of shame allow the rest of us to live a life free of fear. Please support the prescription of hard drugs whenever and wherever you can.

Er, we could do with that cocaine over here thanks.

So the British navy have just intercepted a fishing vessel carrying £240m worth of cocaine and have handed the stash over to the US http://news.bbc.co.uk/1/hi/uk/8277483.stm

Woops.

An excerpt from Drug Crazy by Mike Gray:

"Crack cocaine, of course, is an unparalleled menace, but the prohibitionists hardly have clean hands on this issue. Crack is a creation of the black market. The only reason for its existence is economic. It’s cheap. Unfortunately you get what you pay for. The high lasts only seconds before the bottom drops out, but low cost makes it available to the blue-collar market. There are few crack addicts on Wall Street. The traders prefer the smoother ride of the pure powder, and they can afford it. If prescription cocaine were available to serious addicts, there is every likelihood the demand for crack would disintegrate. In Liverpool, where John Marks gave addicts cocaine by prescription, nobody asked for crack."

This 5.5 tonnes of uncut cocaine could have come in very handy in the effort to protect our communities from crime. Examination of the results of the heroin prescription trials much publicised in the press earlier this month, shows that three quarters of the heroin addicts included in these trials were also crack addicts.

"those in the heroin group were committing a total of 1731 crimes in the 30 days prior to entering RIOTT treatment and after 6 months, this fell to 547 crimes"

How much further would this figure have fallen if the crack addicts had been prescribed cocaine alongside their heroin? The next course of action is not to expand the heroin prescription trial, but to accept the overwhelming international evidence of its benefits and roll out heroin prescription to every community that needs it. Scientific attention should now be turning to cocaine in an attempt to ascertain whether cocaine prescription can keep crack addicts out of trouble too.

Wednesday, 16 September 2009

Taxpayer's alliance utterly abandons the interest of taxpayers on heroin prescription issue.

The taxpayers alliance aren't representing me with this article. Are they representing you?

http://www.taxpayersalliance.com/campaign/2009/09/poverty-and-addiction.html

Here is my comment in response to the blog post that I have posted on their website:
There are several problems with your arguments against prescription. Firstly, not including the criminal act of taking heroin, nearly all of heroin addicts' crimes will be acquisitive crimes to fund the drugs that will cost them around £400-£600 per week. If you reduce the cost of this habit to zero, you remove the need to commit crime to fund it and so are likely to greatly reduce your criminal activity. Yes, some will still occasionally commit crime, but I suspect this is only because they have been driven to break the moral taboo of criminal activity by the inflated costs of prohibited heroin. Simple economics of scale should reduce rapidly the £15000 per year cost of the scheme if it were expanded. If the cost is what you object to, why do you not suggest solutions to this? Finding alternative sources of heroin, direct purchase of opium from Afghan farmers for example, would greatly reduce costs. Can we not exempt addictive drugs from free prescription charges and allow the addict to at least partially fund their provision?
If heroin prescription is expanded to all users who currently commit acquisitive crime to fund their habit, there is the potential to reduce domestic burglaries by 80% and bring two thirds of street prostitutes off the street corners. Billions could be cut from criminal justice costs, not counting the massive benefits to the taxpayer of being freed from the fear of crime that addicts currently create by their actions.
Your shortsightedness on this issue is massively failing the interests of the taxpayers you claim to represent.