The Effects of Drug Control Policies on Individual and Community Health for People of Color Proceedings of a Workshop (2023) / Chapter Skim
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2 Assessing American Drug Policies
2 Assessing American Drug Policies
Pages 3-10
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Reuter noted, "We are in a time of particular foment with respect to drug policy." One aspect is the legalization of cannabis across the United States. Although cannabis itself is only a small part of the public health 3
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Components of Drug Use Problems and Policies Reuter explained that there are four components of the drug problem in the United States, and each component has a specific policy to match (Figure 2-1)
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Additionally, Reuter said, the continued use of these drugs over time exacerbates their criminal behaviors. Although he noted that in many cases, there was evidence of criminal activity prior to frequent drug use, there is "abundant research that shows that continued use over time exacerbates their criminality." Policy efforts use treatment programs in an attempt to reduce abuse and dependence among drug users.
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However, this latter effect is larger than the first effect, meaning that the effects on the exporting country are stronger than for increased drug prices in the United States. The Problem of Fentanyl Reuter's final comments focused on illicitly manufactured fentanyl, a synthetic opioid.
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It is substantially less expensive, and it is more easily concealed, and thus is much more attractive to traffickers and dealers. China is thought to have been the primary source of fentanyl entering the United States (BBC News, 2018)
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Similarly, sociologist Troy Duster published research indicating that drug laws are created and enforced not because of the pharmacology of the drug; they are created in direct response to the dominant users (Duster, 1971)
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Frederique added that public health interventions such as safe injection sites tend to focus on IV drug users rather than those who use stimulants. Eric Sterling of the Criminal Justice Policy Foundation asked about the challenges of dealing with the stigma around drug use and the place of the recovery movement in changing public policies.
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