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Jeffrey Dhywood
     Investigative writer
           Author of
        “World War-D:
       The Case against
  prohibitionism, roadmap
       to controlled re-
         legalization“

   jd@world-war-d.com
   www.world-war-d.com

©Jeffrey Dhywood - www.world-war-d.com   1
The Third Way:
              Moving beyond an unwinnable war



It is impossible to properly address an issue that is not fully understood
and few issues are as mired in confusion, misconceptions,
preconceptions, prejudice and taboos as the issue of “drugs”.

Goal:
• Dispel the confusion and misconceptions surrounding illegal drugs
• Put aside ideological and moralistic preconceptions
•Separate facts from propaganda.
• Bring common sense and sanity to the drug policy debate
• Devise practical, realistic and sensible solutions.



                          ©Jeffrey Dhywood - www.world-war-d.com             2
Dispelling myths and bringing some
        clarity to the “drug” issue
• What are “drugs”? What exactly are we talking about?
• What is the “drug problem” and why is it a problem in the first
  place?
• Where did the “drug problem” come from?
• What is the rationale of prohibition?
• What is the “War on Drugs”? Why was it started? What did it
  accomplish?
• Are there alternatives to the current policies, and if so, what are
  these?
• When we talk about “legalization”, what exactly do we mean?
• Should we talk about “legalization” or “regulation”?
• What is the best way to deal with “drug-trafficking” and “drug
  violence”?
• What exactly do we want to accomplish?
                        ©Jeffrey Dhywood - www.world-war-d.com          3
What are we talking about?

 “Drugs” in the “War on Drugs”
    and the “drug problem”


        ©Jeffrey Dhywood - www.world-war-d.com   4
Two problems in one
The problematic of illegal drugs stems from
  their dual status:
  • Drugs, meant as psychoactive substances
  • Illicit substances, object of prohibition.

In illegal drugs, there are two intertwined but
  very distinct issues: “illegal” and “drugs”, each
  with their own sets of derived issues and
  associated harms.
                 ©Jeffrey Dhywood - www.world-war-d.com   5
©Jeffrey Dhywood - www.world-war-d.com   6
What are drugs?

Definition of drug from the medical dictionary:
    1. A chemical substance that affects the processes
      of the mind or body.
    2. Any chemical compound used in the diagnosis,
      treatment, or prevention of disease or other
      abnormal condition.
    3. A substance used recreationally for its effects on
      the central nervous system, such as a narcotic.
http://medical-dictionary.thefreedictionary.com/drug.

                            ©Jeffrey Dhywood - www.world-war-d.com   7
©Jeffrey Dhywood - www.world-war-d.com   8
The “drugs” in the “War on Drugs”
           are the “Psychoactive substances”
                     that are illegal.


“Psychoactive substances” have mind-altering properties. They
   include:
       •   alcohol,
       •   tobacco and
       •   Psycho-pharmaceuticals
       •   as well as mild stimulant such as coffee, tea, caffeinated
           drinks, mate or coca leaves.

                       ©Jeffrey Dhywood - www.world-war-d.com       9
©Jeffrey Dhywood - www.world-war-d.com   10
Diagram of Psychoactive substances




            ©Jeffrey Dhywood - www.world-war-d.com   11
©Jeffrey Dhywood - www.world-war-d.com   12
ILLEGAL




©Jeffrey Dhywood - www.world-war-d.com   13
©Jeffrey Dhywood - www.world-war-d.com   14
Drugs and crime
• Acquisitive crime (shoplifting, burglaries, robberies,
  prostitution)
• Street gangs: control most of the street-level drug dealing
• Drug cartels: deep links to organized crime, right-wing
  militias, left-wing guerillas, terrorism and even rogue
  governments. Involved in several coups over the past 30
  years.
The mass incarceration of drug offenders has turned the
  prison system into a highly efficient training and recruiting
  system for street gangs and drug cartels, offering gateways
  from street gangs to drug cartels for the most “talented”
  alumni.

                     ©Jeffrey Dhywood - www.world-war-d.com       16
©Jeffrey Dhywood - www.world-war-d.com   17
Organized crime and narco-trafficking




                                    19
Deep roots into society of
   Narco-trafficking & organized crime
Narco-trafficking provides huge resources to organized crime, allowing it to
   establish deep roots into the society.

Narco-trafficking heavy reliance on corruption for its operation further
   deepens its roots into society.

Money-laundering and organized crime’s involvement into cash-intensive
  activities extend its reach even further. Narco-culture has become the
  dominant culture in some parts of the world.

The longer narco-trafficking is allowed to flourish, the deeper the roots it
   grows into society, the harder it becomes to eradicate it.

Alcohol prohibition lasted only 13 years, but it took the US, the most powerful
   country on earth, more than 50 years to somewhat curb the power of the
   mafias.
                           ©Jeffrey Dhywood - www.world-war-d.com              20
Geopolitics of drug trafficking
deep links to organized crime, right-wing militias, left-wing guerillas,
  terrorism, covert operations, secret services, rogue governments.
  Involved in several coups over the past 30 years, fuelling violence in
  wider national and regional conflicts (Afghanistan, Pakistan, West
  Africa: Mali, Guinea Bissau, Burma
Many affected countries, such as Colombia, Afghanistan and Burma,
  have long histories of internal and regional conflict. However, drug
  money has played a major role in motivating and arming separatist
  and insurgent groups, and domestic and international terror groups,
  blurring the distinction between them and criminal gangs. In the
  longer term, violence can traumatise populations for generations, in
  particular fostering a culture of violence among young people.




                       ©Jeffrey Dhywood - www.world-war-d.com         21
Producing & transiting countries
Products and services                  Drug traffickers see
   are paid in kind                   Market opportunities

  Emergence of a                           Growing substance
 local marketplace                           abuse problem

         Spread of violence for control
             Of local marketplaces

               ©Jeffrey Dhywood - www.world-war-d.com      22
The double balloon effect
Crackdown in one region displaces             Crackdown on a substance displaces
drug production and trafficking to             use and abuse to other substances.
another, further spreading the
                                                       1970s: Heroin (US, EU)
plague of narco-trafficking,
corruption, destabilization,                          1980s: Cocaine (US, EU)
violence and substance abuse.
                                                       1990s: Amphetamines
                                                           (US, EU, Asia)
                                                  2000s: Heroin (Eastern EU, Central
                                                       Asia) – ATS (US, Europe, Asia)
                                                 2010s: Psycho-pharmaceuticals (US)
                                                     heroin (Eastern EU, Central Asia,
                                                    Africa) – ATS/amphetamines (EU,
                                                  Africa, Asia), cocaine (EU, Africa, Asia,
                                                               Latin America)
                        ©Jeffrey Dhywood - www.world-war-d.com                          23
Understanding the illegal drug
        marketplace



         ©Jeffrey Dhywood - www.world-war-d.com   24
Prohibition promotes addiction and
            facilitates initiation
                                Experimental                            Casual
Initiation                        Use – 50%                            Use – 20%

   Users in accelerating pattern of use often go through a
“honeymoon” period and become proselyte and therefore                  accelerating
     contagious. They frequently resort to drug dealing to            Pattern of use
        subsidize their pattern of use, supplying initiates,               10%
    experimental and casual users, which also gives them
    easier access to the substances and leaves them even
         more exposed at a time of highest vulnerability.            Abuse/Addiction
                                                                          < 5%
       Abusers & addicts are the main initiators & suppliers

      The vast majority of users never go beyond casual use
                            ©Jeffrey Dhywood - www.world-war-d.com                     25
Structure of the illegal drugs marketplace
               Broad overlap between the soft drugs and hard drugs marketplaces
                Retail dealers often are heavy users who subsidize their own use

                           65 +                           Past Month use of illicit Drug
                          55-59                            in US by Age Category -2010

                          45-49                                          MJ
                          35-39                                          cocaine
                          26-29                                          all
                             24
                             22




                                                                              Transition from casual
                             20




                                                                                 to problem use
                                         Transition from
                             18         soft to hard drugs

                             16                                                                             Retail dealers of hard drugs
Dealers of soft drugs        14                                                                                 Are the main initiators.
often carry ecstasy and
hallucinogens.               12
MJ street dealers generally
offer hard drugs as well.         0              10                20                                  30
           The illegal marketplace supply chain incentivizes the transition from soft drugs to hard drugs
                       and from casual use to problem use. Children & youths are most at risk.
                                                                                                                                    26
                                          ©Jeffrey Dhywood - www.world-war-d.com
The illegal drug marketplace:
         A network marketing system

• All transactions, especially at the highest levels, are done through
connections
• At every level, people only know their direct supplier and their
direct customers
•   Those at the top make a lot of money
• Those at the bottom barely survive, often merely subsidizing their
own use. They are the weakest link in the supply chain.
• Retailers are the main users; they are the initiators of new users
and supply casual users

                       ©Jeffrey Dhywood - www.world-war-d.com            27
Structure of the illegal drugs marketplace
               (Hard drugs)




               ©Jeffrey Dhywood - www.world-war-d.com   28
Structure of the illegal drugs marketplace
 • Organized crime controls most of the wholesale
   of illegal drugs, especially hard drugs.
 • Informal networks consists of independents
   producers and/or traders. Informal networks
   control a larger part of the marijuana
   trade, especially in the US and Canada. They
   control most of the market of psychedelics.
 • Abusers and addicts represent only 10% of the
   users, but 90% of the consumption.
                 ©Jeffrey Dhywood - www.world-war-d.com   29
What is the rationale behind
        prohibition?
  Is there a logic to this madness?




          ©Jeffrey Dhywood - www.world-war-d.com   30
Harm potential and legal status
“While there is a clear rationale for a separate legal
  status for medications, the rationale for the
  distinction between substances that are under
  international control and those that are not is
  more problematic. The substances which are
  included in the international conventions reflect
  historical understandings in particular cultural
  settings about what should be viewed as uniquely
  dangerous or alien.”
2004 WHO report “Neuroscience Of Psychoactive Substance Use And Dependence”
http://www.who.int/substance_abuse/publications/psychoactives/en/index.html

                          ©Jeffrey Dhywood - www.world-war-d.com              31
There are no clear relationships between the legal status of a
 substance and its intrinsic harm potential, the personal and
  societal harm it may inflict independently of its legal status




                                                             32
Global Health Risks Chart
chart from the Global Health Risks report compares the top global health concerns
    using the disability-adjusted life year (DALY) – Illicit drugs is number 18




                                      Illicit drugs are a relatively minor
     Illicit drugs
                                      global health risk



http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_part2.pdf   33
Preventable deaths in the world
cause                                     deaths               affected population morbidity within the
                                                               or users           affected population
                                                                                  (per 1,000)
Malnutrition                                  6,000,000          1,000,000,000                  6.00
Tobacco                                       6,000,000          1,000,000,000                  6.00
Unintentional injuries (accidents)            3,340,000
  Road traffic accidents                      1,260,000
  Drowning (excluding floods, boating
  and water transport)                          450,000
  Poisoning                                     315,000
  Falls                                         283,000
  Fire                                          238,000
Overweight                                    3,000,000           1,500,000,000                 2.00
Alcohol                                       2,500,000           2,000,000,000                 1.25
Unsafe sex                                    2,444,000
Intentional injuries / violence               1,659,000
   Suicides                                     815,000
   Homicides                                    520,000
Adverse drug reactions                        1,500,000
illegal drugs                                   245,000            200,000,000                  1.20
                                        ©Jeffrey Dhywood - www.world-war-d.com                         34
7,000
           Preventable deaths in the world (in 1,000s)
                                    Unintentional injuries: 3,340,000
6,000                                                                       Road
                                                 Other                     traffic
                                               accidents,                accidents,
                                                794,000
                                 Fire, 238,                              1,260,000
5,000                               000

                                                                                               Intentional injuries - 1,659,000




                                                                                                                                            Illegal drugs are a relatively minor
                                 Falls, 283
                                    ,000
                                          poisoning               Drowning
4,000                                     , 315,000               , 450,000
                                                                                                       Others, 3




                                                                                                                                            cause of preventable death
                                                                                                        24,000
                                                                                                                       Suicides,
3,000                                                                                                 homicides        815,000
                                                                                                      , 520,000



2,000




1,000




   -
        malnutrition   tobacco        Unintentional         overweight         alcohol   unsafe sex      Intentional        Adverse drug   illegal drugs
                                         injuries                                                          injuries          reactions

                                                      ©Jeffrey Dhywood - www.world-war-d.com                                                         35
Casualties related to illegal drugs
     The vast majority of deaths related to illegal drug use comes from injecting drug
use and fall under 2 major causes:
•   Overdoses (mostly accidental and due of wide variation in concentration of illicit
drugs)
•   HIV-AIDS caused by hazardous administration practices, a direct consequence of
prohibition.
     Narco-violence: 100,000+/year (Mexico and Central America: 45,000/year)
                            Most of the harm caused by illegal drugs
                                 derives from their illegal status.
The World Health Organization (WHO), estimates deaths related to illicit drug use worldwide at
    245,000 (overdoses, suicides and AIDS, hepatitis B and hepatitis C).
Victims of narco violence are not included in this total.



                                ©Jeffrey Dhywood - www.world-war-d.com                           36
Why?
Why has a relatively minor social and lifestyle issue been so
    vilified?
Why have so much attention and so many resources been
    thrown at this relatively minor issue while other more
    prominent causes of death receive far lower attention and
    far fewer resources?
Why so much inflexibility?
Has prohibition really reduced the spread of substance abuse?
Would substance abuse be much worse without prohibition?
If so, was it worth the huge price paid for it?
Is the drug problem a relatively minor problem that has been
    blown out of proportion with catastrophic consequences?

                    ©Jeffrey Dhywood - www.world-war-d.com   37
Caricatures of the prohibitionist
          propaganda
   The prohibitionist propaganda systematically displays
      the dangers of drug use with harrowing cases




       But then, why is alcohol shown
   This way      instead of      this way?




                  ©Jeffrey Dhywood - www.world-war-d.com   38
Their drug use didn’t destroy their careers




 A drug conviction would certainly have
              ©Jeffrey Dhywood - www.world-war-d.com   39
The accession of not one but three illegal drug users in a row to the US
presidency constitutes an existential challenge to the prohibitionist
regime.
The fact that some of the most successful people of our time, be it in
business, finances, politics, entertainment or the arts, are current or
former substance users is a fundamental refutation of its premises and
a stinging rebuttal of its rationale.
A criminal law that is broken at least once by 50% of the adult
population and that is broken on a regular basis by 20% of the same
adult population is a broken law, a fatally flawed law.
How can a democratic government justify a law that is consistently
broken by a substantial minority of the population?
 What we are witnessing here is a massive case of civil disobedience not
seen since alcohol prohibition in the 1930 in the US.
On what basis can a democratic system justify the stigmatization and
discrimination of a strong minority of as much as 20% of its population?
                           ©Jeffrey Dhywood - www.world-war-d.com    40
Prohibition is the worst possible
             form of control

Prohibition was the wrong answer to a real issue.
• It gives control of the prohibited substances to
  organized crime with catastrophic consequences.
• It spreads violence and corruption and increases
  exponentially the harm of drug use.
Prohibition cannot work in a market economy.
Organized societies should be able to do a better
  job than organized crime at managing and
  controlling potentially dangerous substances.
                ©Jeffrey Dhywood - www.world-war-d.com   41
Regulation of legal psychoactives

     Learning from the 3 existing
    models – their strengths, their
        flaws and limitations

            ©Jeffrey Dhywood - www.world-war-d.com   42
Alcohol




©Jeffrey Dhywood - www.world-war-d.com   43
Alcohol

• Highly normative, social lubricant of Western
civilization, consistently glamorized.
• Super-powerful Lobby strongly opposed to any
   reform
• Taxation totally inadequate to social costs
• Little restriction on use and marketing
• Limited campaigns of education & prevention
• Rapid growth of consumption in emerging
   countries

                  ©Jeffrey Dhywood - www.world-war-d.com   44
WHO conclusions on Alcohol
               regulations
Few places use effective policy measures to prevent death, disease
  and injury from alcohol use. Many countries have weak alcohol
  policies and prevention programs.

Since 1999, restrictions on alcohol marketing and on drunk–driving
   have increased, but there are no clear trends on most preventive
   measures.

Most useful and cost-effective strategies:
(1) Regulating the marketing and availability of alcoholic beverages (in
    particular to younger people);
(2) Drunk-driving laws;
(3) Demand-reduction for alcohol through taxation;
(4) Accessible and affordable treatment for alcohol dependence.
                       ©Jeffrey Dhywood - www.world-war-d.com         45
Tobacco
•A model of successful restriction of a powerful lobby
without throwing anybody into jail.
•Spectacular reduction of use in a growing number of
countries. US prevalence of use decreased from over
50% in 1950 to less than 20% in 2010.
•Reduced normativity, deglamorized.
•Restrictions on marketing and use in public spaces;
education and prevention campaigns
•High level of taxation, even if probably still
insufficient to cover societal costs in most countries.
•Use still rising in emerging countries due to lax regulations and
powerful tobacco lobby in some countries.
               ©Jeffrey Dhywood - www.world-war-d.com            46
©Jeffrey Dhywood - www.world-war-d.com   47
Psycho-pharmaceuticals
Neuroscience: the Holy Grail of the medicalization of
normalcy.
A super-powerful lobby subsidized by health insurance in
most countries
Emergence of cosmetic psycho-pharmacology: the use of
medicine to enhance physical, cognitive or mental
performance raise the issue of the legitimacy of
recreational or sybaritic use.
Rapid increase of the world market for psycho-
pharmaceuticals from $19 billion in 1997 to $137 billion
in 2010 with projections for $300 billion by 2018.
Abuse of psycho-pharmaceuticals now surpasses abuse
of illicit drugs in many countries, affecting primarily
children and the elderly.
                    ©Jeffrey Dhywood - www.world-war-d.com   48
The third way
Controlled legalization



    ©Jeffrey Dhywood - www.world-war-d.com   49
What do we want to accomplish?

 Reduce crime &                   Reduce the harm
  crime-related                      caused by
      harm                        substance abuse


          These two goals
          are compatible
         and non-exclusive

          ©Jeffrey Dhywood - www.world-war-d.com    50
The challenges of effective regulation
• Decriminalization leaves control to organized crime.
  Only controlled legalization can reclaim control of
  production and trade of the currently illegal drugs.
• We must learn from the 3 existing models of legalized
  psychoactives drugs (alcohol, tobacco and psycho-
  pharmaceuticals) to improve on these models and
  avoid their pitfalls and limitations.
• Keeping at bay powerful commercial interests: The
  main threat to effective control in a legal market is not
  from black market interests but of the legal industry
  influencing politics over time to increase availability
  and, in turn, profitability.

                    ©Jeffrey Dhywood - www.world-war-d.com   51
©Jeffrey Dhywood - www.world-war-d.com   52
Model optimization
The illegal drugs problem does not have a unique solution, but
  rather a continuum of possible outcomes under varying
  conditions. The one-size-fits-all prohibitionist approach
  doesn’t work. Drug policy reform must be a dynamic
  process, with a regulatory model that is adaptable to local
  conditions and can evolve over time as new circumstances
  demand.
Pragmatism and practicality rather than principled moralism
  should be the leading guideline of policy-making.
The objective of drug policy reform should be to create an
  optimized regulatory model that reclaims the control of
  illegal drugs from organized crime, creating and
  implementing practical and efficient mechanisms to
  manage and minimize societal costs.
                    ©Jeffrey Dhywood - www.world-war-d.com   53
3 major objectives of drug policy reform
Violence and crime reduction: A properly controlled marketplace can
   reduce, dismantle and possibly eliminate the illegal drug
   market, which in turn will reduce the presence and influence of
   organized crime and reduce drug-related violence.

Harm reduction: Safe and controlled legal access can reduce harm to
  existing users, reduce drug related deaths, improve the health of
  users/addicts, improve their social integration and reduce harm
  caused by problematic users to their proximate environment and to
  society at large.

Prevention: Proper control and prevention can minimize access to
   minors, reducing or postponing initiation, which is a prerequisite for
   long-term improvement of the substance abuse issue. It will
   prevent moderate, responsible users from becoming problem users.

                        ©Jeffrey Dhywood - www.world-war-d.com         54
The 5 pillars of controlled legalization
• Legalize: reclaim control from organized crime
• Tax: Reduce or eliminate the financial burden placed on
  taxpayers by the consequences of drug use and drug
  prohibition.
• Control: Quality control, access control, marketing control
• Prevent: Reduce and postpone initiation; prevent soft
  drugs users from moving to hard-drug use; prevent casual
  users from falling into abuse.
• Treat: Reach out and early intervention on problem users
• Educate the public about the dangers of substance abuse

                    ©Jeffrey Dhywood - www.world-war-d.com      55
Basic structure of a regulated
                  marketplace
• Focus on problematic use, with a special emphasis on preventing it in the
  first place, rather than trying to prevent all use of illicit drugs.

• A strict separation between distribution and retail channels of soft drugs
  and hard drugs to minimize the transition from soft drugs to hard drugs.

• A strict separation between casual users and problem users of hard
  drugs.

• Supervised maintenance for problematic users (heavy users and addicts)
  of hard psychoactives. Such an approach offers many benefits that will be
  detailed underneath, chief among them, a dramatic reduction of
  initiation, which is the best warrant of long-term success.

• Protection of children and youths, with strong prohibition of underage
  access and prevention of diversion, especially for hard drugs.
                         ©Jeffrey Dhywood - www.world-war-d.com                56
Step 1
  Separate soft drugs from hard drugs
• Regains control of the largest segment of the illegal
  drug marketplace.
• Establishes quality control, which eliminates
  intoxication due to adulteration.
• Eliminates the marketplace-driven gateway effect from
  soft drugs to hard drugs
• Allows focus on prevention of abuse
• Nudges hard-drugs users towards milder substances.
• Allows control of underage access
                   ©Jeffrey Dhywood - www.world-war-d.com   57
Considerations for soft drugs
         legalization and control
Restrictions:
   • Underage access (forbid sale, prevent diversion)
   • Operating under the influence (driving, etc.)
   • Zoning restrictions: proximity to schools, parks, sport
     facilities and venues where children tend to congregate
   • Marketing: Packaging, promotion, advertising, etc.
   • Use in public places
   • Opening hours
   • Quantity per customer and/or per purchase
Establish purity, potency and active ingredients standards
Require health warnings on packaging and other
  marketing material
                    ©Jeffrey Dhywood - www.world-war-d.com     58
Step 2 - Hard drugs management:
 The health and harm-reduction approach

Subsidized access with supervised administration in
  specialized premises for problem users:
• Establishes contact with vulnerable populations.
• Facilitates reinsertion of marginalized populations into
  productive role in society.
• Eliminates acquisitive crime.
• Nudges abusers towards substitution and/or treatment.
• Eliminates hazardous administration practices and reduces
  the spread of AIDS and other blood-borne infections.
• Reduces the social contagion of substance abuse
• Strict quality control eliminates intoxication and accidental
  overdoses
                     ©Jeffrey Dhywood - www.world-war-d.com       59
Benefits of subsidized supervised
access on the illegal drug marketplace
• Removes the drug dealing necessity from problem
  users
• Eliminates the social side of administration; reduces or
  eliminates the contagiousness of substance
  abuse, which in turn sharply reduces initiation.
• Eliminates a supply source for casual users.
• Removes the foot-soldiers from the illegal drugs
  marketplace.
• Sharply reduces the illegal marketplace to the
  hazardous casual user market and far more hazardous
  initiates market.
                   ©Jeffrey Dhywood - www.world-war-d.com   60
Challenges of supervised access
• Issue of proper identification of problem users
  and filtering out of casual users.
• Limited availability and/or excessive
  restrictions, demands or pressure on problem
  users may drive them away from the program
  and back to the illegal marketplace.
• Risk of diversion by program operators and/or
  users if the program is not properly controlled.
• Leaves program operators exposed to dangerous
  and tempting substances.

                 ©Jeffrey Dhywood - www.world-war-d.com   61
Step 3 -Establish a highly restricted
     legal marketplace for casual users
•   May not include the most harmful substances and the
    most harmful modes of administration
•   Strict quality control eliminates intoxication and
    accidental overdoses
•   Accessible to registered users only
•   Require waiting period and clear warning to new users
•   High level of taxation
•   Restriction on purchase – maximum amount per purchase
    and/or per month
•   Restrictions and packaging can be designed to sharply
    reduce diversion
•   Strict control of access to minors
                   ©Jeffrey Dhywood - www.world-war-d.com   62
Benefits of restricted legal access for
              casual users
• Postpone and reduce initiation
• Allows early detection of accelerating patterns of
  use and problem use
• Allows early intervention
• Avoids marginalization of users
• Eliminates the last remnants of the illegal drugs
  marketplace
• Protect children from becoming foot-soldiers and
  cannon fodder of narco-trafficking.
                 ©Jeffrey Dhywood - www.world-war-d.com   63
Is restricted legal access for casual
               users necessary?
While the general public and politicians are warming up to the idea of
   legalizing soft drugs, especially in Western countries, there is generally a
   strong resistance to the legalization of hard drugs.
The harm-reduction approach is gaining ground around the world and has
   been endorsed by the WHO while UNODC is warming up to the concept.
The step 2 of our proposed roadmap, based on harm-reduction with
   prescription maintenance, would eliminate over 90% of the hard drugs
   market from the illegal marketplace, and remove most of its foot-soldiers
   and retailers. This in turn would reduce the residual illegal marketplace to
   casual users and initiates of hard drugs, a highly hazardous an unprofitable
   market.
The legalization of soft drugs such as cannabis and the supervised subsidized
   access of hard drugs to abusers might sufficiently weaken the illegal drug
   trade to the point of essentially destroying it.
Therefore, step 3 of our roadmap, restricted legal access for casual
   users, might be unnecessary.

                          ©Jeffrey Dhywood - www.world-war-d.com             64
Breaking down the illicit drug marketplace
                    SOFT DRUGS                                                      HARD DRUGS
             Strictly separate channels                               Casual use                 Problem use
              to discourage transition                              Prevent transition                 Controlled
              from soft to hard drugs.
Adult use




                                                                    from casual use to              subsidized access
                Strong restrictions on                                 problem use.                  with supervised
              promotion & marketing                                   High barrier of                administration
                                                                                    Transition from
                                                                          access. casual to problem
                                                Transition from
                  Some diversion to            soft to hard drugs                               Eliminate diversion
                     underage
                                                                                                   to underage &
              is probably unavoidable                               Prevent diversion                 initiation
 Underage




            Prevention of underage use.                         Separating problem users from casual users
            Strict prohibition of sale to                       allows early intervention in case of
            minors. Efficient mechanisms
                                                                accelerating pattern of use. Controlled
            to prevent diversion, especially
            for hard drugs.                                     subsidized access prevents initiation.
                                               ©Jeffrey Dhywood - www.world-war-d.com                              65
©Jeffrey Dhywood - www.world-war-d.com   66
Prohibition v/s Controlled Legalization
Prohibition  coercion                                   Controlled legalization  Nudging
Forced transformation of human nature                    Respect of individual rights & lifestyle choices as long
Totalitarianism: communism, fascism, prohibitionism      as they do not intentionally endanger others
Propaganda, censorship, mass incarceration of            Education, prevention, treatment
deviants
Provokes: Rebellion/Resistance/deviance                  Promotes: voluntary cooperation, participation
Exclusion:                                               Inclusion:
Segregation, discrimination, persecution, demonization   Reaches out to the most at-risk populations
Marginalizes the most at-risk populations                Bring them to productive role in society
Turn them to crime careers
All actors of the supply chain are unknown, and          The various agents of the supply chain are clearly
virtually the entire population must potentially be      identifiable; relatively light control apparatus is
controlled, requiring an extremely heavy enforcement     sufficient to ensure that they abide by the rules that
apparatus.                                               govern them.
                                            Quality control issues
No quality-control, unknown concentration and            Known, quality-controlled products, safe
adulterants, unsafe administration:                      administration
     intoxication through unknown adulterants                Eliminates intoxication through unknown
     Accidental overdoses                                    adulterants
     Epidemic spread of AIDS and other diseases              Eliminates accidental overdose
     related to unsanitary administration practices to       Reduce spread of AIDS and other diseases related
     users, their partners & their children                  to unsanitary administration practices

                                         ©Jeffrey Dhywood - www.world-war-d.com                                   67
Legalization will not end
    organized crime
     But it will weaken it




      ©Jeffrey Dhywood - www.world-war-d.com   68
Legalization and organized crime
Legalization will remove considerable resources from organized crime
   and weaken it substantially, but it won’t destroy it.
While legalization will allow refocusing law enforcement efforts, it will
   also refocus organized crime; the drug cartels will expand their
   other activities – extortions, kidnapping, human trafficking, etc.
   Such activities are far less profitable and far more dangerous than
   narco-trafficking though, which will greatly reduce the profitability
   and therefore the appeal of criminal careers.
Legalization will allow turning the tide, even if a long struggle will
   remain to curb organized crime to manageable levels.
Countries such as Mexico will require deep structural changes to
   eradicate systemic corruption and impunity.

                        ©Jeffrey Dhywood - www.world-war-d.com          69
After losing the war, can we win the peace?
   To win the peace means to reduce crime and violence, which in turns requires a
reduction in the number of criminals. To that effect:
•   Reduce the appeal and profitability of crime
• Separate hardcore criminals from low-level operatives, offering them economic
alternatives.
•   Reinsertion of repented criminals into society
•   Disarm and disband criminal organizations
   Countries such as Afghanistan, Colombia or possibly Mexico may require “Peace
and Reconciliation” programs to overturn the sub-cultures of violence prevalent in
many segments of the society and promote a more peaceful and inclusive society.
   Ultimately, the root causes of violence must be addressed: lack of
opportunities, poor education, poverty and inequality.


                             ©Jeffrey Dhywood - www.world-war-d.com                  70
Can Mexico learn from Colombia?
           Mexico                                          Colombia
• 3,000 km border with US                    • 2,500 km away from the US
• Drug trafficking started in the            • Drug trafficking started in the
  1920s
                                               1970s
• Deeply-rooted links between
  organized crime and all levels             • Deeply-rooted links between
  of government                                organized
• Systemic and endemic                         crime, insurgencies, paramilita
  corruption                                   ry militias and all levels of
• Pervasive impunity – 1 in 10                 government
  crime is reported; 1 in 10
  reported crime leads to                    • Systemic and endemic
  conviction                                   corruption
                                             • Pervasive impunity
                        ©Jeffrey Dhywood - www.world-war-d.com               71
How to get there
The US has adopted over the past 20 years a de-facto piecemeal (and
    somewhat erratic) approach to drug policy reform. Marijuana is now legal
    for medical use in 18 states and fully legal in Washington and Colorado.
    Such a piecemeal approach is probably not a realistic option in the
    countries most affected by narco-violence, the transiting and producing
    countries.
In order to be successful, legalization should be implemented by a coalition of
    countries with the intent to pressure the major consuming countries, the
    US and Europe, to reform their own drug policies.
Short of that, legalization through most of South America, including
    Colombia, Central America and Mexico, would place the US in a quandary.
I have been advocating since 2011 the creation of a broad Latino American
    coalition of the willing to reform, led by Colombia, Mexico and Guatemala.
President Perez Molina of Guatemala has been working diligently since taking
    office in January 2012 towards a region-wide debate on legalization.
    Mexico and Colombia are still warming up to the idea and have failed to
    give their full support so far.

                          ©Jeffrey Dhywood - www.world-war-d.com             72
Conclusion
Controlled legalization is not a seal of approval on drug use.
    Starting with junk food and tobacco, many things are legal while
    being generally disapproved. Replacing the uncontrollable illegal
    trade with a controlled marketplace is vastly different from
    saying that it’s OK and safe to use illicit drugs.
Far from giving up and far from an endorsement, controlled
    legalization would be finally growing up; being realistic instead
    of being in denial; being in control instead of leaving control to
    the underworld.
It would abolish the current regime of socialization of costs and
    privatization of profits to criminal enterprises, depriving them of
    their main source of income and making our world a safer place.

                       ©Jeffrey Dhywood - www.world-war-d.com         73
Addressing substance abuse holistically

Ideally, from a research and policy-making point
   of view, substance abuse should be viewed in
   its entirety rather than focusing solely or
   mostly on illegal drugs.
It would be particularly instructive to study the
   evolution of substance abuse and its
   associated harm over the last century or even
   longer.

                ©Jeffrey Dhywood - www.world-war-d.com   74
Find out more
          www.world-war-d.com
   http://www.facebook.com/worldward
           Twitter: @JDhywood

             Jeffrey Dhywood
       Investigative writer, author of
               “World War-D:
The Case against prohibitionism, roadmap to
          controlled re-legalization“
             ©Jeffrey Dhywood - www.world-war-d.com   75

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The third way: Moving beyond an unwinnable war

  • 1. Jeffrey Dhywood Investigative writer Author of “World War-D: The Case against prohibitionism, roadmap to controlled re- legalization“ jd@world-war-d.com www.world-war-d.com ©Jeffrey Dhywood - www.world-war-d.com 1
  • 2. The Third Way: Moving beyond an unwinnable war It is impossible to properly address an issue that is not fully understood and few issues are as mired in confusion, misconceptions, preconceptions, prejudice and taboos as the issue of “drugs”. Goal: • Dispel the confusion and misconceptions surrounding illegal drugs • Put aside ideological and moralistic preconceptions •Separate facts from propaganda. • Bring common sense and sanity to the drug policy debate • Devise practical, realistic and sensible solutions. ©Jeffrey Dhywood - www.world-war-d.com 2
  • 3. Dispelling myths and bringing some clarity to the “drug” issue • What are “drugs”? What exactly are we talking about? • What is the “drug problem” and why is it a problem in the first place? • Where did the “drug problem” come from? • What is the rationale of prohibition? • What is the “War on Drugs”? Why was it started? What did it accomplish? • Are there alternatives to the current policies, and if so, what are these? • When we talk about “legalization”, what exactly do we mean? • Should we talk about “legalization” or “regulation”? • What is the best way to deal with “drug-trafficking” and “drug violence”? • What exactly do we want to accomplish? ©Jeffrey Dhywood - www.world-war-d.com 3
  • 4. What are we talking about? “Drugs” in the “War on Drugs” and the “drug problem” ©Jeffrey Dhywood - www.world-war-d.com 4
  • 5. Two problems in one The problematic of illegal drugs stems from their dual status: • Drugs, meant as psychoactive substances • Illicit substances, object of prohibition. In illegal drugs, there are two intertwined but very distinct issues: “illegal” and “drugs”, each with their own sets of derived issues and associated harms. ©Jeffrey Dhywood - www.world-war-d.com 5
  • 6. ©Jeffrey Dhywood - www.world-war-d.com 6
  • 7. What are drugs? Definition of drug from the medical dictionary: 1. A chemical substance that affects the processes of the mind or body. 2. Any chemical compound used in the diagnosis, treatment, or prevention of disease or other abnormal condition. 3. A substance used recreationally for its effects on the central nervous system, such as a narcotic. http://medical-dictionary.thefreedictionary.com/drug. ©Jeffrey Dhywood - www.world-war-d.com 7
  • 8. ©Jeffrey Dhywood - www.world-war-d.com 8
  • 9. The “drugs” in the “War on Drugs” are the “Psychoactive substances” that are illegal. “Psychoactive substances” have mind-altering properties. They include: • alcohol, • tobacco and • Psycho-pharmaceuticals • as well as mild stimulant such as coffee, tea, caffeinated drinks, mate or coca leaves. ©Jeffrey Dhywood - www.world-war-d.com 9
  • 10. ©Jeffrey Dhywood - www.world-war-d.com 10
  • 11. Diagram of Psychoactive substances ©Jeffrey Dhywood - www.world-war-d.com 11
  • 12. ©Jeffrey Dhywood - www.world-war-d.com 12
  • 13. ILLEGAL ©Jeffrey Dhywood - www.world-war-d.com 13
  • 14. ©Jeffrey Dhywood - www.world-war-d.com 14
  • 15.
  • 16. Drugs and crime • Acquisitive crime (shoplifting, burglaries, robberies, prostitution) • Street gangs: control most of the street-level drug dealing • Drug cartels: deep links to organized crime, right-wing militias, left-wing guerillas, terrorism and even rogue governments. Involved in several coups over the past 30 years. The mass incarceration of drug offenders has turned the prison system into a highly efficient training and recruiting system for street gangs and drug cartels, offering gateways from street gangs to drug cartels for the most “talented” alumni. ©Jeffrey Dhywood - www.world-war-d.com 16
  • 17. ©Jeffrey Dhywood - www.world-war-d.com 17
  • 18.
  • 19. Organized crime and narco-trafficking 19
  • 20. Deep roots into society of Narco-trafficking & organized crime Narco-trafficking provides huge resources to organized crime, allowing it to establish deep roots into the society. Narco-trafficking heavy reliance on corruption for its operation further deepens its roots into society. Money-laundering and organized crime’s involvement into cash-intensive activities extend its reach even further. Narco-culture has become the dominant culture in some parts of the world. The longer narco-trafficking is allowed to flourish, the deeper the roots it grows into society, the harder it becomes to eradicate it. Alcohol prohibition lasted only 13 years, but it took the US, the most powerful country on earth, more than 50 years to somewhat curb the power of the mafias. ©Jeffrey Dhywood - www.world-war-d.com 20
  • 21. Geopolitics of drug trafficking deep links to organized crime, right-wing militias, left-wing guerillas, terrorism, covert operations, secret services, rogue governments. Involved in several coups over the past 30 years, fuelling violence in wider national and regional conflicts (Afghanistan, Pakistan, West Africa: Mali, Guinea Bissau, Burma Many affected countries, such as Colombia, Afghanistan and Burma, have long histories of internal and regional conflict. However, drug money has played a major role in motivating and arming separatist and insurgent groups, and domestic and international terror groups, blurring the distinction between them and criminal gangs. In the longer term, violence can traumatise populations for generations, in particular fostering a culture of violence among young people. ©Jeffrey Dhywood - www.world-war-d.com 21
  • 22. Producing & transiting countries Products and services Drug traffickers see are paid in kind Market opportunities Emergence of a Growing substance local marketplace abuse problem Spread of violence for control Of local marketplaces ©Jeffrey Dhywood - www.world-war-d.com 22
  • 23. The double balloon effect Crackdown in one region displaces Crackdown on a substance displaces drug production and trafficking to use and abuse to other substances. another, further spreading the 1970s: Heroin (US, EU) plague of narco-trafficking, corruption, destabilization, 1980s: Cocaine (US, EU) violence and substance abuse. 1990s: Amphetamines (US, EU, Asia) 2000s: Heroin (Eastern EU, Central Asia) – ATS (US, Europe, Asia) 2010s: Psycho-pharmaceuticals (US) heroin (Eastern EU, Central Asia, Africa) – ATS/amphetamines (EU, Africa, Asia), cocaine (EU, Africa, Asia, Latin America) ©Jeffrey Dhywood - www.world-war-d.com 23
  • 24. Understanding the illegal drug marketplace ©Jeffrey Dhywood - www.world-war-d.com 24
  • 25. Prohibition promotes addiction and facilitates initiation Experimental Casual Initiation Use – 50% Use – 20% Users in accelerating pattern of use often go through a “honeymoon” period and become proselyte and therefore accelerating contagious. They frequently resort to drug dealing to Pattern of use subsidize their pattern of use, supplying initiates, 10% experimental and casual users, which also gives them easier access to the substances and leaves them even more exposed at a time of highest vulnerability. Abuse/Addiction < 5% Abusers & addicts are the main initiators & suppliers The vast majority of users never go beyond casual use ©Jeffrey Dhywood - www.world-war-d.com 25
  • 26. Structure of the illegal drugs marketplace Broad overlap between the soft drugs and hard drugs marketplaces Retail dealers often are heavy users who subsidize their own use 65 + Past Month use of illicit Drug 55-59 in US by Age Category -2010 45-49 MJ 35-39 cocaine 26-29 all 24 22 Transition from casual 20 to problem use Transition from 18 soft to hard drugs 16 Retail dealers of hard drugs Dealers of soft drugs 14 Are the main initiators. often carry ecstasy and hallucinogens. 12 MJ street dealers generally offer hard drugs as well. 0 10 20 30 The illegal marketplace supply chain incentivizes the transition from soft drugs to hard drugs and from casual use to problem use. Children & youths are most at risk. 26 ©Jeffrey Dhywood - www.world-war-d.com
  • 27. The illegal drug marketplace: A network marketing system • All transactions, especially at the highest levels, are done through connections • At every level, people only know their direct supplier and their direct customers • Those at the top make a lot of money • Those at the bottom barely survive, often merely subsidizing their own use. They are the weakest link in the supply chain. • Retailers are the main users; they are the initiators of new users and supply casual users ©Jeffrey Dhywood - www.world-war-d.com 27
  • 28. Structure of the illegal drugs marketplace (Hard drugs) ©Jeffrey Dhywood - www.world-war-d.com 28
  • 29. Structure of the illegal drugs marketplace • Organized crime controls most of the wholesale of illegal drugs, especially hard drugs. • Informal networks consists of independents producers and/or traders. Informal networks control a larger part of the marijuana trade, especially in the US and Canada. They control most of the market of psychedelics. • Abusers and addicts represent only 10% of the users, but 90% of the consumption. ©Jeffrey Dhywood - www.world-war-d.com 29
  • 30. What is the rationale behind prohibition? Is there a logic to this madness? ©Jeffrey Dhywood - www.world-war-d.com 30
  • 31. Harm potential and legal status “While there is a clear rationale for a separate legal status for medications, the rationale for the distinction between substances that are under international control and those that are not is more problematic. The substances which are included in the international conventions reflect historical understandings in particular cultural settings about what should be viewed as uniquely dangerous or alien.” 2004 WHO report “Neuroscience Of Psychoactive Substance Use And Dependence” http://www.who.int/substance_abuse/publications/psychoactives/en/index.html ©Jeffrey Dhywood - www.world-war-d.com 31
  • 32. There are no clear relationships between the legal status of a substance and its intrinsic harm potential, the personal and societal harm it may inflict independently of its legal status 32
  • 33. Global Health Risks Chart chart from the Global Health Risks report compares the top global health concerns using the disability-adjusted life year (DALY) – Illicit drugs is number 18 Illicit drugs are a relatively minor Illicit drugs global health risk http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_part2.pdf 33
  • 34. Preventable deaths in the world cause deaths affected population morbidity within the or users affected population (per 1,000) Malnutrition 6,000,000 1,000,000,000 6.00 Tobacco 6,000,000 1,000,000,000 6.00 Unintentional injuries (accidents) 3,340,000 Road traffic accidents 1,260,000 Drowning (excluding floods, boating and water transport) 450,000 Poisoning 315,000 Falls 283,000 Fire 238,000 Overweight 3,000,000 1,500,000,000 2.00 Alcohol 2,500,000 2,000,000,000 1.25 Unsafe sex 2,444,000 Intentional injuries / violence 1,659,000 Suicides 815,000 Homicides 520,000 Adverse drug reactions 1,500,000 illegal drugs 245,000 200,000,000 1.20 ©Jeffrey Dhywood - www.world-war-d.com 34
  • 35. 7,000 Preventable deaths in the world (in 1,000s) Unintentional injuries: 3,340,000 6,000 Road Other traffic accidents, accidents, 794,000 Fire, 238, 1,260,000 5,000 000 Intentional injuries - 1,659,000 Illegal drugs are a relatively minor Falls, 283 ,000 poisoning Drowning 4,000 , 315,000 , 450,000 Others, 3 cause of preventable death 24,000 Suicides, 3,000 homicides 815,000 , 520,000 2,000 1,000 - malnutrition tobacco Unintentional overweight alcohol unsafe sex Intentional Adverse drug illegal drugs injuries injuries reactions ©Jeffrey Dhywood - www.world-war-d.com 35
  • 36. Casualties related to illegal drugs The vast majority of deaths related to illegal drug use comes from injecting drug use and fall under 2 major causes: • Overdoses (mostly accidental and due of wide variation in concentration of illicit drugs) • HIV-AIDS caused by hazardous administration practices, a direct consequence of prohibition. Narco-violence: 100,000+/year (Mexico and Central America: 45,000/year) Most of the harm caused by illegal drugs derives from their illegal status. The World Health Organization (WHO), estimates deaths related to illicit drug use worldwide at 245,000 (overdoses, suicides and AIDS, hepatitis B and hepatitis C). Victims of narco violence are not included in this total. ©Jeffrey Dhywood - www.world-war-d.com 36
  • 37. Why? Why has a relatively minor social and lifestyle issue been so vilified? Why have so much attention and so many resources been thrown at this relatively minor issue while other more prominent causes of death receive far lower attention and far fewer resources? Why so much inflexibility? Has prohibition really reduced the spread of substance abuse? Would substance abuse be much worse without prohibition? If so, was it worth the huge price paid for it? Is the drug problem a relatively minor problem that has been blown out of proportion with catastrophic consequences? ©Jeffrey Dhywood - www.world-war-d.com 37
  • 38. Caricatures of the prohibitionist propaganda The prohibitionist propaganda systematically displays the dangers of drug use with harrowing cases But then, why is alcohol shown This way instead of this way? ©Jeffrey Dhywood - www.world-war-d.com 38
  • 39. Their drug use didn’t destroy their careers A drug conviction would certainly have ©Jeffrey Dhywood - www.world-war-d.com 39
  • 40. The accession of not one but three illegal drug users in a row to the US presidency constitutes an existential challenge to the prohibitionist regime. The fact that some of the most successful people of our time, be it in business, finances, politics, entertainment or the arts, are current or former substance users is a fundamental refutation of its premises and a stinging rebuttal of its rationale. A criminal law that is broken at least once by 50% of the adult population and that is broken on a regular basis by 20% of the same adult population is a broken law, a fatally flawed law. How can a democratic government justify a law that is consistently broken by a substantial minority of the population? What we are witnessing here is a massive case of civil disobedience not seen since alcohol prohibition in the 1930 in the US. On what basis can a democratic system justify the stigmatization and discrimination of a strong minority of as much as 20% of its population? ©Jeffrey Dhywood - www.world-war-d.com 40
  • 41. Prohibition is the worst possible form of control Prohibition was the wrong answer to a real issue. • It gives control of the prohibited substances to organized crime with catastrophic consequences. • It spreads violence and corruption and increases exponentially the harm of drug use. Prohibition cannot work in a market economy. Organized societies should be able to do a better job than organized crime at managing and controlling potentially dangerous substances. ©Jeffrey Dhywood - www.world-war-d.com 41
  • 42. Regulation of legal psychoactives Learning from the 3 existing models – their strengths, their flaws and limitations ©Jeffrey Dhywood - www.world-war-d.com 42
  • 43. Alcohol ©Jeffrey Dhywood - www.world-war-d.com 43
  • 44. Alcohol • Highly normative, social lubricant of Western civilization, consistently glamorized. • Super-powerful Lobby strongly opposed to any reform • Taxation totally inadequate to social costs • Little restriction on use and marketing • Limited campaigns of education & prevention • Rapid growth of consumption in emerging countries ©Jeffrey Dhywood - www.world-war-d.com 44
  • 45. WHO conclusions on Alcohol regulations Few places use effective policy measures to prevent death, disease and injury from alcohol use. Many countries have weak alcohol policies and prevention programs. Since 1999, restrictions on alcohol marketing and on drunk–driving have increased, but there are no clear trends on most preventive measures. Most useful and cost-effective strategies: (1) Regulating the marketing and availability of alcoholic beverages (in particular to younger people); (2) Drunk-driving laws; (3) Demand-reduction for alcohol through taxation; (4) Accessible and affordable treatment for alcohol dependence. ©Jeffrey Dhywood - www.world-war-d.com 45
  • 46. Tobacco •A model of successful restriction of a powerful lobby without throwing anybody into jail. •Spectacular reduction of use in a growing number of countries. US prevalence of use decreased from over 50% in 1950 to less than 20% in 2010. •Reduced normativity, deglamorized. •Restrictions on marketing and use in public spaces; education and prevention campaigns •High level of taxation, even if probably still insufficient to cover societal costs in most countries. •Use still rising in emerging countries due to lax regulations and powerful tobacco lobby in some countries. ©Jeffrey Dhywood - www.world-war-d.com 46
  • 47. ©Jeffrey Dhywood - www.world-war-d.com 47
  • 48. Psycho-pharmaceuticals Neuroscience: the Holy Grail of the medicalization of normalcy. A super-powerful lobby subsidized by health insurance in most countries Emergence of cosmetic psycho-pharmacology: the use of medicine to enhance physical, cognitive or mental performance raise the issue of the legitimacy of recreational or sybaritic use. Rapid increase of the world market for psycho- pharmaceuticals from $19 billion in 1997 to $137 billion in 2010 with projections for $300 billion by 2018. Abuse of psycho-pharmaceuticals now surpasses abuse of illicit drugs in many countries, affecting primarily children and the elderly. ©Jeffrey Dhywood - www.world-war-d.com 48
  • 49. The third way Controlled legalization ©Jeffrey Dhywood - www.world-war-d.com 49
  • 50. What do we want to accomplish? Reduce crime & Reduce the harm crime-related caused by harm substance abuse These two goals are compatible and non-exclusive ©Jeffrey Dhywood - www.world-war-d.com 50
  • 51. The challenges of effective regulation • Decriminalization leaves control to organized crime. Only controlled legalization can reclaim control of production and trade of the currently illegal drugs. • We must learn from the 3 existing models of legalized psychoactives drugs (alcohol, tobacco and psycho- pharmaceuticals) to improve on these models and avoid their pitfalls and limitations. • Keeping at bay powerful commercial interests: The main threat to effective control in a legal market is not from black market interests but of the legal industry influencing politics over time to increase availability and, in turn, profitability. ©Jeffrey Dhywood - www.world-war-d.com 51
  • 52. ©Jeffrey Dhywood - www.world-war-d.com 52
  • 53. Model optimization The illegal drugs problem does not have a unique solution, but rather a continuum of possible outcomes under varying conditions. The one-size-fits-all prohibitionist approach doesn’t work. Drug policy reform must be a dynamic process, with a regulatory model that is adaptable to local conditions and can evolve over time as new circumstances demand. Pragmatism and practicality rather than principled moralism should be the leading guideline of policy-making. The objective of drug policy reform should be to create an optimized regulatory model that reclaims the control of illegal drugs from organized crime, creating and implementing practical and efficient mechanisms to manage and minimize societal costs. ©Jeffrey Dhywood - www.world-war-d.com 53
  • 54. 3 major objectives of drug policy reform Violence and crime reduction: A properly controlled marketplace can reduce, dismantle and possibly eliminate the illegal drug market, which in turn will reduce the presence and influence of organized crime and reduce drug-related violence. Harm reduction: Safe and controlled legal access can reduce harm to existing users, reduce drug related deaths, improve the health of users/addicts, improve their social integration and reduce harm caused by problematic users to their proximate environment and to society at large. Prevention: Proper control and prevention can minimize access to minors, reducing or postponing initiation, which is a prerequisite for long-term improvement of the substance abuse issue. It will prevent moderate, responsible users from becoming problem users. ©Jeffrey Dhywood - www.world-war-d.com 54
  • 55. The 5 pillars of controlled legalization • Legalize: reclaim control from organized crime • Tax: Reduce or eliminate the financial burden placed on taxpayers by the consequences of drug use and drug prohibition. • Control: Quality control, access control, marketing control • Prevent: Reduce and postpone initiation; prevent soft drugs users from moving to hard-drug use; prevent casual users from falling into abuse. • Treat: Reach out and early intervention on problem users • Educate the public about the dangers of substance abuse ©Jeffrey Dhywood - www.world-war-d.com 55
  • 56. Basic structure of a regulated marketplace • Focus on problematic use, with a special emphasis on preventing it in the first place, rather than trying to prevent all use of illicit drugs. • A strict separation between distribution and retail channels of soft drugs and hard drugs to minimize the transition from soft drugs to hard drugs. • A strict separation between casual users and problem users of hard drugs. • Supervised maintenance for problematic users (heavy users and addicts) of hard psychoactives. Such an approach offers many benefits that will be detailed underneath, chief among them, a dramatic reduction of initiation, which is the best warrant of long-term success. • Protection of children and youths, with strong prohibition of underage access and prevention of diversion, especially for hard drugs. ©Jeffrey Dhywood - www.world-war-d.com 56
  • 57. Step 1 Separate soft drugs from hard drugs • Regains control of the largest segment of the illegal drug marketplace. • Establishes quality control, which eliminates intoxication due to adulteration. • Eliminates the marketplace-driven gateway effect from soft drugs to hard drugs • Allows focus on prevention of abuse • Nudges hard-drugs users towards milder substances. • Allows control of underage access ©Jeffrey Dhywood - www.world-war-d.com 57
  • 58. Considerations for soft drugs legalization and control Restrictions: • Underage access (forbid sale, prevent diversion) • Operating under the influence (driving, etc.) • Zoning restrictions: proximity to schools, parks, sport facilities and venues where children tend to congregate • Marketing: Packaging, promotion, advertising, etc. • Use in public places • Opening hours • Quantity per customer and/or per purchase Establish purity, potency and active ingredients standards Require health warnings on packaging and other marketing material ©Jeffrey Dhywood - www.world-war-d.com 58
  • 59. Step 2 - Hard drugs management: The health and harm-reduction approach Subsidized access with supervised administration in specialized premises for problem users: • Establishes contact with vulnerable populations. • Facilitates reinsertion of marginalized populations into productive role in society. • Eliminates acquisitive crime. • Nudges abusers towards substitution and/or treatment. • Eliminates hazardous administration practices and reduces the spread of AIDS and other blood-borne infections. • Reduces the social contagion of substance abuse • Strict quality control eliminates intoxication and accidental overdoses ©Jeffrey Dhywood - www.world-war-d.com 59
  • 60. Benefits of subsidized supervised access on the illegal drug marketplace • Removes the drug dealing necessity from problem users • Eliminates the social side of administration; reduces or eliminates the contagiousness of substance abuse, which in turn sharply reduces initiation. • Eliminates a supply source for casual users. • Removes the foot-soldiers from the illegal drugs marketplace. • Sharply reduces the illegal marketplace to the hazardous casual user market and far more hazardous initiates market. ©Jeffrey Dhywood - www.world-war-d.com 60
  • 61. Challenges of supervised access • Issue of proper identification of problem users and filtering out of casual users. • Limited availability and/or excessive restrictions, demands or pressure on problem users may drive them away from the program and back to the illegal marketplace. • Risk of diversion by program operators and/or users if the program is not properly controlled. • Leaves program operators exposed to dangerous and tempting substances. ©Jeffrey Dhywood - www.world-war-d.com 61
  • 62. Step 3 -Establish a highly restricted legal marketplace for casual users • May not include the most harmful substances and the most harmful modes of administration • Strict quality control eliminates intoxication and accidental overdoses • Accessible to registered users only • Require waiting period and clear warning to new users • High level of taxation • Restriction on purchase – maximum amount per purchase and/or per month • Restrictions and packaging can be designed to sharply reduce diversion • Strict control of access to minors ©Jeffrey Dhywood - www.world-war-d.com 62
  • 63. Benefits of restricted legal access for casual users • Postpone and reduce initiation • Allows early detection of accelerating patterns of use and problem use • Allows early intervention • Avoids marginalization of users • Eliminates the last remnants of the illegal drugs marketplace • Protect children from becoming foot-soldiers and cannon fodder of narco-trafficking. ©Jeffrey Dhywood - www.world-war-d.com 63
  • 64. Is restricted legal access for casual users necessary? While the general public and politicians are warming up to the idea of legalizing soft drugs, especially in Western countries, there is generally a strong resistance to the legalization of hard drugs. The harm-reduction approach is gaining ground around the world and has been endorsed by the WHO while UNODC is warming up to the concept. The step 2 of our proposed roadmap, based on harm-reduction with prescription maintenance, would eliminate over 90% of the hard drugs market from the illegal marketplace, and remove most of its foot-soldiers and retailers. This in turn would reduce the residual illegal marketplace to casual users and initiates of hard drugs, a highly hazardous an unprofitable market. The legalization of soft drugs such as cannabis and the supervised subsidized access of hard drugs to abusers might sufficiently weaken the illegal drug trade to the point of essentially destroying it. Therefore, step 3 of our roadmap, restricted legal access for casual users, might be unnecessary. ©Jeffrey Dhywood - www.world-war-d.com 64
  • 65. Breaking down the illicit drug marketplace SOFT DRUGS HARD DRUGS Strictly separate channels Casual use Problem use to discourage transition Prevent transition Controlled from soft to hard drugs. Adult use from casual use to subsidized access Strong restrictions on problem use. with supervised promotion & marketing High barrier of administration Transition from access. casual to problem Transition from Some diversion to soft to hard drugs Eliminate diversion underage to underage & is probably unavoidable Prevent diversion initiation Underage Prevention of underage use. Separating problem users from casual users Strict prohibition of sale to allows early intervention in case of minors. Efficient mechanisms accelerating pattern of use. Controlled to prevent diversion, especially for hard drugs. subsidized access prevents initiation. ©Jeffrey Dhywood - www.world-war-d.com 65
  • 66. ©Jeffrey Dhywood - www.world-war-d.com 66
  • 67. Prohibition v/s Controlled Legalization Prohibition  coercion Controlled legalization  Nudging Forced transformation of human nature Respect of individual rights & lifestyle choices as long Totalitarianism: communism, fascism, prohibitionism as they do not intentionally endanger others Propaganda, censorship, mass incarceration of Education, prevention, treatment deviants Provokes: Rebellion/Resistance/deviance Promotes: voluntary cooperation, participation Exclusion: Inclusion: Segregation, discrimination, persecution, demonization Reaches out to the most at-risk populations Marginalizes the most at-risk populations Bring them to productive role in society Turn them to crime careers All actors of the supply chain are unknown, and The various agents of the supply chain are clearly virtually the entire population must potentially be identifiable; relatively light control apparatus is controlled, requiring an extremely heavy enforcement sufficient to ensure that they abide by the rules that apparatus. govern them. Quality control issues No quality-control, unknown concentration and Known, quality-controlled products, safe adulterants, unsafe administration: administration intoxication through unknown adulterants Eliminates intoxication through unknown Accidental overdoses adulterants Epidemic spread of AIDS and other diseases Eliminates accidental overdose related to unsanitary administration practices to Reduce spread of AIDS and other diseases related users, their partners & their children to unsanitary administration practices ©Jeffrey Dhywood - www.world-war-d.com 67
  • 68. Legalization will not end organized crime But it will weaken it ©Jeffrey Dhywood - www.world-war-d.com 68
  • 69. Legalization and organized crime Legalization will remove considerable resources from organized crime and weaken it substantially, but it won’t destroy it. While legalization will allow refocusing law enforcement efforts, it will also refocus organized crime; the drug cartels will expand their other activities – extortions, kidnapping, human trafficking, etc. Such activities are far less profitable and far more dangerous than narco-trafficking though, which will greatly reduce the profitability and therefore the appeal of criminal careers. Legalization will allow turning the tide, even if a long struggle will remain to curb organized crime to manageable levels. Countries such as Mexico will require deep structural changes to eradicate systemic corruption and impunity. ©Jeffrey Dhywood - www.world-war-d.com 69
  • 70. After losing the war, can we win the peace? To win the peace means to reduce crime and violence, which in turns requires a reduction in the number of criminals. To that effect: • Reduce the appeal and profitability of crime • Separate hardcore criminals from low-level operatives, offering them economic alternatives. • Reinsertion of repented criminals into society • Disarm and disband criminal organizations Countries such as Afghanistan, Colombia or possibly Mexico may require “Peace and Reconciliation” programs to overturn the sub-cultures of violence prevalent in many segments of the society and promote a more peaceful and inclusive society. Ultimately, the root causes of violence must be addressed: lack of opportunities, poor education, poverty and inequality. ©Jeffrey Dhywood - www.world-war-d.com 70
  • 71. Can Mexico learn from Colombia? Mexico Colombia • 3,000 km border with US • 2,500 km away from the US • Drug trafficking started in the • Drug trafficking started in the 1920s 1970s • Deeply-rooted links between organized crime and all levels • Deeply-rooted links between of government organized • Systemic and endemic crime, insurgencies, paramilita corruption ry militias and all levels of • Pervasive impunity – 1 in 10 government crime is reported; 1 in 10 reported crime leads to • Systemic and endemic conviction corruption • Pervasive impunity ©Jeffrey Dhywood - www.world-war-d.com 71
  • 72. How to get there The US has adopted over the past 20 years a de-facto piecemeal (and somewhat erratic) approach to drug policy reform. Marijuana is now legal for medical use in 18 states and fully legal in Washington and Colorado. Such a piecemeal approach is probably not a realistic option in the countries most affected by narco-violence, the transiting and producing countries. In order to be successful, legalization should be implemented by a coalition of countries with the intent to pressure the major consuming countries, the US and Europe, to reform their own drug policies. Short of that, legalization through most of South America, including Colombia, Central America and Mexico, would place the US in a quandary. I have been advocating since 2011 the creation of a broad Latino American coalition of the willing to reform, led by Colombia, Mexico and Guatemala. President Perez Molina of Guatemala has been working diligently since taking office in January 2012 towards a region-wide debate on legalization. Mexico and Colombia are still warming up to the idea and have failed to give their full support so far. ©Jeffrey Dhywood - www.world-war-d.com 72
  • 73. Conclusion Controlled legalization is not a seal of approval on drug use. Starting with junk food and tobacco, many things are legal while being generally disapproved. Replacing the uncontrollable illegal trade with a controlled marketplace is vastly different from saying that it’s OK and safe to use illicit drugs. Far from giving up and far from an endorsement, controlled legalization would be finally growing up; being realistic instead of being in denial; being in control instead of leaving control to the underworld. It would abolish the current regime of socialization of costs and privatization of profits to criminal enterprises, depriving them of their main source of income and making our world a safer place. ©Jeffrey Dhywood - www.world-war-d.com 73
  • 74. Addressing substance abuse holistically Ideally, from a research and policy-making point of view, substance abuse should be viewed in its entirety rather than focusing solely or mostly on illegal drugs. It would be particularly instructive to study the evolution of substance abuse and its associated harm over the last century or even longer. ©Jeffrey Dhywood - www.world-war-d.com 74
  • 75. Find out more www.world-war-d.com http://www.facebook.com/worldward Twitter: @JDhywood Jeffrey Dhywood Investigative writer, author of “World War-D: The Case against prohibitionism, roadmap to controlled re-legalization“ ©Jeffrey Dhywood - www.world-war-d.com 75