Archive for Drug Reform

D.A.R.E. Fails!

Posted in Drug Reform with tags , , on February 3, 2010 by corecompany

Who would dare to complain about D.A.R.E.? It’s an organization whose sole mission is to keep kids off drugs, what could be wrong with that? Absolutely nothing, except that they leave a few things out, minimize the problem, exclude people already impaired, shame children of alcoholics and perhaps worst of all, eclipse and consume potential because after all, we must be addressing the drug issue in schools, we have D.A.R.E.

The program itself is standard “Just say No!” fare. It does little to educate about the complexities of the problem, nor does it present it as a health issue. It presents it as a “choice”, don’t make the wrong choice and do drugs, play sports, dance, support your school!! All great ideas but really are we going to combat a complicated biological disease with dance? C’mon kids, dance those blues away! Dance that depression away! Dance your abusive parents away! Dance! Dance! Dance!! I am too old to be a graduate of the D.A.R.E. program but if it had been around when I was in school, I wonder what it would have done. There were individuals and systems letting me know that drinking was bad but it wasn’t doing anything for my internal world, my isolation and feelings of being disenfranchised but that keg party was working a fucking miracle.

The D.A.R.E. message is clear. Drugs are bad. Dumb people do drugs; lazy people do them as well. In other words “bad” folks get themselves involved with drugs. I am not sure what blameless holy virtuous people do, I assume they dance because the DARE website really promotes dance. Does the DARE program have happy feet? Why all the dancing? The message is shaming and shame never helps with drug issues. Additionally there is no mention made of disease, the AMA, treatment or recovery. Nowhere is the message: “not their fault but their responsibility’ delivered. Just don’t be bad, dance!

The advisory boards with the DARE program include: education (makes sense), Law enforcement (Oh, Jesus, not this again) and scientific. There seems to be something missing here. How about a doctor, people in recovery, social workers, family therapists, the kind of people who are on the front line of the drug culture in America. Shall we hear from them? It makes no sense to me – the greatest success of living drug free has been people in recovery. For some it’s 12 step participation, others find their own road. Somehow I would think that government agencies would want to hear from people who live drug free. Never do I see ‘recovery advisory board” in any of this and DARE is no exception.

The cost of the program is unclear. DARE itself estimates anywhere from 438 million to 604 million. I guess that is the cost of running the program, paying for the officers who facilitate it etc. Also I think they have a dog mascot, maybe it’s a lion, one of those creepy American kabuki things. I’m sure those things don’t come cheap. What is the net result of DARE? I don’t know. I don’t know if it keeps anyone off drugs or not. What I think is it is a gross oversimplification of the problem, and the added value is not much. Additionally, I can’t imagine being a school aged child listening to how bad and dumb alcoholics are when they are holding a family secret. That must be torture. Unless of course they are deeply engaged in expressive dance.  Thank God DARE isn’t into hiking. I can’t tell you how many conferences I go to where people try to treat mental illness with hiking. Frankly, I hate hiking; I’m not crazy about bugs or dirt. I do however like the comfort of knowing I can order Chinese food at any moment which is why I live in New York but OK if DARE knows something I don’t, let them hike, dance, whatever it takes.  In any event, is this the best allocation of funds? Maybe, but it seems lopsided to me. The other thing I wonder about is the kids there will most likely agree with the basic concepts of the program but what about the tortured iconoclasts? Do they agree? Do they challenge the ideas? I don’t think we know because I think those kids are out smoking weed, missing the dance-a-thon.

My biggest issue with DARE is that it has become some kind of sacred cow in American culture. You see their t-shirts, their corporate partnerships, we all know their logo and their bumper sticker, often next to those obnoxious “my kid is a (whatever)’ sticker. DARE has become a fairly powerful lobby, rejecting any idea other than “just say no”, they are the Christian right of all those interested in drug policy. They oppose reform, damn to hell the idea of tax and regulate and shun discourse about the drug issue in America. I was not surprised that all regional directors are white and male with the exception of an Asian female. Lets see some black people on these boards, children who have grown up fatherless as a result of the drug war, overworked grandmas left to care for children of drug war casualties. Where is their voice?  As a side note, DARE was listed by the US surgeon generals office in the category of ‘ineffective programs” furthermore the government accountability office reported in 2003 that there are ‘no significant differences in illicit drug use  (this would exclude alcohol) between students who received DARE and students who did not.

While well meaning, DARE misses the mark, stifles progress, shames us children of alcoholics and the government calls it “ineffective”. Maybe it’s just incomplete. Maybe education needs to expand to families and schools about how to handle a substance misuse issue. Of course we would have to be honest and assume that all schools and communities have some range of substance misuse. I will chair the committee to design the curriculum, make the board of many people from many disciplines. My fee will be HUGE but no matter, we will partner with Perdu Pharma (makers of Oxycontin), I am sure they won’t mind my fee and giving me the keys to the jet, me and my board will be busy and we will need to travel. DARE? You have got to be fucking kidding.

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Will California Legalize Marijuana?

Posted in Drug Reform with tags , , , on November 16, 2009 by corecompany

I say it not less than 5 times a week, “the AMA has recognized alcoholism as a disease for decades”.  It’s an arrow in my quiver used to penetrate denial in some way. Sometimes it’s just a wiseass comment. I like to pull it out when people say ‘I don’t think alcoholism is a disease”.  “Really Dr., the AMA disagrees”.  IS the AMA a friend to our culture, our cause, to us pinko reformers?

While the AMA is asking for more clinical trials regarding the medicinal value of marijuana, they are careful to distance themselves from the long-haired, twinkee eating, Cheech and Chong  loving complacent pot culture. The AMA is clear  that they do not endorse any state based medical marijuana programs and does not support the legalization of marijuana. Why not AMA? It doesn’t take an MD to know that many of the substances that freely flow out of  doctors offices are way more dangerous and harmful than Marijuana, so why would a doctor not feel comfortable writing a Marijuana prescription?  How may lives are claimed by Percocet, Vicodan, Oxycodon and/or Zanax? More than we know, certainly more than people are honest about. How many marijuana overdoses are there annually? ZERO, ZERO!!!!

Marijuana is currently a Schedule 1 drug, the most restrictive of five schedulings. Schedule 1 drugs are considered to have a high potential for abuse, no accepted medicinal use (tell that to someone having chemo), and a lack of accepted safety for the use of the drug. Another schedule 1 drug is heroin……. Less restrictive substances in the schedule 2 arena include cocaine. What? Our government believes that marijuana needs more restriction than cocaine? Does anyone really believe that drug policy is working? Where is the outcry for the massive reform of drug policy in this country?  The lack of discourse is staggering. Where, oh where, does alcohol fall into all of this? It seems again, that it gets a free pass.

Looks like California will be the first to vote on legalization of marijuana. Ok, Cali, let’s see it.

Me.Want.Now! The Overindulgent Mind of an Addict.

Posted in Drug Reform with tags , , , , on September 24, 2009 by corecompany

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Instant gratification is something that plagues us all.  In a world of texting and instant messaging it is easy to get used to that kind of time and yet it’s not realistic. Delaying gratification is something that all drug addicts in recovery must learn.  They must get used to a pace of life that is slow and frankly, boring to them.  Try as they might, one of the difficulties of sustainable recovery is that NOTHING will ever feel as good as the DOC (drug of choice for you outsiders).  Patience is not the strong suit of any addict. Sometimes I think addicts can me summed up in three words: ME (self centered in the extreme) Want  (addicts are a black hole of want) Now (waiting? Ummm, no). ME.WANT.NOW! Sound like an overindulged child? Yes, I know.

            Even when people have been sober for a while, these characteristics are prevalent.  Often in a subtle way.  In recent months I have paid close attention to Gil Kerlikowske and the office of Drug Czar. I thought that under a new administration, we would have new policies. I wanted this for treatment providers, for families, for addicts, for all of us. I wanted this now. The truth is we have been in this drug war mess since Nixon. Did I really think Gil would change this in a few months? It’s a frustrating situation but he has already come a long way. He has publicly supported recovery high schools, called for an end to the drug war and yesterday in the Miami Herald Gil said, “draconian sentencing laws aren’t helping us win the drug war”.

            So, brick by brick my citizen. Recovery is a long slow process and recovery from the endless drug war won’t be an exception.  Of course I want this changed now. I don’t like waiting and sometimes, without even knowing it, the entitlement of what I want dressed up as being a warrior for the greater good wins. In other words, Thanks Gil, keep up the good work!

U.S. Drug Policy is a Total Failure!

Posted in Drug Reform with tags , , , on February 12, 2009 by corecompany

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Former Brazilian president, Fernando Henrique Cardoso, in collaboration with former Columbian president Cesar Gauiria and former Mexican president Ernesto Zedillo have announced that the U.S drug policy is a “total failure”.  The situation with drugs in the US is a mess to be sure. Hard to declare it a total failure since the goals and objectives of the policies are not clearly defined, they are not even murkily defined. What are they designed to do? The Latin American presidents called for a more European model in drafting policy, where drug use/abuse is treated by health officials and not by law enforcement. They issued a statement that said “We are very concerned that the policies of narco-trafficking in the U.S. have practically no public debate today”.  I agree!!

My intention is not to minimize the sacrifice and loss of those individuals who have died in Iraq, but I wonder how many young people have died in the drug war during the time we have been in Iraq?  Are the lives of drug addicts less valuable?  In America it is more likely that black males will be incarcerated than go to college. I’m grateful for President Obama who is providing the belief that there is possibility for black, male youth. Go that extra mile Barack! Ending the paramilitary drug war will save lives, torment, revolutionize the culture, help people get into treatment, and reduce harm. Let’s meet with the Latin Americans and collaborate on Western Hemisphere policy.  I’ll volunteer to go with you for support….