Drugs: why we should medicalise, not criminalise
The TimesOnline
December 14, 2006
Mary Ann Sieghart

If you are a desperate drug addict and you are neither a trust fund babe nor a doctor with a prescription pad, you really have only three ways to pay for your habit: you steal, you deal or you sell your body. For those poor young women who have too many scruples to steal or deal, prostitution is often the only answer. Some 95 per cent of prostitutes, according to a Home Office study, are what they call “problematic drug users”.

And now five prostitutes in Suffolk have been murdered and the rest fear for their lives. One of the victims, Gemma Adams, an intelligent, piano-playing, pony-riding, middle-class girl, had turned to prostitution, like many other such women, after becoming addicted to heroin and crack. This week her parents issued photos of her in happier days, to help people understand that she was a person, not just a prostitute.

Yet even the law degrades prostitutes, valuing their lives at less than that of a middle-class, piano-playing girl. When Dianne Parry’s daughter, Hanane (another heroin addict turned prostitute), was murdered and dismembered in 2003, the Criminal Injuries Compensation Authority offered Mrs Parry only half the money that a parent of a non-prostitute would receive. It wasn’t the £5,000 that Mrs Parry cared about, but the devaluing of her daughter’s life.

And it is not just the law on compensation that should be changed. It is the law on drugs themselves. Drug addiction is a medical condition; it should not be treated as a criminal offence. The crime that results from drug addiction is a direct result of the drugs’ illegality. The organised criminal gangs, with their violence, corruption and money laundering; the street gangs, with their gun crime, stabbings and intimidation; the muggers, burglars, car thieves and shoplifters, who steal to fund their habit; the dealers who try to create new addicts; and finally, the prostitutes who put their health and lives at risk; all this crime and suffering could be wiped out if the drugs were available, free, on prescription. Some 50 to 80 per cent of prisoners are in jail for crimes related to raising money to buy drugs. Nearly half of women prisoners are there specifically for drug offences and nearly three-quarters have had a drug problem. The cost to the criminal justice system is huge. The cost to the individuals, their families and wider society is greater still.

In European cities, where heroin is available on prescription, property crimes by drug-users have dropped by as much as a half. And think of the effect that widespread prescribing would have on turf wars, gang violence, gun crime, street dealing and prostitution. An excellent report from the Transform drug policy foundation* also points out: “The largest single profit opportunity for organised crime would evaporate, and with it the largest single source of police corruption.”

Transform estimates that the prison population would fall by between a third and a half, ending overcrowding and the need to build more jails. Billions of pounds spent enforcing prohibition and coping with its consequences would be saved. Hundreds of thousands could be treated as patients rather than criminals. The number of drug-related deaths would fall dramatically. And desperate young women could be rescued from pimps, potential rapists and murderers.

At the same time, unstable countries such as Afghanistan and Colombia, which have become almost ungovernable thanks to the distorting and corrupting effects of the drugs trade, could sell their products legally to Western governments for medical use.

Of course we should try to get drug addicts off their drugs. It is good that waiting times are now shorter for rehabilitation. But treatment doesn’t work unless users really, really want to give up. And even then, they often relapse because the cravings are so strong. So it is not surprising that enforced treatment and rehabilitation is so unsuccessful. A National Audit Office report on the Government’s Drug Treatment and Testing Order, a court-administered mandatory programme for addicts, found that 80 per cent of offenders were reconvicted within two years.

It is much more sensible to prescribe a maintenance dose for addicts, which they must take under supervision so they cannot sell it on, until they are ready to try to give up. That way, they can attempt to lead a normal life, to refrain from crime, to stay off the streets, even to hold down a job, until they can wean themselves off the drugs.
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