30 May 2012: Bringing Out the Dead
In general, I don't like movies that deal with drugs. They usually annoy me. I like Drugstore Cowboy, of course, given that the book was written by a junkie, and the director has, by all accounts, at least some experience with "hard" narcotics. But another film that deals well with drugs is Bringing Out the Dead.True, the film does tend to over-stress the evils of drug use. But most can be forgiven. Under most circumstances, Mary being an ex-junkie prostitute would just be a cliche. But the fact that she's Mary Magdalene, makes it okay. And I suppose I'm willing to give a pass to Frank's bizarre reaction to what looks like nothing more than Valium; he has to suffer for all our sins after all.
Mostly, the film takes the use and distribution of drugs seriously—more seriously than one usually sees. Take for example, the following plot synopsis from Wikipedia (bold is mine):
The story follows 72 hours in the life of Frank Pierce (Cage), a burnt-out paramedic, in 1990. Frank is a Manhattan medic working the graveyard shift in a two-man ambulance team. Usually exhausted and depressed, Frank sees ghosts walking the streets, particularly that of a young woman he failed to save six months before. He is asigned a shift per day, each with a different partner: Larry (Goodman), Marcus (Rhames), and Tom (Sizemore). While working with them, he befriends the daughter of a heart-attack victim he brought in, Mary (Arquette), an ex-junkie. Between rounds, Frank battles against the massive effects of a new drug (Crack) that is hitting the streets, as well as his own psychological demons.
"Frank battles against the massive effects of a new drug (Crack) that is hitting the streets"?
"Frank battles against the massive effects of a new drug (Crack) that is hitting the streets"?!
First, they got the drug completely wrong; it is supposedly some kind of mixture of heroin with an amino acid that makes it ten times as potent. Or so the doctor in the film says. Regardless, it is an opioid. Otherwise, Narcan would not work to reverse an overdose. Crack? Really? Sometimes I forget that most people live in another universe from me. To them, all drugs they don't use are the same.
Second, "Red Death" is not that big a deal in the movie. There are two primary threads in the film: Rose haunting and Mary redeeming. In fact, at the time of the film, New York City dealers were always branding their product. A good guess would be that "Red Death" was just a new source, which, trying to break into the market, was more pure than average. This would cause a spike in ODs—no need for the special amino acid the doctor spoke of.
Wikipedia aside, Bringing Out the Dead is a great film. And it holds out the hope that if there is no redemption for us, perhaps there is acceptance.
26 May 2012: Heroin Christmas
That Mitchell and Webb Look is the best sketch comedy around. I've written about them before. And I find this sketch particularly funny:
I suspect that most people find this sketch funny just because it is absurd: they wouldn't find it funny if it were alcohol. But I think the absurdity is very important on another level. Why can't heroin use be just another hobby? If a heroin user gave up that hobby and became a rock climber (I know a guy) it isn't like the danger factor would go away.
What is most funny in this sketch is the family dynamic of trying to buy presents for someone with a specialized interest that the rest of the family doesn't understand. In general, I hate it when people buy me gifts. In fact, there is a good Japanese word for this: Arigata-meiwaku. It is something someone does for you that you don't want but you feel obliged to thank them for. If people had been more understanding when I was a user[1] they would have no doubt bought be Pimps & Needles. (Clever, if offensive, title.)
Perhaps the best part of the sketch is the understanding that cocaine is very different from heroin. Just because you like one doesn't mean you'll like the other. Although, in my experience, everyone likes them together.
[1] For the record, I am really not a user anymore. This isn't some kind of nod and wink campaign to keep the cops away. The strongest drug I do is my morning English Breakfast tea, which I am drinking now. Yummy but not all that exciting.
I suspect that most people find this sketch funny just because it is absurd: they wouldn't find it funny if it were alcohol. But I think the absurdity is very important on another level. Why can't heroin use be just another hobby? If a heroin user gave up that hobby and became a rock climber (I know a guy) it isn't like the danger factor would go away.
What is most funny in this sketch is the family dynamic of trying to buy presents for someone with a specialized interest that the rest of the family doesn't understand. In general, I hate it when people buy me gifts. In fact, there is a good Japanese word for this: Arigata-meiwaku. It is something someone does for you that you don't want but you feel obliged to thank them for. If people had been more understanding when I was a user[1] they would have no doubt bought be Pimps & Needles. (Clever, if offensive, title.)
Perhaps the best part of the sketch is the understanding that cocaine is very different from heroin. Just because you like one doesn't mean you'll like the other. Although, in my experience, everyone likes them together.
[1] For the record, I am really not a user anymore. This isn't some kind of nod and wink campaign to keep the cops away. The strongest drug I do is my morning English Breakfast tea, which I am drinking now. Yummy but not all that exciting.
25 May 2012: The Young Jerks
I was just watching The Young Turks and—Quelle surprise!—I got pissed off. It was co-hosted by Cenk Uygur, Michael Shure, and Ben Mankiewicz. Mankiewicz brought up a podcast by Penn Jillette about the drug war. Jillette, who I've had plenty of problems with, nailed the issue. He pointed out that if Obama as a young drug-using man had been arrested for his "crimes" his life would have been over. There would have been no law school, no great wife, and certainly no presidency.The young turks then began discussing cannabis. Ben Mankiewicz didn't believe that people were actually in jail for simple possession. He implied that somehow it was okay to use the drug, but not okay for someone to provide it. Cenk then noted that many people are in jail for simple possession, but only because they pleaded down from distribution charges. To say the least, this is hogwash.
The truth of the matter is that prosecutors load up on charges they know they can't prove to get people to plead to charges they normally wouldn't. I knew a woman who was charged with "intent to sell" for 5 $10 one-n-one bags. The fact of the matter is that someone caught with a quarter ounce of cannabis will likely get an "intent to sell" charge. That doesn't mean that person was dealing drugs.
The young turks showed themselves to be the ignorant whitebreads they are. (Ben Mankiewicz is the son of NPR President Frank and grandson of Academy Award winning screenwriter Herman—of course, we don't have classes in America!) Two of them claimed to never having tried cocaine. I'm not a fan of this drugs and I would never encourage anyone to do any drugs at all. But to be in their social class and to have never tried this drug shows a profound lack of curiosity and blind adherence to authority. This seems strange given they all seem to be regular users of cannabis. Be that as it may, what are these guys talking about a subject they are totally ignorant about?
In the end, the whole discussion came down to the usual, "Legalize cannabis, fuck all other drug users!" And this got me thinking: if cannabis is legalized, that will mean that the huge drug war apparatus that is used primarily against cannabis, because it is the most commonly used drug, will be trained on all the other drugs. Cannabis legalization is going to be a very bad thing for users of all other drugs.
I've long been against the legalization of cannabis because I don't buy the argument that people should be allowed their drugs as long as the society decides the drug is acceptable. But now I have another reason.
20 May 2012: Take Charge Take Care
My working theory is that the general public want all drug users to hurry up and die. I didn't start off thinking this way. It took me many years. And since this became my working theory, I have found little contrary evidence.A friend of mine sent me a video of a guy yelling at the camera. I guess it is his usual routine. In this video, he was complaining about a pamphlet published by New York City that tells users how to inject drugs. It was typical of these things in that it reduced a complex issue to a trivial straw man that can be ridiculed. I hadn't seen the pamphlet, but I was pretty sure it was not what this idiot was claiming. I was sure it was a pamphlet designed to save lives.
I did a little research and found a CBS News article, New York City Publishes Heroin Guide Book. The second sentence gets to the heart of it, which isn't much more thoughtful than the screamer:
The state's top official with the Drug Enforcement Administration calls the "Take Charge Take Care" guide a "step-by-step instruction on how to inject a poison." DEA special agent-in-charge John Gilbride says the handout is disturbing.
It is not clear what ignorant DEA managers think. They are in no way experts. To claim that heroin is a "poison" is to show a blatant disregard for pharmacology or grammar or both.
The pamphlet, which any active users should read, is exactly what I thought. It is called Take Charge Take Care. And I can see the reason for the uproar: it is designed to save lives—junkie lives!.[1]
The pamphlet has 10 tips. Here they are:
1. Prevent Overdose
2. Treat Overdose
3. Don’t Share
4. Use New Syringes
5. Prepare Drugs Carefully
6. Take Care of Your Veins
7. Know Your HIV Status
8. Get Tested and Treated for Hepatitis
9. Get Help for Depression
10. Ask for Help to Stop Using
The whole thing is a hygiene manual with some tips on where to get an OD kit and other useful stuff/information.
The people who made and distribute this pamphlet should be applauded. Instead they attacked.
We are an evil society.
Take charge. Take care.
[1] I couldn't find the official "New York" version. This one is from Tennessee from 2007. I know it is the same one because the screamer quoted some of it.
20 May 2012: Up Your Game Level With Drugs!
John Scalzi over at the Whatever Blog wrote a very good article about the privilege of being a straight white male in America called Straight White Male: The Lowest Difficulty Setting There Is. In it, he compares life to a video game. If you're a white male, your game is easy; if you're a black transvestite, your game is pretty hard. He points out that you don't get anything special for winning while playing at a harder setting. I would go further. Successful white men are revered as Gods. Black men who clawed their way out of the inner city are as likely as not to be considered uppity niggers.Scalzi goes on to claim that you can't change the level at which you play the game. This is because Scalzi accepts the modern paradigm of minority identity. Ever notice the big deal about whether homosexuality is genetic or not? Those for gay rights believe it is, those against believe it is not. This all comes down to the belief that you shouldn't hold something against a person if they can't help it. But this misses the point. Whether a man was born gay or not, the fact is that at that moment he is gay. For whatever reasons we are who we are and should be accepted as such.
And so, as all things on the Heroin Helper Blog, we come back to drugs. By taking drugs, but more accurately, by being caught taking drugs—by getting convicted for taking drugs—we move to a much higher difficulty setting in the game. I know that most people would respond to this statement by claiming that we simply chose to make our existing difficulty level harder. But this is nonsense.[1]
There are two aspects of this. First, we didn't choose the drug laws. And we certainly didn't choose for the the punishments to be so disproportionate to the "crime." And we didn't choose for a single drug law violation to follow us for the rest of our lives, stopping us from getting a decent job ever again.
Second, and really more important, we didn't choose our brain chemistry. I know many people for whom cannabis and alcohol are euphoriants. And I know many people who hate opioids. As I've noted before: 80% of people don't like opioids—at least strong ones. People who really like alcohol are very lucky to live here rather than Iran. But, of course, they don't see things that way. Instead, they think they are just moral because, "Alcohol good; opium bad."
It is true that I don't have to do opioids. And, in fact, I don't. But that puts a harsh limit on my happiness that others don't share. And what does depriving myself of my drug of choice get me? It keeps me out of jail (hopefully). But I still can't get a decent job. I'm still a social pariah. And let's not forget that I'm gambling that there are no suspicious deaths around me, because, you know, junkies are capable of anything.
By American standards, I think I'm playing at the medium-low setting of the game. This is better than it would be for most people because I hit the jackpot by being born with a fair amount of intelligence and talent. And I have very supportive family and friends. But if it were otherwise, I would be playing a medium-hard game—like so many others.
But they don't count. They "chose" their game level.
[1] In fact, as I will be talking about in the future, drug laws are a big part of what makes being black or brown in the country so hard.
15 May 2012: You Probably Don't Have a Right to an Attorney
"There's a real disconnect in this country between what people perceive is the state of indigent defense and what it is... I attribute that to shows like Law & Order, where the defendant says, 'I want a lawyer,' and all of a sudden Legal Aid appears in the cell. That's what people think."
—David Carroll, National Legal Aid & Defender Association
—David Carroll, National Legal Aid & Defender Association
15 May 2012: Murder and Drug Laws
As if it were a twisted 20th century adaptation of A Tale of Two Cities, Texas put a man to death for the crime of looking like a murderer. Carlos DeLuna was put to death in 1989 for a murder at a gas station. Yahoo! News reports on a 5-year investigation that James Liebman performed with five of his students at the Columbia School of Law.There has long been this belief among death penalty opponents that if we could just show without a shadow of a doubt that an innocent man had been put to death, the death penalty would be eliminated. This is, to say the least, a naive belief. There are a lot of people who want to see public murders and they will not let innocent deaths get in the way. But more to the point, this is not a theoretical debate. Many people who were murdered by the state have been shown to be innocent. Death penalty proponents apparently just think of these people as collateral damage—a necessary evil in the broader need to legally kill as many people as possible.
The death penalty and drug laws are part of the same system that is designed (Designed!) to keep the poor down. This isn't just about the people who get involved with the legal system. The poor get sidetracked thinking about the death penalty and vote for people who do not serve their interests. Every person I know who believes in the death penalty has a theoretical view of it. They all say roughly the same thing, "There was this guy who walked into a McDonald's and killed ten people. It was caught on 53 video cameras! Don't you think that guy ought to be put to death?" Of course, in general, that is precisely the kind of murderer who does not get the death penalty. The usual case is is something like Carlos DeLuna, who was put to death based on a single nighttime eye-witness, "Who saw a Hispanic male running from the gas station."
The first thing that the criminal justice system should do is to stop itself from inflicting pain on the innocent. After that, they can get on with the business of punishing the guilty. But that's not the way it works. Instead, I'm sure the prosecuting attorney furthered his career by murdering this innocent man.
14 May 2012: Federalization of Drug Laws
Just a quick note. I'll write more about this later. In terms of making our country more sane about drug policy, the first step is to eliminate the federal drug laws. Conservatives are fond of referring to states as the "laboratory of democracy." Supposedly states are where new ideas can be tried—like healthcare.States like California, are trying to liberalize laws regarding cannabis. But it doesn't really work, because federal agents are everywhere arresting people who are following California law. Traditionally, murder was only a state crime. And in fact, few people are charged with a federal murder charge. The only reason I see to have a federal murder charge is cases where people are getting away with murder because of something wrong in the states—like racist juries not convicting the murderers of minorities. There is no such claim for drug laws. States ought to have a right to see how best to deal with their drug related problems. In these cases, the federal government only gets in the way.
What can be done? I don't know. I'm not an organizer. I suppose we could start by talking to our federal representatives.
And try not to despair.
12 May 2012: Ralph Was Sick
Why is drug use wrong? That's easy: because it isn't natural. It isn't because Valium will relax you. It isn't because cocaine will make you talk to an aggravating degree. It is because it is wrong to not be the way God intended.Sure, people talk about crime. They talk about lives destroyed. They talk about overdoses. But these are secondary. It is all about what's natural. Natural is good: fresh air and sunshine! Ripe fruits and vegetables! Territorial wars!
The problem is that this is what all bigotry depends upon. Blacks had to be denied the right to vote because they were stupid compared to whites. You wouldn't let a cow vote, would you? Women were naturally subservient to men, so no need for equal rights. Gays were diseased. Obviously, sexual behavior that doesn't lead to babies is unnatural.
Check out this short film from 1961. It warns boys to stay away from gay men. "What Jimmy didn't know was that Ralph was sick—a sickness that was not visible like smallpox, but no less dangerous and contagious."[0]
It is 50 years later and now we all laugh at the idea that homosexuality is a disease. Unfortunately, this does not cause people to be skeptical of current claims of "mental diseases" like drug use.
But I'm not worried about "them." I'm worried about "you": people who read this site who are far more likely to have experiences with drugs. You know that regardless of how out of control a life may be, that doesn't make the person crazy. You know that drug use is part of a life, it doesn't define it—regardless of what Biography producers and the trained monkeys of NA say.[1]
So how about stepping up and countering the continuing disinformation and psychologizing campaign against drug use. People do drugs, because they like the effect. Can such behaviors get out of hand? Sure. Just like homosexuality.[2]
[0] It is weird in the video. What exactly is Jimmy guilty of? Homosexuality? What did he do, run home to mom and dad and say, "I had anal sex with a man"? This reminds me of the teen aged boys who tell their parents they are sleeping with a smoking hot high school teacher. Now these kids may need psychological help.
[1] There is a noted behavior among Born Again Christians. They always put the worst spin possible on their previous lives. This is why you will often hear them talk about how they were Satan worshipers before their conversions. The same thing goes on at NA meetings. Go to one and see. You would get the impression that these people are crazy for having lived such a terrible life. Funny how that goes and it also shows that NA is just a religious organization. Nondenominational, but religious nonetheless.
[2] Doesn't "Ralph" in the film look like John Waters? I gather this is why Waters looks that way. He's loves that kind of thing.
10 May 2012: Tackling the Drug Problem in Fernwood
Something light for a change.
09 May 2012: Justice at Last for Natasha Vanwasshenova
In my research for this blog, I come upon a lot of stories about people ratting themselves out. In particular, in the last week, there have been two cases of people charged with murder (more or less) because they gave some recently dead person drugs. In each case, it was the person charged who told this to the police. Let me be very clear:You have a right to remain silent. Talking to the police will not make your life better. Do not incriminate yourself.
As an object lesson, I present the pretty and sad girl in the picture on the left: Natasha Vanwasshenova. She is a sex worker whose client died while they had sex. According to the Detroit Free Press, "Vanwasshenova admitted to police she had supplied him earlier in the evening with a small amount of heroin at his request." The medical examiner found that the man died of a heroin overdose. Ms. Vanwasshenova was charged with one of these "providing drugs that cause someone to die" laws.
She should have remained silent. But that's not the big story here.
Vanwasshenova's lawyer—Charles Toby—decided that the case against his client stank. He hired a cardiologist to review the findings of the medical examiner. According to him, the man died of a heart attack, not a heroin overdose. The medical examiner then reopened the case and found—Quelle surprise!—his initial findings were wrong; the man died of a heart attack.
What this shows, and has been shown many times before whenever anyone has the ability to check, is that the scientific support staffs of the criminal justice system are just prosecutorial lackeys who will come to any conclusion that the prosecutor's office wants. (See what happened to Jim Hogshire.) The only truth that matters to these people is the public truth that might embarrass them. They are not scientists are we normally think of them.
Anyone who knows anything about opioid overdose would know that they don't happen quickly. So given what happened in this case, there was no reason to believe that it had been an overdose. Except that there was heroin at the scene and a convenient sex worker to act as a scapegoat. And even though they didn't get Vanwasshenova for life, they did get her for 14 months that she will never get back and never get compensated for.
In the end, Vanwasshenova took the high ground. Again, the Detroit Free Press:
This morning, Vanwasshenova, still shackled, apologized to the dead man’s family, "and to my family, and to thank my lawyer for working so hard to get my charges changed," she said.
If only those in power showed a fraction of this dignity and humility.
09 May 2012: What The World Needs Now
My one claim to fame is that I am a friend of Jim Hogshire, the great writer of such classics are Opium for the Masses, Sell Yourself to Science, and his deconstruction of the tabloid industry, Grossed-Out Surgeon Vomits Inside Patient! Like me, Jim has spent the last couple of years in a state of despair. But I am happy to announce that he is back fighting the good fight. And the world would do well to brace itself.For those who don't him, Jim Hogshire is more than a great writer; he is a cultural icon. He was the first (and only, as far as I know) man to be prosecuted for possession of a—Wait for it!—dried opium poppy. He beat the charge by showing that the state's "experts" could not prove that the poppy was in fact the species Papaver somniferum. As I recall, they had claimed that it must be because the plant had morphine in it, apparently ignorant of the fact that a great many plants—much less the roughly 200 flowers in the poppy family—have substantial amounts of morphine in them.[1]
There is much else about Jim, but it is not my intent to write a biography here. I have told him many times that his life would make a great film and there are many people interested in doing that if Jim would let them.
I talked to him today and he told me a story. He had met with some friends and they reminded him that in first grade, he brought empty pill casings to show and tell. This sounds like the kind of story that someone would make up about Jim (it would make a great opening for his biopic). It's too perfect. But Jim said he remembered that he did indeed do this. His father's best friend was a chemist for Eli Lilly, and he used to give Jim the pill casings. Anyway, it is a great story, and I figured rather than edit Wikipedia, I would just publish it here and it will end up on Wikipedia soon enough.
Jim and I are discussing possible joint projects. It is an exciting idea, because Jim and I are very much alike in many ways and very much opposites in others. For example, my primary mode of operation is worrying; Jim's is experimenting. He always wants to take things apart; I'm afraid they'll explode. The best thing about him however is that he sees the world in a completely unique way, and the world needs a whole lot more of that.[2]
[1] I could be wrong about these details, I'm a Jim Hogshire friend, not a Jim Hogshire scholar. And I'm sure he'll correct me if I get anything important wrong.
[2] The film Let's Go To Prison is based upon one of Jim's books, and it happens to be a pretty good movie. Check out his other books:
08 May 2012: Free for the Killing
I've been reading about Howard Morgan. He was a black off duty police officer who was pulled over and eventually shot 28 time (21 times in the back) by 4 white police officers. Amazingly, after 7 months in the hospital, Morgan survived. And what happened to the men who shot him? Nothing. But this January, Morgan was convicted of 4 counts of attempted murder against the cops.The strange thing about this case is that I haven't found anything but stories that read something like, "According to his wife..." I'm willing to believe that Morgan did something to deserve 28 bullets. We know he had a gun. But the case that Morgan's wife makes is much more compelling: the officers didn't believe Morgan when he told them he was a cop, they saw his gun, they panicked and started shooting. When they learned that he was a copy, had no criminal history, and would likely live, they concocted the story.
(Morgan's wife claims that her husband never fired the gun. She points to the fact that there was no gun powder residue on his hands. I think that happens. It seems much more likely that Morgan, like most people, fired back after the police started firing at him.)
Here is a video that gives the basic details:
This case brings up broader issues of justice. If Morgan hadn't been a cop, would it have been acceptable to riddle his body with bullets? The truth is that police are out of control. And it really doesn't matter if the police were right to fire on Morgan. We know that police commonly do make up stories to avoid the embarrassment of, for example, killing a woman with a potato perler. We saw this most clearly in the Danziger Bridge shootings.
But somehow 21 bullets in the back doesn't sound like a fire fight. It sounds like target practice.
05 May 2012: You Are Not Diseased
I was watching an interview with Peter Zuckerman last night. He is the young reporter who published a series of articles called "Scouts' Honor," in the Idaho Falls Post Register. It documented the cover-up of child molestation in the Boy Scouts by the organization itself and the LDS church. He also happens to be gay, and so his powerful enemies (Pedophile apologists?) outed him and tried to make the case that as a gay man, he just had it out for the Boy Scouts and LDS church.This got me thinking about the gay rights movement. The gay community never accepted the psychiatric community's contention that they were crazy or diseased. But thanks to the the Cult of 12 Steps, drug users embrace their enemies. This is not the way forward.
Homosexuality was removed from the DSM in 1973 (or 1974). But it wasn't really removed. The psychiatrists then created "ego-dystonic homosexuality." I don't really understand what this was supposed to be—something like proto-homosexuality—like being gay was normal but being bi-curious was not? It was finally removed in 1986. The point is that there never was a disease. Psychiatrists, like all people, have their prejudices. And these prejudices show up in their "science."
It is no different with drugs. When I was addicted to opioids, the only change in my life was that I had to feed the beast. It would not have been any different (had my drugs been legally available) than it is now with the two to three cups of tea I require every day. But addiction is not the the issue. Or to put it more technically, dependence is not the issue.
Control is the issue. For those who are inclined to do a drug habitually, the drug is pleasant. People take the drug because it makes them feel good. And it is good to have control over one's mood. This is not a controversial statement! This is what the cocktail hour is about. This is what the after-sex cigarette is about. This is what the morning cup of coffee is about.
There are many in society who do not accept that individuals should have control over their own bodies. These people have their own very dangerous addiction: to power and control. These are the addictions we should worry about. These are the addictions that keep our country in a constant state of war. And they have made our society very sick indeed.
But you drug users, you are not sick. It is true that being dependent upon an illegal substance is painful. But you are not to blame; they are. Stop defining yourselves as diseased and see where the disease exists in our society. Do it before this festering pox destroys us all.
03 May 2012: Ceremonial Chemistry
I just picked up a copy of Thomas Szasz's Ceremonial Chemistry. I read it about 15 years ago, and it informed much of my thinking while writing my books and creating this site. I'm thinking of adding the book's excellent "A Synoptic History of the Promotion and Prohibition of Drugs" either to the current Heroin Helper Drug Timeline or on its own.In the meantime, here is the Preface to Ceremonial Chemistry that is almost a call to arms (but not in a violent way, because we are peaceful people). You should read the whole thing because it took me a lot of work to enter it.
There is probably one thing, and one thing only, on which the leaders of all modern states agree; on which Catholics, Protestants, Jew, Mohammedans, and atheists agree; on which Democrats, Republicans, Socialist, Communists, Liberals, and Conservatives agree; on which medical and scientific authorities throughout the world agree; and on which the views, as expressed through opinion polls and voting records, of the large majority of individuals in all civilized countries agree. That thing is the "scientific fact" that certain substances which people like to ingest or inject are "dangerous" both to those who use them and to others; and that the use of such substances constitutes "drug abuse" or "drug addiction"[1]—a disease whose control and eradication are the duty of the combined forces of the medical profession and the state. However, there is little agreement—from people to people, country to country, even decade to decade—on which substances are acceptable and their use therefore considered a popular pastime, and which substances are unacceptable and their use therefore considered "drug abuse" and "drug addiction."
My aim in this book is at once simple and sweeping. First, I wish to identify the actual occurrences that constitute our so-called drug problem. I shall show that these phenomena in fact consist of the passionate promotion and panicky prohibition of various substances; the habitual use and the dreaded avoidance of certain drugs; and, most generally, the regulation—by language, law, custom, religion, and every other conceivable means of social and symbolic control—of certain kinds of ceremonial and sumptuary behaviors.
Second, I wish to identify the conceptual realm and logical class into which these phenomena belong. I shall show that they belong in the realm of religion and politics; that "dangerous drugs," addicts, and pushers are the scapegoats of our modern, secular, therapeutically imbued societies; and that the ritual persecution of these pharmacological and human agents must be seen against the historical backdrop of the ritual persecution of other scapegoats, such as witches, Jews, and madmen.
And third, I wish to identify the moral and legal implications of the view that using and avoiding drugs are not matters of health and disease but matters of good and evil; that, in other words, drug abuse is not a regrettable medical disease but a repudiated religious observance. Accordingly, our options with respect to the "problem" of drugs are the same as our options with respect to the "problem" of religions: that is, we can practice various degrees of tolerance and intolerance toward those whose religions—whether theocratic or therapeutic—differ from our own.
For the past half-century the American people have engaged in one of the most ruthless wars—fought under the colors of drugs and doctors, diseases and treatments—that the world has ever seen. If a hundred years ago[2] the American government had tried to regulate what substances its citizens could or could not ingest, the effort would have been ridiculed as absurd and rejected as unconstitutional. If fifty years ago the American government had tried to regulate what crops farmers in foreign countries could or could not cultivate, the effort would have been criticized as meddling and rejected as colonialism. Yet now the American government is deeply committed to imposing precisely such regulations—on its own citizens by means of criminal and mental health laws, and on those of other countries by means of economic threats and incentives; and these regulations—called "drug controls" or "narcotic controls"—are hailed and supported by countless individuals and institutions, both at home and abroad.
We have thus managed to replace racial, religious, and military coercions and colonialisms, which now seem to us dishonorable, with medical and therapeutic coercions and colonialisms, which now seem to us honorable. Because these latter controls are ostensibly based on Science and aim to secure only Health, and because those who are so coerced and colonized often worship the idols of medical and therapeutic scientism as ardently as do the coercers and colonizers, the victims cannot even articulate their predicament and are therefore quire powerless to resist their victimizers. Perhaps such preying of people upon people—such symbolic cannibalism, providing meaning for one life by depriving another of meaning—is an inexorable part of the human condition and is therefore inevitable. But it is surely not inevitable for any one person to deceive himself or herself into believing that the ritual persecutions of scapegoats—in Crusades, Inquisitions, Final Solutions, or Wars on Drug Abuse—actually propitiate deities or prevent diseases.
My aim in this book is at once simple and sweeping. First, I wish to identify the actual occurrences that constitute our so-called drug problem. I shall show that these phenomena in fact consist of the passionate promotion and panicky prohibition of various substances; the habitual use and the dreaded avoidance of certain drugs; and, most generally, the regulation—by language, law, custom, religion, and every other conceivable means of social and symbolic control—of certain kinds of ceremonial and sumptuary behaviors.
Second, I wish to identify the conceptual realm and logical class into which these phenomena belong. I shall show that they belong in the realm of religion and politics; that "dangerous drugs," addicts, and pushers are the scapegoats of our modern, secular, therapeutically imbued societies; and that the ritual persecution of these pharmacological and human agents must be seen against the historical backdrop of the ritual persecution of other scapegoats, such as witches, Jews, and madmen.
And third, I wish to identify the moral and legal implications of the view that using and avoiding drugs are not matters of health and disease but matters of good and evil; that, in other words, drug abuse is not a regrettable medical disease but a repudiated religious observance. Accordingly, our options with respect to the "problem" of drugs are the same as our options with respect to the "problem" of religions: that is, we can practice various degrees of tolerance and intolerance toward those whose religions—whether theocratic or therapeutic—differ from our own.
For the past half-century the American people have engaged in one of the most ruthless wars—fought under the colors of drugs and doctors, diseases and treatments—that the world has ever seen. If a hundred years ago[2] the American government had tried to regulate what substances its citizens could or could not ingest, the effort would have been ridiculed as absurd and rejected as unconstitutional. If fifty years ago the American government had tried to regulate what crops farmers in foreign countries could or could not cultivate, the effort would have been criticized as meddling and rejected as colonialism. Yet now the American government is deeply committed to imposing precisely such regulations—on its own citizens by means of criminal and mental health laws, and on those of other countries by means of economic threats and incentives; and these regulations—called "drug controls" or "narcotic controls"—are hailed and supported by countless individuals and institutions, both at home and abroad.
We have thus managed to replace racial, religious, and military coercions and colonialisms, which now seem to us dishonorable, with medical and therapeutic coercions and colonialisms, which now seem to us honorable. Because these latter controls are ostensibly based on Science and aim to secure only Health, and because those who are so coerced and colonized often worship the idols of medical and therapeutic scientism as ardently as do the coercers and colonizers, the victims cannot even articulate their predicament and are therefore quire powerless to resist their victimizers. Perhaps such preying of people upon people—such symbolic cannibalism, providing meaning for one life by depriving another of meaning—is an inexorable part of the human condition and is therefore inevitable. But it is surely not inevitable for any one person to deceive himself or herself into believing that the ritual persecutions of scapegoats—in Crusades, Inquisitions, Final Solutions, or Wars on Drug Abuse—actually propitiate deities or prevent diseases.
Update
Much of the book is available on Google Books.
[1] To be perfectly accurate, what Szasz means by "addiction" is "habituation." He isn't using the term in a legal or modern scientific (i.e. "addiction" science) way.
[2] Szasz wrote this in 1973.
02 May 2012: Stop the (Cannabis) Drug War!
This blog is turning out to be a bit harder to write than I had originally thought. It isn't that there isn't a lot to write about; it is that it is all the same kind of stuff. So I went over to Stop the Drug War to see what they were writing about. And they are writing about cannabis. This is lame, but understandable. Politicians actually talk about it. There is no discussion of much of anything else. Heroin is so far outside the Overton Window that we dare not be speak its name.
Unfortunately, what this leads to is a lot of discussion about how safe cannabis is and how the government is just against it because, well, they're against it. And that's very true. But there are really bad aspects of this limited discussion.
Despite what people claim, we can have a discussion about cannabis because so many people have actually done the drug. In the 1950s, heroin and cannabis were about equally radical. I have a hard time seeing this as anything but mob rule. In my experience, cannabis users are as bigoted about other drugs as the government is about cannabis. And they would certainly sell out all other drug users for the legal right to use their own drug of choice.
What is even more terrible about this focus on cannabis is that it takes focus away from the much greater harm that comes to the users of the so called "hard" drugs. Here in California, cannabis is practically legal. Cannabis smokers don't live on the edge of their lives being destroyed the way opioid users do. Yet the society's response to opioid users is: die or go to jail.
Of course, there is a great irony about all this. The truth is that most people have used opioids. And most people have enjoyed those opioids. I've had many encounters with Vicodin lovers—Even addicts!—who think heroin users are the scum of the earth. But in their minds, heroin is "dirty" and pills are "science!" Everyone should read Th. Metzger's The Birth of Heroin to see how propaganda has changed what we all knew about heroin in 1900 to what we all know about it today.
I am, of course, not against the cannabis community. I will support them always. I just wish they supported the rest of the drug legalization movement.
01 May 2012: Heroin Use on Rise: Freak Out!
Let's do an experiment. Let's look back every year on May Day, and see if it is always true that heroin use is on the rise. In the short time that I've been writing this blog, I have seen many reports that heroin use is on the rise. I suspect that we will never read a headline like, "Heroin Use in Bumfuck on Decline Officials Say."But we sure do get a lot of, "Heroin Use in Bumfuck on Rise Officials Say." Earlier this week, there was an article about a tiny community where heroin use was supposedly on the rise. And today, WWL in New Orleans is reporting that—Are you ready!?—heroin use is on the rise. Just read:
DA Reed commented at a recent law enforcement forum that he believed heroin use was on the rise throughout the parish and at Mandeville High School and according to the news release, a recent media report "incorrectly reported that the Mandeville Police Department disputed Reed’s comments."
Great back up, right? He believes it to be true. There's no need for any actual data because he's sure. Just trust him. Oh. And remember to be afraid. Haven't you heard: heroin use is on the rise!
The article also made the shocking claim that heroin has been used at the high school: "St. Tammany District Attorney Walter Reed and Mandeville Police Chief Rick Richard put out a joint news release Tuesday afternoon, with both acknowledging reports of heroin use at Mandeville High School." And you know the solution: arrest the kids!
I suspect that pills are a much bigger issue at that (or just about any) high school. But there is little reporting on this. Nor is it mentioned that oxycodone is more potent than heroin.[1]
But the main thing is: freak out!
[1] Of course, it depends upon how you take the drugs. Heroin would be a bit more potent if you IVed it. It would be about as potent if you IMed it. It would be less potent if you snorted it. And it would be way less potent if you swallowed it. Smoking it involves too many variable but let's say about as potent as a best case scenario.