New drug czar says war on drugs a national health issue

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New drug czar says war on drugs a national health issue
KIMBERLY A.C. WILSON
The Oregonian
5.26.09



SEATTLE -- During nearly a decade as Seattle's top law enforcement officer Gil Kerlikowske was confronted with concerns about corner drug dealing almost daily.

"I would meet with community folks and they would say 'about two blocks from here,' or 'over in Belltown near where I live,' or 'down the street from my house, there's people selling drugs on the corner at all hours.' "

Kerlikowske's response as chief was playbook police work -- deploying officers to the scene, arresting players along the illegal drug trade food-chain and seizing territorial, if temporary, victory on the drug corners.

But a week into his new assignment as President Barack Obama's drug czar, Kerlikowske is using the platform to recast the "War on Drugs" as a matter of national public health and not simply the domain of the criminal justice system.

"I'd be happy if I can change the conversation about drugs. We recycle people through the criminal justice system but it's more than that," Kerlikowske said Thursday during a visit to Seattle before wrapping up his move to Washington, D.C., to direct the White House Office of National Drug Control Policy.

He sat in a small meeting room at the Four Seasons Hotel that overlooked ferry traffic in Puget Sound on a cloud-free afternoon. Two weeks earlier, the interview might have taken place under those blue skies, checking out a nearby drug corner or dropping by one of the city's needle-exchange sites.

But new constraints -- including advance teams and a cadre of U.S. Marshals -- come along with his new leadership role within the Executive Office of the President. So instead a deluxe setting served as the backdrop for a one-on-one conversation with The Oregonian on the linguistics of the war, the ravages of addiction and the social cost of drug incarceration.

The office may only be 20 years old, but the war it has waged was declared four decades ago, when President Richard Nixon outlined the federal government's illegal drug prohibition campaign.

"Pill Mills" in Florida

No one claims the war has been won. While fewer high school seniors say they've been offered marijuana or amphetamines than they were a generation ago, nearly 2 million people are arrested every year for nonviolent drug offenses.

And abuse of steroids and designer drugs has mushroomed, as have "pill mills" like the ones Kerlikowske visited in South Florida -- storefront, walk-in facilities that dispense millions of addictive prescription pain medications to people who flood in from other states. Think OxyContin for out-of-towners, or Vicodin for visitors.

To combat the problem, Kerlikowske said he will push all states to adopt the sort of prescription-monitoring databases already in place in 30 states, including Oregon and Washington, where police, pharmacists and physicians can track prescriptions for addictive drugs.

Without a national system to monitor abuse, "the cost to society," he said, "is huge."

A statistic that haunts the new "drug czar" may come as a surprise: more people in the United States die from pharmaceutical and illegal drugs than from gunshot wounds.

"In the past few weeks, we've had three deaths from swine flu or the H1N1 virus, and, in the same period, we've had thousands of people overdose and die," he said. "This a public health issue."

Police background

Kerlikowske, the sixth drug czar since the position was established in 1989, is only the second to come from a background in law enforcement. That perspective -- rooted in jobs as police chief in Buffalo and coastal Florida cities -- was honed over nine years in Seattle.

But missed opportunities in Seattle also may shape Kerlikowske's focus as federal drug policy chief. Take needle-exchange programs, for example.

Although the Obama administration's 2010 budget does not lift the ban on federally-funded needle exchanges, as a candidate, Obama strongly favored such efforts, and Kerlikowske said he supports law enforcement officials working alongside treatment providers to solve drug issues.

"I think needle exchanges can be part of a larger health care issue. Police chiefs know judges and prosecutors, but I don't think they're shoulder-to-shoulder with the treatment community," he said. Kerlikowske said he admits he didn't foster such relationships with service providers in Seattle, including the city's needle exchange near Pike Place Market.

"We have a chance now to forge relationships with our treatment colleagues," he said. "You can increase the impact because you're collaborating."

Will soon talk policies

Kerlikowske expects to meet soon with Attorney General Eric Holder to talk drug policies. Matters of special interest to the Pacific Northwest are high on the agenda, he said, including medical marijuana and the scourge of methamphetamines.

He is keeping in mind the words of fellow West Coast police chiefs, who were raising red flags about meth long before federal officials began to listen.

"It wasn't being heard," he said. "We're gonna be a lot faster to look at things on a regional basis. Meth is one thing. Medical marijuana is another."

In Seattle, Kerlikowske followed but didn't embrace city direction to ignore medical marijuana crimes.

Still, if pot legalization supporters haven't exactly found a vocal ally in Kerlikowske, advocates for medical marijuana -- on the books in 13 states -- may be pleased with his track record.

"Whether it's the Drug Enforcement Agency or the Seattle Police Department, you use your resources to go after the most violent offenders," Kerlikowske said.

"Medical marijuana doesn't pose that threat."

Link!
 
When I think of 'treatment facilities cooperating with law enforcement' I see cop cars parked outside Methadone clinics busting people for loitering. And undercovor confidential informants offering big bucks for your take homes on your way through the clinic parking lot. If you accept, BAM! SWAT van with black clothed, black-face painted DEA agents sticking a machine gun barrel in your mouth.

Drug prohibitonists originally called for a public health solution rather than a criminal justice solution. This is what gave us the Heroin and Morphine maintenance clinics in the teens and 1920's. And the 'British System' where a doctor can prescribe any drug to any patient for any reason: including Cocaine maintenance, Amphetamine maintenance, etc (which on a small scale continues to this day in the UK. Several hundred people are prescribed IV Heroin legally for free everyday, a few dozen are even prescribed IV Heroin + IV Cocaine legally, for free everyday).

Then come the G-Men types with tommy guns who locked up thousands of doctors for prescribing medicine to sick people, and locking up said sick people to trying to purchase said medicine.

And they wonder why they can't arrest their way out of this problem..
 
OK.
Lets say these following things happen to :
#1 STOP OR HAULT 90%+ of DOCOTR SHOPPING
#2 INert current plans for NATIONAL DATABASE wich is currently in affect and is already shopwing positive signs of stopping several of these "Doctor Shoppers.
#3. Please read this CAREFULLY" Stop the Illegitamte Doctors writing quintuplete amounts of all painkillers across the board. They will follow the state guidelines with an occassional override for aminimal increase for certain circumastances. \
#4. After the "DoCtor Shoppers are gone or mostly gone and the curbbing of medicines has been impleted , it already has been taking place. Law enforcement can then let a legitamte "GO BETWEEN ": That is someone who understands the outlay for a particular p[atient who needs prescriptions for their own well being and trhen at the same time to follow 100% to the tooth all guideleines wset by DEA , BSo any enforcement agency. Them these people who are left.

#% After all these things come into place. It will take time. Then we cqan let the legitimate Doctors and their p[atients who need care and have been good patrients NEVER going outside any guideliners in the past for a number of years to not be so "Scarred if you will about all the crackdowns " Buty to rather ban togehter with their prospective Doctoe and get assurance from them that they are doing tyhe right thing "That is PAtient most of all and then Doctor. "
You must remember , It is your right for pain relief, but you can not abuse the sytem. this is what it has come to and it is very scarry, sadd and many people are going to get hurt by it .
I pray for the legitamate patients to wigh all options before going undfer knives, operations and such and just woprk out a plan patient by patient with their docotc. there is so much more I could write a novel on it . maybe I will . DOubt it.

MR .No one !
 
When I think of 'treatment facilities cooperating with law enforcement' I see cop cars parked outside Methadone clinics busting people for loitering. And undercovor confidential informants offering big bucks for your take homes on your way through the clinic parking lot. If you accept, BAM! SWAT van with black clothed, black-face painted DEA agents sticking a machine gun barrel in your mouth.

Drug prohibitonists originally called for a public health solution rather than a criminal justice solution. This is what gave us the Heroin and Morphine maintenance clinics in the teens and 1920's. And the 'British System' where a doctor can prescribe any drug to any patient for any reason: including Cocaine maintenance, Amphetamine maintenance, etc (which on a small scale continues to this day in the UK. Several hundred people are prescribed IV Heroin legally for free everyday, a few dozen are even prescribed IV Heroin + IV Cocaine legally, for free everyday).

Then come the G-Men types with tommy guns who locked up thousands of doctors for prescribing medicine to sick people, and locking up said sick people to trying to purchase said medicine.

And they wonder why they can't arrest their way out of this problem..

Here is the real problem that no one seems to acknowledge, no matter what you do you will never ever stop or eliminate recreational drug use. It doesn't matter how you attack the "problem" because people want and will use drugs.

Nothing will change that, doctors in white coats speaking in soft sweet tones will not be any more successful then jack booted thugs beating people with gun stocks. All these "reforms" still operate under the delusion they can stop drug use and they will fail just as they always have.

Then when the soft glove approach doesn't make a dent in drug use the public will get angry and demand the jack booted thugs back to finally solve the problem. I have seen this again and again, some reform is sold to the public with the promise that it may look soft but in reality given time it will solve the problem of drug use. Then when it of course fails there is a backlash, just look at coffeeshops in Amsterdam or methadone clinics.

Drug users need to follow the lead of the gay rights movement, stop talking about cures and talk about acceptance and coexistence. Scientists and politicians need to stop appeasing the ignorant bigotry of the public with mealy mouthed talk about solving the drug problem when they know the truth.
They need to set the stage for this hatred to stop, not offering lies that allow the hate to go on for another decade in a softer gentler form.

"We're high, we're here, get used to it!"
 
I agree.

However, unlike homosexuals, drug addiction and compulsive substance abuse are illnesses that need treatment.

My point is that the function of the State should be to provide harm reduction programs and effective maintenance treatments to "problem users".

Even if the CSA were abolished tomorrow, we still need needle exchanges, Methadone/Buprenorphine clinics, we still need people doing research and providing for those who become addicted.
 
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