Originally posted by MaDMAn_Project
This isn't working all the time currently, there are still a lot of at risk users not seeking help.
Of course there are users who need help but do not seek it. Some of them just choose to try to deal with their addictions on their own. That is their right. Some are afraid of legal trouble, reaction of family members, and losing their jobs.
Someone presenting to a doctor showing obvious signs of damaging drug use would benefit from a step down in dosage or counselling. Doctors currently have the powers to limit dosage on most drugs on the market. A doctor patient privilege would be in place as it is currently to protect the rights of users.
We're probably just going to disagree on this. It is true that someone who is abusing drugs to the point that it causes obvious damage would benefit by reducing the dosage but I believe that people have the right to cause harm to themselves as long as they don't hurt anyone else.
Doctors prescribe medications to treat medical conditions, not to get people high. Most people would not know what drug or the dose needed to treat their condition. And even now there are doctors who will not prescribe medications that can get you high even to people who need them. Many pain patients do not get adequate treatment because doctors will not prescribe enough.
The doctor patient privilege would prevent doctors from giving our information to anyone else but it would do nothing to protect our right to consume the drugs we choose.
In a utopian society we could all do whatever we wanted all the time but I'm trying to propose a workable model for our society.
I think both of our ideas would work better than prohibition but I think that regulating all drugs the way alcohol and tobacco are now would be best. Drugs would be taxed and the money would be spent on drug education and voluntary treatment. Some of it could be spent on after school programs to give kids and teens something to do besides using drugs or getting involved in other negative activities.
Maybe I am wrong and your ideas would be a better solution but I just disagree with the involuntary restrictions on drug use and any involuntary treatment. I also don't like the idea of doctors monitoring our drug consumption. I can't support anything that prevents people from making personal decisions like what drugs they use and the amounts. As long as you hurt nobody but yourself you should be able to do what ever you want.
Another possible problem with restricting the amount of drugs that you can consume is that it would create a demand for drugs on the black market. Drug addicts are going to get the drugs whether it is legal or not. If the restrictions are big enough then there would be enough of a market to cause the same kind of problems associated with prohibition.
The lethal dose (LD50) for Alcohol is 10.6g per Kg
The lethal dose (LD50) for THC is 670mg per Kg
The lethal dose (LD50) for Heroin is 80mg per Kg
The lethal dose (LD50) for Cocaine is 80mg per Kg
The lethal dose (LD50) for Methamphetamine is 55mg per Kg
The lethal dose (LD50) for MDMA is 50mg per Kg
The LD50 may be higher for alcohol but that has nothing to do with how much damage the drugs cause.
A better indication of toxicity is the therapeutic index. This is the LD50 divided by the effective dose. It is well known that alcohol can cause severe liver damage. Alcohol was responsible for 110,000 deaths in 1996 in the USA. Average annual tobacco deaths 1990-1994 was 430,700. Total for all other drugs in 1998, legal and illegal, was 16,926. Even taking the lower rates of use of illegal drugs they still are not as deadly as alcohol and tobacco. The number of deaths from illegal drugs would probably be cut in half if they were legalized.
This is the therapeutic indexes of the drugs you listed and a few you didn't for a 180 pound person:
Alcohol=20.4 - This is using a dose of 42 grams of alcohol, the amount in 3 beers
THC=3,653.7 - This is for an oral dose of 15mg THC
Heroin=109 - This is for 60mg IV
Cocaine=I could not find dose size
Methamphetamine=45 - This is for 100mg IV
MDMA=20.45 - This is for 200mg oral
Caffeine=61.35 - This is for 400mg oral
DMT=150 - for 60mg smoked
Ketamine=42 - for 150mg I.M.
LSD=2,700 - for 500ug oral
Psilocybin=763.4 - for 30mg oral / equal to around 7.5gram dried mushrooms
Don't assume that it is safe to take extremely high doses just because the therapeutic index or the ld50 is high. They are based on animal experiments, not human use. Some of them could be way off due to that.
Some drugs could have a high therapeutic index and still cause physical damage over time. Even drugs that are nearly harmless physically can cause mental problems or make it easier to accidentally injure or kill yourself while high.