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A Drug-by-Drug Guide to a Rational UK Drug Policy

  1. Basoodler
    Last week, Home Office minister Norman Baker resigned from his role after arguing that the government should base its drug policy on evidence drawn from a government-commissioned report. You know, rather than on the whims and hunches of politicians. The study, written by civil servants in the Home Office, showed that criminalizing drug possession had no impact on levels of drug use, but the Prime Minister's office said a policy of decriminaliz​ation ​was "reckless," and Baker—sick of the lack of support for "rational, evidence-based" drug policy—made for the door.

    It was the same story that played out in 2009, when David Nutt—then chief drug advisor to the UK government— was kicked out of his role as chair of the Advisory Council for Misuse of Drugs after saying that cannabis, LSD and ecstasy are less dangerous than alcohol or cigarettes, which they are.

    Reacting to Norman Baker's resignation, Nutt told me, "I kind of thought, If the minister himself cannot effect change, I was pissing in the wind, wasn't I? It sums up the problem. Scientists can't make things change, politicians can't make things change. This is a monolith."

    It's easy to forget that a rational drug policy would be a holistic thing, but what would that policy actually look like? I asked Nutt—a leading neuroscientist and Imperial College professor who's just completed the first ever brain-imaging study of LSD—to recommend an evidence-based policy for every drug you're ever likely to take.

    But first, here are the basics:

    Decriminalize possession

    ​David Nutt says, "Using drugs can be a rational choice, a bad choice, or in cases of addiction, a very constrained choice. It is never a crime. Therefore, no criminal sanctions for drug possession and use."

    But it can't just be a free-for-all

    ​Just because you're not throwing drug users in prison doesn't mean they're totally uncontrolled. "Drug products, like other risky products, need to be manufactured and sold in ways that manage those risks. Therefore, drug-specific regulations are needed—from light-touch rules to strict pharmacy-only access."

    Keep unregulated dealing to a minimum

    ​Nutt is not the dealer's friend: "Personal allowances and administrative penalties for exceeding these may be needed for some drugs, to limit the volumes of drugs in black markets."

    No cool packaging or adverts

    ​It's difficult to be "rational" about drugs if you're being blasted with adverts implying that taking pills will definitely help you make friends. "Addiction is an enemy of health and freedom as much as prohibition is," says Nutt. "There must be no room for creating profit at the expense of health and choice. Therefore, prohibitive controls must be targeted at corporations, not consumers, with total bans on the marketing and advertising of products with more than a very low potential to be dependence-forming."

    ......And now that evidence-based drug-by-drug drug policy.


    ALCOHOL

    ​Put down your can and get reacquainted with your local, assuming it hasn't already closed down. "The massive increase in alcohol harm has been driven by availability in supermarkets in the 1960s and 70s," says Nutt. So the best course of action here would be to reclassify alcohol as a licensed drug—i.e. only available to buy in pubs and other licensed premises, but not supermarkets.

    CANNABIS

    "Cannabis, frankly, I think you could just sell in cafes like in Amsterdam," says Nutt. So look forward to a proliferation of German teenagers on their first overseas voyage sloping around Edinburgh with barely-open eyes trying to avoid being run over by the tram.

    ​You would legally be allowed to get really fucking blissed out and end up snuggling your friends in the bath, but not every weekend. It would be sold over-the-counter in pharmacies and maybe clubs, with regulated access, and a personal allowance of about 50 doses per year.

    KETAMINE

    For the sake of keeping the nation's collective bladder healthy and functional, K would be entirely unavailable, or possibly regulated as a pharmacy-only medicine in limited amounts, with a daily maximum of one gram.

    "Ketamine's a particular problem because when they moved it from [class] C to B they also brought in hundreds of ketamine analogues, many of which have never been made. It's possible there are many safer ketamine-like drugs, but we'll never be able to find them now because they've all been made massively illegal," says Nutt.

    COCAINE

    ​Also wiped out entirely, because it's not as good as people tend to think. "If we had proper access to drugs like MDMA, mephedrone... stimulants of that class, people wouldn't need cocaine," says Nutt. "It's more toxic than newer stimulants by virtue of its complex pharmacology. I would find it difficult to have a regulated cocaine market."

    CRACK COCAINE

    ​Ditto: "If people had a choice, I'd rather they snorted [cocaine] than smoked."


    HEROIN

    ​Available on prescription only. "The idea that you can walk off the street and say, 'I'm going to try my first shot of heroin intravenously, even in a controlled environment'—that's too dangerous. Heroin kills people in hospitals when doctors give it [to them], so I don't think you can have heroin for personal use."

    AMPHETAMINES/METHAMPHETAMINE


    ​These would be sold over-the-counter in pharmacies with regulated access and a personal allowance—but only as low-dose pills. So they wouldn't really be all that speedy, unless you took a handful of them, I guess.

    Crystal meth would be banned completely. "Smoked methamphetamine is like crack, and smoking stimulants makes you very addicted, very fast," says Nutt. "Methamphetamine is longer lasting than amphetamine, and certainly longer lasting than cocaine. Certainly injecting or smoking methamphetamine is a bad thing."

    BENZODIAZEPINES

    ​The sensible approach here would be to sell benzos over-the-counter in pharmacies, with regulated access and a personal allowance. Which is near enough how things are already done with this class of drug, so good news for those of you who enjoy a chemically-induced state of mild sleepiness: the current policy for benzodiazepines is the best it can be!



    MAGIC MUSHROOMS / LSD


    Most psychedelics should have pharmacy-only over-the-counter availability with regulated access and an annual limit. "They've never killed anyone, to my knowledge," says Nutt.

    TL;DR: You can send your mind off on holiday once a year or so, but not completely lose touch with reality every weekend.

    NBOMe-CLASS PSYCHEDELICS

    ​These are currently sold in place of increasingly scarce acid, but they're stronger and therefore much more dangerous. In a rational world, they would likely be unavailable. "The NBOMes are tricky. I presume that the majority of people do it because they're legal," says Nutt. "They are, I think, to LSD like heroin is to codeine."

    KHAT

    ​The Somali community can breathe easy. In a sane world, there would be unregulated access to khat. "Khat should never have been made illegal," says Nutt. "Khat was only made illegal because the Americans were banging on at us for 15 years to [make it illegal]."

    TOBACCO

    ​This would be available over-the-counter in plain packaging from pharmacies, with no limit. In other words, it would be pretty much the same, but you might pick it up from a pharmacy rather than a corner shop and you couldn't base your decision on the pretty colored cardboard.

    In essence, it would still be legal, but also much more like buying some high-strength painkillers, which kind of takes the fun out of it.


    by Ben Bryant, vice.com
    November 12
    This post originally appeared in VICE UK​
    http://www.vice.com/read/drug-by-drug-guide-rational-drug-policy-david-nutt-522

Comments

  1. Reincarnation
    Now that is what I would call a sane, rational approach. But its never gonna happen is it. When the government wont listen to the people they employ to research and advise then you know this country is fundamentally flawed.
  2. Alfa
    The problem in this approach is that pharmacies (at least as I know them) barely give any advise on medicines. Not do they evaluate if its a good idea to give the person the medicines. Theoretically someone completely out of their mind, shitfaced, with serious psychiatric problems, seriously addicted would be able to buy any of the aforementioned drugs without advise or evaluation.
    Its not like the pharmacist is going to say: 'Dude, why dont you sleep it off first and then decide if you want to take this acid and amphetamines?'
    So what use is it to make drugs available from pharmacies?

    I am all for regulation, but isn't the point of regulation to be able to reduce harm?
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