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This book is the culmination of five years of impassioned conversations among distinguished scholars in law, public policy, medicine, and biopsychology, about the most difficult questions in drug policy and the study of addictions. As these intensely argued chapters show, the obvious answers are always alluring but frequently wrong. Do drug addicts have an illness, or is their addiction under their control? Should they be treated as patients, or as criminals? Challenging the conventional wisdom in both the psychiatric community and the enforcement community, the authors show the falsity of these standard dichotomies. They argue that the real question is how coercion and support can be used together to steer addicts toward productive life. Written in clear and forceful language, without ideological blinkers and with close attention to empirical data, this book has something to teach both novice and expert in the fields of drug addiction and drug policy. The authors' resistance to sloganeering from right or left will raise the quality of public discussion of a complex issue, and contribute to the management of one of the most painful and enduring problems of American society.
In its efforts to control the use of cocaine, heroin, marijuana, and other illegal drugs, the United States spends about $35 billion per year in public funds. Almost half a million dealers and users are under incarceration. In this book, David Boyum and Peter Reuter provide an assessment of how well this massive investment of tax dollars and government authority is working. Boyum and Reuter show that America s drug problem is mainly a legacy of the epidemics of heroin, cocaine, and crack use during the 1970s and 1980s, which left us with aging cohorts of criminally active and increasingly sick users. Newer drugs, such as Ecstasy and methamphetamine, perennially threaten to become comparable problems, but so far have not. Using a market framework, the book discusses the nature and effectiveness of efforts to tackle the nation s drug problems. Drug policy has become increasingly punitive, with the number of drug offenders in jail and prison growing tenfold between 1980 and 2003. Nevertheless, there is strikingly little evidence that tougher law enforcement can materially reduce drug use. By contrast, drug treatment services remain in short supply, even though research indicates that treatment expenditures easily pay for themselves in terms of reduced crime and improved productivity. Boyum and Reuter conclude that America s drug policy should be reoriented in several ways to be more effective. Enforcement should focus on reducing drug-related problems, such as violence associated with drug markets, rather than on locking up large numbers of low-level dealers. Treatment services for heavy users, particularly methadone and other opiate maintenance therapies, need more money and fewer regulations. And programs that coerce convicted drug addicts to enter treatment and maintain abstinence as a condition of continued freedom should be expanded. The AEI Evaluative Studies series aims to promote greater understanding and continuing review of major activities of the federal government. Each study focuses on a gov
Our society is churning out more numbers than ever before, whether
in the form of spreadsheets, brokerage statements, survey results,
or just the numbers on the sports pages. Unfortunately, people's
ability to understand and analyze numbers isn't keeping pace with
today's whizzing data streams. And the benefits of living in the
Information Age are available only to those who can process the
information in front of them. "From the Hardcover edition.
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