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2 years, 1 month ago

I have recently run into this idea of giving "free" heroin to drug addicts. It is apparently hard to impossible to rehabilitate a drug addi

ct so it is better to give him free heroin than let him or her still and commit other type of crime for it. As I work in a drug rehab center and we did rehabilitate a big number of drug addicts without using any other drugs I wonder how such ides would come up and why would governments pay millions of dollars to import heroin and thus become the biggest drug pusher. Can someone shed the light for me? Thanks
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omicron | 2 years, 1 month ago
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Well, if you've "recently run into the idea of giving free heroin to drug addicts", it sounds like you might be thinking of Portugal, which recently, and quietly, separated itself from the current global consensus-of-attitude powers-that-be, and started offering free heroin to card-carrying addicts under controlled circumstances as a social cost-saving measure.

Portugal is the poorest of the European Union nations, which means they needed to find ways to reduce government expenditures, and the simple facts are:

1) The social costs of trying to handle heroin addiction with suppressive measures are way, way more expensive than just buying the stuff from poor Afghanistan poppy farmers.

These social costs include things like theft and robbery, policing, and imprisonment, and none of those are cheep to deal with. Think about the cost of just a common home robbery, what with replacing locks and broken doors/windows, the time it takes for the cops to assess the site and write reports when they could be chasing murderers, the cost to home insurance, the emotional cost of loss of family mementos, yadda yadda.

It is *not* a case of the government becoming a drug-pusher. You can't walk in off the street and ask to have a fix unless you've already been certified as a real addict, so there's no "drug pushing" happening.

2) Ironically, and perhaps somewhat counter-intuitively, heroin addiction is one of the cheapest and least harmful of any of the controlled substances, if managed. It's vastly less destructive than chronic alcoholism, and it's way, way less self-destructive than speed.

In fact, the only physical effect of heroin addiction tends to be chronic constipation.

Otherwise, once a person's physiology has adapted, it's about as biochemically transparent as any substance can get.

The health-service of Portugal is *not* giving away alcohol nor speed... just heroin. They're not handing it out to anyone who asks, so they're not being a pusher, and you have to prove you're a real addict.

So what's a real addict? Well, the best research on that came from Vietnam vets.

Like most wars with no clear objective nor method to victory, it created a lot of discombobulation among troops, and so the troops would do what troops do when stuck in a BS situation, which is seek some psychological time-out, and there was plenty of heroin in Vietnam. Heroin use in Vietnam was way more rampant than was being acknowledged.

What was interesting was that as soon as they got home, 90% of those who used heroin in Vietnam spontaneously and voluntarily kicked the habit, with little or no prodding from authorities, family or friends.

It turns out that in fact, for 90% of the population, heroin is a physical and emotional pain killer that gets too boring when they've got other things to do.

But for 10%, there's something about the receptors in their brain where heroin fits it like a perfect key-in-lock, such that once they start using it, they really cannot unlock the grip... not the way other people can.

It's not a deficiency. In fact, there's indications that at some time in our evolutionary history, it was a defense against some types of vegetation-constituents that enabled omnivorous consumers to withstand effects that could be toxic to ordinary consumers, sort of like how sickle-cell anemia can be a bad thing in today's world, but how if you lived in a part of the world swarming with malaria, it provides some defense.

For those 10% who's brain will lock onto heroin once they try it, it's frankly kind'a pointless trying to beat it out of them.

Yeah maybe they shouldn't have started. Yeah maybe there should be a DNA test to tell people before they try heroin whether or not they're going to be one of those who's brain will lock on it, such that they'll never be able to kick it once they start (although, on the other hand, maybe it's a good thing such a test does not exist, else dealers might use it to target who will become their most guaranteed regular clients once those clients start), but once that special one-out-of-ten start, you might as well give it up and just make sure they can get a regular dose.

Go ahead and lecture them and wag your finger, as if they're not going to have lectured themselves enough already, but really, it's simply cheaper on a social level to make sure there's a regular supply than to try to get them to stop when the way they are subjectively experiencing the addiction is *not* the same as it is for the 90% majority.

And by the way, it's not just heroin which can lock into special receptors for some people.

For example, there's nicotine (seven times harder to kick than heroin when comparing a typical nicotine addict to a typical heroin addict), but there are some people... again, about one out of ten... who have nicotine receptors in their brain that are a bit different from that of the majority.

Like those with that special heroin receptor, people with a special nicotine receptor seems to have inherited it as part of what had been, at one time, an evolutionary adaptation that enabled them to survive poisonings by some plants, and like that 10% with the special heroin receptor, those with the special nicotine receptor can *not* mentally function without it once they start.

It literally affects their base cognitive functions on a level that the typical nicotine addict cannot understand, and like that 10% of the special heroin addicts, they are exactly the people who never should have started. One famous example is Golda Mier, former Prime Minister of Israel. She was smart, she was capable, she got things done, and she was an absolute chain-smoker who went wiggy without it.

We also see this same phenomena among alcoholics. Anyone can become an alcoholic once they get in the groove, but there's a minority percentage whom it affects different.

Like heroin and nicotine, the presence of special receptors looks to be an artifact of evolution, from some time lost in prehistory when an ancestor's ability to process alcohol in a different way had an advantage under those circumstances, but which is a danger in a society flush with plenty of booze, and like heroin and nicotine, if you're one of those with a special receptor, you're exactly the type who never should have started, but once you do start, you've got an issue that an ordinary alcoholic is not going to understand.

Now, here's what kind'a curious about those folk with special receptors for heroin or nicotine or booze... and it's that - yeah, they are exactly the people who should never have started - *but*, once they do, ironically, if the supply can be stabilized, they handle it better than the majority.

In the case of heroin, if a person does not have that special receptor for heroin addiction, each thwack of heroin makes them kind'a dopey, whereas for those with the special receptor for addiction, it levels them out. One of the more famous examples of that was actor Bela Legusi. He did his best parts after shooting up.

This is true even for alcoholics, which is - bar none - the hardest drug to self-regulate, yet there are, and have been, plenty of people with that special receptor for alcohol addiction who have navigated themselves through long lives by dosing themselves on very steady levels - usually in two-ounce shots, spread out to be equivalent to about a fifth per day - and the most critical thing for them to watch out for is that they eat a healthy diet, because the side-effect of ethanol metabolism is serious tissue self-digestion if the consumer doesn't make sure there's always plenty of nutrients in his tummy for catalysts to work on.

We bewail the social costs of alcohol, yet it's *nothing* compared to the cost of prohibition.

Likewise, the social costs of heroin prohibition are astronomical compared to the cost of simply allowing for regular and controlled dosing to those of the special addiction.

I will confess, sometimes I find it a tad annoying trying to explain this concept to those of a Republican nature, so let me put it into terms they might understand better:

Taxes. The taxes are lower when you control supply, and allow for maintenance dosing of those with the special receptors, and if you're going to get off on calling the government a pusher for allowing such things, start first with government control of alcohol first, because alcohol is a hundred times more destructive.

And if you want to get off on talking about how people should never start using the stuff - especially if they're those with the special receptor - then take a look at why they start in the first place, and work on that.

From Vietnam war vets we learned that people don't pick up emotional-and-physical pain killers unless there's some pain to kill...

Have you seen the state of Russia's economy since it was "set free"? It now has a few billionaires who like it better, and a few hundred million others who are miserable and think It's a mess compared to how things were for them under the Soviets...

Did you know that 90% of all that heroin being produced by Afghan poppy farmers is ending up in Russia?

The solution is not to hammer on people for having tried it and got addicted, and then hammer more on the genetically-natural addicts who shouldn't have tried it in the first place, because once started they are *not* going to stop (in which case, the cheapest thing to do is simply facilitate regular dosage so they're not driven to crime).

Rather... if you really want a long-term solution, take a look at what compels *anyone* to pick it up in the first place.

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gabordrot | 2 years, 1 month ago Report

Wow, interesting ideas and thanks a lot for taking your time for all of this. I have just commented on another answer below and I won't say all that again even though would fit here too (you might want to read it so we are on the same page of thought). Beside all of that there is another point that I'd like to bring up here. I have heard of this idea of DNA and deficiency or difference in the brain about addiction and stuff. This subject, what I can tell, is quite controversy. Beside the fact that this idea is around no-one has managed to work out a solution and using this data to reduce or "cure" addiction even though they are curing other illnesses that go this way. I personally think that there is something wrong with this idea just for the fact that when we do not take this into account and only work with facts such as the drug addict actually a normal person just have gone the wrong way of trying to "solve" his problems and instead of learning how to handle whatever they could not or face the problems went this way. The fact that when one goes on and educate them on handling life problems the addiction does not come back. So this is one point.
The other point that I have to say is that I was not talking about Portugal (actually I did not even hear that) but Denmark. Also Germany and Switzerland have done the same and also Canada recently. So there you go. Any ideas on this (please do read my answer below too) ?
Gabor

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buddawiggi | 2 years, 1 month ago
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Wow. As you know from working in a drug rehab center there is not a single solution for addiction that will work for everyone. What works for one addict will be the death of another addict. I do not know which government you are talking about and why specifically they feel importing and distributing heroin to addicts will be helpful to the specific area of concern or the specific addicts or addict of concern but it sounds to me like they have exhausted most all other options.

The shift in world view and opinion of the addict is changing and not all countries view the addicts as criminals just for being addicts. The actions one takes in the procurement of the drugs to feed ones addiction are criminal but having the addiction itself is not a crime. I think this government you are speaking about has considered that by removing the criminal act of the procurement of heroin and the otherwise criminal people one must encounter and deal with when procuring heroin that they are getting more to the base of addiction and can treat the disease and not the symptoms.

The symptoms of the disease of heroin addiction would be the unreasonable, dangerous, criminal, and entirely unsafe/insane actions a heroin addict will do to get their fix and when these actions are what is treated in the addict the addict will merely end up in jail or prison where they will stop using heroin but not ever really have their disease treated and studied. There is no rehabilitation in jail or prison.

I think the government you are asking about is progressively venturing into treating the disease of addiction at its base instead of the more mainstream ways of treating addiction by allowing lives to be destroyed by crime and and an unhealthy criminal lifestyle and then through the justice system get addicts "off the street" and therefore not using heroin. This effectively stops the addict form using and stops their criminal behavior as a result of their addiction but it does not treat the addiction.

I cannot say this is the right thing to do but I do say that the way the disease of addiction is viewed by the law and the people needs to change before any leaps and bounds progress will be made in the real deal treatment of addiction and all of an addictions manifestations including heroin addiction
source(s):
I am an addict and counsel addicts at a non-medical detox center.

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gabordrot | 2 years, 1 month ago Report

Thank you very much for the answer and you have some good points in it. I recently had a radio show interview on the subject and we went over this point by point.
One thing I have on this is that I do not think of drug addicts as criminals and I do think this is a wrong point of view, at least if someone think that they need to be prosecuted. Of course if they have committed criminal acts then they should face those and stuff, but the main thing is that the drug addict needs to get help to get off addiction.
You say exhausted all ways and thus the governments (I was talking about the Danish government specifically but there is the German, Swiss and recently the Canadian too) took this way of "handling" the problem. There are a few points that is somehow seem to be missing.
1. The "free" heroin is paid for by tax payers' money. You and me pay for it without being asked if I want to support it. And I can assure you that it cost quite a high amount of money.
2. If you trace it down how does the "free" heroin comes about (as I did) you will find something very amazing. I am not sure you know but heroin is produced from opium. Afghanistan is the country that produced by far the most opium in the world. When there was the war big part of the country was bombed down. Somehow the opium fields did not get bombed though. When looking into this we found that these fields have already been purchased by different pharmacy companies of the UK and other European countries in preparation for the "free" heroin treatment. Thus the people of Afghanistan that produced opium and sold it on the black market using the money for terrorist attacks and whatever else, now produce even more opium (per statistics it increases year after year since the war) and selling it legally, earning money on it and using this money.... I believe on the same stuff. Of course hard to check into that but as this is the same people and the only thing changed is where the money comes from... I guess you can make the same conclusions than I did.
3. Another point is when we look at the drug addicts themselves. If we consider addiction a disease or not is beside the point. If you give them free heroin or they get heroin from the black market it does not really change the fact that they are under the influence of drugs every day. Beside the fact that they of course are destroying their body (and drug addicts are not know for long life) they are also dangerous for others. Of course they are not supposed to drive a car, but can we really control that? I am sure we will not put a policeman to each addict being on legal heroin or not and I would not say that a drug addict can really be trusted, I would not say that we can 100 % say that they will not drive a car or do some even more crazy things. I think we can think a few consequences of people driving cars under the influence of drugs. Not even talking about committing other types of crimes just because they can not really think clear (and someone high on heroin can't really). Even beside that what job is this person really going to get or do? Of course he won't be a teacher in the school, he wont drive heavy machinery, he can't deal with money as could make serious and costly mistakes, and so on and so forth. So? They would remain unemployed (or working in places and causing a lot of trouble for themselves and others) and we, the tax payers have to pay for that too. And even beside that then these people are really out of society and not part of it. So by putting someone on free heroin you give him a "free" ticket to not be part of society - Don't you?

You say that drug rehab centers and drug rehab programs do not work in all cases. This is true. Percentage of success varies as an average from 2-20% which is not good at all. However when thinking on getting 2 people out of drugs from hundred or putting all of them on free heroin I would choose to save that two (which is a really bad percentage) than going through this cycle as I explained above.
And I know drug rehab centers/programs with a success rate of 70 %, which is pretty good.
Of course pharmacy companies earning millions (probably should have said billions) of US Dollars on such programs as "free" heroin does have quite some money to pay for advertisements and "experts" to tell to governments that this is the only "solution". What do you think?
Gabor

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buddawiggi | 2 years, 1 month ago Report

Interesting.

>The "free" heroin is paid for by tax payers' money.
- I would support this but so that is not an issue but I can see how it would be a deal breaker for most voters and likely they would vote out a politician who supported this purchasing of heroin.

> If you trace it down how does the "free" heroin comes about (as I did) you will find something very amazing. Afghanistan.
- here we run into big trouble. Not one person would want to be accused of supporting or actually supporting the war on terror so by making this simple connection it is easy to see and to say that this "free heroin" program could be trouble for all of those who support it politically.

I personally feel the addict will get the dope from whatever source is the easiest and if that is the government or a street dealer the source of the heroin is they same, Afghanistan, and the heroin will get bought anyway no matter who the supplier is. Government or street dealer as the big buyer.. the source remains the same so the rest of this is a semantically dubious area as any government doing this will be seen as supporting the war on terror despite the heroin being bought and sold anyway no matter who goes to the heroin store of Afghanistan.

>If you give them free heroin or they get heroin from the black market it does not really change the fact that they are under the influence of drugs every day.
- very true but in your question there was no mention of the context of the giving of heroin. Do the addicts just take the dope and go? or do they use it on site? I know here in the US there have been "use on site" methadone clinics and LAAM "take home methadone" clinics have met with limited success and approval.

Does the Danish government plan on allowing addicts to "take home" the heroin? or use it on site where they will be in a safer and more controlled environment and a significantly smaller danger to sober society (not driving, other criminal behaviors) because if the addicts are to use the dope on site then this I feel is a worthwhile project, if the addicts get to take the dope home the program is fundamentally faulty.

No one should ever trust a junkie as junkies will always lie to benefit their circumstance. "Trusting the addict" to do what is right with the free heroin is just displaying a fundamental misunderstanding of the addict and "trusting the addict" should never be done, especially when doing so could possibly endanger the lives of normal law abiding citizens.

So while I see the progress in addiction treatment and addiction study with this free heroin program I can also see that it has its issues and trouble spots.

From my own addictive perspective the life of the addict should come first and the giving of heroin to the addict in a controlled environment where they can be monitored and studied is great and should be done. The addict will get the dope no matter what and if they are allowed a safer place to use/procure it then the addict can be explored and the addiction can be more revealed at its base without the context of criminality typically surrounding the use and procurement of addictive drugs like heroin.

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