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OAS Releases Historic Report on Drug Policy Alternatives [FEATURE]

The Organization of American States (OAS) Friday released a ground-breaking report on hemispheric drug control that includes not only an assessment of the current state of affairs, but also looks at a number of alternate scenarios for future directions in drug policy, including explicit analysis of possible regulation and legalization regimes.

Colombian President Santos (l) receives the report from OAS head Insulza in Bogota Friday (oas.org)
The report comes even as the US military is expanding its drug war in Latin America.The military is deploying assets to Central and South America, and US military assistance in Latin America has quadrupled in the last decade -- even as the region faces no external and diminishing internal threats.

The report, The Drug Problem in the Americas, was commissioned at last year's Cartagena Summit of the Americas, where a number of Latin American leaders led by Colombian President Juan Manuel Santos criticized existing drug policies and called for a discussion of alternatives. On Friday, OAS head Jose Miguel Insulza hand-delivered the report to Santos in Bogota.

Prepared by researcher and analysts at the Inter-American Drug Abuse Control Commission (CICAD) under the supervision of the OAS, the report is divided into two discrete sections, an analytical report and a scenarios report. It is the scenarios report that addresses possible directions in drug policy, including the formal consideration of legalization and regulation regimes.

The scenarios report envisions four possible (and not necessarily mutually exclusive) policy directions and how each scenario "understands" the drug problem, what the attempted response would be under that scenario, and the opportunities and challenges involved in acting on those scenarios.

Two scenarios, "Together" and "Resilience," represent largely traditional responses to drug use and the drug trade, with calls for the strengthening of weak states and their judicial institutions or addressing underlying social problems and strengthening communities to fight violence and addiction, respectively.

It is the other two scenarios, "Pathways" and "Disruption," that represent innovations in thinking at the policy-making level. In the "Disruption" scenario, the violence and instability created by the drug trade under prohibition is so severe that authorities "cut a deal" with traffickers in a bid to achieve social peace. This might, more or less fairly, be called "the Mexican scenario," given that previous Mexican PRI governments are almost universally assumed to have made such bargains with trafficking organizations, and given widespread speculation these days that the current PRI government may be considering something similar.

drug seizure, Mexico (sedena.gob.mx)
In the "Pathways" scenario, CICAD "understands" the problem as "the current regime for controlling drugs through criminal sanctions (especially arrests and incarceration of users and low-level dealers) is causing too much harm." The response is "trying out and learning from alternative legal and regulatory regimes, starting with cannabis."

The opportunities presented under the "Pathways" scenario include "development of better drug policies through experimentation, reallocation of resources from controlling drugs and drug users to preventing and treating problematic use, and shrinkage of some criminal markets and profits through regulation," while potential problems include "managing the risks of experimentation, especially with transitioning from criminal to regulated markets (including possible increases in problematic use), dealing with contraband, and new inter-governmental tensions that result from differences in regimes between jurisdictions."

The report is being welcomed as marking a true advance in the drug policy dialog at the hemispheric and international levels.

"The review explores what can be done in a post-drug war world," said Kasia Malinowska-Sempruch, director of the Open Society Global Drug Policy Program. "This report envisions a number of possibilities that will broaden the current debate on drug policy reform."

"As part of the scenarios team, we worked to make it clear that another reality is indeed possible, that our countries can move orderly toward regulated drugs markets, and that there are possibilities to achieve better results," said Lisa Sanchez, coordinator of drug policies at the Transform Drug Policy Foundation and Mexico Unido Contra la Delinquencia, who worked on the report. "It is clear that the state should no longer ignore its responsibility to guarantee the health and security of all its citizens, and to do this, it needs to regain control over the drug markets which are currently illegal."

"While leaders have talked about moving from 'criminalization' to 'public health' in drug policy, punitive, abstinence-only approaches have still predominated, even in the health sphere," said Daniel Wolfe, director of the Open Society International Harm Reduction Program. "These scenarios offer a chance for leaders to replace indiscriminate detention and rights abuses with approaches that distinguish between users and traffickers and offer the community-based health services that work best for those in need."

methamphetamine user under arrest, US (wikimedia.org)
"This is the beginning of an international conversation on a new approach to drugs," said David Holiday, senior regional advocacy officer for the Open Society Latin America Program. "We can hope this will move policies from those currently based in repression to strategies rooted in public health and human rights."

That international conversation on drug policy will get going next week, when the OAS report will be presented and discussed at the bi-annual CICAD meeting in Washington, DC. Two weeks after that, the report and discussions over drug policy in the Americas will be the main agenda item -- "Toward a comprehensive anti-drug policy in the Americas" -- at  the annual session of the OAS General Assembly, which is attended by foreign ministers in the region. Advocates are hoping that these regional discussions will also be taken up at the 2016 United Nations General Assembly Special Session on Drugs.

"Never before has a multilateral organization engaged in such an inclusive and intellectually legitimate analysis of drug policy options," said Ethan Nadelmann, executive director of the Drug Policy Alliance. "Indeed, it would have been inconceivable just two years ago that the OAS -- or any multilateral organization -- would publish a document that considers legalization, decriminalization and other alternatives to prohibitionist policies on an equal footing with status quo policies. Political pressures by the US and other governments would have made that impossible."

But much has changed in just the past few years, Nadelmann noted. In 2009, former presidents Fernando Henrique Cardoso (Brazil), César Gaviria (Colombia) and Ernesto Zedillo (Mexico) joined with other members of the Latin American Commission on Drugs and Democracy in saying the time had come to "break the taboo" on exploring alternatives to the failed war on drugs.

In 2011, those presidents joined with former UN Secretary General Kofi Annan, former U.S. Secretary of State George Shultz, former Federal Reserve Board chairman Paul Volcker, former Swiss President Ruth Dreifuss and other members of the  Global Commission on Drug Policy in calling for fundamental reforms to national and global drug policies.  Former presidents Jimmy Carter, Ricardo Lagos (Chile), Vicente Fox (Mexico) and Aleksander Kwasniewski (Poland) were among those who seconded their recommendations.

Late that year, sitting presidents began to join the calls of their predecessors.  These included President Santos in Colombia, Otto Perez Molina in Guatemala, José Mujica in Uruguay and then-President Felipe Calderonof Mexico. Simultaneously, the victorious marijuana legalization ballot initiatives in Washington State and Colorado transformed a previously hypothetical debate into real political reform.  Other states will almost certainly follow their lead in coming years.

"The OAS scenarios report thus represents the important next step in elevating and legitimizing a discussion that until a few years ago was effectively banned from official government circles," Nadelmann said. "It is sure to have legs in a way that few reports by multilateral institutions ever do."

Bogota
Colombia

China, Southeast Asia Vow More Better Drug War

At a meeting in Myanmar Thursday, China and five Southeast Asian nations vowed to redouble their efforts and boost cooperation in an effort to get a grip on illegal drug use and trafficking, which they called "a significant threat" to the region.

opium poppy (UNODC)
China was joined by Cambodia, Laos, Myanmar, Thailand, and Vietnam), along with the UN Office on Drugs and Crime (UNODC), for the Ministerial Meeting of the Signatory Countries to the 1993 Memorandum of Understanding on Drug Control in the Greater Mekong Sub-Region.

"Consumption and production of narcotic drugs continues to grow rapidly within the region and worldwide, constituting a significant threat to the East Asian region," according to a joint statement adopted at the meeting.

The countries and the UNODC pledged to heighten cross-border cooperation, examine alternative development programs, and share experiences in drug treatment, prevention, and public awareness.

"This agreement marks the continued commitment of the six MOU countries in supporting drug control in the region, and the celebration of 20 years of partnership and collaboration," said Myanmar representative Home Affairs Minister Lt. Gen. Ko Ko at the signing ceremony. "The MOU Member States re-affirm our commitment and assure the international community of our efforts to eliminate the drug problem in our region."

Southeast Asia has been a hotbed of methamphetamine production in recent years, and Myanmar is now the world's second largest producer of opium -- although its production is only about one-tenth that of world leader Afghanistan.

"Major challenges persist," said John Sandage, UNODC director of treaty affairs. "The resurgence of opium poppy cultivation, the dramatic spread of amphetamine-type stimulants (ATS), the influx of drugs new to the region and increased levels of addiction. UNODC looks forward to working with the MOU states to implement plans that help us better understand the threat and challenges, build technical capacity and lead to greater cooperation across borders and among agencies."

Nay Pyi Taw
Myanmar

Republic of Georgia Could Legalize Marijuana

The government of the former Soviet republic of Georgia is considering legalizing marijuana, the country's Labor, Health, and Social Affairs minister said Friday.

"As far as drugs are concerned, ban-related mechanisms very often entail a ricochet effect, which means strengthening and development of other directions and etc.," David Sergeyenko told the local Novosti-Georgia news agency. Dealing with drugs requires "a well-considered strategy" and "the legalization of marijuana could be a part of it," he said.

But don't start torching up in Tbilisi just yet, Segeyenko said.

"The fact that we are now discussing this issue does not mean that we will wake up one day and see marijuana at supermarkets. Of course, it will not happen this way," he said, leaving unclear just exactly what he did envision.

Under current Georgian law, people convicted of illegal drug possession face up to a year in jail, a fine, or community service.

This isn't the first time there has been legalization talk in Georgia. In 2005, the head of the Georgian Council for Drug Policy, Tamara Sirbiladze, called for marijuana legalization, saying it could "reduce the number of drug-related crimes."

Tbilisi
Georgia

Mexico to Rein In US Agencies in Drug War

In a sharp break with the policies of his predecessor, recently installed Mexican President Enrique Pena Nieto is moving to restrict the open relationships US law enforcement, intelligence, and security agencies have developed with their Mexican counterparts as the two countries attempt to repress violent and powerful Mexican drug trafficking organizations, the so-called cartels.

The US-Mexico border (wikipedia.org)
The move was hinted at broadly in the Washington Post Sunday and confirmed by the Associated Press Monday. The AP cited deputy foreign secretary for North American affairs Sergio Alcocer as saying that all US law enforcement contacts with Mexican agencies will go through "a single window," the Mexican Interior Ministry.

Mexico has had a historically prickly relationship with US drug law enforcers, but under former Mexican President Felipe Calderon, whose term ended in December, US law enforcement and security cooperation with Mexican agencies expanded dramatically. The DEA, as well as the FBI, CIA, and Border Patrol, had agents working directly with units of the Mexican Federal Police, the army, and the navy.

US law enforcement and security agencies worked closely with their Mexican counterparts on a strategy that aimed at arresting or killing top cartel figures, and managed to eliminate dozens of them, but at the same time, prohibition-related violence only mounted, with the death toll somewhere above 70,000 during Calderon's six-year term. The incoming Pena Nieto administration has previously signaled that it wants to shift away from high-profile target strategy to one centered on crime prevention.

The Pena Nieto administration also represents a reversion to governance by the Institutional Revolutionary Party (PRI), which had famously ruled Mexico as "the perfect dictatorship" for most of the 20th Century before falling to conservative National Action Party (PAN) presidential candidate Vicente Fox in 2000. Like Fox, Calderon ran under the PAN banner and cultivated closer relations with the US, especially on drug enforcement, than the PRI ever had. The PRI's relationships with US drug enforcers could be characterized as one of mutual suspicion and distrust, with occasional bouts of cooperation.

As the Washington Post reported, high-ranking incoming PRI officials who met with US DEA, CIA, FBI, and other security representatives in December were stunned and "remained stone-faced as they learned for the first time just how entwined the two countries had become during the battle against narco-traffickers, and how, in the process, the United States had been given near-complete entree to Mexico's territory and the secrets of its citizens."

Now, the Pena Nieto government is moving to get a better grip on the assistance it gets from its neighbor to the north. It was in the interest of Mexico to do so, Alcocer said. "The issue before is that there was a lack of coordination because there was not a single entity in the Mexican government that was coordinating all the efforts," he told the AP. "Nobody knew what was going on."

The DEA and other agencies declined comment, leaving it the State Department, which said it looks forward to "continued close cooperation" with Mexico. President Obama flies to Mexico City Thursday for a meeting with Pena Nieto, whose administration says it wants to expand its bilateral agenda with the US beyond drugs and immigration, as well as shift from dramatic law enforcement actions to crime prevention and public safety.

"For us the security theme is one of our top priorities, but it's not the only one," Alcocer said. "The relationship has issues such as the economy and trade, advanced manufacturing, infrastructure, energy."

Mexico City
Mexico

Afghan Opium Cultivation Rising, Officials Say

Illicit opium poppy production cultivation in Afghanistan is on the increase this year, the Afghan Ministry of Counternarcotics said Monday. The increase comes despite efforts to target traffickers and to provide alternate development opportunities for farmers.

Afghan opium poppy fields bloom (UNODC)
Opium is the raw material from which heroin and other narcotics are derived.

Opium production has been a mainstay of the economy in the war-ravaged country ever since the US and NATO forces invaded in October 2001. Prior to the invasion, the Taliban had allowed poppy growing up until 2000, when a ban dramatically lowered production. But production took off again after the invasion, and for the past decade, Afghanistan has accounted for the vast bulk of global opium production, producing as much as 90% of the total supply.

Efforts to suppress opium production have been half-hearted and ineffective, in part because doing so threatens to drive poppy-producing peasants into the hands of the Taliban and in part because Afghan officials are themselves implicated in the trade.

Qayum Samir, a ministry spokesman, told Radio Free Europe Monday that 157,000 hectares are being planted with poppies this spring. That's up by an estimated 3,000 hectares over last year. Samir said the rise in production could be blamed on lack of security (read: lack of effective government control) and widespread poverty.

He said the Karzai government and the ministry have set up special task forces to eradicate opium plantings in four southern and southeastern provinces -- Farah, Helmand, Kandahar, and Nimruz. Those provinces are also areas where the Taliban is strong. Samir said task forces in other parts of the country would come later.

Kabul
Afghanistan

Uruguay to Begin Debate on Legal Marijuana Sales

Last fall, Uruguayan President Jose Mujica proposed legalizing marijuana commerce and cultivation (marijuana possession has never been a crime there), but shortly thereafter postponed action on the proposed legislation in the face of public opposition. Now he's ready for the country to have a discussion about it.

In December, Mujica postponed action on the bill, even though his party and its allies control the legislature. He cited polling that showed 64% of the public had reservations about allowing pot sales and cultivation.

Mujica continues to support the bill, but wanted to slow the process down to educate the public. Now, that process is beginning. Starting on April 4, a nationwide dialog on the bill is set to get underway. The three-month public debate will feature round tables, seminars, and conferences across the country and, Mujica hopes, bring public opinion around.

Mujica, a former leftist guerrilla in the 1970s, has argued that legalizing the commerce in marijuana would weaken drug smuggling gangs and fight petty crime. Uruguay is one of the safest Latin American nations, but has been scarred by criminal violence associated with the drug trade.

The bill would create a National Cannabis Institute to regulate commercial marijuana production and distribution. But unlike reports from last fall, it will not create state marijuana stores. The Institute would also come up with penalties for rule-breakers and help design programs to warn of the risks of pot smoking. For private households, the bill would allow the cultivation of up to six plants and the possession of up to 17 ounces.

If the bill becomes law, Uruguay would become the first country to formally legalize marijuana commerce. Such commerce had gone on in Holland for decades, with the laws against it still on the books, but ignored under the Dutch policy of "pragmatic tolerance." Other countries have decriminalized marijuana possession, but not the commerce.

Uruguay

UN Development Program Head and Former NZ Prime Minister Slams Drug War

It is increasingly clear that the "war on drugs" has failed and there needs to be room for new approaches, the head of the United Nations Development Program (UNDP) said Thursday. UNDP head Helen Clark's remarks ahead of the presentation of the organization's 2013 Human Development Report came in a pre-ceremony interview with Reuters.

UNDP head Helen Clark (undp.org)
Clark is no small-time functionary. From 1999 to 2008 she served as the prime minister of New Zealand -- three terms, according to Wikipedia -- and before that headed the nation's health ministry, among others. As UNDP chief she is the UN's third highest-ranking official.

"To deal with drugs as a one-dimensional, law-and-order issue is to miss the point," Clark said. "Once you criminalize, you put very big stakes around. Of course, our world has proceeded on the basis that criminalization is the approach. We have waves of violent crime sustained by drug trade, so we have to take the money out of drugs," she said.

Clark didn't go as far as calling for drug legalization, but she said she was encouraged by recent efforts by Latin American leaders to put the issue on the global agenda.

"The countries in the region that have been ravaged by the armed violence associated with drug cartels are starting to think laterally about a broad range of approaches and they should be encouraged to do that," she said. "They should act on evidence."

Latin American leaders have said "that the approach being followed has failed so we need a fresh set of eyes on this as well," the former New Zealand prime minister added. "And I think the debate going on at the regional level is a very, very useful one."

"I've been a health minister in my past and there's no doubt that the health position would be to treat the issue of drugs as primarily a health and social issue rather than a criminalized issue," Clark explained.

Is the International Narcotics Control Board Ignoring Human Rights?

A recent report by the UN special rapporteur on torture charged that compulsory drug treatment centers in some countries, particularly Vietnam and Thailand, constitute "forced labor" camps that engage in "torture." Long-time addiction writer Maia Szalavitz wrote about this in Time last week, and Phil did in our newsletter last Monday. The report is online here.

photo from the 2011 HRW report on Vietnam's so-called drug rehabilitation centers
The issue is not a new one, having been raised by Human Rights Watch in September 2011. HRW detailed forced labor, worker pay getting taken by the centers or staffs, inmates getting beaten, even bones broken, if they didn't comply with instructions.

Nevertheless, in its 2011 annual report, published five months after HRW's, the International Narcotics Control Board had only this to say in relation to Vietnam's treatment centers:

In September 2010, the Government of Viet Nam issued a decree on the strengthening of family-based and community-based drug treatment and rehabilitation services. In March 2011, the Ministry of Public Security of Viet Nam adopted measures to improve the collection and analysis of drug-related data. In June 2011, the Government of Viet Nam adopted the national strategy on drug control and prevention for the period ending in 2020. Based on that strategic document, the national target programme for the period 2011-2015 was developed to address drug-related issues in the country.
 

and

The Board welcomes the steps taken in Viet Nam to improve the treatment and rehabilitation of drug abusers and the efforts made in participating in different projects sponsored by [the UN Office on Drugs and Crime, UNODC] in that area. The Board encourages the Government to reinforce and support existing facilities as well as to undertake capacity-building in the field of treatment for drug abusers.
 

The 2012 INCB report, released last week -- more than a month after the special rapporteur's report was released -- offers just this:

The Government of Viet Nam launched its new national drug control and crime prevention strategies in July 2012. The strategies highlight the need for a comprehensive national response that combines effective law enforcement, drug abuse treatment and rehabilitation measures that allow for better integration of former drug dependent persons into society and the active participation of communities in crime prevention.
 

I understand that any system involving confinement has the potential for abuse, in the best of times and places, and that any one report on a subject can miss the mark. But we have allegations from a respected organization, and now from the UN itself, of systemic abuses, of a degree of seriousness that would seem to invalidate the entire project. Presumably international funding is in the mix at well. So why not even a word about it, from the self-described "quasi-judicial body" overseeing the international drug control regime?

Open Society Foundation's Joanne Csete noted comments by the late Hamid Ghodse, then INCB chairman, at the Commission on Narcotic Drugs last year, disclaiming any role for human rights concerns in the drug treaties or his agency. But that is not the stated position of the other main UN drug agency, UNODC.

So do we have a scandal in the making -- or better yet, an opportunity to reform the international drug control regime?

[By the way, Csete's afore-linked essay is part of the LSE IDEAS report included in our current membership offers.]

UN Report Slams Cruel Drug Treatment as "Torture"

Compulsory "treatment" for drug addiction in some parts of the world is "tantamount to torture or cruel, inhuman or degrading treatment," according to report last month from the UN's special rapporteur on torture and other degrading treatments and punishments. The report was delivered to the Office of the UN High Commissioner for Human Rights in Vienna.

drug "rehabilitation center," Vietnam (ohchr.org)
Authored by Special Rapporteur Juan Mendez, the report takes special aim at forced "rehabilitation centers" for drug users. Such centers are typically found in Southeast Asian states, such as Vietnam and Thailand, as well as in some countries in the former Soviet Union. But the report also decries the lack of opiate substitution therapies in confinement setting and bemoans the lack of access to effective opioid pain treatment in large swathes of the world.

"Compulsory detention for drug users is common in so-called rehabilitation centers," Mendez wrote. "Sometimes referred to as drug treatment centers or 'reeducation through labor' centers or camps, these are institutions commonly run by military or paramilitary, police or security forces, or private companies. Persons who use, or are suspected of using, drugs and who do not voluntarily opt for drug treatment and rehabilitation are confined in such centers and compelled to undergo diverse interventions."

The victims of such interventions face not only drug withdrawal without medical assistance, but also "state-sanctioned beatings, caning or whipping, forced labor, sexual abuse, and intentional humiliation," as well as "flogging therapy," "bread and water therapy," and forced electroshock treatments, all in the name of rehabilitation.

As Mendez notes, both the World Health Organization (WHO) and the UN Office on Drug Control (UNODC) have determined that "neither detention nor forced labor have been recognized by science as treatment for drug use disorders." Such forced detentions, often with no legal or medical evaluation or recourse, thus "violate international human rights law and are illegitimate substitutes for evidence-based measures, such as substitution therapy, psychological interventions and other forms of treatment given with full, informed consent."

Such centers continue to operate despite calls to close them from organizations including the WHO, the UNODC, and the UN Commission on Narcotic Drugs. And they are often operating with "direct or indirect support and assistance from international donors without adequate human rights oversight."

Drug users are "a highly stigmatized and criminalized population" who suffer numerous abuses, including denial of treatment for HIV, deprivation of child custody, and inclusion in drug registries where their civil rights are curtailed. One form of ill-treatment and "possibly torture of drug users" is the denial of opiate substitute therapy, "including as a way of eliciting criminal confessions through inducing painful withdrawal symptoms."

The denial of such treatments in jails and prisons is "a violation of the right to be free from torture and ill-treatment," Mendez noted, and should be considered a violation in non-custodial settings as well. "By denying effective drug treatment, state drug policies intentionally subject a large group of people to severe physical pain, suffering and humiliation, effectively punishing them for using drugs and trying to coerce them into abstinence, in complete disregard of the chronic nature of dependency and of the scientific evidence pointing to the ineffectiveness of punitive measures."

The rapporteur also noted with chagrin that 5.5 billion people, or 83% of the planet's population, live in areas "with low or no access to controlled medicines and have no access to treatment for moderate to severe pain." While most of Mendez' concern is directed at the developing world, he also notes that "in the United States, over a third of patients are not adequately treated for pain."

Mendez identified obstacles to the availability of opioid pain medications as "overly restrictive drug control regulations," as well as misinterpretation of those regulations, deficiencies in supply management, lack of concern about palliative care, and "ingrained prejudices" about using such medications.

New York City, NY
United States

Britain to Study Other Countries' Drug Reforms

British Home Secretary Theresa May has ordered a "what works" study of drug reforms in other countries, but has rejected a call from the House of Commons for a quick-acting royal commission on reform. The Commons home affairs select committee had called for a royal commission to report by 2015 on how to change the country's 40-year-old Misuse of Drugs Act.

While not going as far as MPs might have liked, the move suggests that the Tory government of Prime Minister David Cameron feels the ground shifting beneath it on drug policy, in part because its junior partners in the governing coalition, the Liberal Democrats, advocate for a much more radical approach.

"The government does not believe there is a case for fundamentally re-thinking the UK's approach to drugs -- a royal commission is simply not necessary," said May's official response to the select committee. "Nonetheless, we must continue to listen and learn from emerging trends, new evidence and international comparators. In particular we will build on the commitment in the drug strategy to 'review new evidence of what works in other countries and what we can learn from it' and conduct a study on international comparators to learn more from the approach in other countries," she conceded.

But May's response also signaled that the government has already made up its mind on at least one topic, and that had the drug reform groups Release and Transform Drug Policy Foundation (TDPF) calling foul.

"The coalition government has no intention of decriminalizing drugs," May said, but added that any discussion of alternatives should be based on evidence and analysis.

"Is Theresa May calling for a review whilst promising to not act on the information gathered?" Release asked in Thursday tweet.

TDPF echoed that sentiment in its own tweet: "Why does HASC response say 'no intention of decriminalizing drugs' in same para as announcement of evidence-based inquiry into same?"

The review will be led by Liberal Democrat Home Office minister Jeremy Brown. It will include a trip to Portugal to study that county's experience under decriminalization, as well as a look at the effects of the marijuana legalization votes in Colorado and Washington, medical marijuana in US states, and the international response to new synthetic drugs or "legal highs."

London
United Kingdom

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