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Transcript of DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA...
![Page 1: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/1.jpg)
DPRC
DRUG POLICY RESEARCH CENTER
How Goes the War on Drugs?
Martin Y. Iguchi, Ph.D.
RAND DPRC & UCLA School of Public Health
Picture source: LA Times
![Page 2: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/2.jpg)
DPRC
DRUG POLICY RESEARCH CENTER
How Goes the War on Drugs?
Martin Y. Iguchi, Ph.D.
RAND DPRC & UCLA School of Public Health
Picture source: LA Times
![Page 3: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/3.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 4: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/4.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 5: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/5.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 6: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/6.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 7: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/7.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 8: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/8.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 9: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/9.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 10: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/10.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 11: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/11.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 12: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/12.jpg)
What are we trying to accomplish?
•A drug free society?
•User reduction?
•Use reduction?
•Harm reduction?
•Why the focus on “illicit” drugs?
![Page 13: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/13.jpg)
Is the “war” metaphor appropriate?
•What are the implications of “war”?
•Are we winning?
•How can you know?
•What are our benchmarks?
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Is the “war” metaphor appropriate?
•What are the implications of “war”?
•Are we winning?
•How can you know?
•What are our benchmarks?
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Is the “war” metaphor appropriate?
•What are the implications of “war”?
•Are we winning?
•How can you know?
•What are our benchmarks?
![Page 16: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/16.jpg)
Is the “war” metaphor appropriate?
•What are the implications of “war”?
•Are we winning?
•How can you know?
•What are our benchmarks?
![Page 17: DPRC DRUG POLICY RESEARCH CENTER How Goes the War on Drugs? Martin Y. Iguchi, Ph.D. RAND DPRC & UCLA School of Public Health Picture source: LA Times.](https://reader035.fdocuments.in/reader035/viewer/2022062518/56649e005503460f94ae9651/html5/thumbnails/17.jpg)
UNODC Andean Coca Surveys 2005
Est. Coca Cultivation
2004 2005
Colombia 158,000 ha 159,600 ha
Peru 80,000 ha 86,000 ha
Bolivia 27,700 ha 25,400 ha
Reported Eradication
2004 2005
Colombia 142,786 ha 170,042 ha
Peru 10,399 ha 12,232 ha
Bolivia 8,437 ha 6,073 ha
Comparison: In 2001 Colombian coffee farms covered 1 million ha
Source: UNODC 2006
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Are Interdiction Efforts Successful?
Cocaine production 2004 2005
Colombia 640 mt 640 mt
Peru 190 mt 180 mt
Bolivia 107 mt 90 mt
Cocaine Seizures
Colombia (main cities) 188 mt 177 mt
Peru (producing regions) 7.3 mt 2.2 mt
Bolivia (main cities) 0.5 mt 1.3 mt
Europe 79 mt na
United States 196 mt na
Comparison: >170,000 mt of coffee shipped to US every year from Colombia
Source: UNODC 2006
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Cocaine Production Factoids
•Cocaine may be grown from cutting or seed - with harvest after 6-18 months
– 30+ year plant life
•3-4 harvests per year
•UNODC and Colombian government survey:– 6,300kg/ha/yr of fresh coca leaf– Translates to 2,700kg/ha/yr sun dried leaf– 7.7 kg/ha/yr pure cocaine hydrochloride
Source: UNODC 2006
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Cocaine Profit in 1990
•Farmer cost was $700/ha to grow cocaine
•Profit to farmer was $1,600/ha
•Sold on streets in US for $150,000
Source: Caulkins et al. 2005
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Enforcement Affects Consumption Through Price
Enforcement
Risks &
Costs
RetailPrice
Consumption
EradicationGrower Risks &
Costs
LeafPrice
Retail Price
InterdictionInterdictionSmugglerRisks &
Costs
SmugglerRisks &
CostsRetail PriceRetail Price
Import-Export
Price
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Prohibition Does Increase the Price of Cocaine
Farm-gate value ($US) 2004 2005Colombia $843 M
Peru $304 M $307 M
Bolivia $240 M $180 M
Avg Wholesale Price ($US)Colombia (main cities) $1,710/kg $1,800
Peru (producing regions) $890/kg $890/kg
Bolivia (main cities) $1,800 $1,800
Europe $45,830/kg $47,690/kg
United States $22,070/kg n/a
Source: UNODC 2006
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Cocaine Prices Declining1981-2000
0
1000
2000
3000
4000
5000
6000
1981 1983 1985 1987 1989 1991 1993 1995 1997 1999
RetailWholesale
Price per pure gram in 1998 dollars
Source: ABT Associates Inc.
wholesale
retail
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Prohibition Does Increase the Price of Cocaine
Farm-gate value ($US) 2004 2005Colombia $843 M
Peru $304 M $307 M
Bolivia $240 M $180 M
Avg Wholesale Price ($US)Colombia (main cities) $1,710/kg $1,800
Peru (producing regions) $890/kg $890/kg
Bolivia (main cities) $1,800 $1,800
Europe $45,830/kg $47,690/kg
United States $22,070/kg n/a
Source: UNODC 2006
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A Brief Overview of the RAND “Controlling Cocaine” Model
Cost-effectiveness at reducing cocaine consumption
0 20 40 60 80 100 120
Treating heavy users
Prevention (high estimate)
Federal enforcement
Longer sentences, federal defendants
Domestic enforcement, typical dealers
Prevention (middle estimate)
Interdiction
Longer sentences, typical dealers
Source country control
Prevention (low estimate)
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Treatment is Most Cost Effective Option by Several Measures
0
50
100
150
200
250
300
Use (kgs) Spending ($100K) Crime
Problem Reduction per Million Program Dollars
Treatment
ConventionalEnforcementMandatory MinSentences
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Different Evaluation Time Horizons Favor Different Drug Control Strategies
0
20
40
60
80
100
120
140
160
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Years
Treatment
ConventionalEnforcementMandatoryMinimum
SOURCE: From Caulkins et al., Mandatory Minimum Drug Sentences, p. 36.
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Alcohol and nicotine policies need to be part of a comprehensive illicit drug
control strategy
•There is significant evidence that alcohol and marijuana are economic complements, not substitutes.
•There is additional evidence suggesting that alcohol and cocaine are economic complements.
•Cigarettes and marijuana also appear to be economic complements.
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DPRC
DRUG POLICY RESEARCH CENTER
Examining the Impact of Criminalizing Drug Use on the Health of Minority
Families
Martin Y. Iguchi, Ph.D.
RAND and UCLA School of Public Health
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In 2005, 35 million Americans (age 12 or older) committed an illegal act.
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In 2005, 35 million Americans (age 12 or older) committed an illegal act.
They used an illicit drug
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In 2005, 35 million Americans (age 12 or older) committed an illegal act.
They used an illicit drug
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Prison Admissions for a Drug OffensePer 100,000 Adults (Iguchi & Fain, 2006)
0
10
20
30
40
50
60
70
80
90
100
Picture Source: NY Times
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Prison Admissions for a Drug OffensePer 100,000 Adults (Iguchi & Fain, 2006)
0
10
20
30
40
50
60
70
80
90
100
Picture Source: NY Times
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The Increase in Drug Offender Prison Entries Has Disproportionately Affected Blacks
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
Black
Hispanic
White
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The Disproportion is Even More Dramatic When Viewed on a Per Capita Basis (per 100,000 Adults)
0
50
100
150
200
250
300
350
400
450
500
Black
Hispanic
White
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Comparison of Male Drug Offender Prison Entrants 1983 and 1999
•In 1983, roughly 1 in 1,500 adult black males and 1 in 6,900 adult white males entered prison on a drug offense
•In 1999, roughly 1 in 130 adult black males and 1 in 1,800 adult white males entered prison on a drug offense
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Drug Offender Prison Admissions also Increased Disproportionately Among Black Women
(rate per 100,000 adult women)
0
10
20
30
40
50
60
70
80
90
100
Black
Hispanic
White
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Since 1989, Over 50 % of Prison Admissions for Hispanic Women Have Involved Drug Offenses
0%
10%
20%
30%
40%
50%
60%
Black
Hispanic
White
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The Prevalence of Drug Use Is Similar Among Blacks, Whites, and Hispanics
0
1
2
3
4
5
6
7
8
9
10
Percentage of population reporting drug use in the prior month (2005)
Source: National Survey on Drug Use and Health
Black White Hispanic
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Per Capita Violent Crime Arrests Did Not Change Much During the Same Time Period
for any Racial/Ethnic Group
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Many Cumulative Reasons for Disproportions Have Been Proposed
• Sentencing disparity - In 1988 Congress decided that 5g crack would be treated the same as 500g powder - resulting in a 5 year mandatory minimum prison sentence.
– Even though 500g powder = 448g crack
• Enhancement laws (school zones, weapon possession)
• Socioeconomic factors (focus on low income populations)
• Uneven enforcement (profiling)
• Behavioral/environmental vulnerability (public purchase)
• Differences in consumption and offending
• Three Strike Laws exacerbate above effects
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We Decided to Shift Focus from Numbers Incarcerated to Implications for Quality of Life,
Access to Care , and Health Disparities
– During the past decade, many laws were enacted in the name of public safety that specifically targeted drug offenders
– A number of unintended consequences of these laws extends to family members and ultimately to their communities
– We made a preliminary synthesis of the effects of these laws, particularly as they apply to women and children in minority communities
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How Might a Felony Drug Conviction Affect Quality of Life and Access to Care for the
Individual, Family, and Community?
– Children and families
– Health care benefits
– Housing availability
– Access to higher education
– Immigration status
– Employment opportunities
– Political representation
– Drug use and recidivism
Source: Iguchi, London, Forge, Hickman, Fain, Riehman (2002). Elements of well-being affected by criminalizing the drug User. Public Health Reports, 117(1): S146-S150.
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Children and Families of Drug Offenders Are Likely to Be Affected
– In 1999, an estimated 1.5 million children under the age of 18 had one or both parents in state or federal prison
– Black and Hispanic children are much more likely than white children to have a parent in prison
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Children and Families of Drug Offenders Are Likely to Be Affected
– Other relevant laws include those mandating rapid adoption, parental rights termination, or those that specify imprisonment as ground for divorce
– Families are dismantled, greater economic and child care burdens fall to the mother, or if not to the mother, to relatives and the community at large
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Both Felons and their Families Lose Health and Welfare Benefits
– Drug felons are permanently barred from receiving food stamps or Temporary Assistance to Needy Families (TANF) although 32 states have modified the ban - using state funds for drug felons
– In some states (e.g., Missouri), a criminal conviction can be grounds for losing insurance coverage
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Access to Public Housing is Seriously Restricted by New Laws
– The “One Strike and You’re Out” legislation of 1996 revised screening and eviction procedures for public housing
– The law allows housing authorities to consider substance abuse when making access and eviction decisions. In 2003, 5% denied housing and 6% evicted for drug-related reasons (GAO, 2005)
– As written, the law encourages consideration of rehabilitation and drug treatment options
– In practice, public safety is often the overriding consideration - leaving drug offenders and their families with few housing options
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Higher Education is Less Accessible for Those With Drug Convictions
– A conviction for drug possession revokes eligibility for federal education assistance for at least one year
– A conviction for drug sales revokes eligibility for at least two years
– Eligibility can be reinstated if student completes a rehabilitation program and passes two unannounced drug tests
– In 2003-04 - 41,000 applicants denied loans (GAO, 2005)
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Immigrants Convicted of Drug Felonies Can Be Deported Without Judicial Review
– U.S. prisons currently house more than 84,000 foreign nationals
– The 1996 Illegal Immigration Reform and Immigrant Responsibility Act precluded judicial review of INS decisions
– Since 1996, the INS has greatly increased the deportation of “aggravated felons” removing 61,093 in 2000
– Drug felonies make up 41 percent of those cases
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Employment Options are Seriously Limited by Drug Conviction
– Earnings potential of non- white-collar workers appears to be harmed for at least one year after convicted felons re-enter communities
– Incarceration often occurs during career-building years
– Felons are barred from employment in many areas, including the military and government jobs, and are barred from receiving many licenses and permits
– Lack of employment can also mean a lack of health care benefits
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A Felony Conviction Means the Loss of Political Power for Minority Communities
– Approximately 3.9 million felons are ineligible to vote after leaving prison
– More than a third of the disenfranchised are black
– Approximately 13% of all adult black males in this country are ineligible to vote
– This loss of political power often translates into a loss of access to services
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Incarceration Does Not Prevent Further Drug Abuse
– It is unclear how much crime is averted, and drug use deterred by aggressive policing policies
– Incarceration does remove a portion of drug users and their related criminal activity from communities for an average of 2 years
– Incarceration has little or no positive impact on illicit drug use after convicted individuals return to communities
– Returns to prison related to drug use occur at high rates
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We are Treating Drug Abuse as Moral Failure Requiring Eternal Punishment
– While these policies are meant to benefit society, in practice many have a harmful impact on offenders and their families long after they serve their time in prison
– These effects result in additional burdens for family members and the community, with minority communities disproportionately impacted
– With hundreds of thousands returning to society from prison, these issues require close attention
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A Better Approach Is to Treat Drug Use as a Public Health Problem
– Increase the availability of drug treatment programs to users before they are arrested
– Increase the availability of drug courts and related judicial mechanisms (Proposition 36) emphasizing treatment before incarceration - and rehabilitation over punishment
– Facilitate the re-entry of drug offenders into our communities
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Acknowledgements:
•Research Supported by the Robert Wood Johnson Foundation and the National Institute on Drug Abuse
•www.burnsinstitute.org (James Bell Executive Director)
•RAND Colleagues: Jon Caulkins, Peter Reuter, Jim Chiesa, Andrew Morral, Jennifer London, Terry Fain, Rajeev Ramchand, Kara Riehman, Rosalie Pacula, Nell Forge, Dan McCaffrey, Susan Paddock and many others