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please don't kill my pot posts.

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Hmmm, Intersting

unread,
Aug 13, 2002, 7:01:37 PM8/13/02
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Please don't kill my pot posts. The only reason I can see you denying a
.general NG is because of personal bias. The same bias, outdated,
closedmindedness that has fueled this futile attempt to end the use of all
drugs or in this case a herb.
By sabotaging the posts, you are only reassuring the fact that this 'war on
drugs' is a loosing battle and a complete waste of resources and money.

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August 9, 2002

Legalization: The First Hundred Years

What happened when drugs were legal and why they were prohibited

Mike Jay
CEDRO

Mike Jay (2002), Legalisation: The First Hundred Years. What happened when
drugs were legal and why they were prohibited. Lecture presented at a
conference in London, July 17th 2002, organized by the Institute for Public
Policy Research (IPPR) about 'Legalization' in their conference series on
drug policy.

Today, as the notion of legalising drugs is making its way into the
mainstream political agenda for the first time in living memory, one of the
most common objections to it is that it represents a high-risk experiment
whose outcome cannot be accurately modelled or predicted.

Yet within the context of history, the opposite is true: it is the
prohibition of drugs which is the bold experiment without precedent. A
hundred years ago, any of us could have walked into our high street chemist
and bought cannabis or cocaine, morphine or heroin over the counter. At this
point, mind-altering drugs had been freely available throughout history and
across almost every culture, and their prohibition, pressed forward largely
by the goal of eliminating alcohol from modern societies, was a radical
break with the traditional wisdom of public policy.

Nor was it the case that the prohibition of drugs was a response to their
sudden emergence in Western societies. In 1800, virtually the only drugs
familiar to the West were alcohol and opium; but by 1900, the constellation
of substances which form the modern category of illicit drugs - opiates,
cannabis, cocaine, stimulants and psychedelics - had all found their niches
within a consumer culture driven by scientific discovery and the expansion
of global trade. The nineteenth century, typically regarded as an era of
repression, moral probity and social control, could also be billed as 'Drug
Legalisation - The First Hundred Years' (Jay 2000).

There is much which today's policy makers can learn from this era. Not only
were most of the policies now being debated - statutory control and
regulation, medical supervision and legal exclusion - all pioneered with
varying degrees of success, but the legal availability of drugs offers a
glimpse of how the general public originally negotiated their benefits and
dangers, and how the various substances found their own levels within the
society at large. History, of course, has its limits: it cannot tell us
everything, and cannot be expected to repeat itself exactly. Cannabis, for
example, was legal throughout the nineteenth century, and its levels of use
remained for various reasons quite low: if it were legalised tomorrow, we
would hardly expect its prevalence to fall to nineteenth-century levels. But
history nevertheless illuminates many of the underlying dynamics in the
modern drug debate, not least by offering the possibility of distinguishing
between the consequences of drugs themselves and those which only followed
once their use had been prohibited.

Perhaps the most significant difference was that today's prime distinction
between 'medicinal' and 'recreational' drugs was, in a society without
illicit drugs, at best embryonic. Opiate and cocaine preparations, like
alcohol and tobacco, were both intoxicant and medicine, and the distinction
between 'use' and 'abuse', 'feeling good' and 'feeling better' was vague and
subject to medical and social fashion (Berridge & Edwards 1987). Today's
Class A substances were not typically understood as drugs of 'abuse' but as
tonics, pick-me-ups or mild sedatives, medicines 'for the nerves' inhabiting
a middle ground perhaps similar to that occupied today by health
supplements, over-the-counter stimulants or energy drinks. This was not
because they were only available in mild preparations like opium tinctures
and coca teas: even in the late nineteenth century, when pure cocaine and
injectable morphine were readily available, the great majority of the public
chose to continue consuming these drugs in dilute and manageable
preparations.

Even in this era of mild plant and patent preparations, though, there was a
clear need for some types of statutory drug controls. Until the 1860s, the
market was unregulated: anyone could sell any substance to anyone, and make
whatever claims they wished for it. Although most doctors were not overly
preoccupied with the dangers of opiate addiction - which was typically seen
as a marginal side-effect of the most effective medicine in their
pharmacopeia - accidental poisonings and overdoses were a risk which was
clearly exacerbated by preparations which labelled their contents
inaccurately or not at all. The emergent pharmacy profession began to lobby
for control of the sale of such substances, and in 1868 the Poisons and
Pharmacy Act was passed. This limited the sale of arsenic, cyanide and
opium, previously sold everywhere from grocers' to pubs, to registered
pharmacists; the pharmacists, in turn, were obliged to record details of
their sales (date, quantity and purchaser).

In retrospect, this initial level of statutory regulation was perhaps the
most effective public policy initiative of the era. Public confidence in the
drug business rose, and misuse fell. Deaths by accidental overdose, suicide
or poisoning remained steady from the 1870s to the 1900s at less than 200 a
year in Britain - a figure which today's doctors would gladly trade for the
thousands associated with modern prescription drugs (Parssinen 1983). The
combination of reliable health information and traceable sales provoked a
modest public reaction against opiate drugs, the first indication that a
population presented with a credible assessment of the dangers of drug use
will to some extent regulate their use on their own initiative (Musto 1973).

But there were two initially unrelated dynamics in nineteenth-century
culture which would, by the end of the century, have dovetailed to put the
outright prohibition of drugs on the political agenda. The first was a
growing set of racial anxieties at the prospect of a multicultural society;
the second was the extension of medical science into the notion that drug
addiction, and by extension all drug use, was a disease which needed to be
addressed under medical supervision.

It was the racial anxieties which bit first. In 1874, the Opium Exclusion
Act passed in San Francisco became the first drug prohibition in the modern
West: but this was a prohibition to the Chinese population only. It was
represented as being for the immigrants' own good as well as for the
protection of the whites who might be contaminated by the foreign habit, but
the most obvious driving force was the fear of miscegenation between Chinese
and whites in the informal and disinhibited surroundings of Chinatown opium
dens (Kohn 1987). Around the same time, the political mood in Britain was
turning against the imperial adventures of the Opium Wars, and images of a
China 'enslaved' by addiction to British opium became prevalent through the
reports of missionaries and campaigning journalists. Although these images
have subsequently been shown to have been greatly exaggerated (Newman 1995),
they transformed the perception of opium from indigenous medicine to foreign
poison, and anti-opium groups (including Quakers and Temperance activists)
promulgated the fear that the growing Chinatowns in Britain might become
breeding-grounds for the new 'plague' (Harding 1988).

Metaphors of 'plague' and 'contagion' were, simultaneously, being given new
and literal force by a medical profession for whom the addictive qualities
of opium, morphine and cocaine were becoming more significant. The
development in the 1870s of the hypodermic syringe, and consequent wider use
of potent alkaloidal extracts like morphine, fuelled medical concerns about
unprecedentedly powerful and dangerous drugs being available to the general
public. Opium users like Thomas de Quincey had long since pointed out that
constant use of the drug led to serious physical cravings, tolerance of high
doses and withdrawal symptoms (in opposition to much of the medical opinion
of the 1820s, which saw these effects simply as over-indulgence or vice).
But from the 1870s onwards the modern notion of addiction came to take
shape, along with the still-familiar claim that this was a 'disease' which
required specialist treatment by professionals (Harding 1988). This,
particularly in the context of the contemporary 'degeneration theory' which
proposed that indulgence in drugs could pass on hereditary disorders to the
users' offspring (Pick 1989), gradually led to some doctors calling for all
opiates to be prohibited to the general public without medical supervision.

There was an element of professional self-interest in all this: opium was
the most common and effective remedy of its time, and the majority of the
population understandably preferred self-medication with cheap patent pills
and tinctures to paying doctors' fees. But there was also, in the new world
of cocaine, morphine and needles, a pressing need for new medical advice and
statutory controls: manufacturers' guarantees of strength and purity,
professional guidance around the potentially hazardous issues of injection
and dosage, and public information about the risks of addiction. Yet many
medical voices went further, arguing for an outright ban with an urgency
perhaps attributable to the fact that the largest group in the emerging
addict population were medical professionals: from the 1870s to the 1920s,
the profession's own surveys repeatedly suggested that around half of all
addicts were doctors and their wives (Jay 2000). As the medical profession
grew in expertise and stature, their calls for legal controls on opiates and
cocaine became more authoritative. For the medical profession was not only
becoming better organised to extend its remit into new arenas of public
health - it was developing its new views against the background of a popular
and influential Temperance movement.

Temperance had a diverse set of lobbying groups behind it - the church, the
Women's Movement and, particularly in America, the moral high ground of
politics - but at its core was an aspirational middle-class crusade to
convert the alcohol-fuelled culture of the working classes to civic
responsibilities, Christian virtues and 'moral hygiene' (Behr 1997). Most
campaigners, doctors and churchmen alike, were united in their belief that
alcohol was by far the most significant root of social evil, and the dangers
of drugs like opium and cocaine were only stressed in the particular
contexts where ethnic minorities lived cheek-by-jowl with the white working
classes (Musto 1973). Nevertheless, the Temperance movement had the
side-effect of carrying the drug debate in its wake. Medical diagnoses like
'opium inebrity' were coined, and the urge to indulge in any form of
intoxication was classified as 'moral insanity', a condition whose ultimate
recourse was confinement in an asylum (Harding 1988). The public voices
prepared to defend the traditional use of drugs were few, and the new
medical taxonomy of drug use as a disease, and by extension a contagious
'plague', dovetailed with broader fears about miscegenation and racial
contamination to produce a climate where, led by the United States, the
League of Nations began around 1900 to agree on international measures to
prohibit the non-medical use of opiates and cocaine.

The basic template for today's drug laws was hammered out at summits like
the Hague Conference of 1911, and mostly passed into national law in the
form of emergency wartime legislation like Britain's 1915 Defence of the
Realm Act, later codified in the Dangerous Drugs Act of 1921 (Kohn 1987).
The initial effect most noticeable to the general public was that the range
of preparations available over the chemist's counter - long-time staples
like cannabis, opium or coca tinctures, as well as recently-developed brand
medicines like Bayer Pharmaceuticals' new cough treatment, 'Heroin' - were
replaced with synthetic alternatives like codeine or ephedrine, alongside
useful new palliatives like aspirin. Despite their universal availability,
the problematic use of the newly illicit drugs was little higher at this
point than it had been a generation before (Parssinen 1983), and the
prohibition initially led only to a limited and regional illegal traffic in
pure and concentrated substances like morphine, cocaine and heroin (Musto
1973). The pressing drug issue of the day was the campaign for alcohol
prohibition in America, which built up an irresistable head of steam until
the 18th Amendment brought it into law, via the Volstead Act, in 1920.

Historically, there are clear examples of prohibitions which have worked. We
only have to look around the world today to see that drugs which are
prevalent in some countries have been prevented from gaining a foothold in
other similar ones by legal exclusion. But the common denominator of
successful prohibitions is that they have nipped a drug habit in the bud,
interdicting supply before demand has been established (Courtwright 2001).
Once demand is present, the financial arbitrage presented to suppliers will
always be a more powerful driver than government tools for interdiction and
enforcement. Counter-examples are rare - the Japanese success in curtailing
amphetamine use in the 1950s is perhaps the best - and American prohibition
was not among them. Alcohol use was too widely established across the social
spectrum to halt an illicit traffic which began on the day the law was
passed and which proceeded, through financial muscle and the corruption of
public officials, to develop a vast shadow economy which in its centres like
Chicago came virtually to amount to an alternative government.

The collapse of the American experiment with prohibition in 1932 left
America both internally ravaged by organised crime and corruption and
externally isolated from the rest of the world which had balked at following
its lead, and it was in this climate that much of today's drug legislation
was assembled, driven through League of Nations Conferences and Geneva
Conventions mostly by American initiatives (Davenport-Hines 2001). There
were many interest groups in America who had much to gain by switching the
focus from alcohol to drugs, and from rebranding traditional medicines as
'new menaces'. The US Narcotics Bureau needed to shake off the stigma which
attached to the Alcohol Bureau by showing that their new quarry was a
genuine enemy, far more dangerous than alcohol, and that this time their
goal was one which every citizen should support and respect. Medical
opinion, too, was keen to backtrack from the less-than-credible excesses of
their anti-alcohol warnings and to reverse the nineteenth-century consensus
by insisting that substances such as cannabis were, in fact, more dangerous
than alcohol. The press and other media, too, found their readers and
listeners eager to believe that drugs might be the slippery slope to hell
which had been claimed of alcohol a generation before. Drugs were still
prominently linked with ethnic minorities, and new anxieties led to the
'anti-narcotic' laws being extended to control the sale of new substances
such as cannabis, associated with the Mexican immigrant population, which
had previously been assessed (by a British Royal Commission among others) as
a minor public health issue.

The new legislation left a picture almost unrecognisable from the one which
had existed before prohibition. The thrust of the original drug
prohibitions - to protect the majority white population from the habits of
ethnic minorities - failed to stem demand as drugs flowed through the
emerging multicultural societies in much the same way as other culturally
specific tropes like fashion, music or food (Shapiro 1999). Medically, new
and serious problems emerged. The mild patent preparations, which had proved
the most popular forms of the now-illicit drugs, had vanished: now opiates
and cocaine were provided by illicit traffickers only in their most
concentrated, lucrative and dangerous forms. The health costs of drugs
increased in other ways, as risky procedures like injection moved away from
the ambit of doctors and chemists and into more dangerous and unhygenic
areas situated specifically beyond the reach of the law. Criminal
organisations, many with their origins in alcohol prohibition, filled the
vacuum left by patent and pharmaceutical companies, enforcing their illicit
trade with violence. Drugs were not without their problems before
prohibition, but the majority of the problems associated with them today
only emerged fully under the legislation of the twentieth century.

These problems may have been produced by prohibition but, although many of
them would not survive long without it, they cannot all be expected to
vanish overnight with its repeal. The last century of public policy has
transformed our traditional relationship with drugs into something new and
uniquely problematic, for which history offers no tailor-made solution. It
does, however, offer a reminder that the drug which presents the most
obvious public health problems is alcohol, and that although alcohol policy
remains highly problematic it has broadly proved to be best tackled not with
prohibition but with socialisation under an umbrella of statutory regulation
and education. History offers, too, an illustration of how a society legally
permeated by today's illicit drugs used to function, and shows that high
levels of overall drug prevalence can coexist with low levels of problematic
use. Finally, if offers a chance to evaluate the tools of control and
regulation which might form an alternative to our present policy and which,
once an outright ban has failed to prevent availability of any drug, have
historically proved the most effective response.

Mike Jay is a journalist and author of several books, among which Emperors
of Dreams: Drugs in the Nineteenth Century (Deadalus 2001).

References
Behr, Edward (1997), Prohibition. Penguin.

Berridge, Virginia and Edwards, Griffith (1987), Opium and the People: Opium
Use in Nineteenth Century England. Yale University Press.

Courtwright, David T (2001), Forces of Habit: Drugs and the Making of the
Modern World. Harvard University Press.

Davenport-Hines, Richard (2001), The Pursuit of Oblivion: A Global History
of Narcotics. Weiderfeld & Nicholdon.

Harding, Geoffrey (1998), Opiate Addiction, Morality and Medicine. Macmillan
Press.

Jay, Mike (2000), Emperors of Dreams: Drugs in the Nineteenth Century.
Deadalus Press.

Kohn, Marek (1987), Narcomania: On Heroin. Faber & Faber.

Musto, David F. (1999), The American Disease: Origins of Narcotic Control.
Oxford University Press.

Newman, Richard (1995), Opium Smoking in Late Imperial China: A
Reconsideration. Modern Asian Studies 29:4, Cambridge University Press.

Parssinen, Terry (1983), Secret Passions, Secret Remedies: Narcotic Drugs in
British Society 1820-1930. Manchester University Press.

Pick, Daniel (1989), Faces of Degeneration: A European Disorder c.1848 -
c.1914. Cambridge University Press.

Shapiro, Harry (1999), Waiting for the Man: The Story of Drugs and Popular
Music. Helter Skelter Publishing.
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© Copyright 2002 Mike Jay. Reprinted with permission from IPPR and Mike Jay.

Institute for Public Policy Research

CEDRO


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