Health & Society
Does the removal of criminal penalties for drug use lead to more drug use?
The debate on drug legalization has lasted for years with little progress towards a compromise that suits the interests of both sides.
Some people are in favor of decriminalizing drugs or legalizing them all. If drugs are legalized, it is safe to assume that they will be used more often, as they will be easier to access and will not have such a negative connotation. If the goal is a drug-free world, it does not seem that making drugs easier to access is the best way to achieve this.
On the other end of the spectrum are those who support the idea that the current system should continue, which is criminalizing people for using drugs. Despite almost 50 years of War on Drugs, the drug statistics in America are not improving, but worsening. The criminalization of drug abuse has led to a bloated criminal system and the largest prison populations in the world.
It is important to not criminalize drug users, but rather reduce their use. It is unlikely that either the current approach or a legalization approach in general will achieve this goal. A compromise may lead to a better outcome. This system would decriminalize drugs to some extent, while still retaining certain penalties that would act to encourage addicts to seek out treatment.
The solution may not be 100% legalization or 100% criminalization but rather a carefully designed system that uses some penalties for transgressions, while supporting, encouraging and insisting on the treatment.
Analyzing both Arguments
Some evidence suggests that legalizing marijuana led to an increase in cannabis use in states that legalized the drug. Some evidence suggests that other drugs such as opioids were also used more in states that legalized these drugs. It is true that opioid use has increased across the country, but it’s impossible to determine if the increase in opioid abuse in these states is due to cannabis legalization.
People who are against legalization also claim that drug use and criminality go hand in hand. This argument would be nullified if all drugs were legalized. Drug use is harmful regardless of the legal context. Addicts would still suffer and people who use drugs will still die.
Some evidence suggests that drug decriminalization or legalization increases the availability of treatment for addicts and reduces drug abuse. It also reduces stigma and focuses the public’s attention on addiction as a health problem, rather than a criminal issue. A more compassionate and health-oriented attitude towards addiction would be beneficial. The goal is to treat addiction and recover those who suffer from it.
In places where decriminalization and legalization have been tested, the results have been mixed at best. Oregon is the most recent state to release disappointing statistics about drug addiction, treatment and overdoses after a year of decriminalization. The state did not see the increase in addiction treatment, or the decrease in overdoses it hoped for.
A program that doesn’t incarcerate drug addicts but still forces them to seek treatment is the best compromise. This approach would still promote the idea that drug use is unacceptable, but from the perspective of the addict. You can also read about how to get started. Seek treatment and get well. It would be a firm but compassionate approach.
It may be best to leave some penalties in place, but reduce or eliminate them after treatment. It is a middle ground that neither normalizes drug use nor criminalizes people for being addicted. The recent ballot measure in Oregon to decriminalize drug use does not seem to be working, because there is no incentive to encourage addicts to seek treatment when they are arrested. A similar approach to Oregon’s but with a more effective system of directing addicts to treatment may be the solution.
The answer is to develop programs that lead to treatment and recovery
It’s crucial to have a nuanced conversation about how, on one hand, heavily criminalizing drug addiction is not the right answer. But neither is blanket legalization without programs for helping addicts. Nor is simply incentivizing the treatment as part of the consequences of using drugs. A compromise that reduces the criminal penalties for drug use and possession while forcing those arrested to seek treatment would be a better option.
The most effective solution is to create diversion programs, which would send drug offenders into treatment instead of prison. This model has been used with some success by places like Seattle, Washington, and Baltimore, Maryland.
Addiction is a problem which does not go away, even if you try your best to stop using drugs. Do everything you can to help someone who is addicted to drugs.
References:
- https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2784528
- https://www.pnas.org/doi/10.1073/pnas.1903434116
- https://drugpolicy.org/sites/default/files/DPA_Fact_Sheet_Portugal_Decriminalization_Feb2015.pdf
- https://www.theguardian.com/news/2017/dec/05/portugals-radical-drugs-policy-is-working-why-hasnt-the-world-copied-it
- https://apnews.com/article/health-business-europe-oregon-salem-158728e57e1d48bc957c5b907bcda5f5
- https://leadkingcounty.org/
- https://www.baltimoresun.com/news/crime/bs-md-ci-drug-diversion-program-20170206-story.html
Claire Pinelli, ICAADC, ICCS LADC RAS MCAP LCDC
First published here.
Health & Society
Female circumcision in Russia – exists and is not punished
Every year, millions of women and girls in the world are subjected to the procedure “female circumcision.” In the process of this dangerous practice, women have part or all of their external genitalia removed. Among the victims are also residents of the North Caucasian republics of Russia, and the Russian authorities do not punish the execution of the violent procedure.
How this violent religious-ritual tradition exists in modern Russia, do the authorities and the clergy try to fight it – reveals the Russian publication of Verstka.
What is “female circumcision”
Female circumcision is a procedure that is accompanied by either trauma or partial or complete amputation of the external genitalia. As a result of the procedure, sensitivity is reduced and the woman may lose the ability to have an orgasm.
Not for medical reasons
The procedure is not performed for medical reasons, but for ritual or religious reasons to suppress female sexuality. That is why in the international medical community this term is not used, but is called “female genital mutilation operations”. International law considers them an attack on the health of women and girls, a form of violence and discrimination.
Victims
Victims of female circumcision are girls up to the age of 15. According to data from the World Health Organization (WHO), in 2024, more than 230 million women in the world suffered from such operations. They are mostly carried out in African, Asian, Latin American and Middle Eastern countries. But there are also victims of female circumcision in Russia among the residents of the North Caucasian republics – Dagestan, Ingushetia and Chechnya.
Injuries
The procedure has serious negative consequences for women’s health – from serious injuries to death due to blood loss. In addition to physical trauma and the shock of pain, female circumcision disrupts the natural functioning of the body. Women and girls may suffer from infections, their genitourinary system may be damaged, they may experience pain during sexual intercourse, menstrual disorders may occur, and the risk of complications during childbirth and death of the mother and the newborn increases by 50%.
Why do they do it?
The “necessity” of such operations is justified by honoring traditions or religious motives. In some cultures, it is part of the rite of female initiation or entry into adult life. Female circumcision is often associated with Islam, including in the Russian Federation.
Prevents lust
In the words of Dagestan journalist Zakir Magomedov, “in the local religious press, which is issued by the official clergy, articles are published in which it is written that female circumcision has a beneficial effect on a woman and protects her from lustful thoughts and desires, and is even beneficial for a woman.”
Female circumcision is performed by people without medical training, and old pocket knives or cattle shears are used as tools.
Control over female sexuality
In almost all cases, the purpose of the procedure is defined as control over female sexuality: “not to be hoika”, “not to freak out”. The official clergy of Dagestan include female circumcision in religious duties, although it is not mentioned in the Koran. Some Muslims, in addition to the Koran, are also guided by the Sunnah – traditions from the life of the Prophet Muhammad and statements of authoritative religious figures. Therefore, in some cases, female circumcision among Muslims can be interpreted as permissible, desirable and even mandatory.
Officially, the Russian authorities are against it
“All women should be circumcised so that there is no debauchery on Earth, to reduce sexuality”, this is how the head of the Coordination Council of Muslims of the North Caucasus, Ismail Berdiev, reacted to the revelations of the “Legal Initiative” organization in 2016, which confirmed the existence of practice. Later, Berdiev clarified that “he did not call for female circumcision”, but only spoke about the “problem of debauchery”, with which “something must be done”.
The Russian Ministry of Health condemns the procedure, and the prosecutor’s office of Dagestan conducts an investigation and finds no confirmation of the facts presented in the report of “Legal Initiative.”
The deputy of the State Duma from “United Russia” Maria Maksakova-Igenbergs proposes to introduce the concept of “women’s discrimination on religious grounds” into the Penal Code, and that the punishment for “female circumcision” be 10 years in prison. The Ministry of Justice of Russia does not support Maksakova’s initiative, clarifying that the procedure falls under the Criminal Code of the Russian Federation, and more precisely under the paragraphs on “deliberately causing severe, medium and light harm to health, as well as causing harm to carelessness.”
North Caucasus
According to the “Legal Initiative” organization, in the middle of the last decade in Dagestan, at least 1,240 girls were subjected to the procedure annually. The majority of the men surveyed were categorically against the ban on female circumcision, explaining their motive not only with Islam, but also with local traditions and the desire to control the morality of women. Part of the respondents expressed an opinion against the procedure, arguing that the lack of sensitivity in women lowers the quality of sex in men as well.
And in Moscow
In 2018 one of the Moscow medical clinics announces the service of “female circumcision” for ritual and religious reasons for girls from 5 to 12 years old. On the clinic’s website, it was noted that “the operation should be performed not at home, but in a medical clinic.” After a wide public response, the clinic removed the information from its website, but an investigation was carried out, which found the existence of the procedure and other violations. A warning has been issued and the clinic is still open!
First conviction without penalty
Despite the fact that in its second report the organization “Legal Initiative” notes the disappearance of the practice in Chechnya and Ingushetia, the inhabitants of these regions remain in danger. In the spring of 2020, the father of a 9-year-old girl invited him to Magas (the capital of Ingushetia) for a visit and took him to a vaccine clinic. There, female circumcision was forcibly performed on the child. The value of the “service” is 2000 rubles. The little girl, in her bloodstained dress, was then put on a bus back to Chechnya, where she was hospitalized for severe blood loss. The father explains his motive as follows: “So that he doesn’t get excited.”
A criminal case has been opened against the gynecologist who performed the circumcision for intentionally causing minor harm to health. The case has been going on for a year and a half. The judge called on the parties to reconcile, adding that “the girl cannot be helped anyway”. In the end, the doctor was found guilty and fined 30,000 rubles, but was released from serving the sentence due to the statute of limitations. No criminal proceedings have been initiated against the clinic.
In the same year, the mufti of Dagestan issued a fatwa and recognized the removal of the external genitalia as forbidden in Islam, but clarified that “female circumcision” meant only hudectomy — the removal of the foreskin of the clitoris. This is also a crippling procedure, human rights defenders insist.
Health & Society
Four executed for producing illegal alcohol in Iran
Iranian authorities have executed end of October four people convicted of selling illegal alcohol, which poisoned and killed 17 people last year. More than 190 people who consumed the dangerous drink were hospitalized.
The death sentence against the accused in the case was carried out in the Karaj Central Jail.
According to human rights organizations including Amnesty International, Iran carries out the highest number of executions per year after China.
After the Islamic Revolution in 1979, Tehran banned the production and consumption of alcoholic beverages. Since then, the sale of illegal alcohol on the black market has flourished, leading to mass poisonings. The latest case, reported by Iranian media, has killed around 40 people in northern Iran in recent months.
Only Iran’s recognized Christian minorities, such as the country’s Armenian community, are allowed to produce and consume alcohol, but discreetly and only at home.
Illustrative Photo by Amanda Brady: https://www.pexels.com/photo/elegant-champagne-coupes-in-sunlit-setting-29157921/
Health & Society
What is food neophobia – the fear of trying new dishes
Everyone has heard of anorexia and bulimia. But these eating disorders are far from the only ones.
There are people around the world who can only eat certain colored foods. Still others are addicted to water. About 5% of women between the ages of 15 and 35 are affected by some type of eating disorder. Among them are those with neophobia – the inability to try a new type of food. This problem sometimes also affects young children. For them, experts advise parents not to force them, but to explain to them the benefits of a given product. It is also an option to put them on the table in the company of other children who will set a good example.
Neophobia usually disappears around the age of 6. For some people, however, it remains a problem for much longer.
A possible explanation for this condition could be something happening in the person’s life – like choking on food, for example. As a result, a person may begin to avoid a certain type of food and thus give his phobia a “field of expression”.
The reasons for neophobia may lie not only in the psyche, but also in physical features. This disorder is genetically transmitted.
Illustrative Photo by Chan Walrus: https://www.pexels.com/photo/white-and-brown-cooked-dish-on-white-ceramic-bowls-958545/
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