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Does Removing Criminal Penalties for Drug Use Lead to More Drug Use?

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The debate over drug use legalization has gone on for years, with little progress being made towards a compromise that meets the interests of all sides.

On the one hand, some people support the idea of completely legalizing all drugs or, at the very least, decriminalizing them. However, if drugs are legal, it’s pretty safe to assume that more people will use them since they will be more accessible and won’t carry such a negative connotation. If the goal is to create a drug-free society, it doesn’t seem that making drugs more accessible is the right way to go.

At the other side of the spectrum, some people support the idea of continuing with the existing system, which is to criminalize people for using drugs. However, almost 50 years of War on Drugs policies have completely failed to reduce drug use in America with drug statistics worsening each year, not improving. Meanwhile, the criminalization of drug addiction has resulted in a bloated criminal justice system and the largest prison population in the world.

The goal, of course, must be to reduce drug use and help addicts get better, not criminalize them. But it is unlikely that the current approach or a blanket legalization approach will accomplish this goal. It may be possible that a compromise could create a better state of affairs. Such a system would decriminalize drug use to some extent while still leaving certain penalties in place that would act as incentives for addicts to seek treatment.

Perhaps the solution is neither 100% legalization nor 100% criminalization, rather a carefully constructed system that utilizes some penalties for transgressions while consistently supporting, encouraging, and insisting on treatment.

Analyzing Both Arguments

Some evidence suggests that legalizing cannabis led to more cannabis use in the states that legalized it. Further, some evidence also suggests that the use of other drugs, such as opioids, also went up in states that legalized them. Granted, opioid use has been going up across the nation, which makes it impossible to ascertain if the surge in opioid abuse in those states is the effect of cannabis legalization.

People who oppose legalization also argue that drug use and crime go hand-in-hand. However, this side of the argument is likely nullified in a proposed world where all drugs are legal. Still, drug use is immensely harmful no matter the legal context, and even if drugs were legal, addicts would still suffer, people who use drugs would still die, and addiction would still ruin families.

Conversely, some evidence suggests drug decriminalization and/or legalization makes treatment more available for addicts, reduces drug use, significantly reduces the stigma associated with addiction, and shifts the public focus regarding addiction to one of addiction being a health issue, not a criminal inclination. With the goal being the treatment of addiction and the recovery of those who suffer from drug abuse, a more compassionate and health-oriented approach to addiction would be a beneficial development.

Unfortunately, in places in the U.S. where decriminalization or legalization have been piloted, there have been mixed results at best. The most recent example is in Oregon, which just released disappointing statistics on drug addiction, treatment, and overdoses following one year of drug decriminalization in that state. Summarized, the state did not experience the uptick in addiction treatment or the downward trend in overdoses that it was hoping decriminalization measures would bring about.

It’s almost certain that a program that does not incarcerate drug users yet which compels them to seek treatment would be the ideal compromise. Such an approach would still put forth the notion that drug use is not okay, but it would do so from the perspective that addicts must seek treatment and get better. It would be a compassionate yet firm approach.

Perhaps leaving some penalties in place but altering or lessening them if treatment is completed is the best route possible. It walks the middle ground and neither legalizes drugs nor normalizes their use, nor does it criminalize people for having an addiction. In Oregon, the recent ballot measure to decriminalize drugs seems not to be working because there was no incentive put in place to compel addicts to seek treatment if apprehended. Rather, an approach like Oregon’s model but with a better system for directing addicts into treatment may be the answer.

Programs that Lead to Treatment and Recovery are the Answer

It’s important to have a nuanced discussion about how, on the one hand, heavily criminalizing addiction is not the correct answer, but neither is blanket legalization with no programs in place for helping addicts, and neither is merely incentivizing treatment as a part of the repercussions of using drugs. Rather, a compromise that reduces criminal penalties for drug possession and use while compelling those apprehended with drugs to seek treatment is likely a better approach.

Perhaps the most workable solution would be to set up diversion programs that could send drug offenders to treatment, rather than prison. Such a model has been implemented with some success in places like Seattle, Washington and Baltimore, Maryland.

Addiction is not a problem that goes away, even for those who try very hard to stop using drugs. If you know someone who is using drugs, please do everything you can to get them help.


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

Reviewed an edited by Claire Pinelli; ICAADC, ICCS, LADC, RAS, MCAP, LCDC

Article first published here.

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Female circumcision in Russia – exists and is not punished

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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.

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Four executed for producing illegal alcohol in Iran

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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/

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What is food neophobia – the fear of trying new dishes

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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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