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How Much Of A Disaster Will Trump's Drug Policies Be?


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http://www.vice.com/read/trump-drugs-sessions-weed-opioids-heroin-addiction

 

Jeff Sessions endorses Donald Trump to be the Republican nominee for president during a campaign rally at Madison City Schools Stadium in Madison, Alabama, February 28, 2016. (Photo By Tom Williams/CQ Roll Call)

As part of an endless flood of post-mortem election analysis, journalists and researchers recently began noticing a striking correlation between high local rates of opioid overdose deaths (and other indicators of despair and poor health) and a shift in swing state voters from Barack Obama to Donald Trump. Which makes it bitterly ironic that these voters may ultimately prove responsible for unleashing the greatest threat to drug policy reform in recent history. While it remains far from clear where, exactly, the Trump administration will take us, the era of slow but real progress away from absolute criminalization of drugs has likely come to a halt.

During the Obama years, a surprisingly bipartisan consensus on drug policy began to take shape, rejecting first the rhetoric and then key components of the actual drug war of the 80s and 90s. Politicians and even police chiefs began to accept that harsh mandatory minimums fill prisons rather than fighting drugs. Across the country and the political divide, many took to repeating the mantra that there's no way to " arrest our way out of" drug problems.

Increased access to medication treatment for opioids is actually one of the few potential bright spots for drug policy in the near future

 

In recent years, at least 32 states have passed Good Samaritan laws to protect people who save the lives of overdose victims from prosecution for minor drug crimes. Thefederal ban on funding for needle exchange finally toppled, and state, local and federal efforts have dramatically increased the availability of the overdose reversal drug, naloxone.

At least 21 cities or other localities are setting up or actually running programs to stop arresting low-level drug suspects and offer them voluntary access to services like housing and treatment. And this year, the Drug Enforcement Administration (DEA), which has never previously backed off on efforts to ban substances, did so (at least temporarily) in the face of intense opposition to its attempt to prohibit kratom, an herb that many people take for pain or to treat opioid addiction.

Meanwhile, 28 states have now legalized medical marijuana and eight states and DC have legalized recreational use, with the feds taking a hands-off approach even though the drug remains schedule I. Indeed, starting with California's landmark medical marijuana initiative in 1996, the US has seemed to be on a slow but clear path to more realistic and humane ways of dealing with drug issues for two decades now.

Last week, the Surgeon General released what was intended to be a landmark report on addiction, calling for a public health approach that emphasizes treatment and even harm reduction programs. Although in my view, it didn't go nearly far enough— a true public health approach cannot involve criminalization of any drug possession and requires radical reform to drug treatment—it may now stand as a sad reminder of where America was once headed.

Tom McLellan, board chair of the Treatment Research Institute and former deputy drug czar in the Obama administration, was a science editor of that report. He says it offers sound guidance for the next president. "Of the issues that are facing the US, one that is serious and agreed on by both parties is substance use disorders, and so I cannot imagine any responsible administration failing to address it," he tells me.

Sarah Wakeman, MD, medical director for substance use disorders at Massachusetts General hospital, adds, "The best thing about this report is how it addresses head-on the false notion that treating opioid use disorder with methadone or buprenorphine is a substitution or that treated individuals are 'addicted' to methadone. More broadly, the report's focus on evidence-based treatment and how it presents the information using research rather than opinion or belief is crucial."

Increased access to medication treatment for opioids is actually one of the few potential bright spots for drug policy in the near future. Trump has said he supports better access to maintenance drugs and wants to lift the cap that allows doctors to see only 275 patients for such treatment with buprenorphine. Here, he may be guided by his buddy Newt Gingrich, who, along with Patrick Kennedy and Van Jones, has started an organization to promote increased use of medication treatment.

Unfortunately, Trump's reported nomination of Alabama's Jeff Sessions to be attorney general bodes ill for evidence-based drug policy on other fronts. One of the many reasons Sessions was rejected by the Senate for a judgeship in 1986 was his "joke" that hethought the KKK was OK until he learned some of its members smoke marijuana. Hesaid as recently as this past April that "good people don't smoke marijuana," and has been one of the biggest obstacles to bipartisan efforts to reduce harsh federal sentences for nonviolent drug offenders.

Check out our Daily VICE segment on the military vets guarding legal weed (and the cash it produces) in Colorado.

While Trump has said he will respect states' rights and continue to allow those that have legalized both medical and recreational use of the drug in spite of federal law to do so, Sessions could undo these efforts with the stroke of a pen. "One can imagine he might try to more aggressively enforce federal law even in states that have legalized, and he has the authority to do it," says Jeffrey Miron, an economist at Harvard and at the conservative Cato Institute.

"Sessions is a drug warrior," adds Mark Kleiman, professor of public policy at New York University. "They could shut down the non-medical parts of the legal industry just by getting injunctions. They can't do that to the medical folks because of the appropriations rider," a past congressional move that bans use of federal money for such enforcement.

"The end results are the same. We are messed." —Carl Hart

 

Other experts think a total reversal is unlikely, at least when it comes to weed policy at the state level. Carl Hart, who chairs the psychology department at Columbia University (and, full disclosure, with whom I worked on a book project several years ago), suspects that the marijuana states will be left alone. "Sessions isn't going to go after marijuana states because of all the state's rights rhetoric," Hart says. "He isn't stupid, nor is Trump. Too many well placed white folks care deeply about marijuana."

But new reforms now seem to be in limbo. Trump's "law and order" rhetoric and Sessions' support for draconian drug sentences make further federal movement on mandatory minimum sentencing tougher to envision. I, for one, had hoped America's growing rejection of incarceration as a way to deal with marijuana use would lead to reconsideration of locking people up for any type of drug possession. I had also hoped that the more treatment and harm-reduction focused policies that have emerged in response to the opioid epidemic might be allowed to grow. (A request for comment from President-elect Trump's transition team was not returned prior to publication.)

For now, those of us who care about helping people with addiction and using science to guide more humane approaches to drugs should be bracing for a tough fight ahead. As Hart puts it, "I predict that drug policy will continue to be used as a tool to further marginalize the poor and specific racial groups (e.g. blacks). This quietly happened during the Obama years, but under Trump it will be explicit, loud and celebrated. The end results are the same. We are messed."

 

I hope he's wrong, but fear he's right.

Follow Maia Szalavitz on Twitter.

 

 

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He also lies unabashedly. Can't you picture him railing against it on the front porch but hauling in the cash through the back door?

Yes. No doubt about it. I'm sure he thinks of angles to make money all the time. 

 

Appoint Sessions and short sell marijuana stocks and buy private prison stocks. He could easily have already made millions or even billions off marijuana legalization and he hasn't even become president yet. Marijuana stocks tanked and private prison stocks have went sharply up. Next .....

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Yep, Trump isn't stupid.  Melania has decided to stay in New York, so even though he isn't taking his presidential salary, the Secret Service is now renting out 2 whole floors in trump tower.  He could easily be charging $100k a month per floor or a lot more, that the taxpayers have to shell out.  Thanks for not taking the $400k a year, while making $2.4M instead.

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https://painsandiego.com/2016/11/26/medical-marijuana-open-letter-to-jeff-sessions-nominee-for-attorney-general/ 

 

My patients with serious intractable health issues would be unable to function without the use of medical marijuana. They are deeply concerned that the nominee for next Attorney General may act against legalization thus eliminating their own personal gains made using this plant for medical purposes. I have recently posted studies from Science November 4 that report significant drop in prescription medications for pain, nausea and sleep, and lives saved from opioid overdose, in states where medical marijuana has been legal. . Many others view marijuana as important for recreational use, nontoxic and healthier than alcohol or drugs, allowing deep relaxation and joy. . Therefore in support of an effective marijuana policy, from HelloMD is an open letter to Senator Jeff Sessions, nominated to become our next Attorney General. .
HelloMD is the leading digital healthcare platform for the cannabis industry. It is the largest community of patients using medical marijuana for health & wellness in the country.
. . Dear Senator Sessions,

.

Congratulations on your nomination for Attorney General. As the nations’ most senior law enforcement official, you have a big job ahead of you.

.

When it comes to marijuana, the fact is that previous administrations have left you with a pickle of a problem. One that has put millions of Americans and about half the state’s laws out of sync with the policies of the federal government, and the law of the land.
. As Attorney General, you will oversee the DEA. You won’t need any assistance in destroying the medical cannabis industry if you so choose. The laws are in place and the resources lined up for you already. You simply need to unleash the DEA and they will go about arresting and charging people from California, to Oregon, to Colorado and in 25 other states. Federal law breakers all of them, and so easy to find since they are doing business openly, even paying taxes on their illegal activities. Can you believe that?
. Let’s review what some of the consequences of DEA action might be:
.
  • Destroying the cannabis industry would be hugely unpopular, likely generating widespread protests across the country. 89% of Americans now support the use of cannabis for medical purposes with a small majority (54%) supporting complete legalization. Young people in particular would feel very passionate about this issue causing further disenchantmentwith the new Trump administration.
    .
  • Prosecution would drive thousands of (otherwise law abiding) business people underground, where they would once again sell on the black market.
    .
  • People who rely on cannabis would once again be meeting dealers in cars, in their homes and on street corners. Associated petty crime would flourish with all this new illegal activity.
    .
  • Millions of people with anxietyPTSDmigraineschronic paininsomnia and about 18 other medical conditions would find it much harder to get the products that they have come to rely on over the past few years. There are millions with serious medical conditions, including children with epilepsy and seizure disorders, that depend on medical marijuana.
    .
  • Fewer people would use to cannabis get off opioids and end their opioid addiction. This is currently one of the biggest health issues in America.
    .
  • Tax revenue for schoolsdrug treatment programs, educationlaw enforcement, medical research and lots of other programs would dwindle.
    .
  • Growers would continue growing, but doing so once again out of sight. Their products would no longer be tested for pesticides or harmful chemicals putting people at risk.
    .
  • Thousands of businesses owners would close their doors, lay off their employees and stop paying taxes.
    .
  • People would still use marijuana, just as they have done for thousands of years.
    .
  • All of this would be hugely unpopular within the electorate, at a time when the Trump administration desperately needs to unite the country around its agenda.

    .

Mr. Sessions, I know that you are no fan of marijuana, but let me propose a way that you might navigate this huckleberry, while remaining true to your core beliefs as a conservative, as well as showing support for the ‘jobs first’ agenda of our new President.

.

  1. State publicly, even though you don’t support the marijuana movement, that you strongly believe in the conservative principles of states’ rights and federalism, and therefore marijuana policy should be up to the states to decide. The federal government has no business involving itself in this issue.
    .
  2. Instruct the DEA to continue following the Cole Memowhich said that the federal government should not expend its resources pursuing people that are observing state and local laws.
    .
  3. Recognize that more than 60 percent of Americans now live in states where voters have approved either medical marijuana, recreational marijuana, or both. Allowing states to get further out of alignment with the federal government is problematic. To solve this problem once and for all, simply instruct the DEA to remove marijuana from the list of controlled substances, where it can be regulated and taxed like alcohol or tobacco (two far more harmful substances).
    .
  4. Recognize that cannabis is the fastest growing industry in the US, and with $100B industry forecast by 2029, it’s a massive job creator (something every conservative should be able to get behind).

    .

Mr. Sessions, if you have any remaining doubts, have your people give me a call. I would be happy to connect you with tens of thousands of everyday Americans, who are finding incredible relief for their serious medical issues, by using a harmless weed that grows just about anywhere. I would also be happy to put you in touch with countless medical professionals who have advised these patients, and are equally convinced of the healing benefits of medical cannabis.

.

At HelloMD, we see this first-hand every day of the week. I know things look different in Alabama, but perhaps you should pay a visit to California?

.

Your Sincerely, . Mark Hadfield
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