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Chronicle AM: CDC Urges Docs to Severely Limit Pain Pill Prescribing, NY Rep Wants Safe Injection Sites, More... (3/16/16

Another poll has a national majority for pot legalization, the Vermont legalization bill is now before the House, the CDC urges doctors to really cut back on pain pill prescriptions, a New York assemblywoman wants supervised injection sites, a Mexican governor wants a pilot program of opium cultivation, and more. 

Prepare for physicians to begin tightening up on writing pain pill 'scrips. (Creative Commons)
Marijuana Policy

Another Poll Has a Narrow National Majority for Legalization. A new national tracking poll conducted by Morning Consult has support for legalization at 52%, with 43% opposed and 5% undecided. That's in line with other major national polls in recent years that generally show support for legalization in the 50s. The most recent Gallup poll had it at 60%.

Massachusetts Sheriffs Oppose Legalization Initiative. More of the usual suspects weigh in against legalization, with the state's sheriffs saying it would destigmatize drug use and make it easier for teens to get their hands on the weed. Last week, the state Hospital Association and leading elected officials, including Gov. Charlie Baker (R), Attorney General Maura Healey (D), and Boston Mayor Marty Walsh (D) came out against the initiative from the Campaign to Regulate Marijuana Like Alcohol in Massachusetts.  

Vermont Legalization Bill Now Before House. Senate Bill 241, the pot legalization bill, is now before the House Judiciary Committee. On Tuesday, Sen. Dick Sears (D-Bennington) and Sen. Joe Benning (R-Caledonia) introduced the bill to the committee.

Medical Marijuana

Georgia CBD Cannabis Oil Bill Revived. Supporters of House Bill 722, which would expand access to CBD cannabis oil, have resurrected the measure by attaching its language to an old Senate bill. It could go to a House vote as early as today. The bill would expand conditions that qualify for CBD cannabis oil and allow companies outside the state to ship it in. Language that would have allowed in-state marijuana cultivation to produce the oil was stripped out earlier in the House.

More Michigan Medical Marijuana Dispensary Raids. The West Michigan Enforcement Team (WEMET) has raided four dispensaries for allegedly selling medical marijuana to cardholders who were not their registered patients. Two were in Saugatuck, one in Allegan City, and one in Pullman. Twelve other Northern Michigan dispensaries were raided last week.

Ohio Medical Marijuana Campaign Resubmits Initiative. That didn't take long. Last Friday, Attorney General Mike DeWine (R) rejected the Ohioans for Medical Marijuana initiative because of deficiencies in its summary. On Tuesday, the campaign submitted revised language. After 20 days of review by state officials, the campaign will then have until July to gather 306,000 valid voter signatures to qualify for the November ballot.

Criminal Justice

Massachusetts Conference Committee Agrees on Ending Driver's License Suspensions for Drug Offenders. House and Senate negotiators announced Tuesday that they had reached agreement on a bill to end the state's long-running policy of automatically suspending for five years the driver's licenses of people convicted of drug crimes. The relic of the 1980s drug war will be officially repealed after the full House and Senate vote on the amended bill. Both houses passed bills, and the conference committee has been ironing out the differences. More than 30 other states have taken similar steps.

Heroin and Prescription Opioids

CDC Urges Docs to Reduce Prescribing Pain Relievers. In a move bitterly decried by chronic pain advocates, the Centers for Disease Control and Prevention (CDC) said Tuesday doctors should only prescribe opioid pain relievers as a last resort. Instead, doctors should urge their patients to try physical therapy, exercise, and over-the-counter medications before using opioids to treat chronic pain. The CDC is recommending not using opioids except to treat cancer and for palliative end-of-life care, using the lowest effective dose of opioids, and limiting prescriptions to three days for short-term pain.

Harm Reduction

New York Assemblywoman Wants Supervised Injection Facilities Statewide. Assemblywoman Linda Rosenthal (D-Manhattan) said Tuesday she will soon introduce a bill to establish the harm reduction facilities. Rosenthal's move comes after Ithaca Mayor Svante Myrick hoisted a proposal for such a facility there. "New York, and nearly every other state across the country, is grappling with a heroin and opioid addiction crisis that has grown to epidemic proportions," said Rosenthal, who heads the Assembly's Committee on Alcoholism and Drug Abuse, in a statement. "Addiction is a public health crisis, and we must address it as such, with aggressive, community-based solutions that reduce harm and provide access to life-saving treatment services."

International

Mexican Governor Proposes Legalizing Opium Cultivation.  Hector Astudillo, governor of violence-plagued Guerrero, said Monday that legalizing opium cultivation for medical purposes might help reduce the violence in his state and the idea should be considered. "Let's do some sort of pilot scheme," Astudillo, a member of President Enrique Pena Nieto's Institutional Revolutionary Party, said. "Provided it's used for medical issues ... It's a way out that could get us away from the violence there has been in Guerrero," he added.

Chronicle AM: ME Legalizers Sure Over Invalidated Signatures, Civil Society Groups Sign UNGASS Letter, More... (3/10/16)

A South Dakota GOP lawmaker tells the parents of sick kids they should move to another state if they want to use CBD cannabis oil, Maine legalizers are suing over disqualified signatures, the Senate passes a major bill dealing with heroin and opiates, but without funding, and more. 

UNGASS on Drugs is now just five weeks away. (Creative Commons)
Marijuana Policy

Maine Legalization Initiative Files Lawsuit Over Disqualified Signatures. The Campaign to Regulate Marijuana Like Alcohol today filed a lawsuit in Kennebec County Superior Court challenging a decision by the secretary of state to disqualify more than 17,000 voter signatures because of an issue surrounding one notary's signature. That was enough to knock the measure off the fall ballot, but the campaign says the signatures should be counted because the notary's signature does indeed match the one on file and because the secretary of state acted outside his authority in rejecting the petitions. The court has 30 days to rule.

North Dakota Legalization Initiative Approved for Signature Gathering. Secretary of State Al Jaeger Wednesday approved a marijuana legalization initiative for circulation. Organizers now have until July 11 to gather at least 13,452 valid voter signatures. They say they are aiming at 20,000 to have a cushion.

Medical Marijuana

South Dakota House Kills CBD Cannabis Oil Bill. A bill that would have allowed for the use of CBD cannabis oil was killed in the House Wednesday on a 25-43 vote, with one "no" voter suggesting parents who lobbied for it should move to another state. The measure, Senate Bill 171, had already passed the Senate, and Republican Gov. Dennis Daugard had suggested he would sign it. Rep. Kristin Conzet (R-Rapid City) told people suffering seizure disorders they should move elsewhere. "I don’t like the road that we’re going down at this time," she said. "This is not a bill for South Dakota."

Heroin and Opiates

Senate Overwhelmingly Passes Landmark Opioid Bill – the Comprehensive Addiction and Recovery Act (CARA). The measure now goes on to the House. CARA advances a large number of treatment and prevention measures intended to reduce prescription opioid and heroin misuse, including evidence-based interventions for the treatment of opioid and heroin addiction and prevention of overdose deaths.

White House Will Announce Funding to Fight Drug Addiction. Just hours after the Senate passed the Comprehensive Addiction and Recovery Act (CARA), the Obama administration said it will announce "a significant federal investment" to help fund its goals. Democrats had tried unsuccessfully to add $600 million in funding to the bill, but were blocked by Republicans.

Asset Forfeiture

Florida Poll Finds Strong Support for Ending Civil Asset Forfeiture. A new poll released by Drug Policy Action finds that 84% of registered Florida voters do not think police should be able to seize property from people who have not been convicted of a crime. And two-thirds of those polled said they would be more likely to support a presidential candidate who opposed civil asset forfeiture.  The poll comes as an asset forfeiture reform bill, Senate Bill 1044, passed out of the legislature Wednesday and awaits the signature of Gov. Rick Scott (R).

Drug Testing

West Virginia House Overwhelmingly Approves Welfare Drug Testing Bill. The bill, Senate Bill 6, would mandate drug testing for any welfare applicant who gives state workers "reasonable suspicion" he or she is using drugs, including having a drug conviction in the previous three years. The bill has already been approved by the Senate, but that body will have to take it up again in concurrence since the House added amendments note voted on in the Senate.

International

Civil Rights, Health, Faith-Based, Justice Reform Groups Call on Obama to Push to End Global Drug War. More than 225 civil rights, health, faith-based and other organizations sent a letterto President Obama Thursday calling on him to use an upcoming United Nations high-level session on global drug policies to push for a fundamental change in course away from criminalization. The letter was submitted as the UN prepares for its highest level session on drug policy since 1998 – the "UN General Assembly Special Session on the World Drug Problem,"or UNGASS, scheduled for April 19-21 at UN headquarters in New York. US diplomats and drug and crime officials have played a central role in negotiations over the UNGASS Outcome Document, an official product of the meeting that will impact policy.The sign-on campaign for the letter was coordinated by David Borden, executive director of StoptheDrugWar.org.

Chronicle AM: VT Senate Gives First Approval of Legalization Bill, CT MedMJ Expansion, More... (2/24/16)

Marijuana legalization advances in Vermont; medical marijuana advances in Connecticut, Australia, and Canada; Eric Holder says it's time to reschedule marijuana, Obama says restricting pain pills won't solve the opioid crisis, and more.

Busy, busy in New England. (wikimedia.org)
Marijuana Policy

Arkansas Attorney General Rejects Another Marijuana Legalization Initiative. Attorney General Leslie Rutledge (R) has again rejected a proposed constitutional amendment to legalize marijuana, citing ambiguities in the text. The Arkansas Cannabis Amendment, filed by Mary Berry, was rejected the first time earlier this month.

Vermont Senate Approves Legalization in Preliminary Vote. The Senate voted 16-13 to approve Senate Bill 241, which would regulate, tax, and legalize marijuana. The bill, which is supported by Gov. Peter Shumlin (D), faces one more Senate vote before heading to the House. That vote is expected to come tomorrow.

Minneapolis City Council Takes Up Decriminalization. The council will decide this week whether small-time marijuana possession should be a misdemeanor or a petty misdemeanor under city ordinance. The current ordinance makes it a misdemeanor punishable by a fine, jail time, and a criminal record. That's tougher than state law, which makes it a petty misdemeanor, which is punishable only by a fine and carries to criminal record.

Medical Marijuana

Former Attorney General Eric Holder Now Supports Rescheduling Marijuana. In an interview with PBS, Holder signaled newfound support for rescheduling and decriminalizing marijuana. It's not something he acted on while in office, but he now says: "I certainly think it ought to be rescheduled. You know, we treat marijuana in the same way we treat heroin now, and that clearly is not appropriate."

Connecticut Legislators Expand Qualifying Conditions for Medical Marijuana. The legislature's regulation review committee Tuesday approved expanding the state's program by adding six new qualifying conditions: ALS, or Lou Gehrig's disease; ulcerative colitis; sickle cell disease; severe psoriasis and psoriatic arthritis; complex regional pain syndrome; and post-laminectomy syndrome with chronic radiculopathy, which is recurring back pain after surgery. No other approval is required since these were regulatory, not legislative, changes. The changes will go into effect in 30 days.

Heroin and Opiates

Obama Says Restricting Opiate Prescriptions Won't Solve Crisis. At the National Governors' Conference last weekend, the governors recommended limiting the number of opioid pain relievers doctors can prescribe, but President Obama wasn't buying that. "If we go to doctors right now and say 'Don't overprescribe' without providing some mechanisms for people in these communities to deal with the pain that they have or the issues that they have, then we're not going to solve the problem, because the pain is real, the mental illness is real," Obama said in a meeting with governors Monday. "In some cases, addiction is already there."

Harm Reduction

Ithaca, New York, Unveils Comprehensive Drug Policy Plan. At a press conference today, Ithaca officials unveiled a comprehensive plan to deal with drug use from a public health perspective with a strong harm reduction component. The Ithaca Plan: A Public Health Approach to Drugs and Drug Policy, calls for the creation of a Vancouver-style Four Pillars (prevention, treatment, harm reduction, law enforcement) approach to the city's problems, particularly with heroin and opioid drug use. The plan recommends allowing supervised injection facilities and heroin maintenance, among other proposals.

International

Canadian Federal Judge Throws Out Ban on Patient Medical Marijuana Grows. A Vancouver-based federal judge ruled Wednesday that Health Canada regulations restricting patient medical marijuana grows violating charter rights and thus have no force and effect. But Judge Michael Phelan also gave the government six months to come up with new rules. In the meantime, an injunction allowing thousands of patients to grow their own remains in effect.

Australian Parliament Approves Medical Marijuana. Medical marijuana cleared the upper house Wednesday, clearing the way for its use Down Under. But several steps remain to be taken before a program gets up and running.

Chronicle AM: NH, NM Legalization Bills Killed, FL & WY Forfeiture Reform Advances, More... (2/15/16)

A pair of state marijuana legalization bills get defeated, a pair of state asset forfeiture reform bills advance; House Republicans want states to be able to drug test food stamp recipients, Senate Democrats want $600 million in anti-heroin funding, Mexico cartel mayhem continues, and more.

Senate Democrats want $600 million to fight the heroin and pain pill epidemic. (Chicago PD)
Marijuana Policy

New Hampshire House Kills Legalization Bill. The House voted last Thursday to kill House Bill 1694, which would have legalized the use of marijuana by adults. The House has previously passed legalization, only to see if die in the Senate. Another legalization bill, House Bill 1610, is currently before the House Criminal Justice and Public Safety Committee.

New Mexico Senate Kills Legalization Initiative Bill. The state Senate last Friday voted 24-17 to kill SJR 5, which would have placed a constitutional amendment to legalize marijuana on the November ballot. Six Senate Democrats voted "no" along with all the Republican members.

North Dakota Legalization Initiative Needs Redo. State Attorney General Wayne Stenehjem (R) said last Thursday that a legalization petition submitted the day before was flawed because it used a list of Schedule I substances that was not current. Eric Olson, who heads the sponsoring committee for the initiative, said the committee will resubmit the petition. The group has until July 11 to come up with some 13,000 valid voter signatures.

Medical Marijuana

Hawaii Lawmakers Ponder Bill That Would Allow Outdoor, Greenhouse Grows. Under the state's medical marijuana law, the Department of Health has decided that all cultivation must take place in an enclosed structure, but lawmakers say that wasn't their intent, and they are preparing a bill that would clarify that medical marijuana could be grown in the open air, in greenhouses, or in shade houses.

Massachusetts Doubles Amount of Medical Marijuana Patients Can Purchase. The Department of Public Health last Friday more than doubled the amount of medicine patients can possess after regulators said laboratories can ensure the safety of the drug. Now, patients will be able to buy up to 10 ounces of medical marijuana every two months.

Asset Forfeiture

Florida Asset Forfeiture Reform Bill Advances. A bill that would end civil forfeiture was approved by the Senate Appropriations Subcommittee on Criminal Justice last Thursday. The measure is Senate Bill 1044, sponsored by Sen. Jeff Brandes (R-St. Petersburg).

Wyoming Asset Forfeiture Reform Bill Advances. A bill that would end civil forfeiture was approved by the House Judiciary Committee last Thursday. The measure is House Bill 14. It is nearly identical to a bill that easily passed the legislature last year, only to be vetoed by Gov. Matt Meade (R). It looks like another veto showdown could be coming.

Drug Policy

London School of Economics Issues "After the Drug Wars" Report. A new report from the London School of Economics, After the Drug Wars, calls for the war on drugs to be replaced by sustainable development goals (SDGs). The report is endorsed by Colombian President Juan Manuel Santos and five Nobel Prize recipients. "The question now is not, whether to end the 'war on drugs', but what to replace its failed policies with," said Dr John Collins, coordinator of LSE IDEAS International Drug Policy Project and editor of the report. "The path to drug peace becomes clearer if we look to the SDGs as the way to address the root causes of many socioeconomic problems, one of which is problematic drug use. It is also the way to tackle the systemic causes of illicit market violence, which is often a product of and worsened by hard-line prohibitionist policies. The global priorities should be -- develop first, manage drug issues second. If states pursue prohibitionist policies in the absence of development and political integration, the result is usually instability, violence and failures on drug control goals. To be successful states must recognise that policies need to be properly sequenced. Focusing on the SDGs over counterproductive drug control goals is the way to do this."

Democrats Seek $600 Million for Emergency Heroin Bill. Just after the Senate Judiciary Committee approved the Comprehensive Addiction and Recovery Act (Senate Bill 524), Senate Democrats announced they will try to add a $600 million funding measure authored by Sen. Jeanne Shaheen (D-NH) to the bill. The measure includes funding for treatment, prevention, and recovery at the state level, as well as funding for treatment and law enforcement programs. Senate Majority Leader Mitch McConnell (R-KY) is expected to bring the Recovery Act to the Senate floor shortly.

Drug Testing

House Republicans Pushing Measure to Allow States to Drug Test Food Stamp Recipients. Rep. Robert Aderholt (R-AL), chair of the House Agricultural Appropriations Subcommittee, last Thursday unveiled a measure that would allow states the option of drug testing people who apply for the federal Supplemental Nutrition Assistance Program (SNAP) program. The Agriculture Department, which administers the program, currently says states cannot impose new requirements, such as drug testing, under the program.

Harm Reduction

Alaska Naloxone Bill One Vote Away From Passage. A bill to increase access to opioid overdose reversal drugs passed its final House committee vote last Friday and now heads for a House floor vote. The measure, Senate Bill 23, has already passed the Senate. It grants immunity for those prescribing or administering naloxone (Narcan) and allows pharmacies to legally dispense the drugs to members of the public without a prescription.

Law Enforcement

Maine Bill to Stiffen Penalties for Out of State Drug Dealers Advances. The Criminal Justice and Public Safety Committee voted mainly along party lines last Wednesday to approve LD 1541, which would increase the sentences for out of state drug dealers. The measure advanced despite criticism that it would be difficult to prove drug importation in court and that the state already sufficiently punishes drug dealers. It is being championed by Gov. Paul Le Page, who was called for the use of the guillotine to execute drug dealers, called for vigilantes to shoot drug dealers, and accused black drug dealers from New Year of impregnating white Maine girls.

International

Four Swiss Cities to Create Cannabis Club Pilot Projects. Basel, Bern, Geneva, and Zurich have agreed to launch a pilot project for cannabis clubs where consumers could use the drug. The projects are to be run over four years and will be scientifically evaluated. But they must first be approved by canton governments and the federal office of public health.

Mexican Cartel Prison Battle Leaves 49 Dead. A battle last Wednesday between Zetas cartel members and rivals from other drug gangs left 49 people dead at the Topo Chico prison near Monterrey. One inmate was killed by gunfire; the rest by being stabbed with bottles or blades or by being hit with objects. The prison has long housed Zetas, who dominate much of its interior.

Upstart Mexican Cartel Makes a Move on Tijuana. After five years of relative peace in the border town, killings are on the increase, with many of the victims described as low-level members of the city's drug trade. The uptick in violence is being blamed on the Jalisco New Generation cartel, which has been leaving messages with mutilated corpses on city streets or hanging from bridges. People were being killed at a rate of more than two a day in January, making it the most violent January since 2010. Jalisco New Generation is believed to be challenging the Sinaloa cartel, which currently dominates the Tijuana drug trade.

A Maryland Lawmaker's Paradigm-Shifting Approach to the Heroin and Pain Pill Crisis [FEATURE]

With nearly 47,000 Americans dying of drug overdoses in 2014 -- more than from gunshots or car crashes -- the problem of heroin and prescription opioid (pain pill) addiction is getting well-deserved attention. From community town halls to state capitals, as well as in Congress and on the rival presidential campaigns, the crisis is spawning demands for solutions.

http://stopthedrugwar.org/files/dan-morhaim-180px.jpg
Dan Morhaim
The response, in general, has been more sympathetic than to earlier waves of hard drug use, such as heroin in the 1960s or crack cocaine in the 1980s, which brought down the harsh drug war policies of Nixon and Reagan. Now, there are more calls for drug treatment than for further law enforcement crackdowns, police departments are carrying overdose reversal drugs, and public health agencies are taking on a more prominent role.

But addicts continue to be arrested, with all the deleterious consequences that entails, and, when it comes to policy, the problem of addiction remains largely in the realm of criminal justice. Harm reduction practices proven in other parts of the world improve both the lives of drug users and those of the communities they live in continue to be shunted aside in the US.

That could change in at least one state. Veteran Maryland Delegate Dan Morhaim (D-Baltimore County) has just introduced a paradigm-shifting package of bills that would begin to move the state's posture toward drug use from prohibition to public health and harm reduction. Morhaim, a practicing physician with three decades of frontline hospital ERs, brings to his approach a vision formed by that experience.

If enacted, Morhaim's package would mark a radical, but commonsensical, humane, and scientifically-supported shift in Maryland's drug policies. Here's what it includes:

  • Emergency Room Treatment on Demand. House Bill 908 provides treatment on demand in emergency rooms and hospital settings. The bill requires acute care hospitals to have a counselor available or on-call at all times and specified arrangements for transferring patients to appropriate treatment settings. Addicted patients make up a large percentage of uninsured visits to ERs, making them an ideal place for initial therapeutic contact.
  • Safe Consumption Sites. House Bill 1212 allows individuals to use drugs in approved facilities while supervised by trained staff who also provide sterile equipment, monitor the person for overdose and offer treatment referrals. Similar on-going programs in Australia, Canada, and several European countries have eliminated overdose deaths, reduced the spread of disease, and provided points of accessto the most hard-to-reach drug users.
  • Drug Decriminalization. House Bill 1219 decriminalizes the possession and use of small quantities of drugs: one gram of meth or heroin, two grams of cocaine, 10 hits of MDMA, 150 micrograms of LSD. The object is to keep otherwise non-criminal drug users out of the criminal justice system, saving resources and avoiding saddling more residents with criminal records.
  • Heroin Maintenance. House Bill 1267 allows a four-year pilot study of "poly-morphone assisted treatment" with pharmaceutical grade opioids, including heroin, to treat under medical supervision a small number of hardcore users who have proven resistant to other forms of treatment. Ongoing heroin maintenance programs in several European countries have been shown to reduce illegal drug use, decrease crime, reduce the black market for heroin, and lead to less chaotic lives for their participants.

The package didn't exactly come out of nowhere. Morhaim's experiences in the ER, where he dealt not only with direct consequences of drug use -- overdoses, infections -- but also direct consequences of drug prohibition -- old women injured in muggings for black market drug money, the toll of dead and wounded in black market drug turf battles -- colored his approach.

"I'm a physician, not a prosecuting attorney," Morhaim told the Chronicle. "I come at this from a public health perspective. We talk about 'surges' to fight this and that, but what we haven't had in this country is a surge in the public health approach, real, substantive public health. This is different, and some will see it as controversial, but I'm comfortable with that. This is something that's really corroding the heart and soul of our society."

He wasn't alone.

"I've had a lot of conversations, and my district has generally been very supportive of these kind of innovative things. No negative feedback. There's a broad consensus that the war on drugs is a failure," Morhaim said. "People are really cognizant of that. And I'm an Emergency Room physician at a Level II trauma center, I've also done healthcare for the homeless. I've been on the front lines, seen the carnage, the death, the violence, and the way this affects the families, and I'm speaking from true experience, and people respect that."

Not only did Morhaim have support in his community, he had support from a strong group of advocates and experts.

"As things were coming to a head, Delegate Morhaim reached out to us at the Drug Policy Alliance (DPA)," said DPA staff attorney Lindsay LaSalle, who was involved in developing the proposals. "He said he felt like he could offer progressive solutions to the crisis and he wanted our subject matter expertise to help develop those proposals."

DPA, Law Enforcement Against Prohibition (LEAP), whose executive director, Neill Franklin, is a former Baltimore police officer, and the Open Society Foundations joined with academics, lawyers, doctors, and harm reductionists to develop and refine the policy proposals that became the bill package. Local institutions of higher learning, including the University of Maryland, the University of Baltimore, and Johns Hopkins University, had academics involved in the effort as well.

Passing the bills won't be easy, and it's not likely to happen this year, but Morhaim and his supporters are playing to win in the not-too-distant future.

"Dan is currently on the second year of a four year term," LaSalle said. "These bills were introduced strategically this term with the understanding that it would be a year of educating colleagues and generating positive media coverage. This is always a long game; we don't expect passage this year, but we hope to gain traction on one or more of these in the next two or three years."

"I've been in the legislature a long time, and I've learned you just have to be persistent, you listen and address concerns, maybe you accept an amendment to a bill," Morhaim said.

He pointed to the successful effort to get medical marijuana through the legislature.

"On that, people had suggestions, and we said let's fix it in the bill," he recalled. "Law enforcement didn't oppose it because I sat down and worked with them."

He also recalled legislative battles he had fought -- and won -- around smoking in restaurants and the use of safety seats for children.

"Banning smoking in restaurants seemed impossible in 1995, but now it's commonplace," he said. "The same with kids safety seats. Both of those were hard-fought on the political level, but when we talk to people, we can convince them. These things take time, but when you recognize what's not working, then you can explore what is. People are looking for answers."

Although Morhaim's package of bills is the most comprehensive, explicit harm reduction interventions are being considered in other places, too. California will see a safe consumption site bill introduced next week, and activists and officials in a number of cities, including New York City, San Francisco, and Seattle are laying the groundwork for such facilities at the local level.

"We're getting traction on these issues," said LaSalle. "Nevada was the first state with a heroin-assisted treatment bill, and while it didn't get out of committee, we had robust hearings, with international experts. And that California bill will be moving forward this session. Drug treatment and harm reduction don't always go hand in hand, but in this case the treatment community is cosponsoring or officially supporting safe consumption sites."

Meanwhile, some states are moving in the opposite direction. In Maine, the administration of Tea Party Gov. Paul Le Page (R) is seeking to reverse a law passed last year that defelonized drug possession. (The rambunctious Republican has also called for guillotining drug dealers, blamed black drug dealers for impregnating white Maine girls, and called for vigilantes to shoot drug dealers.) And next door in New Hampshire, the attorney general wants to start charging heroin suppliers with murder in the event of fatal overdoses. Prosecutors in other states have also dusted off long-unused statutes to bring murder or manslaughter charges.

"We need to ask those people why they're doubling down on a failed policy," said LaSalle. "Why would this work now when it's just more of the same that's been in place for four decades, and now we have use and overdoses and Hep C increasing."

"I understand the impulse to 'Do Something!' in response, and because criminalization has been our go-to response, it seems logical that increasing penalties or prosecutions is a way to solve the problem, but we know, we have shown, that it is not. It's frustrating."

It can be worse than frustrating, too, LaSalle noted.

"Using murder charges as a whipping stick in the case of overdoses is really counterproductive," she said. "If the goal is to reduce overdoses, this is going to reduce the likelihood of anyone calling 911. Maybe they shared their stash, and if they could face murder charges, they now have a serious disincentive to call."

Clearly, the war on drugs is not over. But after half a century of relying predominantly on the forces of repression to deal with drug use, a new vision, both smarter and more humane, is emerging. Now comes the political fight to enact it.

Annapolis, MD
United States

Chronicle AM: WVA Welfare Drug Test Bill Advances, ME Voters Want Drug Decrim, More... (2/9/16)

Medical marijuana bills get filed not only in Iowa, but also Australia and Greece, a new poll shows enlightened drug policy attitudes among Maine voters, Republican US senators hold competing events for and against sentencing reform legislation, and more.

Medical marijuana is seeing action at statehouses in the US and in foreign capitals. (wikimedia.org)
Medical Marijuana

Florida Medical Marijuana Bill Reemerges. A bill that would allow terminally ill patients to use medical marijuana has come out of hibernation in the House. After months on the sidelines, the bill, House Bill 307, was approved by the House Appropriations Subcommittee Tuesday on a 9-2 vote. It now needs one more committee vote before heading for the House floor.

Iowa Medical Marijuana Bill Filed. State Rep. Peter Cownie (R-West Des Moines) Tuesday filed a bill that would make it legal to grow medical marijuana, produce CBD cannabis oil, and create dispensaries. The bill is not yet on the legislative website. Republican lawmakers last year killed similar legislation.

Drug Policy

Maine Voters Support Drug Decriminalization, Not Punitive Drug Policies, Poll Finds. Nearly two-thirds (64%) of voters support decriminalizing drug possession, according to a new poll conducted by Public Policy Polling. More than seven out of 10 (71%) said substantially reducing incarceration rates was important to them. The poll comes as the state's Tea Party governor, Paul Le Page (R), is pushing legislation that would roll back reforms passed last year that make simple drug possession a misdemeanor instead of a felony.

West Virginia Senate Passes Welfare Drug Testing Bill. The Senate overwhelmingly (32-2) approved Senate Bill 6, which would create a three-year pilot program to drug test applicants for the Temporary Assistance for Needy Families (TANF) program if state employees have "reasonable suspicion" they are using drugs. "Reasonable suspicion" can be triggered by applicants demonstrating "qualities indicative of substance abuse" or having been arrested on a drug charge in the past five years. The bill now goes to the House of Delegates.

Law Enforcement

Massachusetts Bill Would Let Users Turn in Drugs Without Fear of Punishment. Rep. Ann-Margaret Ferrante (D-Gloucester) has filed a bill that would allow addicts seeking treatment to turn in unwanted drugs without the threat of prosecution. A person "who, in good faith, enters a police station and seeks assistance or treatment for a drug-related addiction, or is the subject of a good faith request for such assistance or treatment, shall not be charged or prosecuted for possession of a controlled substance" if the evidence for such a charge was gained as a result of seeking treatment. The bill is before the Joint Judiciary Committee.

Sentencing

Republican Senators and Law Enforcement Leaders Rally for Federal Sentencing Reform Bill. Sens. Charles Grassley (R-IA) and Mike Lee (R-UT) joined law enforcement leaders today for a Capitol Hill briefing in support of the Sentencing Reform and Corrections Act of 2015 (S. 2123). The briefing, supported by Law Enforcement Leaders to Reduce Crime and Incarceration, comes the same day two other Republican senators, Tom Cotton of Arkansas and Jeff Sessions of Alabama, hosted an event to oppose the bill.

International

Australian Government Files Medical Marijuana Legislation. The federal government today filed legislation to allow the cultivation of marijuana for medical or scientific purposes. The bill would create a national scheme to regulate cultivation for such purposes.

Greek Lawmakers File Medical Marijuana Bill. Twenty members of the governing Syriza Party Monday filed legislation to legalize marijuana for medical and pharmaceutical purposes. "The proven beneficial effect in cases of especially dangerous diseases, such as glaucoma, cancer, epilepsy, anorexia nervosa, malignancies make the legalization of cannabis as medicine -- already used in many developed countries -- imperative. The criminalization of cannabis use has resulted in leading many patients and their families to acquire cannabis through illegal channels, something that entails substantial loss of revenue for the State, organized crime activities and pushing patients to resort illegal activities," the lawmakers argued.

Could Kratom Be a Better Choice for Heroin and Pain Pill Users? [FEATURE]

This article was produced in collaboration with AlterNet and first appeared here.

The Southeast Asian herb is now available powdered...
A Southeast Asian herb is gaining popularity among addicted heroin and prescription opiate users, pain sufferers, and hipsters looking for a nice buzz, and it's legal -- at least for now. It's usually consumed as a tea, and is now available at non-alcohol kratom bars in several states, as well as in powdered from in specialty shops and on the Internet.

It is regulated as an herbal supplement, not a controlled substance, but it is coming under some scrutiny by lawmakers and regulators. The FDA banned its import in 2014, and the DEA has it listed as a drug of concern, but has not moved to criminalize it. It is illegal in four states, though -- Indiana, Tennessee, Vermont and Wyoming -- and similar laws are now being proposed in Florida and New Jersey.

The stuff is called kratom, and was traditionally used in Thailand and Malaysia to help endure physical labor, relieve pain, and stop diarrhea. It was also good for relieving the symptoms of opium withdrawal.

That's because its active ingredients activate the same opioid receptors heroin and prescription pain pills do. And it behaves like an opiate -- with a couple of exceptions, one interesting and one quite important.

...or it can be brewed into a tea. (wikimedia.org)
Like other opiates, it relieves pain, slows bowel activity, produces euphoric feelings, and creates physical addiction and a whithdrawal syndrome. But unlike other opiates, it causes a pleasant, caffeine-type buzz in small doses. More significantly, it is apparently very difficult -- if not impossible -- to overdose on. The few deaths where kratom is implicated include poly-drug use, or as in a case reported by the New York Times, suicide by a young kratom user who was also being treated for depression.

"Direct kratom overdoses from the life-threatening respiratory depression that usually occurs with opioid overdoses have not been reported," says Oliver Grundmann, clinical associate professor of medicinal chemistry at the University of Florida, told journalist Maia Szalavitz at Vice. Grundmann should know; he just reviewed the research on kratom for the International Journal of Legal Medicine.

"It's a fascinating drug, but we need to know a lot more about it, Dr. Edward W. Boyer, a professor of emergency medicine at the University of Massachusetts Medical School and a co-author of several scientific articles on kratom, told the Times. "Recreationally or to self-treat opioid dependence, beware -- potentially you're at just as much risk" as with an opiate.

Well, except for that whole fatal overdose thing. And like the kratom high, the physical dependence appears much milder.

Szalavitz consulted Mark Swogger, an assistant professor of psychiatry at the University of Rochester Medical Center, who with his colleagues analyzed 161 "experience reports" posted by kratom users on the drug information site Erowid.org for a recent study in the Journal of Psychoactive Drugs.

"I think it's pretty safe to say that kratom has at least some addiction potential. The data is fairly strong on that and our study also found that people are reporting addiction," but "overall, we found that it's really mild compared to opioid addiction and it didn't seem to last as long."

About one in six of the users reported nausea or stomach pain and 6% actually vomited. There have been a handful of other handful of reports of liver problems.

All this makes kratom something like opium's mild-mannered little sister. And that is apparently something a lot of people are looking for.

One of them was Susan Ash, 46, who told the Times she began taking kratom while being treated for dependence on prescription pain relievers and now takes a small dose daily to ease chronic pain and depression.

She was so impressed with the results that last year, she founded the American Kratom Association to represent consumers. The group now has more than 2,000 members and lobbies against bills to ban the herb.

"We know from all our experiences that kratom has the potential to be a wonderful medicine," she said. "We're all experiencing that it's changing our lives. We do agree that more science is needed to actually prove this potential that we know it has."

Yes, more science is needed, and kratom does have its disaffected users, as the Times was quick to dig up, but so far, it looks like we have a drug like opium, but with attenuated effects. If people are taking kratom to get off heroin or prescription pills or to treat pain or just to get a nice buzz, and they're not overdosing by the tens of thousands, as they are with the opiates, that would seem like an overall good thing. If we want to reduce harm from heroin and prescription opiates, kratom should be studied and, perhaps, embraced, not proscribed.

Chronicle AM: FL MedMJ Init Qualifies for Ballot, VT Gov Endorses Pot Legalization Bill, More... (1/28/16)

Busy, busy. State legislatures are in full swing, and the bills just keep coming. Meanwhile, Florida's medical marijuana initiative has qualified for the ballot, Vermont's governor endorses legalization, and more.

Heroin is on the agenda at statehouses this week. (wikimedia.org)
Marijuana Policy

Federal Judge Throws Out Lawsuit Against Colorado's Legalization. A Colorado US District Court judge has rejected a lawsuit challenging the legality of marijuana legalization in the state. The lawsuit was filed by a Washington, DC-based anti-marijuana group, the Safe Streets Alliance, and asked the court to find the state and Pueblo County guilty of violating the Racketeer Influenced and Corrupt Organizations (RICO) Act. The judge in the case rejected the claims, concluding that private parties have no standing to seek recourse for alleged violations of the Supremacy Clause, which makes federal law the supreme law of the land. Another lawsuit, filed by the states of Nebraska and Oklahoma, is still being decided.

New Mexico Poll Finds Strong Support for Legalization. Three out five (61%) adult New Mexicans support legalizing and regulating marijuana, according to a new poll from Research & Polling. The poll comes as the legislature ponders two bills, one that would amend the state constitution to let voters decide the issue, and one that is a straightforward legalization bill. The bills are Senate Joint Resolution 5 and House Bill 75, respectively.

Vermont Governor Endorses Legalization Bill. Gov. Peter Shumlin has endorsed the Senate Judiciary Committee's legalization bill, Senate Bill 137. "The War on Drugs has failed when it comes to marijuana prohibition," Gov. Shumlin said. "Under the status quo, marijuana use is widespread, Vermonters have little difficulty procuring it for personal use, and the shadows of prohibition make it nearly impossible to address key issues like prevention, keeping marijuana out of the hands of minors, and dealing with those driving under the influence who are already on Vermont's roads. The system has failed. The question for us is how do we deal with that failure. Vermont can take a smarter approach that regulates marijuana in a thoughtful way, and this bill provides a framework for us to do that."

DC Poll Finds Residents Want District to Move Ahead With Regulation -- Despite Congress. A substantial majority of District residents believe Mayor Bowser should move forward with taxation and regulation of marijuana despite Congressional prohibition, according to a survey conducted over the weekend by Public Policy Polling (PPP) for the Drug Policy Alliance, DC Vote, DC Working Families and the Washington City Paper. Two-thirds (66%) of respondents believe the mayor should pursue a legal method (such as use of reserve funds) to implement taxation and regulation of marijuana in the District. In light of congressional interference attempting to prevent such regulation, 63% of residents view marijuana legalization as a statehood issue for the District.

Medical Marijuana

Americans for Safe Access Releases Report on State Medical Marijuana Programs. The patient advocacy group graded each state and graded harshly. No state earned an "A" and only 12 earned a "B." Read the report here.

California Bill to Halt Medical Marijuana Bans Heads to Governor's Desk. After passing the Senate earlier this week, Assembly Bill 21, has now passed the Assembly and awaits a signature from Gov. Jerry Brown (D). The bill lifts a March 1 deadline for localities to regulate medical marijuana or lose control to the state. The deadline has prompted more than a hundred localtities to enact bans on various sorts in a bid to retain local control.

Florida Medical Marijuana Initiative Qualifies for the November Ballot. The group behind the effort, United for Care, said Wednesday the Division of Elections has recorded 692,981 verified voter signatures, nearly 10,000 more than needed to qualify. A similar effort won 58% of the vote in 2014, but failed to pass because constitutional amendments require 60% of the vote to pass in Florida.

Heroin and Prescription Opiates

Injection Drug Use Driving Appalachian Hepatitis B Infections. The Centers for Disease Control and Prevention report that acute Hepatitis B was up 114% in Kentucky, Tennessee, and West Virginia between 2009 and 2013. The report found that injection drug was tied to 75% of the new cases. Unlike Hep C, Hep B can be prevented with a vaccine, but vaccine coverage is low among adults nationwide.

Maine Governor Wants Gunowners to Shoot Drug Dealers. Just days after saying Maine should revive the guillotine to execute drug dealers, Gov. Paul LePage suggested just shooting them instead. "I tell ya, everybody in Maine, we have constitutional carry," LePage said in an on-camera interview in Lewiston. "Load up and get rid of the drug dealers. Because, folks, they're killing our kids," the governor said. He then denied that he was encouraging vigilantism.

New York Assembly Minority Task Force Releases Report on Heroin Addiction. The task force has come out with suggestions for combating heroin and opiate addiction. The recommendations include earlier drug education, involuntary "emergency medical" detention of addicts, and a felony "death by dealer" statute. Now, the task force must work with Assembly Democrats to create legislation.

Drug Testing

South Dakota Welfare Drug Testing Bill Killed in Committee. The Health and Human Services voted to kill a bill that would have required welfare applicants to undergo mandatory, suspicionless drug testing. Even the Republican governor had opposed the bill.

International

Producers of Prohibited Plants Issue Declaration Ahead of UNGASS. The Global Forum of Producers of Prohibited Plants (coca, opium, marijuana) is demanding that growers be heard at the UN General Assembly Special Session on Drugs in April. In a joint declaration from producers in 14 countries, the group urged an end to forced eradication of drug crops, the removal of the three plants from international drug control treaties, and sustainable rural economic development. Click the title link for a full list of participants and recommendations.

Chronicle AM: CA Could Get $1 Billion a Year in Pot Taxes, Kosher MedMJ Comes to NY, More... (12/31/15)

Thar's gold in that there merry-ju-wanna, California finance officials say; Oregon recreational tokers start paying taxes next week, kosher medical marijuana comes to New York, the US surgeon general is planning a review of drug policies, and more.

Marijuana Policy

California Could Get $1 Billion a Year in Pot Taxes, Finance Department Says. The state stands to gain "from the high hundreds of millions to over $1 billion annually," according to the Department of Finance's analysis of the Adult Use of Marijuana Act, the "Sean Parker initiative," which looks to be the one that will go before voters in November. The state could also save about $100 million a year from "the reduction in state and local criminal justice costs" associated with marijuana prohibition, the report added.

Mississippi Legalization Initiative Comes Up Far Short. A DeSoto County woman's effort to get a legalization initiative, Ballot Initiative 48, on the November 2016 ballot has come to an end. Kelly Jacobs managed to gather only 13,320 valid voter signatures by this week's Tuesday deadline. She needed 107,000 to qualify. Jacobs had complained of unlawful denial of access to public buildings and being threatened by Ku Klux Klan members, among other improprieties. "The truth about Mississippi and marijuana is that Mississippians are too afraid of the police to change the law themselves by supporting a ballot initiative with their signatures of approval," Jacobs said.

Oregon Recreational Marijuana Sales Tax Goes Into Effect Next Week. Recreational pot smokers who have been enjoying tax-free marijuana from dispensaries in the state will have to start paying up beginning on January 4. On that date, a 25% sales tax for pot takes effect. Registered medical marijuana patients will not be affected. The tax could decrease at a later date.

Medical Marijuana

New Yorkers Can Get Kosher Medical Marijuana. Vireo Health, a provider of non-smokable medical marijuana products, has been certified kosher by the Orthodox Union. The Union said it awarded the certificate after inspecting the company's facilities to ensure that the marijuana was being grown and processed according to kosher standards. Vireo said it was the first time a medical marijuana producer had been certified as kosher.

Drug Policy

US Surgeon General to Review Drug Policies. According to a Federal Register notice published Thursday, the US surgeon general is preparing a report "presenting the state of the science on substance abuse, addiction, and health. The review will cover both illegal drugs and legal substances, such as alcohol and tobacco. The report will be broad in scope, covering prevention, treatment, and recovery; social, economic, and health consequences of substance use; the state of health care access; and "ethical, legal and policy issues; and potential future directions."

Law Enforcement

Appeals Court Agrees to Hear Case of Texas Trucking Company Suing DEA. The 5th US Circuit Court of Appeals in New Orleans will hear oral arguments in the case of Craig Patty in February. Patty owns a trucking company. The DEA used one of his trucks without his permission in a drug cartel sting that resulted in a shootout in Houston leaving an informant dead and leaving Patty's truck bullet-riddled. Patty filed suit, seeking payment from the DEA for fixing the truck and for the temporary loss of its use, as well as damages for emotional turmoil to Patty, who feared the Zetas cartel could come after him. A federal circuit court judge ruled earlier in the DEA's favor.

International

Another Malaysian Faces Death Sentence for Marijuana Trafficking. A 35-year-old Malaysian man has been charged with trafficking 15 pounds of marijuana, which, under the country's Dangerous Drug Act of 1952, carries a mandatory death sentence. The defendant, S. Gunalan, had no legal representation during his initial hearing.

The Top 10 Domestic Drug Policy Stories of 2015 [FEATURE]

As the year winds down, we look back on the big stories in drug policy, from marijuana reform to climbing fatal overdose levels to sentencing reforms and beyond.

Marijuana remained a major story this year. (wikimedia.org)
The Sky Hasn't Fallen on Legal Marijuana States. The great social experiment with marijuana legalization appears to be going off without a serious hitch, and that's great news for people in states where it will likely be an issue next year. No outbreaks of reefer-induced mass criminality have taken place, no hordes of zombie school kids have appeared. In fact, very little at all seems to have happened, except that in Washington state, marijuana arrests are way down, tax revenues are flowing in, and, and ditto for Colorado, where legal pot has created 16,000 jobs (not to mention thousands more in weed-related industries) and, in Denver at least, a real estate boom is going on. Evaluating the impacts of a policy shift like ending state-level marijuana prohibition is a complicated and long-term affair, but so far it we're not seeing any signs of major social policy disaster.

The Marijuana Majority Solidifies. Marijuana legalization is now consistently winning majority support in national polls. An April CBS News poll (released on 4/20) reported support at "an all-time high" at 53%, while a Pew Research poll that some month also came in at 53%. An October Gallup poll had support at 58%, a November Morning Consult poll had it at 55%. This is really quite remarkable: Less than a decade ago, fewer than a third of people were ready to legalize it. Beginning in 2012 or 2013, public opinion reached the tipping point, and now we've clearly tipped.

Groundwork Well Laid for Marijuana Legalization Efforts Next Year. Efforts are well-advanced in a half-dozen states states to put legalization initiatives on the ballot next year. A Nevada initiative has already qualified for the November ballot and a Massachusetts initiative has also met its initial signature gathering hurdle (but must let the legislature have a chance to act before gathering a token amount of additional signatures to qualify for November). Initiative signature gathering campaigns are also well-advanced in Arizona, Maine, and Michigan, and while the California effort lags behind, an initiative backed by some deep-pocketed funders should qualify for November as well. State polls in those states show majorities for legalization, but support numbers only in the 50s suggests that victories are by no means inevitable. Those numbers tend to get pushed down in the course of an actual campaign, especially if there's well-funded opposition. And serious efforts are underway in two states, Rhode Island and Vermont, to pass legalization at the state house next year.

Monopoly Marijuana Gets Rejected in the Heartland. In a clear signal that marijuana legalization is not inevitable, a well-funded, but equally well-loathed legalization initiative went down in flames in November. The ResponsibleOhio initiative would have enshrined within the state constitution a "monopoly" under which pot would be legalized, but only 10 growers could produce commercial pot crops. The effort was opposed by the state's Republican political establishment, as well as the usual suspects in law enforcement, but also by most of the state's marijuana legalization activists. Concerns about the role of industry money in the movement are on the rise, but ResponsibleOhio wasn't even industry money -- it was just a set of wealth investors hoping to cash in with their privileged positions in a newly legal and high lucrative industry.

Black Lives Matter's Policing Critique Implicates the Drug War. The most energetic mass movement since 2011's Occupy Wall Street (and beyond) is taking direct aim at policing abuses that have festered for a generation -- and the war on drugs is deeply implicated in them. BLM's Campaign Zero manifesto to end police violence includes numerous drug war-related reform targets. From the militarization of policing to mass incarceration, from stop-and-frisk to "policing for profit," the objects of BLM's ire are key components of the drug war, and the movement is raising the racial justice imperative in the loudest fashion possible.

Heroin overdoses are still on the increase. (New Jersey State Police)
Overdoses Kill Tens of Thousands, Harm Reduction Responses Emerge. Drug overdoses are now the leading cause of accidental death in the US, claiming some 44,000 lives a year. Heroin is involved in more than 8,000 of those deaths, but prescription opiates are involved in twice that number. Deaths related to prescription opiates are actually leveling off in line with a decrease in prescribing beginning in 2012, but heroin deaths, which quadrupled between 2002 and 2013, are not, especially as people who once had access to pain pills resort to the black market. With the rising death toll -- and the changing demographics of users; younger, whiter, less "urban" -- has come a new openness toward harm reduction measures that can actually save lives, especially the wider availability of the opiate overdose reversal drug naloxone (Narcan). Access to the drug is being increased around the country, thousands of lives are being saved, even the drug czar is for it. It's not like having supervised injection facilities, where users can inject under medical supervision, and which are proven to practically eliminate overdoses (Vancouver's InSite points to exactly zero fatal overdoses in nearly 16,000 injections), but it's a start.

Asset Forfeiture Reform Picks Up Steam. The use of asset forfeiture has been a favorite drug war tactic of police and prosecutors for years, and has grown to the point where federal law enforcement seized more from citizens than burglars did last year. It's been 15 years since the last round of federal asset forfeiture reform, and the pressure is building in Washington. The year started off with then Attorney General Holder abruptly limiting federal seizure sharing with state and local cops, which cut off a main conduit for local cops to get around state asset forfeiture laws (the federal equitable sharing program allowed seizing law enforcement agencies to keep 80% of seizures, while state laws often required seizures to go into general funds). That was followed by the filing of a Rand Paul bill to end federal civil asset forfeiture with a House panel signaling support. The practice is also under fire in the states, where more than a dozen took up bills this year. In two states, Maryland and Wyoming, bills passed the legislature, only to be vetoed by Republican governors, but new asset forfeiture reform laws went into effect July 1 in Montana and New Mexico and passed in Michigan in the fall. Look for more asset forfeiture reform battles next year, both in Congress and at the statehouse.

Some 6,000 drug war prisoners got out in one fell swoop at the beginning of November. (nadcp.org)
6,000 Federal Drug War Prisoners Come Home. At the end of October, the largest prisoner release in recent US history took place, with some 6,000 prisoners set free after their drug sentences were cut thanks to policy changes by the US Sentencing Commission. Another 8,000 are set to be released the same time next year. Along with other sentencing reforms enacted in the past few years, the move has resulted in the federal prison population declining for the first time since Ronald Reagan unleashed the modern drug war in the early 1980s.

Obama Commutes Drug Sentences. President Obama commuted the sentences of 68 drug offenders earlier this year, and just last week he commuted the sentences of nearly a hundred more. Obama has now issued more commutations (which actually free people still behind bars, as opposed to pardons, which are granted after the fact) than the last five presidents combined, and with some 35,000 having petitioned for commutations at the invitation of the Justice Department, we could well see another big batch next year before he leaves office.

Drug Policy Becomes a Presidential Election Issue. In a good way. On the issue of marijuana policy, Bernie Sanders has become the first serious mainstream presidential candidate to endorse marijuana legalization, and, as this Marijuana Policy Project report card on the presidential candidates shows, many of the others -- from both parties -- support medical marijuana, decriminalization, and/or a states' rights approach to legalization. Not all of them do, of course, but supporting marijuana reform is now a thoroughly mainstream position in presidential politics. Similarly, the candidates have been addressing high rates of prescription opiate and heroin use, with even some GOP candidates talking about treating addiction as a health and public health issue, not a criminal justice one. Democratic contenders have also been addressing the problem as a public health issue, most recently in the New Hampshire Democratic debate. We've come a long way from competing to see who can be the "toughest" on drugs.

(This article was prepared by StoptheDrugWar.org's lobbying arm, the Drug Reform Coordination Network, which also pays the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

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