Safer Injection Sites

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Chronicle AM: San Francisco SIJs Coming Soon, House Dems Want Pot Hearing, More... (2/6/18)

Safe injection sites are coming to San Francisco, House Democrats want a hearing on Sessions' backwards-looking marijuana policies, CBD bills pass in Indiana and Virginia, and more.

Kellyanne Conway. This is who is effectively running White House opioid policy. (Twitter)
Marijuana Policy

House Judiciary Committee Democrats Demand Hearing on Sessions Marijuana Policy. In a letter to House Judiciary Committee Chair Rep. Bob Goodlatte (R-VA), eleven Democratic members of the committee called on him to hold a hearing of the full committee to discuss recent moves by Attorney General Sessions to roll back laissez-faire Obama-era policies regarding enforcement of federal drug laws in marijuana-legal states. In the letter, the Democrats said they feared new Justice Department policies "will promote an inefficient use of limited taxpayer resources and subvert the will of voters who have clearly indicated a preference for legalized marijuana in their states."

Delaware's Governor Remains Opposed to Marijuana Legalization. After months of meeting with legalization supporters, Gov. John Carney (D) has rebuffed their efforts to get him on board. "There are a lot of people who are pushing that. I don't think it's a good idea to be out ahead of that, [to be] one of the lead states there," Carney told WHYY-TV. "I've talked to my colleagues, governors from Colorado and the state of Washington, and they talk about some of the unintended negative consequences." While he did not say he would veto a legalization bill, he remains strongly opposed: "I just don't think we ought to be a leader there. Again, as we're trying to strengthen our workforce, create an environment where companies can be successful to make Delaware stronger, I don't think that will do it."

California Bill Would Allow For Consumption at Special Events. Assemblyman Bill Quirk (D-Hayward) has filed a bill that would allow for the sale and consumption at temporary special events. Assembly Bill 2020 would allow a state agency to issue temporary event licenses allowing sales and consumption. "These events support local economies and small businesses," Quirk said in a statement. "Despite the fiscal and communal benefits such events bring to a city or local community, current law prohibits local governments from approving applications for cannabis sales at special events if they are held anywhere but county property," he added. The measure is also sponsored by the city of Oakland.

Medical Marijuana

Indiana Senate Joins House in Passing CBD Bill. The Senate voted 35-13 Monday to approve Senate Bill 294, which would allow any state resident to purchase and use CBD cannabis oil. Similar legislation passed the House last week on a unanimous vote.

Virginia Senate Passes CBD Bill. The Senate voted unanimously Monday to approve Senate Bill 726, which would allow doctors to recommend the use of CBD cannabis oil or THC-A oil. The House passed a companion bill, also unanimously, last Friday. The bill now awaits the governor's signature.

Heroin and Prescription Opioids

Drug Czar's Office Frozen Out of Trump Administration's War on Opioids. White House counselor Kellyanne Conway has effectively taken control of the administration's opioids agenda, largely sidelining the Office of National Drug Control Policy (ONDCP -- the drug czar's office), according to a report in Politico. The report says Conway is "quietly freezing out drug policy professionals and relying instead on political staff to address" the opioid crisis. The main response so far has been to demand a border wall and to suggest a sort of "just say no" program. The administration is expected to propose massive cuts in the drug czar's office this month.

West Virginia Governor Sets New Plan, Names New Drug Policy Director. Gov. Jim Justice (D) said Monday the state will take a different approach to the opioid crisis by focusing a pilot program on two of the state's hardest hit counties. Justice said there wasn't enough funding to fight the crisis in all 55 counties, but that statewide efforts would continue. "We know that everything we've tried so far has failed," he said. Justice also announced the appointment of Dr. Michael Brumage as the new director of the state Office of Drug Control Policy.

Drug Testing

Vermont GOP Bill Would Require Drug Screening, Testing for Public Assistance. House Minority Leader Don Turner (R-Milton) has filed a bill, House Bill 866, that would require people seeking public assistance to undergo screening for substance abuse and undergo drug testing if the screening process suggests drug use. Those who failed drug tests cold still receive assistance if they agreed to and completed drug treatment, but refusing treatment or failing to complete it would result in loss of benefits.

Harm Reduction

San Francisco Should See Safe Injection Sites by July.San Francisco Department of Public Health Director Barbara Garcia said Monday the city is on track to open its first two safe injection sites around the beginning of the new fiscal year on July 1. She said she is working with six to eight nonprofits that already operate needle exchanges and other drug addiction services and will choose two of them to open safe injection sites. The sites will initially be privately funded, which will help the city avoid liability, since intravenous drug use is a crime under both state and federal law. Opening the sites will not require the approval of the city's Board of Supervisors or other city officials, she said.

International

British Columbia Sets More Legal Pot Rules. The provincial government announced Sunday that marijuana will not be sold in the same stores as alcohol and that in urban areas, licensed retailers would only be able to sell marijuana and accessories -- not other products, such as food, gas, clothing, and lottery tickets. Rural areas will qualify for exceptions to the general rule. Also, people 19 and over will be able to possess up to 30 grams in public, and smoking will generally be allowed in public spaces where smoking is allowed. Adults will be able to grow up to four plants per household, but landlords will be able to bar tenants from growing.

Colombia Says Armed Groups Impeding Coca Crop Substitution. Colombian Post-Conflict Minister Rafael Pardo said Sunday that illegal armed groups are impeding the country's efforts to replace illicit coca crops with legal ones. The comments came after a United Nations verification team was attacked last week by dissident FARC guerrillas. Pardo also pointed a finger at Marxist ELN guerrillas. Both groups, as well as rightist paramiitaries, continue to try to benefit from the illicit coca and cocaine trade.

Chronicle AM: Amnesty Warns on Philippines Drug War, NY Safe Injection Site Push, More... (1/30/18)

Republican legislators are gumming things up in Maine and Virginia, a big coalition calls for preserving the drug czar's office, Amnesty International warns the Philippines, and more.

Duterte's bloody drug war is drawing heat from Amnesty International, but not so much from the State Department. (Wikimedia)
Marijuana Policy

Maine Republicans Set to Delay Adult Use Sales. With a moratorium on legal marijuana sales set to expire Thursday, the state GOP is moving to push back the date legal sales can begin. The Senate Tuesday approved Republican Sen. Roger Katz's bill to delay sales until the spring, but Republican House Leader Ken Fredette is calling for a delay in recreational sales until next year. Gov. Paul LePage (R) has also been an obstacle to implementing the will of the voters, who approved legalization in November 2016, some 14 months ago now.

Virginia Senate Republicans Kill Decriminalization Bill. Nine Republicans on the Senate Courts of Justice Committee voted Monday to kill Senate Bill 111, which would have decriminalized the possession of small amounts of marijuana. The Senate action followed action in the House, where Republicans already killed a similar bill.

Asset Forfeiture

Idaho Civil Asset Forfeiture Reform Bill Filed. The House Judiciary and Rules Committee is taking up a bill that would reform, but not eliminate, civil asset forfeiture in the state. The bill would prevent forfeiture in cases of simple drug possession and would prevent forfeiture of large quantities of cash unless there is evidence of criminal activity. The measure is RS25826, which is not yet available on the legislative website. A similar bill passed the legislature last year, only to be vetoed by Gov. Butch Otter (R).

Drug Policy

Coalition Calls for Trump Not to Gut Drug Czar's Office. More than 150 groups have signed onto a letter sent Monday to the White House opposing the Trump administration's proposed plans to radically cut funding the Office of National Drug Control Policy (ONDCP -- the drug czar's office) and move its grant programs to other agencies. The move would "create an unnecessary distraction from efforts to save our lives," the groups said. Signatories include groups from the prevention, treatment, recovery and criminal justice communities, and more. "Not only would such a move drastically weaken these vitally important programs, and force them to compete for priority, direction, and funding in larger agencies with competing and higher priorities, but it would significantly impact ONDCP's ability to effectively carry out its mission," the groups, led by the Addiction Policy Forum, wrote.

Harm Reduction

New York Activists Press Lawmakers to Approve Safe Injection Sites. Drug policy reform advocates gathered in Albany Monday to urge lawmakers to act on a bill that would allow for the creation of safe injection sites in the state. Legislation was filed last year by Assemblywoman Linda Rosenthal (D-Manhattan), but never acted on. If state Sen. Fred Akshar (R-Binghamton), head of the Senate Heroin Task Force, has his way, it won't be acted on either. "Our state dollars should not be going to a facility that is allowing people to continuously inject drugs," he told the New York Daily News.

International

Amnesty International Demands Philippines Hold Police to Account for Unlawful Drug War Killings. Responding to news that the Philippine National Police have resumed their role in waging President Duterte's bloody war on drugs, Amnesty International warned that police killers must be held to account. "The Philippines neither can nor should try to solve its drug problems at gunpoint," said James Gomez, the group's director for Southeast Asia and the Pacific. "Since President Duterte came to power, police have unlawfully killed thousands of people, the vast majority of them from poor and marginalized communities, in attacks so extensive and brutal they may well amount to crimes against humanity. Now that police are once more returning to the forefront of anti-drug operations, the government must make sure that there is no repeat of the bloodshed seen during the past 18 months."

State Department Drug Agency Vows to Support Duterte's War on Drugs. The State Department's Bureau of International Narcotics and Law Enforcement Affairs ("drugs and thugs"), says it will continue to support the Philippines drug war. "We are aware that the police are continuing the resumption of their operations. Many folks have been tracking the EJKs (extrajudicial killings) and the Philippines. There are some [encouraging things] that were seen, some of our human rights training [is] working and so I would describe [the] United States being cautiously optimistic... when it comes to a good, appropriate way of [carrying out the anti-]drug campaign," Deputy Assistant James Walsh said in a Tuesday press briefing. "And so we'll just monitor that and we'll continue supporting the government of the Philippines with our rule of law, our demand reduction programs and our maritime assistance," Walsh added.

Chronicle AM: FL Voting Init Qualifies for Ballot, NYC Sues Big Pharma Over Opioids, More... (1/24/18)

More than a million Floridians would regain their right to vote in November after an initiative qualfied for the ballot, California small pot growers sue to stop concentration in the industry, New York City sues opioid manufacturers and seeks half a billion in damages, and more.

A Florida initiative that would restore the voting rights of felons is headed for the November ballot. (Wikimedia)
Marijuana Policy

California Growers' Group Sues to Block Huge Grow Operations. The California Growers Association, which represents small marijuana cultivators, filed suit in Sacramento Tuesday to block state rules it fears could open the way for huge commercial marijuana operations, driving its members out of business. Although the state has put a moratorium on large marijuana grows, state regulators are allowing businesses to acquire an unlimited number of licenses for smaller grows, which could lead to monopolization of the industry and have "a devastating effect" on small growers.

Maine GOP, Governor Seek to Delay Legalization Implementation. Tea Party Gov. Paul LePage (R) and legislative Republican leaders said Tuesday they want to extend a moratorium on the launch of legal pot businesses in the state until January 2019 and they will refuse to support a bill now before lawmakers that would extend the moratorium only until April 18. Voters approved marijuana legalization in November 2016. The proposed April 18 moratorium bill was unanimously approved by the Marijuana Legalization Implementation Committee last week, and is likely to come up for a vote Thursday on the Senate floor.

Massachusetts Marijuana Sanctuary State Bill Filed. Last Friday, Reps. Dave Rogers (D-Cambridge) and Mike Connolly (D-Cambridge) filed a bill that would prevent state and local authorities from cooperating with federal authorities attempting to enforce federal marijuana laws against state-legal marijuana businesses. The Refusal and Compliance Act would prevent police from handing over people in compliance with state marijuana laws unless federal authorities have a warrant.

Medical Marijuana

Another Utah Poll Shows Strong Support for Medical Marijuana Initiative. A new poll from the Salt Lake Tribune and the University of Utah's Hinckley School of Politics has support for a proposed medical marijuana initiative at 76%. That's nearly identical to the 75% approval polled in October. The poll comes as the Utah Patients Coalition, which is sponsoring the initiative, moves toward completing its signature-gathering campaign.

Heroin and Prescription Opioids

New York City Sues Big Pharma Over Opioid Crisis. The city filed suit against a handful of opioid manufacturers Tuesday in Manhattan Supreme Court. The lawsuit aimed at "corporate drug pushers" seeks $500 million from Johnson & Johnson, Cephalon, Purdue Pharma, Teva, and Janssen. The city saw more than a thousand opioid overdose deaths last year.

Asset Forfeiture

Alabama Asset Forfeiture Reform Bill Filed. Rep. Arnold Moore filed a bill Tuesday to curb the widespread use of civil asset forfeiture. House Bill 287 would effectively end civil asset forfeiture by requiring a criminal conviction before seizing someone's property.

Harm Reduction

Philadelphia Takes Step Toward Approving Safe Injection Sites. City officials announced Tuesday that they would allow a safe injection site as part of an effort to stem the rising tide of opioid overdose deaths. The city won't operate the site itself, but is now preparing to solicit operators interested in setting up such a site. There are no sanctioned safe injection sites in the US, although a number of other cities, including Denver, New York, San Francisco, and Seattle are considering them.

Voting Rights

Florida Initiative to Restore Voting Rights to Felons Qualifies for Ballot. The Voting Restoration Amendment, which would restore voting rights to more than a million Floridians with felony records, has qualified for the November ballot. Campaigners led by Floridians for Fair Democracy gathered more than the 799,000 valid voter signatures to qualify, state figures showed Tuesday. Because it is a constitutional amendment, the measure will need 60% of the vote to pass.

Chronicle AM: NH House Passes Marijuana Legalization, CO Safe Injection Site Sought, More... (1/9/18)

Attorney General Sessions' announcement last week of a possible renewed war on marijuana continues to reverberate, the New Hampshire House passes a bill to legalize possession and cultivation, but not sales; Colorado lawmakers want a safe injection site as part of their response to the opioid crisis, and more.

New Hampshire, live free and high
Marijuana Policy

Colorado GOP Senator, Sessions to Meet This Week. Sen. Cory Gardner (R-CO), who took to the Senate floor last week to denounce Attorney General Sessions' move to end the Obama administration's laissez-faire approach to state-legal marijuana, will meet with Sessions later this week. Neither Gardner's office nor the Justice Department would supply any more details, although it's safe to speculate that marijuana policy will be on the agenda.

Massachusetts US Attorney Will Not Rule Out Going After Marijuana Businesses. US Attorney for Massachusetts Andrew Lelling has said he will not rule out prosecuting businesses involved with marijuana. Lelling suggested supporters of legal marijuana should just get it legalized: "Deciding, in advance, to immunize a certain category of actors from federal prosecution would be to effectively amend the laws Congress has already passed, and that I will not do,"  Lelling said in a statement. "The kind of categorical relief sought by those engaged in state-level marijuana legalization efforts can only come from the legislative process."

New Hampshire House Votes to Legalize Possession and Cultivation But Not Sales. The House voted 183-162 Tuesday morning to approve House Bill 656, which would legalize the possession of up to three-quarters of an ounce of marijuana and allow individuals to grow up to three plants. The vote came after the House amended the bill to remove provisions allowing for legal, taxed, and regulated marijuana sales. The measure now goes to the Senate.

Heroin and Prescription Opioids

Colorado Lawmakers Have Package of Bills to Fight Opioid Crisis, Including Safe Injection Site. A bipartisan committee of lawmakers has crafted a package of six bills aimed at curbing the opioid crisis in the state. One bill would limit initial prescriptions of opioids to just seven days; another would make naloxone available at public schools; another would take $3 million from marijuana tax revenues to fund education for doctors on pain management; but the most controversial would allow for a safe injection site to operate in Denver.

International

Canada's Saskatchewan Will Have Privately Owned Marijuana Stores. The provincial government announced Monday that legal marijuana will be sold by private operators issued marijuana retail licenses by the Saskatchewan Liquor and Gaming Authority. Retail stores will initially be allocated in areas of the province with more than 2,500 people, with some 40 municipalities and Indian reservations on the list. Saskatoon, the province's largest city, will eventually receive more licenses.

Colombia Sends 2,000 Troops to Restive Coca Port Town. More than 2,000 soldiers flew into the Pacific port town of Tumaco Monday to try to tamp down rising violence that has left more than 240 people dead in the past year. Tumaco is the municipality with the most coca cultivation of any in the country and has seen conflict between rival armed groups involved in the coca and cocaine trade, as well as attacks by traffickers on farmers who have participated in the government's coca crop substitution program.

Chronicle AM: Underground Safe Injection Site Study, ME Legal Marijuana Fight, More... (12/28/17)

Maine lawmakers seek agreement on legal marijuana policy with the governor, a new study of an underground safe injection site finds benefits, Pennsylvania medical marijuana patient numbers now exceed 10,000, and more.

injecting at a safe injection site (vch.ca)
Marijuana Policy

Maine Lawmakers to Meet With Governor Friday on Marijuana Issues. Key legislators will meet tomorrow with Gov. Paul LePage (R) in a bid to reach agreement on a bill that would regulate the state's legal marijuana markets. LePage and Republicans are wary of having a portion of marijuana sales tax revenues earmarked for localities that host retail marijuana stores, saying that could encourage communities to allow such stores. There are also disagreements over how taxes should be structured. The bill under discussion is L.D. 1719.

Medical Marijuana

Pennsylvania Sees More Than 10,000 Register as Medical Marijuana Patients. Some 10,135 people have registered to participate in the state's emerging medical marijuana program, the state Department of Health reported Wednesday. Twelve grower/processors have been approved to supply the patients; eight of them have already begun operations.

Harm Reduction

Study of Undergound Safe Injection Site Finds Benefits. A study of an underground safe injection site operating somewhere in the US has found that word spread rapidly among injection drug users about the site, about 80% of people using the facility were homeless, and 90% said if not for the site, they would have been shooting up in a public space. Users of the unauthorized site also said they felt safer, less rushed and less stigmatized, and reported better health outcomes and better hygiene and disposal practices. The study was led by San Francisco-based epidemiologist Alex Kral and will appear in the March issue of the International Journal of Drug Policy.

Indonesian Cops Killed 79 Drug Suspects This Year, Arrested More Than Half a Million. The National Drug Agency reported Wednesday that police shot and killed 79 suspected drug dealers in 2017. The agency also reported more than 500,000 drug arrests and more than 58,000 arrests for drug dealing. "We shot 79 even though we arrested 58,000. We have enough ammunition for 58,000, it's just that they still have some good luck," BNN chief Budi Waseso told reporters. "We actually hoped that they would resist, so we could shoot them," he joked. "But most of them immediately surrendered when we conducted the raids."

The Good, the Bad, and the Ugly: The Top Ten US Drug Policy Stories of 2017 [FEATURE]

It was the best of times; it was the worst of times. Tens of thousands die of drug overdoses, hundreds of thousands get arrested for drugs, yet marijuana is seeing boom times. As we bid adieu to 2017, here are the year's drug policy highlights:

Drug overdoses killed record numbers of Americans in 2017. (Wikimedia)
1.The Opioid Crisis Deepens, With Overdose Deaths at an All-Time High

The country's opioid crisis showed no signs of abating in 2017, with the Centers for Disease Control estimating 66,000 overdose deaths this year, up from 63,000 in 2016. To be clear, only about two-thirds of fatal drug overdoses are linked to heroin and prescription opioids, but opioid overdoses surged in 2016 by 28%. It's too early for final data on 2017 overdoses, but there is little reason to doubt that opioids were driving the increase this year. The high levels of overdose deaths have led to a fall in US life expectancy for the past two years, only the third time that has happened in the past century. Policy efforts to curtail the problem have sometimes included regressive moves to up drug sentences, and have generally given only limited consideration to the needs many patients have to access these substances. But public health measures like naloxone distribution and "Good Samaritan" non-prosecution policies have also advanced.

2. Fentanyl is Killing More and More People

The powerful synthetic opioid fentanyl and its analogs are implicated in an increasingly large number of opioid overdose deaths. While deaths involving prescription opioids are decreasing, fentanyl-related deaths have increased by an average of 88% a year since 2013. Illicitly imported fentanyl from labs in China or Mexico is mixed with heroin with lethal results: Half of the increase in heroin-related overdose deaths is attributable to heroin cut with fentanyl, the CDC reported in September. There were nearly 20,000 deaths attributable to fentanyl and other illicit opioids in 2016; the 2017 numbers are likely to be even worse.

3. Key Federal Drug Policy Positions Remain Unfilled, and Kellyanne is In Charge

The Trump administration has not nominated anyone to head the DEA, and the agency is currently being led by Acting Administrator Robert Patterson after Chuck Rosenberg, the acting administrator when Trump took office, resigned in September, saying he didn't want to work with the administration any longer. Similarly, the White House Office of National Drug Control Policy (ONDCP -- the drug czar's office) is without a permanent head after Trump's nominee, Pennsylvania GOP Rep. Tom Marino went down in flames in October in the wake of reports he steered a bill through Congress that impeded the DEA from going after pharmaceutical drug distributors. Neither the White House nor anyone else seems very interested in filling the position, in part, perhaps, because earlier in the year, Trump floated the notion of cutting ONDCP's budget by nearly 95%. But not to worry: Trump pollster, counselor, and apologist Kellyanne Conway is now leading the administration's fight against opioids -- even though she has no public health experience whatsoever.

So far, Attorney General Sessions' bark is worse than his bite when it comes to marijuana policy. (senate.gov)
4. Attorney General Sessions Revives the Federal War on Drugs…

Under President Obama, Attorney General Eric Holder presided over a ratcheting down of harsh federal drug prosecutions and sentences, but current Attorney General Jeff Sessions is doing his best to undo those reforms. In May, Sessions announced that he had directed federal prosecutors to seek the most severe penalties possible in drug cases, including mandatory minimum sentences.

5. …But Fails to Implement a War on Weed, So Far

For all the wailing, gnashing of teeth, and dire predictions of a Sessions war on weed, it hasn't happened yet. The attorney general has made no secret of his dislike for the demon weed, but that has yet to translate into any firm policy positions or federal crackdowns on marijuana in states where it is legal, for either medical or recreational use. Congressional action continues to bar the use of Justice Department funds to go after medical marijuana, although the future of that law after January 22nd remains in doubt. But there was no bar on going after state-legal recreational marijuana, yet it didn't happen. Sessions told the House Judiciary Committee in November that the Obama-era Cole memo remains in effect. That memo directs prosecutors to pretty much leave state-legal marijuana alone except for specified concerns, such as the involvement of youth, violence, or diversion. Later in November, Sessions said the Justice Department was still examining the Cole memo, so all is not safe, but today legal marijuana is still standing.

6. Legal Marijuana's $10 Billion Dollar Year

In December, marijuana market watchers Arcview Market Research estimated that retail marijuana sales would hit $10 billion in 2017, up 33% over 2016. But that's just the beginning, Arcview said. With huge recreational markets such as California (pop. 39 million) and Canada (pop. 36 million) coming online next year, the group expects North American sales to top $24.5 billion by 2021. It's hard even for a pot-hating attorney general to get in front of that economic juggernaut.

7. Pot is More Popular than Ever

Just ask Gallup. The venerable polling firm has been tracking support for marijuana legalization since 1969, when it was at just 12%. In its latest poll, from October, Gallup now has support for marijuana legalization at 64%. What is really impressive is the rapid increase in support in the past 20 years: In 1996, support was at 25%; by 2012, it had doubled to 50%; and it's gained another 14 points in the five years since. Other pollsters are reporting similar current levels of support for marijuana legalization. And this could be another reason the attorney general hesitates to crack down on weed.

8. No State Legalized Weed, But 2018 Should Be Different

After 2016 saw marijuana legalization initiatives win in California, Maine, Massachusetts, and Nevada -- losing only in Arizona, closely -- anticipation was high that 2017 would see more states come aboard. It didn't happen. There are two explanations for this: First, it was an off-off election year and no initiatives were on the ballot, and second, it's hard to move controversial legislation though the state house. Still, the Vermont legislature actually passed a legalization bill, only to see it vetoed by a Republican governor, and that governor now says he is ready to sign a legalization bill. That could happen as early as next month. Likewise, a number of other states saw legalization bills make serious progress, and we could see those efforts come to fruition in places like Connecticut, Delaware, New Jersey, and Rhode Island. And 2018 will most likely see at least one legalization initiative. Activists in Michigan have already handed in signatures and should have enough of a cushion to qualify for the ballot.

9. Safe Injection Sites in the US Draw Ever Nearer

The harm reduction intervention has been proven to save lives, increase public health and public safety, and get hardcore drug users in touch with medical and social service help, and the message is finally on the verge of getting though in the US. At least two major West Coast cities, San Francisco and Seattle, are advancing plans to open such facilities -- although not without staunch opposition -- and, under the progressive leadership of young Mayor Svante Myrick, Ithaca, New York, is making similar plans.

10. The War on Drugs Rolls On

Despite the legalization of medical and/or recreational marijuana in various states, despite various sentencing reforms at the state and federal level, despite the growing recognition that "we can't arrest our way out of this problem," the drug war just keeps on going. The FBI released its annual Uniform Crime Report in November, and while the numbers are from 2016, this year's numbers are unlikely to be any better. More than 600,000 people got arrested for marijuana offenses in 2016, down from a peak of nearly 800,000 in 2007, but still up by 75,000 or 12% over 2015. It's the same story with overall drug arrests: While total drug arrest numbers peaked at just under 1.9 million a year in 2006 and 2007 -- just ahead of the peak in prison population -- and had been trending downward ever since, they bumped up again last year to 1.57 million, a 5.6% increase over 2015.

Chronicle AM: NJ, PA Move to Increase Opioid Sentences, Canada Legal Pot Delayed?, More... (12/20/17)

Mid-Atlantic state politicos are moving toward harsher sentences for some opioid offenses, Canada's July 1 marijuana legalization date may get bumped back, California's Humboldt County rejects safe injection sites, and more.

Make way! Moves are afoot in New Jersey and Pennsylvania to toughen opioid sentences. (supremecourt.gov)
Harm Reduction

California's Humboldt County Rejects Safe Injection Sites. At its meeting Tuesday, the county board of supervisors voted to send a letter to the sponsor of a state bill that would allow for safe injection sites telling her they weren't interested. The measure, Assembly Bill 186, filed by Assemblywoman Susan Eggman (D-Stockton), would allow certain cities and counties, including Humboldt, to authorize such programs. Some supervisors had moral objections, while others raised cost concerns. Most public commenters at the meeting also opposed the plan.

Heroin and Prescription Opioids

Pennsylvania DAs Want Tougher Fentanyl Laws. The state District Attorneys Association is getting behind a push by Attorney General Josh Shapiro (D) for harsher sentences for fentanyl-related crimes. "Stiffer penalties for fentanyl would go a long way in helping us," Shapiro said during a recent roundtable discussion on drugs. The DAs backed him up a few days later, tweeting that "An increase in sentencing guidelines for #fentanyl will help prevent deaths. PA Sentencing Commission is considering changes."

New Jersey Bill Could Quadruple Prison Sentences for Opioid-Related Offenses. Democratic lawmakers have filed a bill, Assembly Bill 5264, that would dramatically increase sentences for some opioid offenses. Under the bill, the sentence for possessing five grams of heroin would double from a maximum of five years to a maximum of 10 years. People caught possessing 10 grams would see their maximum sentences quadrupled, from five years to 20.

Drug Policy

Acting Chief of Staff at Drug Czar's Office Fired. Lawrence "Chip" Muir, the acting chief of staff and general counsel for the Office of National Drug Control Policy (ONDCP -- the drug czar's office), was suddenly fired Tuesday afternoon. ONDCP has been without a new drug czar since the Trump administration took office, and now it lacks a chief of staff, too. It's not clear why Muir got canned.

International

Canada Not Wedded to July 1 Deadline for Marijuana Legalization. Prime Minister Justin Trudeau seemed to back away from the long-anticipated July 1 rollout date for legal marijuana in an interview Tuesday night. "It won't be July 1," he said, but will happen "next summer." The House of Commons approved legalization legislation last month, but the bill is now being studied by the Senate, which could modify it and possibly delay final adoption.

Indian Government to Craft New Drug Rehab Policy for Addicts. Social Justice and Empowerment Minister Thaawarchand Gehlot told congress Tuesday that the country's 2001 law on rehabilitating drug addicts is under review and that a survey of drug addicts nationwide was underway. An action plan to rehabilitate addicts is now being prepared he said.

Indonesia Officials Threatens "Shoot to Kill" Policy for Drug Dealers Jakarta Deputy Governor Sandiaga Uno has threatened to kill drug dealers who resist arrest. "We are serious [in fighting drugs], we will '810' drug dealers who try to avoid authorities' pursuit," he said, referencing the police code for shooting and killing suspects who try to flee arrest. According to Amnesty International, Indonesian police have killed 80 suspected drug dealers this year, five times the number killed in 2016.

Chronicle AM: Wyden Signs On to Booker Pot Bill, Ithaca Safe Injection Site Talks, More... (12/19/17)

Cory Booker's federal marijuana bill finally finds another sponsor, Kentucky's ag commissioner pronounces himself "dumbfounded" at the DEA's recalcitrant position on industrial hemp, and more.

Cory Booker is feeling just a little less lonely after picking up Ron Wyden as a cosponsor for his marijuana bill. (Wikimedia)
Marijuana Policy

Wyden Signs On to Booker's Federal Marijuana Bill. Sen. Ron Wyden (D-OR) announced Monday that he is cosponsoring Sen. Cory Booker's Marijuana Justice Act, Senate Bill 1689. The bill would remove marijuana from the Controlled Substances Act, allowing states to legalize it without fear of federal interference. The bill would also withhold funds from states that continue to criminalize marijuana and disproportionately arrest and imprison minorities for marijuana offenses, as well as allowing people sentenced under racially biased marijuana law enforcement to file civil lawsuits against their states. Wyden is the only cosponsor of the bill so far.

Hemp

Kentucky Ag Commissioner "Dumbfounded" at DEA Position on Hemp. Agriculture Commissioner Ryan Quarles has written a letter to the DEA requesting a meeting about hemp policy. "I was dumbfounded" to read about the DEA's position that hemp-derived CBD oils are illegal, even if they contain no THC," Quarles wrote. "Consumable hemp products are legal to buy," Quarles noted. But the DEA maintains that hemp is the same thing as marijuana, and DEA spokesman Melvin Patterson responded that Quarles is "knocking on the wrong door." Patterson said the DEA was simply enforcing the Controlled Substances Act, and if people want to change hemp policy, they need to talk to Congress.

Drug Testing

Illinois Roadside Drug Testing Pilot Program Coming Soon. Police in the northwestern town of Carol Stream will begin a pilot roadside drug testing program in February. Officers will use mouth swabs to screen for marijuana, cocaine, amphetamines, methamphetamines, and opiates. Testing will begin on a voluntary basis, with drivers asked if they will consent to giving a saliva sample. The test results could be used to help police build drugged driving cases, but since Illinois does not have a zero tolerance drugged driving policy, test results alone would not be sufficient to prove guilt.

Harm Reduction

Ithaca, New York, Continues Discussions on Safe Injection Site. County officials on Monday continued discussing a proposal from Mayor Svante Myrick to open a safe injection site for heroin users in the city. The county legislature's Health and Human Services Committee heard from proponents of the harm reduction measure in what is the second hearing on the topic in two months.

Looking Back: The Biggest International Drug Policy Stories of the Past 20 Years [FEATURE]

With a thousand issues of Drug War Chronicle under our belts, we look back on the biggest international drug and drug policy stories of the past 20 years. (A companion piece looks at the biggest US domestic drug policy stories.) Here's what we find:

The 1998 UN General Assembly Special Session on Drugs. We've made some progress since then. (Creative Commons)
1. Global Prohibitionist Consensus Starts to Crumble

In 1998, the UN General Assembly Special Session on Drugs (UNGASS), with anti-prohibitionist voices in the room but metaphorically on the outside, pledged itself to eradicating drugs in 10 years. That didn't happen. Now, nearly 20 years later, it is duly chastened, and the chorus of critics is much louder, but the UN still remains a painfully slow place to try to make change in global drug policy.

Yet, despite the foot-dragging in Vienna and New York, albeit at a glacial pace. The 2016 UNGASS couldn't bring itself to actually say the words "harm reduction," but acknowledged the practice in its documents. It couldn't bring itself to resolve to be against the death penalty in drug cases, but a large and growing number of member states spoke out against it. It couldn't officially acknowledge that there is "widespread recognition from several quarters, including UN member states and entities and civil society, of the collateral harms of current drug policies, and that new approaches are both urgent and necessary," even though that's what the UN Development Program said. And the UN admitted to having dropped the ball on making opioid analgesics available in the developing world.

It certainly wasn't ready to talk about drug legalization in any serious fashion. But despite the rigidity within the global anti-drug bureaucracy, driven in part by the hardline positions of many Asian and Middle Eastern member states, the global prohibitionist consensus is crumbling. Many European and Latin America states are ready for a new direction, and some aren't waiting for the UN's imprimatur. Bolivia has rejected the 1961 Single Convention on Narcotic Drugs' provision criminalizing the coca plant, and Canada and Uruguay have both legalized marijuana with scant regard for UN treaty prohibitions. And of course there is Portugal's broad decriminalization system, encompassing all drugs.

There's a real lesson in all of this: The UN drug treaties, the legal backbone of global drug prohibition, have proven to be toothless. There is no effective mechanism for punishing most countries for violating those treaties, at least not relative to the punishing effects they suffer from prohibition. Other countries will take heed.

2. Afghanistan Remains the World's Opium Breadbasket

When the US invaded Afghanistan in late 2001, it entered into a seemingly endless war to defeat the Taliban and, along with it, the opium trade. Sixteen years and more than a trillion dollars later, it has defeated neither. Afghanistan was already the world's leading producer of opium then, and it still is.

According to the UN Office on Drugs and Crime, in 2000, the country produced more than 3,000 tons of opium. The following year, with the Taliban imposing a ban on poppy planting in return for US aid and international approval, production dropped to near zero. But in 2002, production was back to more than 3,000 tons, and Afghan poppy farmers haven't looked back since.

In the intervening years, Afghanistan has accounted for the vast majority of global opium production, reaching 90% in 2007 before plateauing to around 70% now (as production increases in Latin America). It has consistently produced at least 3,000 tons a year, with that amount doubling in selected years.

For years, US policymakers were caught in a dilemma, and drug war imperatives were subordinated to anti-Taliban imperatives. The problem was that any attempt to go after opium threatened to push peasants into the hands of the Taliban. Now, the Trump administration is bombing Taliban heroin facilities. But it hasn't bombed any heroin facilities linked to corrupt Afghan government officials.

Holland's famous cannabis cafes were the first break with global marijuana prohibition. (Creative Commons)
3. Movement Toward Acceptance of Recreational Marijuana

Twenty years ago, only the Netherlands had come to terms -- sort of -- with marijuana, formally keeping it illegal, but, in a prime example of the Dutch's policy of gedogen (pragmatic tolerance), with possession and sale of small amounts allowed. (The Dutch are only now finally dealing with the "backdoor problem," the question of where cannabis cafes are supposed to get their supplies if it can't be grown legally).

The first entities to legalize marijuana were the US states of Colorado and Washington in 2012, and Uruguay became the first country in the world to legalize marijuana in 2014. Canada will become the second country to do so next year. In the meantime, six more US states and the District of Columbia have also jumped on the bandwagon.

While full legalization may yet be a bridge too far for most European and Latin American countries, marijuana decriminalization has really taken hold there, with numerous countries in both regions having embraced the policy. Marijuana has now been decriminalized in Argentina, Austria, Belgium, Belize, Bolivia, Brazil, Chile, Colombia (you can possess up to 22 grams legally), Costa Rica, Croatia, the Czech Republic, Equador, Estonia, Georgia, Greece, Italy, Jamaica, Luxembourg, Malta, Mexico, Moldova, Paraguay, Peru, Portugal, Slovenia, Spain, Switzerland, and Ukraine, among others. Oh, and Iran, too.

4. Andean Whack-A-Mole: The Fruitless Quest to Quash Cocaine

The United States, and to a much lesser degree, the European Union, have spent billions of dollars trying to suppress coca leaf cultivation and cocaine production in Bolivia, Colombia, and Peru. It hasn't worked.

According to the UN Office on Drugs and Crime (UNODC), coca leaf cultivation was just under 500,000 acres in 1998; this week, UNODC reported that coca leaf cultivation was at 470,000 acres last year -- and that's not counting the 75,000 acres under legal cultivation in Bolivia.

When it comes to actual cocaine production, it's pretty much the same story: Again according to the UNODC, cocaine production was at 825 tons in 1998, peaked at just over a million tons a year in 2004-2007, and is now at just under 800 tons. There have been peaks and troughs, but here we are, pretty much in the same place we started.

Military intervention didn't stop it. Military and anti-drug assistance hasn't stopped it. Alternative development programs haven't stopped it. The global cocaine market is insatiable, and nothing has been able to tear Andean peasant farmers from what is by far their best cash crop. Bolivia, at least, has largely made peace with coca -- although not cocaine -- providing a legal, regulated market for coca farmers, but in Peru and Colombia eradication and redevelopment efforts continue to spark conflict and social unrest.

5. Mexico's Brutal Drug Wars

During the 1980s and 1990s, accusations ran rampant that in a sort of pax mafiosi, the Mexican government cut deals with leading drug trafficking groups to not so much fight the drug trade as manage it. Those were the days of single party rule by the PRI, which ended with the election of Vicente Fox in 2000. With the end of single party rule, the era of relative peace in the drug business began to unravel.

As old arrangements between drug traffickers and political and law enforcement figures fell apart, so did the informal codes that governed trafficker behavior. When once a cartel capo would accept his exemplary arrest, during the Fox administration, the gangsters began shooting back at the cops -- and fighting among themselves over who would control which profitable franchise.

Things took a turn for the worse with the election of Felipe Calderon in 2006 and his effort to burnish his political credentials by sending in the army to fight the increasingly wealthy, violent, and brazen cartels. And they haven't gotten any better since. While American attention to Mexico's drug wars peaked in 2012 -- a presidential election year in both countries -- and while the US has thrown more than a billion dollars in anti-drug aid Mexico's way in the past few years, the violence, lawlessness, and corruption continues. The death toll is now estimated to be around 200,000, and there's no sign anything is going to change anytime soon.

Well, unless we take leading 2018 presidential candidate Andres Manuel Lopez Obrador (AMLO) at his word. This week, AMLO suggested a potential amnesty for cartel leaders, indicating, for some, at least, a pax mafiosi is better than a huge, endless pile of corpses.

6. Latin America Breaks Away from US Drug War Hegemony

The US imports its drugs and exports its prohibition-related violence, and the region grows tired of paying the price for America's war on its favorite vices. When once Latin American leaders quietly kowtowed to drug war demands from Washington, at least some of them have been singing a different tune in recent years.

Bolivia under Evo Morales has resolutely followed its own path on legalizing coca cultivation, despite bellows from Washington, successive Mexican presidents weary of the bloodshed turn an increasingly critical eye toward US drug war imperatives, Colombian President Juan Manuel Santos sees what Washington-imposed prohibitionist policies have done to his county and cries out for something different, and so did Guatemalan President Otto Perez Molina before he was forced out of office on corruption charges.

Latin American countries are also increasingly pursuing their own drug policies, whether it's constitutionally protected legalization of personal use amounts of drugs in Colombia, decriminalization of marijuana across the continent, or downright legalization in Uruguay, Latin American leaders are no longer taking direction from Washington -- although they generally remain happy to take US anti-drug dollars.

A North American first: Vancouver's safe injection site opened in 2003. (Creative Commons)
7.Safe Injection Sites Start Spreading

The notion of providing a place where intravenous drug users could shoot up under medical supervision and get access to referrals to public health and welfare services was derided by foes as setting up "shooting galleries" and enabling drug use, but safe injection sites have proven to be an effective intervention, linked to reduced overdoses, reduced crime, and moving drug users toward treatment.

These examples of harm reduction in practice first appeared in Switzerland in the late 1980s; with facilities popping up in Germany and the Netherlands in the 1990s; Australia, Canada, Luxembourg, Norway, and Spain in the 2000s; and, most recently, Denmark and France.

By now, there are nearly a hundred safe injection sites operating in at least 61 cities worldwide, including 30 in Holland, 16 in Germany, and eight in Switzerland. We are likely to see safe injection sites in Ireland and Scotland very soon.

It looks like they will soon be appearing in the United States, too. Officials in at least two cities, San Francisco and Seattle, are well on the way to approving them, although the posture of the federal government could prove an obstacle.

8. And Heroin Maintenance, Too

Even more forward looking as a harm reduction measure than safe injection sites, heroin maintenance (or opiate-assisted treatment) has expanded slowly, but steadily over the past two decades. The Swiss did the first trials in 1994, and now such programs are available there (after decisively winning a 2008 referendum on the issue), as well as Germany and the Netherlands.

Such programs have been found to reduce harm by helping users control their drug use, reducing overdoses, reducing drug-related disease, and promoting overall health and well-being, while also reducing social harms by reducing crime related to scoring drugs, reducing public use and drug markets, and promoting less chaotic lifestyles among participants, leading to increased social integration and better family life and employment prospects.

A Canadian pilot program, the North American Opiate Medication Initiative (NAOMI) produced similar results. Maybe the United States will be ready to get it a try one of these years.

9. New Drugs, New Markets

So far, this has been the century of new drugs. Known variously as "research chemicals," "designer drugs," or fake this and that, let's call them new psychoactive substances (NSPs). Whether it's synthetic cannabinoids, synthetic cathinones, synthetic benzodiazepines, synthetic opioids, or something entirely novel, someone somewhere is producing it and selling it.

In its 2017 annual review, the European Monitoring Center on Drugs and Drug Addictions (EMCDDA) reported in was monitoring 620 NSPs, up from 350 in 2013, and was adding new ones at the rate of over one a week.

These drugs, often of unknown quality or potency, in some cases have wreaked havoc among drug users around the world and are a prime example of the bad things that can happen when you try to suppress some drugs: You end up with worse ones.

The communications technology revolution that began with the world wide web impacts drug policy just as it impact everything else. Beginning with the infamous Silk Road drug sales website, the dark web and the Tor browser have enabled drug sellers and consumers to hook up anonymously online, with the drugs delivered to one's doorstep by Fedex, UPS, and the like.

Silk Road has been taken down and its proprietor, Ross Ulbricht, jailed for decades in the US, but as soon as Silk Road was down, new sites popped up. They got taken down, and again, new sites popped up. Rinse and repeat.

European authorities estimate the size of the dark web drug marketplace at about $200 million a year -- a fraction of the size of the overall trade -- but warn that it is growing rapidly. And why not? It's like an Amazon for drugs.

10.Massacring Drug Suspects in Southeast Asia

Philippines President Rodrigo Duterte has drawn international condemnation for the bloody war he unleashed on drug suspects upon taking office last year. Coming from a man who made his reputation for leading death squads while Mayor of Davao City, the wave of killings is shocking, but not surprising. The latest estimates are that some 12,000 people have been killed.

What's worse is that Duterte's bad example seems to be gaining some traction in the neighborhood. Human rights groups have pointed to a smaller wave of killings in Indonesia, along with various statements from Indonesian officials expressing support for Duterte-style drug executions. And most recently, a Malaysian member of parliament urged his own country to emulate Duterte's brutal crackdown.

This isn't the first time Southeast Asia has been the scene of murderous drug war brutality. Back in 2003, then Thai Prime Minister Thaksin Shinawatra launched a war on drugs that saw 2,800 killed in three months.

Looking Back: The Biggest Domestic Drug Policy Stories of the Past 20 Years [FEATURE]

As Drug War Chronicle marks the publication of its 1,000th issue (with yours truly having authored 863 of them going back to 2000), we reflect on what has changed and what hasn't in the past couple of decades. This piece recounts our domestic drug policy evolution in the US; a companion piece looks at the international picture.

A lot has happened. We've broken the back of marijuana prohibition, even if we haven't killed it dead yet; we've seen medical marijuana gain near universal public acceptance, we've seen harm reduction begin to take hold, we've fought long and hard battles for sentencing reform -- and even won some of them.

But it hasn't all been good. Since the Chronicle began life as The Week Online With DRCNet back in 1997, more than 30 million people have been arrested for drugs, with all the deleterious consequences a drug bust can bring, and despite all the advances, the drug war keeps on rolling. There's been serious progress made, but there's plenty of work left to do. 

Here are the biggest big picture drug stories and trends of the past 20 years:

1. Medical Marijuana

It was November, 1996, when California became the first state to legalize medical marijuana, five years after San Francisco became the first city in the country to pass a medical marijuana measure, thanks in large part to the efforts of activists who mobilized to make its use possible for AIDS patients. Two years later, Alaska, Oregon, and Washington came on board, and three years after that, Hawaii became the first state to allow it though the legislative process. Now, 29 states, the District of Columbia, Guam, and Puerto Rico allow for the use of medical marijuana, and public support for medical marijuana reaches stratospheric levels in polls.

But the battle isn't over. The federal government still refuses to officially recognize medical marijuana, potentially endangering the progress made so far, especially under the current administration, efforts to reschedule marijuana to reflect its medical uses remain thwarted, some of the more recent states to legalize medical marijuana have become perversely more restrictive, and in some of the more conservative states, lawmakers attempt to appease demands for medical marijuana legalization by passing extremely limited CBD-only laws.

2. Marijuana Legalization: In the War on Weed, Weed is Winning

Twenty years ago, pot wasn't legal anywhere, and Gallup had public support for legalization at a measly 25%. A lot has changed since then. It took repeated tries, but beginning in 2012, states started voting to free the weed, with Colorado and Washington leading the way, Alaska and DC coming on board in 2014, and California, Maine, Massachusetts, and Nevada joining the ranks last year. Now, about a fifth of the country has legalized weed, with more states lining up to do so next year, including most likely contenders Delaware, Michigan, New Jersey, and Vermont.

Now, Gallup has support for legalization at 64% nationwide, with even a slight majority (51%) of Republicans on board. The only demographic group still opposed to pot legalization is seniors, and they will be leaving the scene soon enough. Again, the battle is by no means over. Marijuana remains illegal under federal law, and congressional efforts to change that have gone nowhere so far. But it seems like marijuana has won the cultural war, and the rest is just cleaning up what's left of the pot prohibition mess.

3. Marijuana, Inc.: The Rise of an Industry

State-legal marijuana is already a $10 billion dollar a year industry, and that's before California goes on line next month. It's gone from outlaws and hippie farmers in the redwoods to sharp-eyed business hustlers, circling venture capitalists, would-be monopolists, and assorted hangers on, from accountants, lawyers, and publicists to security and systems mavens, market analysts, and the ever-expanding industry press.

These people all have direct pecuniary interests in legal marijuana, and, thanks to profits from the golden weed, the means to protect them. Marijuana money is starting to flow into political campaigns and marijuana business interests organize to make sure they will continue to be able to profit from pot.

Having a legal industry with the wherewithal to throw its weight around a bit is generally -- but not entirely -- a good thing. To the degree that the marijuana industry is able to act like a normal industry, it will act like a normal industry, and that means sometimes the interests of industry sectors may diverge from the interests of marijuana consumers. The industry or some parts of it may complain, for instance, of the regulatory burden of contaminant testing, while consumers have an interest in knowing the pot they smoke isn't poisoned.

And getting rich off weed is a long way from the justice-based demand that people not be harassed, arrested, and imprisoned for using it. Cannabis as capitalist commodity loses some of that outlaw cachet, some ineffable sense of hipster cool. But, hey, you're not going to jail for it anymore (at least in those legal states).

4. The Power of the People: The Key Role of the Initiative Process

The initiative and referendum process, which lets activists bypass state legislatures and put issues to a direct popular vote, has been criticized as anti-democratic because it allows special interests to use an apathetic public to advance their interests, as both car insurers and tobacco companies have attempted in California. It also gets criticized for writing laws without legislative input.

But like any political tool, it can be used for good or ill, and when it comes to drug reform, it has been absolutely critical. When legislatures refuse to lead -- or even follow -- as has been the case with many aspects of drug policy, the initiative process becomes the only effective recourse for making the political change we want. It was through the initiative process that California and other early states approved medical marijuana; it was five years later that Hawaii became the first state where the legislature acted. Similarly with recreational marijuana legalization, every state that has legalized it so far has done it through the initiative process; in no state has it yet made its way through the legislature, although we're hoping that will change next year.

And it's not just marijuana. The initiative process has also been used successfully to pass sentencing reforms in California, and now activists are opening the next frontier, with initiatives being bruited in California and Oregon that would legalize psychedelic mushrooms.

The bad news: Only 24 states have the initiative process. The good news: The ones that do lead the way, setting an example for the others.

Drug prohibition can't be separated from the larger struggle for racial and social justice. (Creative Commons)
5. The Glaring Centrality of Race

It took Michelle Alexander's 2010 publication of The New Jim Crow: Mass Incarceration in the Age of Colorblindness to put a fine point on it, but the centrality of race in the prosecution of the war on drugs has been painfully evident since at least the crack hysteria of the 1980s, if not going back even further to the Nixonian law-and-order demagoguery of the late 1960s and early 1970s.

We've heard the numbers often enough: Blacks make up about 13% of the population and about 13% of drug users, but 29% of all drug arrests and 35% of those doing state prison time for drugs. And this racial disparity in drug law enforcement doesn't seem to be going away.

Neither is the horrendous impact racially-biased drug law enforcement has on communities of color. Each father or mother behind bars leaves a family exploded and usually impoverished, and each heavy-handed police action leaves a bitter aftertaste.

The drug war conveyor belt, feeding an endless number of black men and women into the half-life of prison, is clearly a key part of a system of racially oppressive policing that has led to eruptions from Ferguson to Baltimore. If we are going to begin to try to fix race relations in this country, the war on drugs is one of the key battlefronts. Thanks in part to Alexander's bestseller, civil rights organizations from the traditional to newer movements like Black Lives Matter have devoted increasing focus to criminal justice, including drug policy reform.

6. Harm Reduction Takes Hold

We don't think teenagers should be having sex, but we know they're going to, anyway, so we make condoms available to them so they won't get pregnant or STDs. That's harm reduction. So is providing clean needles to injection drug users to avoid the spread of disease, making opioid overdose drugs like naloxone widely available so a dosing error doesn't turn fatal, passing 911 Good Samaritan laws to encourage and OD victims' friends to call for help instead of run away, and providing a clean, well-lit place where drug users can shoot or smoke or snort their drugs under medical supervision and with access to social service referrals.

Two decades ago, the only harm reduction work going on was a handful of pioneering needle exchanges, thanks to folks like Dave Purchase at the North American Syringe Exchange Network (founded in 1988), and early activists faced harassment and persecution from local authorities. But it was the creation of the Harm Reduction Coalition in 1993 that really began to put the movement on the map.

In this century, harm reduction practices have gained ground steadily. Now, 33 states and DC allow needle exchange programs to operate, 40 states and DC have some form of 911 Good Samaritan laws, and every state in the county has now modified its laws to allow greater access to naloxone.

The next frontier for American drug war harm reduction is safe injection sites, and on the far horizon, opiate-assisted maintenance. There is not yet a single officially sanctioned operating safe injection in the country, but we are coming close in cities such as Seattle and San Francisco. And let's not forget drug decriminalization as a form of harm reduction. It should be the first step, but that's not the world we live in -- yet.

7. Sentencing Fever Breaks

Beginning in the Reagan years and continuing for decades, the number of prisoners in America rose sharply and steadily, driven in large part by the war on drugs. The phenomenon gained America infamy as the world's biggest jailer, whether in raw numbers or per capita.

But by early in the century, the fever had broken. After gradually slowing rates of increases for several years, the number of state and federal prisoners peaked around 2007 and 2008 at just over 1.6 million. At the end of 2015, the last year for which data is available, the number of prisoners was 1.527 million, down 2% from the previous year. And even the federal prison system, which had continued to increase in size, saw a 14% decline in population that year.

But most drug war prisoners are state prisoners, and that's where sentencing reform have really begun to make a difference. States from California to Minnesota to Texas, among others, enacted a variety of measures to cut the prison population, in some cases because of more enlightened attitudes, but in other cases because it just cost too damned much money for fiscal conservatives.

Current US Attorney General Jeff Sessions would like very much to reverse this trend and is in a position to do some damage, for instance, by instructing federal prosecutors to pursue tough sentences and mandatory minimums in drug cases. But he is hampered by federal sentencing reforms passed in the Obama era. Sessions may be able to bump up the number of people behind bars only slightly; the greater danger is that his policies serve as an inspiration for similarly inclined conservatives in the states to try to roll back reforms there.

8. The Rise (and Fall) of the Opioids

In 1996, Purdue Pharma introduced Oxycontin to the market. The powerful new pain reliever was pitched to doctors as not highly addictive by a high pressure company sales force and became a tremendous market success, generating billions for the Sackler family, the owners of the company. Opioid prescriptions became more common.

For many patients, that was a good thing. Purdue Pharma's marketing push coincided with a push by chronic pain advocates -- patients, doctors and others -- to ease prescribing restrictions that had kept many patients in feasibly treatable pain. And which in many cases still do: A 2011 report by the Institute of Medicine found that while "opioid prescriptions for chronic noncancer pain [in the US] have increased sharply . . . [tlwenty-nine percent of primary care physicians and 16 percent of pain specialists report they prescribe opioids less often than they think appropriate because of concerns about regulatory repercussions." As the report noted, having more opioid prescriptions doesn't necessarily mean that "patients who really need opioids [are] able to get them."

While it's popular to blame doctors and Big Pharma for getting a bunch of pain patients addicted to opioids, that explanation is a bit too facile. Many of the people strung out today were never patients, but instead obtained their pain pills on the black market. Through a perverse system of incentives, people on Medicaid could obtain the pills by prescription for next to nothing, then resell them for $40 or $60 apiece to people who wanted them. Some pain management practices were on the cutting edge of relieving pain for patients who needed the help. But others were little more than shady pill mills, popping up in places like Ohio, Kentucky, and Florida -- places that would become the epicenter of an opioid epidemic within a few years.

When the inevitable crackdowns on pain pill prescribing came, legitimate prescribers of course got caught in the crossfire sometimes, especially those who served the poor or the patients who in the worst chronic pain. Their being targeted, or others reining in their prescribing practices, left many patients in the lurch again. And the closure of pill mills left addicted people in the lurch. But there was plenty of heroin to make up for the missing pills the addicted used to take. Mexican farmers have been happy to grow opium poppies for the American market for decades, and Mexican drug trafficking organizations know how to get it to market.

The whole thing has been worsened by the arrival of fentanyl, a synthetic opioid dozens of times stronger than pure heroin, which seems to be coming mostly from rogue Chinese pharmaceutical labs (although the Mexicans appear to be getting in on the act now, too).

And now we have a drug overdose crisis like the country has never seen before, with around 60,000 people estimated to die from overdoses this year, most of them from opioids (by themselves or in combination with alcohol and/or other drugs). The crisis is inspiring both admirable harm reduction efforts and an execrable turn to harsher punishments, while making things harder again for many pain patients. While many argue that the gentle side of the response to this epidemic is because the victims are mainly white, I would suggest that argument pays short shrift to all the years of hard work advocates and activists of all ethnicities have put in to creating more enlightened drug policies.

9. Policing for Profit: The Never Ending Fight to Rein in Asset Forfeiture

Twenty years ago, pressure was mounting in Washington over abuses of the federal civil asset forfeiture program, just as it is now. Back then, passage of the Civil Asset Forfeiture Reform Act (CAFRA) of 2000 marked an important early victory in the fight to rein in what has tartly described as "policing for profit." It was shepherded though the house by then Judiciary Committee Chairman Rep. Henry Hyde, an Illinois Republican.

How times have changed. Now, with federal agents seizing billions of dollars each year though civil forfeiture proceedings and scandalous abuse after scandalous abuse pumping up the pressure for federal reform, the Republican attorney general is calling for more asset forfeiture. And Jeff Sessions isn't just calling for it; he has undone late Obama administration reforms aimed at reining in one of the sleaziest aspects of federal forfeiture, the Equitable Sharing program, although he is having problems getting Congress to go along.

In the years since CAFRA, a number of states have passed similar laws restricting civil asset forfeiture and directing that seized funds go into the general fund or other designated funds, such as education, but state and local police have been able to evade those laws via Equitable Sharing. Under that program, instead of seizing money under state law, they instead turn it over to the federal government, which then returns 80% of it to the law enforcement agency -- not the general fund and not the schools.

This current setup, with its perverse incentives for police to evade state laws and pursue cash over crime, makes asset forfeiture reform a continuing battlefield at both the state and the federal levels. A number of reform bills are alive in the Congress, and year by year, more and more states pass laws limiting civil asset forfeiture or, even better, eliminating it and requiring a criminal conviction before forfeiture can proceed. Fourteen states have now done that, with the most recent being Connecticut, New Mexico and Nebraska. That leaves 36 to go.

10. Despite Everything, the Drug War Grinds On

We have seen tremendous progress in drug policy in the past 20 years, from the advent of the age of legal marijuana to the breaking of sentencing fever to the spread of harm reduction and the kinder, gentler treatment of the current wave of opioid users, but still, the drug war grinds on.

Pot may be legal in eight states, but that means it isn't in 42 others, and more than 600,000 people got arrested for it last year -- down from a peak of nearly 800,000 in 2007, but still up by 75,000 or 12% over 2015.

It's the same story with overall drug arrests: While total drug arrest numbers peaked at just under 1.9 million a year in 2006 and 2007 -- just ahead of the peak in prison population -- and had been trending downward ever since, they bumped up again last year to 1.57 million, a 5.6% increase over 2015.

There are more options for treatment or diversion out of jail or prison, but people are still getting arrested. Sentencing reforms mean some people won't do as much time as they did in the past, but people are still getting arrested. And the drug war industrial complex, with all its institutional inertia and self-interest, rolls on. If we want to actually end the drug war, we're going to have to stop arresting people for drugs. That would be a real paradigm shift.

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