Decriminalization

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Chronicle AM: Trump DEA Pick Has Issues, FL MedMJ Licenses Delayed, More... (10/2/17)

The man Trump will reportedly name to head the DEA has some racial profiling issues in his past, the Global Commission on Drugs issued recommendations on dealing with the opioid crisis, the 6th Circuit slaps down the DEA in an asset forfeiture case, and more.

The next DEA head? New Jersey State Police Superintendent Joseph Fuentes (Wikimedia)
Medical Marijuana

Florida Will Miss Deadline for Issuing Grower Licenses. Florida officials were supposed to distribute ten medical marijuana cultivation licenses Tuesday, but that's not going to happen. Officials said last Friday said the delay would be brief and pointed fingers at Hurricane Irma and a recently-filed lawsuit from a black farmer challenging the state's effort to achieve racial diversity among growers. That farmer charged that the state's guidelines were too restrictive.

Heroin and Prescription Opioids

Global Commission on Drug Policy Releases Position Paper on North America Opioid Crisis. The Global Commission on Drug Policy Monday released a position paper on The Opioid Crisis in North America. The members of the Global Commission, several of whom faced similar crises while occupying the highest levels of government, share their views and recommendations on how to mitigate this epidemic. The Commission warns against cutting the supply of prescription opioids without first having supporting measures in place, and emphasizes the need to improve and expand proven harm reduction services and treatment options, including opioid substitution therapy and heroin-assisted treatment. Regulation of prescription opioids needs to become well-balanced to provide effective pain care while minimizing misuse. The Global Commission also calls for the de facto decriminalization of drug use and possession for personal use at the municipal, city or State/Province levels, so that people in need of health and social services can access them freely, easily, and without fear of punishment. Finally, the Global Commission suggests allowing pilot projects for the responsible legal regulation of currently illicit drugs including opioids, to bypass criminal organizations that drive and benefit from the black market.

Asset Forfeiture

6th Circuit Slaps Down DEA Cleveland Airport Cash Seizure. Even when it looks like they have the perfect case, the DEA and the courts can't cut corners in their efforts to seize suspected drug money, the court held in a case decided late last month. Agents had seized $41,000 in cash from two men with previous drug convictions who had purchased tickets to -- gasp! -- California, and their drug dog told them the money was tainted. The men appealed the seizure, saying the cash was legally obtained, but the DEA moved to strike their claim, saying they had provided no proof, and a lower court agreed. But the DEA and the lower court erred, the appeals court ruled, by shifting the burden of proof to the claimants at that early stage of the proceedings: "Finally, we note our concern that the government's approach would turn the burden of proof in forfeiture actions on its head. Under the Civil Asset Forfeiture Reform Act of 2000 (CAFRA), the government bears the burden of proving by a preponderance of evidence that the subject of a civil forfeiture action is, in fact, forfeitable," the opinion concluded. "Requiring a forfeiture claimant to explain the nature of his ownership at the pleading stage would be asking the claimant to satisfy the government's burden of proof, or at least go a long way toward doing so."

Drug Policy

Trump Could Name Racial Profiling Apologist to Head DEA. The Washington Post has reported that President Trump will name New Jersey State Police Superintendent Joseph Fuentes to head the Drug Enforcement Administration (DEA). In 2000, Fuentes, then a state police trooper, wrote a paper defending "suspect profiling" as the state was embroiled in controversy over "driving while black" and police tactics like asking hotel clerk to report guests who were "suspicious" because they had dreadlocks or spoke Spanish. "Because of the disproportionate involvement of minorities in these... arrests, civil rights groups have branded the whole process of highway drug enforcement as racist," he wrote. But when pressed during his nomination to head the state police, Fuentes disavowed that position and denied being an apologist for racial profiling.

Chronicle AM: Houston Quits Trying "Trace Amount" Drug Cases, US Chides Colombia, More... (9/28/17)

San Antonio quits arresting small-time pot violators, Houston quits prosecuting folks caught with trace amounts of drugs, Vermont begins pondering how to do pot legalization, the US chides Colombia on coca and the FARC, and more.

With moves in Houston and San Antonio, change is coming to the Lone Star State.
Marijuana Policy

Vermont Marijuana Commission Begins Legalization Study. The state Marijuana Advisory Commission is holding its first meeting today. The commission is charged with studying the best way to legalize marijuana in the state. Gov. Phil Scott (R) empaneled the commission after vetoing a legalization bill in May. In his veto message, Scott said he wasn't opposed to legalization, but had concerns about underage use and impaired driving. The commission is set to report back to the legislature in January.

San Antonio to Quit Arresting People for Pot Possession. Authorities in Bexar County (San Antonio) announced Wednesday that they will no longer arrest small-time marijuana and other misdemeanor offenders, instead issuing them citations. People cited must complete a program before charges are dismissed. San Antonio now joins Harris County (Houston) and Dallas in enacting policies to no longer arrest small-time pot offenders.

Medical Marijuana

Michigan Lawmakers Seek to Keep Dispensaries Open. As the state prepares to shift to a new regime allowing licensed dispensaries, the Department of Licensing and Regulatory Affairs has tentatively asked all existing dispensaries to shut down by December 15 and seek licenses. But some legislators have filed House Bill 5014, which would allow dispensaries to stay open while their license applications are pending before the department. A Senate version of the bill is expected to be filed shortly.

Law Enforcement

Houston Stops Prosecuting Cases of Trace Amounts of Drugs. Harris County (Houston) District Attorney Kim Ogg has quit pursuing thousands of "trace drug" cases, where people are charged with drug possession based on drug residues left in baggies or syringes. Ogg actually quietly implemented the policy in July, but has gone public with it now. The move will save the county the cost of prosecuting somewhere between 2,000 and 4,000 felony cases each year.

Sentencing

New House Bill Creates Incentives to Reduce Crime, Incarceration at Same Time. Rep. Tony Cardenas (D-CA) filed the Reverse Mass Incarceration Act of 2017 on Wednesday. Companion legislation, Senate Bill 1458, was filed in June by Sens. Cory Booker (D-NJ) and Richard Blumenthal (D-CT). The bill would essentially reverse the 1994 crime bill, which provided incentives to states to increase prison populations. It would instead pay states to decrease incarceration rates through incentivizing grants.

International

US Ambassador to Colombia Says FARC Has Not Complied With Peace Deal. "The FARC have not complied, in my opinion, with their obligations under the agreement," US Ambassador to Colombia Kevin Whitaker said during a recent interview with El Tiempo. Whitaker claimed the leftist rebels continued to encourage coca cultivation in some parts of the country and said they should not be involved in government-sponsored crop substitution programs. Whitaker's comments are in line with other US officials, who have become increasingly critical of the peace deal between the FARC and the government as coca and cocaine production have increased in the past two years.

Philippines Claims It Doesn't Allow Extrajudicial Killings in Drug War. In a statement released as Foreign Affairs Secretary Alan Peter Cayetano met in Washington with Secretary of State Rex Tillerson, the Philippines government denied it had a policy of killing suspected drug users and dealers. "Contrary to media reports, Cayetano also clarified to Tillerson that the Philippines does not have a state policy allowing extrajudicial killings, especially of illegal drug suspects," the statement read. The statement also welcomed further cooperation with Washington and reiterated the "seriousness" of the country's "drug problem." Thousands of people have been killed since President Duterte unleashed his drug war, but the Philippines claims it only kills suspects who were violently resisting arrest.

Chronicle AM: Citing Trump, DEA Head Quits; Atlanta Moves Toward MJ Decrim, More... (9/27/17)

DEA Acting Administrator Chuck Rosenberg is outta here, Atlanta moves closer to pot decriminalization, San Francisco goes slow on legal pot sales, Florida's governor wants to restrict opioid prescriptions, and more.

Florida Gov. Rick Scott (R) wants to restrict opioid prescriptions. That could leave some patients in the lurch. (fl.gov)
Atlanta Decriminalization Ordinance Advances. The city council's Public Safety Committee approved a decriminalization bill Tuesday night. The measure now goes to the full city council. If passed, the measure would give Atlanta police the discretion of citing pot law violators under the ciy ordinance or charging them with the crime of marijuana possession under state law.

Los Angeles Marijuana Regulations Advance. A city council committee approved new rules to regulate the impending legal marijuana industry Monday. The measure now goes to the full city council. The rules spell out requirements for marijuana growers, manufacturers, and sellers, but don't yet address some of the thorniest issues, including licensing and public smoking laws.

San Francisco Looks to Delay Legal Marijuana Sales. City supervisors introduced an ordinance to regulate the impending legal marijuana industry Tuesday, but admitted they have no idea what regulation will look like or how it will operate. And the city won't issue permits for marijuana businesses until it gets it figured out. Among issues the supes will have to handle are ensuring they create a method for helping low-income residents, people of color, and former drug offenders get in on the action. A report on the equity program is due November 1. Earlier this month, supervisors enacted a 45-day moratorium on new dispensary permits, but that is likely to be extended into next year, beyond the hoped for January 1 starting date.

Heroin and Prescription Opioids

Florida Governor Calls for Restrictions on Opioid Prescribing. Gov. Rick Scott (R) on Tuesday rolled out a serious of proposals to deal with the opioid crisis, including a three-day limit on opioid prescriptions, requiring all doctors prescribing opioids to enroll in the Florida Prescription Drug Monitoring Program, and taking on unlicensed prescribers with new regulations. The governor's press release suggests the limitation on prescription opioids is a general one, not limited to new prescriptions or prescription for acute pain. If enacted, such a measure would cause huge disruptions for Floridians accustomed to receiving larger supplies for the treatment of chronic pain and other ailments.

Drug Policy

DEA Head Quits, Says Trump Has Little Respect for the Law. Acting DEA Administrator Chuck Rosenberg will resign at the end of this week, law enforcement officials said. The unnamed sources said Rosenberg had become convinced that his boss, President Trump, had little respect for the rule of law. Trump's July Long Island speech where he urged police to "please don't be too nice" to suspects drew a rebuke from Rosenberg, and Rosenberg, who had been a chief of staff to Trump-fired former FBI Director James Comey, had reportedly grown "disillusioned" with the president.

International

Gunmen Kill 14 at Mexico Drug Rehab Center. Masked gunmen broke into the Familias Unidas drug rehab center in Chihuahua City Tuesday and shot 22 people, leaving 14 dead. The state is embroiled in violent conflict between the Juarez and Sinaloa cartels, and cartel hit-men are the leading suspects. Cartels have on some occasions used such centers as barracks for their soldiers, and they have been attacked by rival cartels before, most notably in Ciudad Juarez in 2009 and Torreon in 2011.

Chronicle AM: Ontario Goes With State-Owned Pot Shops, DEA Agent's Sordid Affair, More... (9/11/17)

Canada's most populous province is going with a state monopoly on legal marijuana sales, the CARERS Act is back, last week's surprise budget deal preserves protections for legal medical marijuana states for a few more months, and more.

Medical Marijuana

Congressional Budget Deal Preserves Medical Marijuana Protections -- For Now. The budget deal agreed to last week between President Trump and congressional leaders extends federal protections to state-legal medical marijuana programs through December 8. This provides an opportunity for House GOP leaders to rectify their decision last week not to allow a vote on the amendment that for the past four years has blocked the Justice Department from spending federal funds to go after medical marijuana in states where it is legal.

Bipartisan Group of Senators Reintroduce CARERS Act. Sens. Cory Booker (D-NJ), Al Franken (D-MN), Kirsten Gillibrand (D-NY), Lisa Murkowski (R-AK), and Rand Paul (R-KY) refiled the CARERS Act (Senate Bill 1764) last Wednesday. The bill aims to "extend the principle of federalism to State drug policy, provide access to medical marijuana, and enable research into the medicinal properties of marijuana."

Iowa Attorney General Cites Fed Fears to Block CBD from Out of State Dispensaries. The attorney general's office has advised the Department of Public Health not to implement a part of the state's CBD medical marijuana law that would have licensed two dispensaries from bordering states to supply CBD to Iowa patients. "It is possible that state's program may come under increased scrutiny from the federal government," a spokesman told the Des Moines Register, adding that the halt would remain "until the federal government provides further guidance regarding state medical marijuana programs."

Drug Policy

Florida Attorney General Pam Bondi Joins Trump's Drug Task Force. A Republican and Trump supporter, Bondi has been appointed to the Presidential Commission on Drug Addiction and the Opioid Crisis, her office announced last Friday. The other commission members are chairman and New Jersey Gov. Chris Christie (R), Massachusetts Gov. Charlie Baker (R), North Carolina Roy Cooper (D), former US Rep. Patrick Kennedy (D-MA), and Harvard professor Dr. Bertha Madras. The commission is supposed to issue a final report by October 1.

Heroin and Prescription Opioids

New York Congressman Files Bill to Broaden Medication Assisted Treatment. Rep. Paul Tonko (D-NY) has filed House Resolution 3692 to "amend the Controlled Substances Act to provide additional flexibility with respect to medication-assisted treatment for opioid use disorders."

Law Enforcement

DEA Agent's Scandalous Affair Unveiled. A Justice Department inspector general's report released last Thursday revealed one bit of juicy scandal: A DEA agent carried on a wild affair with a convicted drug criminal for five years, and let her listen to active wiretaps, roam the evidence room unattended, and had sex with her in his office and official vehicle. The whole thing unraveled when she got pregnant, he reacted unfavorably, and she ratted him out to superiors. The unnamed agent was originally only suspended for 45 days, but was eventually fired.

International

Ontario Will Only Allow Legal Pot Sales in Government Monopoly Shops. Canada's most populous province announced last Friday that it will open 150 standalone pot shops operated by the Liquor Control Board of Ontario (LCBO), as well as eventually allowing an online order service. Dispensaries that have sprouted up in the province are out of luck: "Illicit cannabis dispensaries are not and will not be legal retailers," the province explained in a news release. "The province will pursue a coordinated and proactive enforcement strategy, working with municipalities, local police services, the OPP and the federal government to help shut down these illegal operations."

Canadian Prime Minister Just Says No to Drug Decriminalization. Prime Minister Justin Trudeau has rejected calls from British Columbia public health and political figures to embrace drug decriminalization as part of a solution to the country's opioid crisis. "We are making headway on this and indeed the crisis continues and indeed spreads across the country but we are not looking at legalizing any other drugs than marijuana for the time being," Trudeau told a news conference in BC last Thursday.

German Poll Finds Solid Majority for Marijuana Legalization. A Mafo Market Research Institute poll has found signs of a rapid shift in support for freeing the weed in Germany. Polls going back to 2001 have had support hovering around 19%, but things began to change around 2014. That year, a poll had 30% supporting legalization. In November 2015, another poll had support at 42%. The new Mafo poll has support at 57.5%.

Chronicle AM: OR Defelonizes Drug Possession, Iran Could Cut Drug Executions, More... (8/16/17)

Oregon is the latest state to decriminalize drug possession, Iran moves to reduce drug trafficking executions, Philippines President Duterte cheers on cops killing drug suspects, and more.

We could see less of this if a bill in Iran's parliament wins final approval. (handsoffcain.net)
Marijuana Policy

Maine Legal Pot Sales Won't Meet February Deadline. The legislative committee tasked with implementing marijuana legalization finished its preliminary work Tuesday, but with the committee's recommendations still having to be turned into a draft bill to be debated by legislators, the agencies that will oversee the recreational market will not be able to meet a February deadline for opening pot shops, committee co-chair Sen. Roger Katz (R-Augusta) said.

Michigan Legalization Signature Gathering Campaign Passes Halfway Mark. MI Legalize, the folks behind the 2018 marijuana legalization initiative, announced Wednesday that they will pass the 200,000 mark on raw signatures next week. The campaign has set a goal of collecting 366,000 raw signatures to meet a state requirement of 252,523 valid voter signatures to qualify for the ballot. The campaign needs to gather its signatures within a six-month window and appears to be easily on track to do so.

Drug Policy

Oregon Becomes Latest State to Defelonize Drug Possession. Governor Kate Brown (D) signed into law on Tuesday a bill that defelonizes the possession of personal amounts of all drugs, including cocaine, heroin, and methamphetamine. Possession of small amounts will now be a misdemeanor. The new law takes effect immediately. [Editor's Note: An earlier version of this article incorrectly described the law as decriminalizing drug possession.]

International

Iran Parliament Moves to Reduce Drug Executions. The Majlis on Sunday passed a long-discussed amendment to the country's drug laws that would limit imposition of the death penalty in drug trafficking cases to those involving more than 110 pounds of opium or more than 4.4 pounds of heroin, morphine, or cocaine. Iran carried out more than 500 executions last year, most of them for drug offenses, making it one of the world's leading executioners. An estimated 5,000 people are on death row for drug offenses in Iran, and the new law would save many of them from the gallows. But it's not a done deal yet: The measure still needs another parliamentary vote and then must be approved by the council of clerics.

Philippines Police Kill 32 in Drug Raids, Earn Praise from Duterte. In one of the bloodiest operations of a very bloody war on drug users, police killed 32 people on Monday in raids in Bulacan province. Police were doing a heck of a job, Duterte said in remarks reported by France 24 TV: "The ones who died recently in Bulacan, 32, in a massive raid, that was good," Duterte said. "If we could kill another 32 everyday, then maybe we can reduce what ails this country."

Belize Marijuana Decriminalization Bill Set for Parliament. An amendment to the country's Misuse of Drugs Act that would decriminalize the possession of up to 10 grams of marijuana is set to be filed in parliament on Friday, according to committee members and Solicitor General Nigel Hawke. The proposal has been in the works since 2015, when legal drafting got underway.

Chronicle AM: Uruguay Marijuana Pharmacy Sales Begin, DPA Names New Chief, More... (7/19/17)

All New England states have now either decriminalized or legalized marijuana, the Drug Policy Alliance names a new head, Uruguay begins legal pot sales at pharmacies, and more.

Marijuana Policy

Massachusetts Legalization Implementation Bill Could Go to Governor This Week. Legislative leaders defended their compromise pot bill, House Bill 3818, Wednesday, and votes on the bill could come at any time. The measure is expected to pass the legislature and then head to the desk of Gov. Charlie Baker (R), who is expected to sign it. The bill increases taxes from 12% to up to 20%, and would allow authorities in localities that didn't vote in favor of the legalization initiative to ban pot businesses without a popular vote.

New Hampshire Governor Signs Decriminalization Bill. Gov. Chris Sununu (R) has signed into law House Bill 640, which eliminates criminal penalties for the possession of up to three-quarters of an ounce of marijuana. Instead of jail time, violators will face a $100 fine for a first offense, $200 for a second, and $350 for a third offense within three years of the original offense. With the state now adopting decriminalization, all of New England has now either legalized or decriminalized marijuana possession.

Drug Policy

Drug Policy Alliance Names New Executive Director. The Drug Policy Alliance (DPA), the nation's most powerful drug reform organization, has selected a replacement for founder and long-time executive director Ethan Nadelmann, who stepped down earlier this year.The DPA board of directors announced Tuesday it had voted unanimously to appoint Maria McFarland Sánchez-Moreno as Nadelmann's successor. McFarland Sánchez-Moreno is moving over from Human Rights Watch, where for the past 13 years she served as Co-Director of the US Program, where she picked up plenty of domestic and international drug policy experience. She also pushed for the group to more directly take on the war on drugs as a human rights issue, and as a result, Human Rights Watch became the first major international human rights organization to call for drug decriminalization and global drug reform.

International

Uruguay Legal Marijuana Sales in Pharmacies Get Underway. Pharmacists in Uruguay began selling marijuana to customers Wednesday, the last step in a pioneering national legalization process that began more than three years ago. Uruguay is the first country in the world to completely legalize marijuana for recreational use. Canada is set to be next.

Chronicle AM: MI Init Signatures Coming Fast, OR Decriminalizes Drug Possession, More... (7/11/17)

Michigan legalizers are fast off the mark in their initiative signature-gathering campaign, the Drug Policy Alliance and 30 groups call for drug decriminalization, Oregon is set to defelonize drug possession, and more.

Marijuana Policy

Michigan Initiative Campaign Already Has 100,000 Raw Signatures. The Coalition to Regulate Marijuana Like Alcohol, which wants to put a legalization initiative on the November 2018 ballot, announced Monday that signature gathering was ahead of schedule and that the group had already passed the 100,000 mark. To qualify for the ballot, the group must collect 252,523 valid voter signatures within a six-month period. They began signature gathering in late May.

DC Public Use Marijuana Arrests Tripled Last Year. More than 400 people were arrested in the nation's capital last year for publicly using marijuana, a nearly three-fold jump over the 142 arrested in 2015. And this year so far the pace of arrests remains steady. Some advocates criticized the increase in arrests, with Adam Eidinger, the man behind DC's legalization law, saying the right to smoke marijuana in the District is effectively reserved for "those who own private property," with renters, residents of public housing, and visitors out of luck. "A lot of it is people not realizing they can't smoke in public," he said of the increase in arrests. "A lot of it is people who have no place else to go."

Medical Marijuana

Puerto Rico Governor Signs Medical Marijuana Bill. Gov. Ricardo Rosello, a former biomedical engineer, on Sunday signed into law a bill that legalizes and regulates medical marijuana in the US territory. The move comes after Rossello criticized an earlier executive order allowing medical marijuana as insufficient. "As a scientist, I know firsthand the impact that medicinal cannabis has had on patients with various diseases," he said. "The time has come for Puerto Rico to join the flow of countries and states that have created similar legislation."

Drug Policy

Drug Policy Alliance Report Calls for US Drug Decriminalization. In a new report endorsed by more than 30 organizations, the Drug Policy Alliance is calling for the end of arresting people simply for using or possessing drugs. "Our current laws have branded tens of millions of people with a lifelong criminal record that makes it hard to get a job or an apartment," said Art Way, senior director of national criminal justice strategy at the Drug Policy Alliance. "The experience of the last few decades shows that criminalization has been utterly ineffective in reducing problematic drug use."

Sentencing

Oregon Defelonizes Drug Possession. The state legislature has approved House Bill 2355, which makes simple possession of drugs such as heroin, MDMA, and meth a misdemeanor punishable by no more than a year in jail. Under current law, drug possession is a felony punishable by up to 10 years in prison. The bill also includes a provision aimed at reducing racial profiling by police. The legislature also approved House Bill 3079, which reduces penalties for property crimes often related to problematic drug use. Gov. Kate Brown (D) is expected to sign the bills into law shortly.

Chronicle AM: WHO Calls for Drug Decrim, NV Legal MJ Sales Start Saturday, More... (6/29/17)

Massachusetts pols continue to work on a legalization implementation compromise, Nevada legal marijuana sales begin Saturday, a pair of federal sentencing reform bills get introduced, the World Health Organization calls for global drug decriminalization, and more.

Legal marijuana sales begin a minute after midnight Saturday -- but don't light up on the Strip! (Wikimedia)
Marijuana Policy

Possible Tax Compromise in Massachusetts. House Speaker Robert DeLeo (D-Winthrop) has said he may be willing to move away from the House's position that retail marijuana sales be taxed at 28%, more than twice the 12% envisioned in the legalization initiative and the competing Senate bill. "I suppose there could be some negotiation," he said, referring to a legislative conference committee trying to reach agreement. "I found they are having fruitful conversations, so to speak, so I am hopeful," DeLeo said.

Nevada Legal Sales Begin at 12:01 a.m,Saturday. Nevadans and visitors will be able to legally purchase marijuana as of a minute after midnight Saturday. A few dozen medical marijuana dispensaries have been licensed to sell their products to anyone 21 and over with a proper ID as a stopgap measure before the recreational marijuana sales system goes online next year, and at least some of them will be open Saturday night to take advantage of the commencement of early legal sales. But tourists in particular will have to figure out where to smoke it -- there's no smoking on the strip, in casinos, or hotel rooms.

Medical Marijuana

Nevada Dispensaries Get Tougher Regulations on Edibles as Legal Sales Loom. Gov. Brian Sandoval (R) Monday signed a Taxation Department emergency regulation that will impose tougher regulations beginning Saturday, the same day legal recreational pot sales through dispensaries begins. Under the new regulations, edibles can't contain more than 10 milligrams of THC per dose or 100 per package, they can't resemble lollipops or other products marketed to children, they can't look like real or fictional characters or cartoons, and they can't have images of cartoon characters, action figures, toys, balloons or mascots on the packaging.

Sentencing

Cory Booker Files Bill to Encourage States to Reduce Prison Populations. Sen. Cory Booker (D-NJ) has filed Senate Bill 1458, "to establish a grant program to incentivize states to reduce prison populations, and for other purposes." The bill is not yet available on the congressional web site.

Keith Ellison Files Bill to Defelonize Drug Possession, End Crack/Powder Cocaine Sentencing Disparity. Rep. Keith Ellison (D-MN) has filed House Resolution 3074, "to reclassify certain low-level felonies as misdemeanors, to eliminate the increased penalties for cocaine offenses where the cocaine involved is cocaine base, to reinvest in our communities, and for other purposes. The bill is not yet available on the congressional website.

International

UN World Health Organization Calls for Global Drug Decriminalization. The call came in a joint United Nations statement on ending discrimination in health care. One way that nations can do that, WHO said, is by: "Reviewing and repealing punitive laws that have been proven to have negative health outcomes and that counter established public health evidence. These include laws that criminalize or otherwise prohibit gender expression, same sex conduct, adultery and other sexual behaviors between consenting adults; adult consensual sex work; drug use or possession of drugs for personal use; sexual and reproductive health care services, including information; and overly broad criminalization of HIV non-disclosure, exposure or transmission."

Human Rights Watch Calls Duterte's First Year a Human Rights Calamity. The New York-based human rights watchdog said Wednesday Philippine President Rodrigo Duterte's first year in office was "a human rights calamity" with thousands of people killed in Duterter's war on drugs. "President Duterte took office promising to protect human rights, but has instead spent his first year in office as a boisterous instigator for an unlawful killing campaign," Phelim Kine, deputy Asia director at Human Rights Watch said in a statement. "Duterte has supported and incited 'drug war' killings while retaliating against those fearless enough to challenge his assault on human rights," he added. Human Rights Watch also slammed Duterte for subjecting critics of his anti-drug campaign to harassment, intimidation, and even arrest. "A UN-led international investigation is desperately needed to help stop the slaughter and press for accountability for Duterte's human rights catastrophe," the group said.

Chronicle AM: IL Passes Forfeiture Reform, House Heroin Task Force Proposals, More... (6/28/17)

Utah's new medical marijuana initiative is exposing fissures between the LDS leadership and membership, an asset forfeiture reform bill sits on the desk of Illinois' governor, a bipartisan House heroin task force releases its proposals, and more.

Utahns are ready for medical marijuana. (Harborside)
Medical Marijuana

Utah Poll Has Strong Support for Medical Marijuana. Just days after the Utah Patient Coalition took initial steps to put an initiative on the November 2018 ballot, a poll it sponsored showed that 73% of Utah voters support the initiative, with only 20% opposed. Support came from all demographic groups, including active Mormons, 63% of whom said they were in favor.

Mormon Church Opposes Utah Medical Marijuana Initiative. The powerful Salt Lake City-based Church of Jesus Christ of Latter Day Saints (Mormons) has come out in opposition to a medical marijuana initiative filed this week by the Utah Patients Coalition. The church acknowledged ongoing interest in medical marijuana and said it supported further research but argued that approval of medical marijuana should come after "the FDA approval process that all other drugs must go through before they are prescribed to patients."

Asset Forfeiture

Illinois Legislature Passes Asset Forfeiture Reform. The legislature last Friday gave final approval to an asset forfeiture reform measure, House Bill 303, that raises the standard of evidence for seizures from probable cause to a preponderance of the evidence and bars seizures of under $500 in most drug cases. The bill does not, however, require a criminal conviction before a seizure can occur -- a sop to prosecutors and law enforcement groups who lobbied for that provision to be dropped. The bill now awaits action from Gov. Bruce Rauner (R).

Heroin and Prescription Opioids

House Bipartisan Heroin Task Force Releases Proposals. A bipartisan group of House members released a raft of proposals Tuesday aimed at fighting the nation's drug problems as "an American issue," not a partisan one. The package of bills from the Bipartisan Heroin Task Force includes increased funding for drug-screening gear at the border, studies on the effects of synthetic drug use, greater flexibility for use of health savings accounts, and creation of treatment centers for infants exposed to opioids during their mothers pregnancy.

International

Georgia Parliament Takes Up Drug Decriminalization. The Parliamentary Health Committee has introduced a bill to decriminalize the possession of all drugs that was developed by the National Drug Policy Platform, a grouping of more than 40 NGOs. The bill would annul the country's much-criticized strict 2007 drug law, as well as making changes to at least 10 criminal and administrative laws. The core principle behind the bill is to shift the country's drug policy away from a criminal justice approach, treating drug use instead as a public health issue. Earlier this month, parliament gave initial approval to marijuana decriminalization. Both pot decrim and broader drug decrim should be addressed during parliament's looming autumn session.

America, We Can Fix This: 24 Ways to Reduce Opioid Overdoses and Addiction [FEATURE]

Drugs, mainly opioids, are killing Americans at a record rate. The number of drug overdose deaths in the country quadrupled between 1999 and 2010 -- and compared to the numbers we're seeing now, those were the good old days.

Some 30,000 people died of drug overdoses in 2010. According to a new estimate from the New York Times, double that number died last year. And the rate of increase in overdose deaths was growing, up a stunning 19% over 2015.

The Times' estimate of between 59,000 and 65,000 drug overdose deaths last year is greater than the number of American soldiers killed during the entire Vietnam War, greater than that number of people killed in the peak year for car crash deaths, greater than the number of people who died in the year the AIDS epidemic peaked, and higher than the peak year for gun deaths.

In the first decade of the century, overdoses and addiction rose in conjunction with a dramatic increase in prescription opioid prescribing; since then, as government agents and medical professionals alike sought to tamp down prescribing of opioids, the overdose wave has continued, now with most opioid OD fatalities linked to illicit heroin and powerful black market synthetic opioids, such as fentanyl and carfentanil.

The Centers for Disease Control and Prevention says we are in the midst of "the worst drug overdose epidemic in history," and it's hard to argue with that.

So, what do we do about it? Despite decades of failure and unintended consequences, the prohibitionist reflex is still strong. Calls for more punitive laws, tougher prosecutorial stances, and harsher sentences ring out from state houses across the land to the White House. But tough drug war policies haven't worked. The fact that the overdose and addiction epidemic is taking place under a prohibition regime should make that self-evident.

More enlightened -- and effective -- approaches are now being tried, in part, no doubt, because today's opioid epidemic is disproportionately affecting white, middle class people and not the inner city black people identified with heroin epidemics of the past. But they are also being tried because for the past quarter-century an ever-growing drug reform movement has articulated the failures of prohibition and illuminated more effective alternatives.

The drug reform movement's most powerful organization, the Drug Policy Alliance, this spring published A Public Health and Safety Approach to Problematic Opioid Use and Overdose, which lays out more than two dozen specific policy prescriptions in the realms of addiction treatment, harm reduction, prevention, and criminal justice that have been proven to save lives and reduce dependency on opioids. These policy prescriptions are doable now -- and some are being implemented in some fashion in some places -- but require that political decisions be made, or that forces be mobilized to get those decisions made. Some would require a radical divergence from the orthodoxies of drug prohibition, but that's a small price to pay given the mounting death toll.

Here are 24 concrete policy proposals that can save lives and reduce addiction right now. All the facts and figures are fully documented in the heavily-annotated original. Consult it if you want to get down to the nitty-gritty. In the meantime:

Addiction Treatment

1. Create Expert Panel on Treatment Needs: States should establish an expert panel to address effective treatment needs and opportunities. The expert panel should evaluate barriers to existing treatment options and make recommendations to the state legislature on removing unnecessary impediments to accessing effective treatment on demand. Moreover, the panel should determine where gaps in treatment exist and make recommendations to provide additional types of effective treatment and increased access points to treatment (such as hospital-based on demand addiction treatment). The expert panel must also set evidence-based standards of care and identify the essential components of effective treatment and recovery services to be included in licensed facilities, especially with regards to medication-assisted treatment, admission requirements, discharge, continuity of care and/or after-care, pain management, treatment programming, integration of medical and mental health services, and provision of or referrals to harm reduction services. The expert panel should identify how to improve or create referral mechanisms and treatment linkages across various healthcare and other providers. The panel should establish clear outcome measures and a system for evaluating how well providers meet the scientific requirements the panel sets. And, finally, the expert panel should evaluate opportunities under the ACA to expand coverage for treatment.

2. Increase Insurance Coverage for Medication-Assited Treatment (MAT): Seventeen state medical plans under the Patient Protection and Affordable Care Act (ACA) do not provide coverage for methadone or buprenorphine for opioid dependence. Moreover, the Veterans Administration's (VA's) insurance system has explicitly prohibited coverage of methadone and buprenorphine treatment for active duty personnel or for veterans in the process of transitioning from Department of Defense care. As a result, veterans obtaining care through the VA are denied effective treatment for opioid dependence. Insurance coverage for these critical medications should be standard practice.

3. Establish and Implement Office-Based Opioid Treatment for Methadone: Currently, with a few exceptions, methadone for the treatment of opioid dependence is only available through a highly regulated and widely stigmatized system of Opioid Treatment Programs (OTPs). Moreover, several states have imposed moratoriums on establishing new OTPs that facilitate methadone treatment despite large, unmet treatment needs for a growing opioid-dependent population. Patients enrolled in methadone treatment in many communities are often limited to visiting a single OTP and face other inconveniences that make adherence to treatment more difficult. Initial trials have suggested that methadone can be effectively delivered in office-based settings and that, with training, physicians would be willing to prescribe methadone to their patients to treat their opioid dependence. Office-based methadone may help reduce the stigma associated with methadone delivered in OTPs as well as provide a critical window of intervention to address medical and psychiatric conditions. Office-based opioid treatment programs offering methadone have been implemented in California, Connecticut, and Vermont.

4. Provide MAT in Criminal Justice Settings, Including Jails/Prisons and Drug Courts: Individuals recently released from correctional settings are up to 130 times more likely to die of an overdose than the general population, particularly in the immediate two weeks after release. Given that approximately one quarter of people incarcerated in jails and prisons are opioid-dependent, initiating MAT behind bars should be a widespread, standard practice as a part of a comprehensive plan to reduce risk of opioid fatality. Jails should be mandated to continue MAT for those who received it in the community and to assess and initiate new patients in treatment. Prisons should initiate methadone or buprenorphine prior to release, with a referral to a community-based clinic or provider upon release. In addition, drug courts should be mandated to offer participants the option to participate in MAT if they are not already enrolled, make arrangements for their treatment, and should not be permitted to make discontinuation of MAT a criterion for successful completion of drug court programs. The Substance Abuse and Mental Health Services Administration will no longer provide federal funding to drug courts that deny the use of MAT when made available to the client under the care of a physician and pursuant to a valid prescription. The National Association of Drug Court Professionals agrees: "No drug court should prohibit the use of MAT for participants deemed appropriate and in need of an addiction medication."

Medication-Assisted Treatment (MAT) can help.
5. Offer Hospital-Based MAT: Emergency departments should be mandated to inform patients about MAT and offer buprenorphine to those patients that visit emergency rooms and have an underlying opioid use disorder, with an appointment for continued treatment with physicians in the community. Hospitals should also offer MAT within the inpatient setting, and start MAT prior to discharge with community referrals for ongoing MAT.

6. Assess Barriers to Accessing MAT to Increase Access to Methadone and Buprenorphine: A number of known barriers prevent MAT from being as widely accessible as it should be. The federal government needs to reevaluate the need for and effectiveness of the OTP model and make necessary modifications to ensure improved and increased access to methadone. And, while federal law allows physicians to become eligible to prescribe buprenorphine for the treatment of opioid dependence, it arbitrarily caps the number of opioid patients a physician can treat with buprenorphine at any one time to 30 through the first year following certification, expandable to up to potentially 200 patients thereafter. Moreover, states need to evaluate additional barriers created by state law, including, among others, training and continuing education requirements, restrictions on nurse practitioners, insurance enrollment and reimbursement, and lack of provider incentives.

7. Establish and Implement a Heroin-Assisted Treatment Pilot Program: Heroin-assisted treatment (HAT) refers to the administering or dispensing of pharmaceutical-grade heroin to a small and previously unresponsive group of chronic heroin users under the supervision of a doctor in a specialized clinic. The heroin is required to be consumed on-site, under the watchful eye of trained professionals. This enables providers to ensure that the drug is not diverted, and allows staff to intervene in the event of overdose or other adverse reaction. Permanent HAT programs have been established in the United Kingdom, Switzerland, the Netherlands, Germany and Denmark, with additional trial programs having been completed or currently taking place in Spain, Belgium and Canada. Findings from randomized controlled studies in these countries have yielded unanimously positive results, including: 1) HAT reduces drug use; 2) retention rates in HAT surpass those of conventional treatment; 3) HAT can be a stepping stone to other treatments and even abstinence; 4) HAT improves health, social functioning, and quality of life; 5) HAT does not pose nuisance or other neighborhood concerns; 6) HAT reduces crime; 7) HAT can reduce the black market for heroin; and, 8) HAT is cost-effective (cost-savings from the benefits attributable to the program far outweigh the cost of program operation over the long-run). States should consider permitting the establishment and implementation of a HAT pilot program. Nevada and Maryland have introduced legislation of this nature and the New Mexico Legislature recently convened a joint committee hearing to query experts about this strategy.

8. Evaluate the Use of Cannabis to Decrease Reliance on Prescription Opioids and Reduce Opioid Overdose Deaths: Medical use of marijuana can be an effective adjunct to or substitute for opioids in the treatment of chronic pain. Research published last year found 80 percent of medical cannabis users reported substituting cannabis for prescribed medications, particularly among patients with pain-related conditions. Another important recent study reported that cannabis treatment "may allow for opioid treatment at lower doses with fewer [patient] side effects." The result of substituting marijuana, a drug with less side effects and potential for abuse, has had profound harm reduction impacts. The Journal of the American Medical Association, for instance, documents a relationship between medical marijuana laws and a significant reduction in opioid overdose fatalities: "[s]tates with medical cannabis laws had a 24.8% lower mean annual opioid overdose mortality rate compared with states without medical cannabis laws."Another working paper from the RAND BING Center for Health Economics notes that "states permitting medical cannabis dispensaries experienced a 15 to 35 percent decrease in substance abuse admissions and opiate overdose deaths." There is also some emerging evidence that marijuana has the potential to treat opioid addiction, but additional research is needed.

Harm Reduction

9. Establish and Implement Safe Drug Consumption Services: States and/or municipalities should permit the establishment and implementation of safe drug consumption services through local health departments and/or community-based organizations. California and Maryland have introduced legislation to establish safe drug consumption services, and the City of Ithaca, New York has included a proposal for a supervised injection site in their widely-publicized municipal drug strategy. In Washington State, the King County Heroin an Prescription Opiate Addiction Task Force has recommended the establishment of at least two pilot supervised consumption sites as part of a community health engagement program designed to reduce stigma and "decrease risks associated with substance use disorder and promote improved health outcomes" in the region that includes the cities of Seattle, Renton and Auburn.

10. Maximize Naloxone Access Points, Including Lay Distribution and Pharmacy Access, As Well As Immunities for Prescription, Distribution and Administration:Naloxone should be available directly from a physician to either a patient or to a family member, friend, or other person in a position to assist in an overdose, from community-based organizations through lay distribution or standing order laws, and from pharmacies behind-the-counter without a prescription through standing order, collaborative agreement, or standardized protocol laws or regulations. Though some states, including California, New York, Colorado and Vermont, among others, have access to naloxone at each of these critical intervention points, many others only provide naloxone through a standard prescription. Civil and criminal immunities should be provided to prescribers, dispensers and lay administrators at every access point. In addition, all first responders, firefighters and law enforcement should be trained on how to recognize an overdose and be permitted to carry and use naloxone. Naloxone should also be reclassified as an over-the-counter (OTC) medication. Having naloxone available over-the-counter would greatly increase the ability of parents, caregivers, and other bystanders to intervene and provide first aid to a person experiencing an opioid overdose. FDA approval of OTC naloxone is predicated on research that satisfies efficacy and safety data requirements. Pharmaceutical companies, however, have not sought to develop an over-the-counter product.88 Federal funding may be needed to meet FDA approval requirements.

11. Provide Dedicated Funding for Community-Based Naloxone Distribution and Overdose Prevention and Response Education: Few states provide dedicated budget lines to support the cost of naloxone or staffing for community-based opioid overdose prevention programs. The CDC, however, reports that, between 1996 and 2014, these programs trained and equipped more than 152,280 laypeople with naloxone, who have successfully reversed 26,463 opioid overdoses.89 Without additional and dedicated funding, community-based opioid overdose prevention programs will not be able to continue to provide naloxone to all those who need it, and the likelihood of new programs being implemented is slim. A major barrier to naloxone access is its affordability and chronic shortages in market supply, 90 which overdose prevention programs, operating on shoestring budgets, can have a difficult time navigating.

12. Improve Insurance Coverage for Naloxone: Individuals who use heroin and other opioids are often both uninsured and marginalized by the healthcare system.91 States should insure optimal reimbursement rates for naloxone to increase access to those who need it most – users themselves.

Overdose reversal drugs need to be made much more widely available -- and affordable. (health.pa.gov)
13. Provide Naloxone to Additional At-Risk Communities: People exiting detox and other treatment programs as well as periods of incarceration are at particularly high risk for overdose because their tolerance has been substantially decreased. After their period of abstinence, if they relapse and use the same amount, the result is often a deadly overdose. States should require overdose education and offer naloxone to people upon discharge from detox and other drug treatment programs and jails/prisons. The Substance Abuse and Mental Health Services Administration has declared that prescribing or dispensing naloxone is an essential complement to both detoxification services as well as medically supervised withdrawal. Vermont passed legislation making naloxone available to eligible pilot project participants who are transitioning from incarceration back to the community. In addition, there are other programs/studies that provide naloxone to recently released individuals on a limited basis, including in San Francisco, California, King County, Washington and Rhode Island.

14. Encourage Distribution of Naloxone to Patients Receiving Opioids: Physicians should be encouraged to prescribe naloxone to their patients and opioid treatment programs should inform their clients about naloxone, if prescribing or dispensing an opioid to them. Pharmacists should similarly be encouraged to offer naloxone along with all Schedule II opioid prescriptions being filled, for syringe purchases (without concurrent injectable medication), and for all co-prescriptions (within 30 days) of a benzodiazepine (such as Valium™, Xanax™ or Klonopin™) and any opioid medication. The Rhode Island Governor's Overdose Prevention and Intervention Task Force found that offering naloxone to those prescribed a Schedule II opioid or when co-prescribed a benzodiazepine and any opioid would have reached 86% of overdose victims who received a prescription from a pharmacy prior to their death, and could have prevented 58% of all overdose deaths from 2014 to 2015.

15. Expand Good Samaritan Protections: "Good Samaritan" laws provide limited immunity from prosecution for specified drug law violations for people who summon help at the scene of an overdose. But, protection from prosecution is not enough to ensure that people are not too frightened to seek medical help. Other consequences, like arrest, parole or probation violations, and immigration consequences, can be equal barriers to calling 911. States with Good Samaritan laws already on the books should evaluate the protections provided and determine whether expansion of those protections would increase the likelihood that people seek medical assistance.

16. End the Criminalization of Syringe Possession: Syringes should be exempt from state paraphernalia laws in order to provide optimal access to people who inject drugs. Twenty-two states criminalize syringe possession. Thus, even if there is a legal access point, such as pharmacy sales, paraphernalia laws still permit law enforcement to arrest and prosecute individuals in possession of a syringe. Public health and law enforcement authorities should not be working at cross-purposes.

17. Reduce Barriers to Over-The-Counter Syringe Sales and Permit Direct Prescriptions of Syringes: While the non-prescription, over-the-counter sale of syringes is now permitted in all but one U.S. state, access is still unduly restricted.States should evaluate the potential barriers to accessing syringes over-thecounter and implement measures to improve access. Moreover, doctors should be permitted to prescribe syringes directly to their patients, a practice few states currently permit.

18. Authorize and Fund Sterile Syringe Access and Exchange Programs; Increase Programs: States should explicitly authorize and fund sterile syringe access and exchange programs, and states that have already authorized them should evaluate how to increase the number or capacity of programs to ensure all state residents – whether in urban centers or rural communities -- have access to clean syringes, as well as evaluate any possible barriers to access such as unnecessary age restrictions.

19. Provide Free Public, Community-Level Access to Drug Checking Services: Technology exists to test heroin and opioid products for adulterants via GC/MS analysis, but it has so far been unavailable at a public level in the US (aside from a mail-in service run by Ecstasydata.org). Making these services available in the context of a community outreach service or academic study would lower the number of deaths and hospitalizations and also allow for real-time tracking of local drug trends.

Prevention

20. Establish Expert Panel on Opioid Prescribing: Though the CDC has issued guidelines for prescribing opioids for chronic pain, the guidelines are voluntary and are likely to exacerbate disparities in treatment that already exist. Research has shown, for example, that African Americans are less likely than whites to receive opioids for pain even when being treated for the same conditions. Moreover, the CDC guidelines only address prescribing practices for chronic pain, not prescribing practices more broadly. States should accordingly establish an expert panel to undertake an assessment as to whether prescribing practices, such as co-prescriptions for benzodiazepines and opioids or overprescribing of opioids, have contributed to increased rates of opioid dependence, and, if so, the expert panel should develop a plan to address any such linkages as well as any treatment disparities. The plan must account for the potential negative effects of curtailing prescribing practices or swiftly reducing prescription opioid prescribing volume. A task force in Rhode Island found that while changes in opioid supply can have the intended effect of reducing availability of abuse-able medications, they have also been linked to an increase in transition to illicit drug use and in more risky drug use behaviors (e.g., snorting and injecting pain medications). The plan must also account for chronic pain patients, particularly those already underserviced, and not unduly limit their access to necessary medications. Finally, to the extent prescribing guidelines are issued as part of the plan, they should be mandatory and applied across the board.

21. Mandate Medical Provider Education: States should mandate that all health professional degree-granting institutions include curricula on opioid dependence, overdose prevention, medication-assisted treatment, and harm reduction interventions, and that continuing education on these topics be readily available.

22. Develop Comprehensive, Evidence-Based Health, Wellness, and Harm Reduction Curriculum for Youth: State education departments, in conjunction with an expert panel consisting of various stakeholders that ascribe to scientific principles of treatment for youth, should develop a comprehensive, evidence-based health, wellness, and harm reduction curriculum for use in schools that incorporates scientific education on drugs, continuum of use, and contributors to problematic drug use (e.g., coping and resiliency, mental health issues, adverse childhood experiences, traumatic events and crisis), as well as how reduce harm (e.g., not mixing opioids with benzodiazepines). Education departments should also establish protocols and resources for early intervention, counseling, linkage to care, harm reduction resources, and other supports for students.

CRIMINAL JUSTICE

23. Establish Diversion Programs, Including Law Enforcement Assisted Diversion (LEAD): LEAD is a pre-booking diversion program that establishes protocols by which police divert people away from the typical criminal justice route of arrest, charge and conviction into a health-based, harm-reduction focused intensive case management process wherein the individual receives support services ranging from housing and healthcare to drug treatment and mental health services. Municipalities should create and implement LEAD programs and states and the federal government should provide dedicated funding for such programs. Various other forms of diversion programs exist and can be implemented should LEAD prove unsuitable to a particular population or municipality.

24. Decriminalize Drug Possession: Decriminalization is commonly defined as the elimination of criminal penalties for drug possession for personal use. In other words, it means that people who merely use or possess small amounts of drugs are no longer arrested, jailed, prosecuted, imprisoned, put on probation or parole, or saddled with a criminal record. Nearly two dozen countries have taken steps toward decriminalization. Empirical evidence from the international experiences demonstrate that decriminalization does not result in increased use or crime, reduces incidences of HIV/AIDs and overdose, increases the number of people in treatment, and reduces social costs of drug misuse. All criminal penalties for possession of small amounts of controlled substances for personal use should be removed.

Drug War Issues

Criminal JusticeAsset Forfeiture, Collateral Sanctions (College Aid, Drug Taxes, Housing, Welfare), Court Rulings, Drug Courts, Due Process, Felony Disenfranchisement, Incarceration, Policing (2011 Drug War Killings, 2012 Drug War Killings, 2013 Drug War Killings, 2014 Drug War Killings, 2015 Drug War Killings, 2016 Drug War Killings, 2017 Drug War Killings, Arrests, Eradication, Informants, Interdiction, Lowest Priority Policies, Police Corruption, Police Raids, Profiling, Search and Seizure, SWAT/Paramilitarization, Task Forces, Undercover Work), Probation or Parole, Prosecution, Reentry/Rehabilitation, Sentencing (Alternatives to Incarceration, Clemency and Pardon, Crack/Powder Cocaine Disparity, Death Penalty, Decriminalization, Defelonization, Drug Free Zones, Mandatory Minimums, Rockefeller Drug Laws, Sentencing Guidelines)CultureArt, Celebrities, Counter-Culture, Music, Poetry/Literature, Television, TheaterDrug UseParaphernalia, ViolenceIntersecting IssuesCollateral Sanctions (College Aid, Drug Taxes, Housing, Welfare), Violence, Border, Budgets/Taxes/Economics, Business, Civil Rights, Driving, Economics, Education (College Aid), Employment, Environment, Families, Free Speech, Gun Policy, Human Rights, Immigration, Militarization, Money Laundering, Pregnancy, Privacy (Search and Seizure, Drug Testing), Race, Religion, Science, Sports, Women's IssuesMarijuana PolicyGateway Theory, Hemp, Marijuana -- Personal Use, Marijuana Industry, Medical MarijuanaMedicineMedical Marijuana, Science of Drugs, Under-treatment of PainPublic HealthAddiction, Addiction Treatment (Science of Drugs), Drug Education, Drug Prevention, Drug-Related AIDS/HIV or Hepatitis C, Harm Reduction (Methadone & Other Opiate Maintenance, Needle Exchange, Overdose Prevention, Pill Testing, Safe Injection Sites)Source and Transit CountriesAndean Drug War, Coca, Hashish, Mexican Drug War, Opium ProductionSpecific DrugsAlcohol, Ayahuasca, Cocaine (Crack Cocaine), Ecstasy, Heroin, Ibogaine, ketamine, Khat, Kratom, Marijuana (Gateway Theory, Marijuana -- Personal Use, Medical Marijuana, Hashish), Methamphetamine, New Synthetic Drugs (Synthetic Cannabinoids, Synthetic Stimulants), Nicotine, Prescription Opiates (Fentanyl, Oxycontin), Psilocybin / Magic Mushrooms, Psychedelics (LSD, Mescaline, Peyote, Salvia Divinorum)YouthGrade School, Post-Secondary School, Raves, Secondary School