Chapter One

DRAFT

Analytical Perspectives

For Understanding the “Drug Trade”

 

·       Analytical Perspectives

·       PsychoActive Substances: What are they, How do they work?

·       A Commodity Systems Framework

·       Summary of the Text

 

A big party is coming up this weekend. Alcohol and cigarettes will abound. Your dorm mate down the hall wants to provide the Ecstasy pills as well as the non-alcoholic beverages for hydration. He calls a friend, who calls another friend, who is waiting for a new shipment from Europe. Everyone’s heard about the bust of the Hassidic young men bringing pills from, and taking cash back to Amsterdam,[1] but the supply is still readily available for anyone willing to pay the price. And $10-25 is less than the price of a good concert!

 

How can we best understand the sequence of events just described? Criminals breaking the law, social deviants satisfying their unnatural desires, morally weak individuals succumbing to evil, or rational individuals responding to opportunities to engage in behavior that brings them some desired outcome (fun, excitement, social prestige, money, etc.) at what they perceive to be an acceptable risk?

This text presents and compares the major analytical perspectives used by social scientists to explain the behavior of individuals as well as public policy efforts to influence that behavior, and explores how these perspectives explain the drug trade. We know that our national policy of prohibition has cost us billions of dollars, millions of lives lost to jail, poor health and even death. Almost everyone agrees that our national drug policy has not succeeded, even after 30 years, $300 billion and the highest proportion of population behind bars among industrialized nations. Understanding why the War on Drugs policy has not achieved its goals, as well as developing and evaluating alternative approaches is best done if we think systematically and analytically.

The four analytical perspectives are Social Deviance, Constructivism, Political Economy and Realism. Each provides some insight into the drug trade and policy, but each is incomplete to varying degrees in what it can explain. The readers of this text will be encouraged to consider how these perspectives can be used, singly and in combination, to provide a logical and empirically supported argument for why and how psychoactive substances (more commonly known simply as “drugs”) influence our lives, as well as understanding the different ways in which societies approach the phenomenon. The goal of this text is not to present policy prescriptions but to help shape a debate in which each position is articulated in its strongest logical and analytical terms. If drug policy is to improve, the quality of the debate has to be improved.

Social Deviance assumes that a common culture shares social norms and values that determine most people’s behavior. A leading text notes that the concept “refers to behaviors or attributes manifested by specified kinds of people in specified circumstances that are judged to violate the normative expectations of a specified group. ‘Shared normative expectations’ refers to group evaluations regarding the appropriateness or inappropriateness of certain attributes or behaviors when manifested by certain kinds of people in certain situations.” The motivation for deviant behavior generally arises because an individual cannot succeed in acceptable terms and thus chooses to undertake activities in which he can succeed, despite their proscription by society. At times an individual may be seek to be part of a group independent of their deviant subculture and wind up behaving deviantly because she wants to fit in. Whether the motivations actually produce deviant behavior depends upon the “relative strength of the motives to commit the act and of those not to commit the act, and on the situational context and other opportunities to perform the act.”[2]

 There is a tendency to assume that societal norms are “natural” and inherently correct and anyone who questions those norms is automatically suspect. Hence, the label that deviant behavior is “anti-social.” The core argument of this perspective is that being socially deviant causes people to act in ways that transgress societal norms.

Analysts of the drug phenomenon who utilize this perspective believe that some individuals suffer from a flaw that leads them to violate social norms against the consumption of drugs that society has declared illegal.[3]  Many of these analysts assume that the national policy of Drug Free America and voters’ support of legal proscription of currently illegal substances constitutes the social norm on drugs. Drinking at a college party, even by those underage, is acceptable because alcohol is not proscribed by society at large, but using Ecstasy is, by definition, indicative of deviant behavior.

The nature of the flaws that allegedly cause deviance is in dispute among these analysts. Some think that social and economic factors such as poverty, child abuse or discrimination are key causal or contributory elements, though other analysts of this same school reject such links, emphasizing that the majority of people experiencing these social and economic factors do not engage in socially deviant behavior. For these analysts, genetic factors, such as low intelligence, chemical imbalances or a familial history of addiction produces a weak character which is susceptible to deviance.[4]  Users of illegal drugs at college parties are thus expected to come from some type of social and economically deprived background, to have trouble adjusting to college pressures, and to be poor students.

Social deviance approaches are most useful when the relevant norms are widely accepted and societal norms are changing only moderately and slowly. While they can accommodate the fact that a society may create different laws governing the use of distinct psychoactive substances, the social deviance approach has a difficult time explaining dramatic changes such as the US prohibition of alcohol in 1919 and its subsequent legalization in 1933. In addition, the widespread use of some illegal substances (e.g., half of US high school seniors have tried marijuana) renders the claim of “deviance” a rhetorical device rather than a useful analytic approach for understanding the drug phenomenon. Consequently, the study of social deviance may not be particularly helpful for understanding and making meaningful comparisons among psychoactive substances that are 1) legal (e.g., alcohol and tobacco); 2) widely used but illegal (e.g., marijuana or alcohol by underage drinkers); and 3) infrequently used and illegal (e.g., heroin).

Social deviance studies have provided some important insights when they focus on select groups of users. Addicts are clearly on the margins of society and as their contact with the mainstream decreases addicts get caught in a pattern of “deviance amplification.”[5] This insight may go a long way to explain why a small group of users not only account for most of the illegal drug use, but also the non-drug crime associated with such use. The Social Deviance approach constitutes the theoretical basis for a crime-oriented understanding of why some individuals or groups would violate the rules of behavior approved by society at large. Deviance studies have made some advances in understanding aspects of the criminal behavior of drug traffickers. As we will see in more detail in Chapters 4 and 5, only a minority of traffickers engage in violent behavior, preferring instead to maintain a low profile, make money and enjoy the benefits of higher income in mainstream society. But some drug lords, like those leading the Medellin and Tijuana cartels, pursue fame through violence, even at the cost of risking the billions of dollars they have already made. It turns out that many of these violent drug lords were petty criminals who saw violence (which one can argue constitutes deviant behavior in most societies) as a way of exerting a degree of control over their environment and as a means of distinguishing themselves.[6]

However, because a social deviance focus assumes that the substance under consideration is illegal, it doesn’t help us understand why we have variations in legal status among pyschoactive substances across place and time. In addition, while it is true that there can be socially disruptive and illegal behavior (beyond mere consumption) associated with these substances, this is not usually the case, and individuals who are not under the influence of psychoactive substances engage in many of these same behaviors. The challenge for social deviance analysts is to develop measures to indicate when a norm becomes a social norm, what threshold is necessary to suggest that a social norm has become weak enough to render the label “deviance” obsolete, and the determinants and processes of norm change.

For the purposes of analyzing the phenomenon of drug consumption and associated behaviors we must consider the possibility that factors other than social norms and the inherent characteristics of the substances themselves are responsible for the way in which we categorize users, understand their behavior, and formulate policy to deal with both.

The Constructivist approach insists that individual behavior, and therefore the politics of drugs, depends upon the way in which relevant actors conceptualize the phenomenon of psychoactive substances and policy options. Constructivists begin their analyses from the point of view that “ideas, which can only exist in individuals’ heads, (are)… socially causative.”[7] By this they mean that facts derive their meaning from the viewer’s preconceived notions rather than from inherent factors.  For example, in the drug trade, consumption, production and trade of psychoactive substances, as well as the laundering of money generated by these activities, are indisputable facts. In that sense each constitutes a “phenomenon.” Constructivists note that our understanding of the meaning of these facts varies by substance, time, place, and even by the social characterization of those involved (class, ethnicity, national origin, gender, age or race).  In the US we tend to see the person who brought “booze” to the dorm party as simply a “partier” while we are likely to find more negative words (irresponsible, “pusher”) to describe the person who brought the Ecstasy despite the fact that both broke the law and alcohol is significantly more dangerous to users than is Ecstasy. Constructivists, therefore, argue that there is no inherent reason why drug use should be deviant or illegal.  Rather, these social and legal characteristics are generated by particular groups in particular societies at particular times.

Although constructivists focus on norms, they differ from social deviance analysts because they believe that norms are constantly being challenged and reformed. Consequently, “deviance” is not an explanatory category. It is a descriptor with negative connotations that reflects the views of the person using it rather than an objective concept that promotes the understanding of a phenomenon or a powerful causal argument. Understanding why alcohol is legal and Ecstasy illegal requires examining ourselves more so than the substances themselves, according to the Constructivist perspective.

Users consume, producers produce and traffickers sell because they conceive of their actions as acceptable, not because they conceive of themselves as failures. From a constructivist point of view there are no “bad” norms from the perspective of those who promote them.[8] One needs to understand the competition among norms to explain behavior. That competition revolves around norm entrepreneurs and institutions.

Since ideas are constantly available constructivists look to norm entrepreneurs to explain which ideas become group norms. The entrepreneur believes in the idea and because of it she provides information and develops a coalition to support these ideas. As this coalition gains adherents the idea becomes accepted and, if successful, institutionalized into group norms. These norms become internalized, with group members guiding their behavior by them subconsciously.

The constructivist perspective forces us to deal with the fact that drug policy is partly the result of our subjective perceptions about the different substances, about consumers and non-consumers, as well as the entire range of people involved in the drug phenomenon. But this perspective has its own fundamental weakness: we have not yet developed methodologies with sufficient social scientific rigor to determine the origins of these perspectives in individuals or to test for the existence and power of specific perspectives in explaining behavior and policy preferences.  Constructivist analysts need to develop arguments about when these idea entrepreneurs will arise, the direction of their policy prescriptions and the chances for their success in building a coalition that is sufficiently powerful to influence policy.

A third analytic perspective, Political Economy, builds an argument explaining human behavior by emphasizing the rationality of choices made by individuals. A number of key concepts define a political economy approach to analyzing the behavior of humans and of the communities they create.[9] Actors are assumed to be instrumentally rational and egoist. This claim simply means that individuals, groups, or states (actors) want what they themselves define as best (egoist) and act in a manner that is designed to achieve it (rational). Being instrumentally rational does not imply that an actor knows all the relevant information, but rather that given the information an actor has, she chooses to do what appears to her will help achieve her goals. Choice thus plays a key role in a political economy approach.

The existence of choice implies options (in models of strategic interaction these are called “strategies”) and some ranking among those options by the actor. Choices are perceived by the actor to produce different outcomes, and the actor makes a choice based on how those outcomes correspond to what the actor desires. Actors are assumed to have preferences concerning the rankings among outcomes; that is, they prefer the outcomes, not the options themselves. Taking psychoactive substances is thus a strategy to achieve an outcome (e.g., dancing all night, getting instant gratification, relaxing, etc) that is preferred to the other outcomes that are expected (e.g., getting too tired or drunk to dance, watching TV alone, etc.) if one does not take the drug.

A political economy approach assumes that actors usually engage each other in situations characterized by strategic interaction: the outcome of their interaction is the combined result of what each wants and does. This means that neither actor might have chosen the outcome she got.  Rather, the outcome came about because of choices both made while anticipating what the other might choose. For example, a person at the party might consume a tainted drug rather than simply Ecstasy and become critically ill instead of dancing into the night, an outcome which was not the intent of either the student or the policymakers who made Ecstasy illegal.

 In addition to the individuals involved, a political economy approach takes account of the institutional context within which their action occurs. Institutions refer to rules that guide behavior; they can be explicit (as in the case of laws) or implicit (as in cultural, social or group norms) and they can be embodied in formal organizations or simply constitute the social context within which actors interact. These rules provide incentives, both positive and negative, for certain types of behaviors. Rational egoistic actors consider these costs and benefits in evaluating outcomes and choosing their actions.

This element of choice holds whether actors behave in accordance with the law or act outside it, thus becoming “criminals.” It is also true for addicts, in the sense that the first use of a substance was a choice influenced by a variety of positive and negative incentives.   It is important to realize that since the dependency rate for illegal substances is well below 25% for most substances, addicts’ first decision to use drugs can be made, with some rational justification, in the belief that they will not become addicts. In addition, some addicts are able to respond to decreased availability or greater risk by cutting back on consumption, even abstaining for months at a time.[10]

A political economy approach to understanding why consumers consume, producers produce, traffickers traffic and money launderers launder, thus focuses on understanding the choices individuals confront and the incentives for choosing to consume, produce, traffic and launder. The political economy approach also allows us to move beyond the sterile debate about whether drug consumption is demand or supply induced by providing a way of thinking about how supply and demand are intimately related. A political economy approach can also help us understand how countries respond to those facts. By recognizing that the distribution of benefits and costs of different policy options across different actors influences preferences and behavior, we can gain a clearer understanding of the different ways in which the same society treats distinct psychoactive substances as well as how countries vary in their approach to the same psychoactive substance. Policymakers respond strategically to the preferences of the people who are institutionally empowered to select them, and thus public policy has to be understood in terms of political influence and the distribution of costs and benefits of alternative policies.

Like all other analytic perspectives, political economy approaches also have weaknesses. Preferences are assumed or derived after the fact by reasoning backward.  For example, analysts might say, “given this strategic context and this outcome, the actors must have valued these choices above these other options.” This problem with preference formation occurs because the political economy approach provides no way of understanding how these rational individuals determine their value structures. As a shortcut, individuals are assumed to want more rather than less and what they want is often assumed to be material in nature. [Think it would be useful to use your case again to show concretely the weaknesses of the PE approach.] But even if a student wanted to dance more at the dorm party, their value structure might lead them to reject both alcohol and Ecstasy despite the impact on his ability to dance.

Our final analytic approach, Realism, focuses on explaining how domestic public policy relates to a global market as well how a government behaves internationally. Consequently, it will be of interest primarily in Part II of this text when we turn to explaining public policy.

Realism assumes that international politics occurs in a context in which no set of rules is binding on all states (a condition of “anarchy”) and thus subjugation or elimination of states is a constant possibility. This context forces states to mistrust each other on matters that could affect their ability to survive, thrive and make policy decisions that respond to their own best interests. As a result, power is the chief currency in international politics, and cooperation on important matters will be limited to immediate self interest and therefore brief and unlikely to be fully adhered to by any nation.[11]

A Realist perspective on drug policy might be useful in understanding why the US position on drug use dominates international policy. Because the market for drugs is international in scope, power differentials among states should determine which policy options governments adopt. Stronger states are expected to be more unilateral in their foreign policy on drugs, while weaker states should follow the lead of the most powerful states. Following the lead should mean that the powerful states force weaker states to pay higher relative costs. Hence, the US government severely conditions its aid to Colombia to its willingness to spray herbicides over coca, poppy and marijuana fields, a practice that would violate federal Environmental Protection Agency laws in the US. Realists also expect that anti-drug efforts will unlikely be top priorities for most governments, consequently, policy on drug issues will be subordinated to security or economic priorities.

Realist perspectives, nevertheless, cannot explain when a state will determine that drugs constitute a significant threat to national interests. An historical and comparative examination of drug policy clearly indicates that not all states agree that drugs are such a threat and that those which see such a threat today did not perceive one at an earlier point in their history.  Realist hypotheses about drug policy are only useful once we discover the domestic policy preferences of individual states. At that point Realists perspectives can compete with social deviance analysts (“rogue states violate international norms), social constructivists (“ideas become institutionalized and guide behavior without a cost/benefit analysis) and political economists (“international institutions affect the costs and benefits of different policy strategies”).

 

Chapters in the text discuss why we view people located at distinct points in the system differently, but we inevitably possess a view of the overall system (from consumer to supplier, producer and money-launderer) itself. Readers may protest that we have multiple views about the phenomenon, not just one. True, but inevitably, one conceptualization will dominate our perceptions. We may recognize the existence of other issues, but they will be interpreted within the context set by our fundamental conceptualization.

Thus those who view the issue from a social deviance perspective may recognize the need for personal health treatment, but will insist that it be administered either in prison or under court supervision. The students consuming Ecstasy should be arrested; if rehabilitation is to occur it should be under the auspices of the criminal justice system (e.g., under probation). A constructivist and public health advocate could insist on ignoring questions of legality, economics and liberty and focus instead on the need to provide clean needles or chemical analyses of substances at RAVE parties.  Political economists who also favor public health provision would argue that one cannot ignore the incentives provided by the legal system and the market if needle exchange or chemical analysis programs are to be cost effective.

 

In addition to an understanding of the major different analytical approaches to the drug issue, it is important that we have a common understanding of what science can tell us before proceeding to detailed comparative analysis of drug policy. If there is undisputed scientific confirmation concerning what these substances do and how to control them then the terms of debate around drug policy will be dramatically informed by logic and evidence.

 

PsychoActive Substances: What are they, How do they work?

The consumption of pyschoactive substances, in legal or illegal form, is a common phenomenon in the U.S. and in most other countries. Yet the average citizen, college student or policymaker knows little about these substances, and much of what is “known” falls more into the category of “urban legend” than scientific fact.  In the mid-1980s a frightened public believed the sensational reports of crack cocaine being so powerful and addictive that one time use could create addicts with such superhuman strength that police bullets could barely subdue them short of death. A decade later scientific studies demonstrated that crack had no such maniacal powers. Analysis of the policy debates requires learning more about the nature of these substances and their effects.

A psychoactive substance influences communication channels in the brain. Different types of drugs influence different channels, thereby producing distinct impacts on feelings, experience, and behavior. These immediate effects are consistent across episodes as long as the substance is not adulterated, although the quantity used may have to increase because of greater tolerance over time. People can, therefore, choose substances to produce the feelings they desire, at least in the short term. Some long-term effects that the user may not intend are well known (e.g., addiction), but the probabilities of developing those effects are largely unknown. Still other effects remain the subject of scientific debate,  

There is disagreement concerning the exact process by which these substances influence people, but there is a strong consensus among scientists that different substances affect different neurotransmitters. For example, hallucinogens like LSD cause their effects by disrupting the interaction of nerve cells and the neurotransmitter serotonin, which affects “the control of behavioral, perceptual, and regulatory systems, including mood, hunger, body temperature, sexual behavior, muscle control, and sensory perception.” Disassociative substances such as PCP and ketamine influence the neurotransmitter glutamate which affects “perceptions of pain, responses to the environment, and memory.”[12] Still other psychoactive substances produce artificially high levels of the neurotransmitter “dopamine,” which communicates pleasure to the brain.[13]

Pyschoactive substances are found in some rather common foods and drink whose use is not legally regulated (for example, chocolate and coffee). Such substances are also present in products whose use is regulated by age (for example, tobacco and alcohol) or medical license (prescription drugs). And of course, these substances are found in the “drugs” that most societies began to proscribe early in the 20th century (cocaine and heroin), or shortly after they were developed (Ecstasy, methamphetamine, etc.). 

A majority of people around the globe probably chooses not to indulge in the use of pyschoactive substances that are illegal in their countries; still, as Chapter Two demonstrates, hundreds of millions of people choose to try illegal drugs at some point in their lifetime. It is also clear that there is great diversity in the product-specific characteristics of substances (some put you up, others make you feel down) as well as in the social and individual traits of their users. (e.g., some are rich, others poor, some have many life opportunities ahead of them, others few).

“Addiction” and “Dependency” are concepts that, while not having clear scientific meaning and applying to only a minority of drug consumers, permeate the views most people have of the drug phenomenon. Illegal drugs are widely believed to be particularly harmful to their users and intimately linked to violent crime because of their addictive qualities. Even NIDA’s web site usually leads a description of an illegal substance by noting that it is “addictive.”

The American Society of Addictive Medicine (ASAM) advocates a formal definition of addiction, which differs from physical dependence. “The importance of maintaining this distinction has been highlighted in recent years by the emergence of the pain management movement, whose practitioners point out that in some situations (e.g., severe post-operative pain or pain associated with terminal cancer), it is clinically appropriate to give a patient medications at a dose and for a period of time sufficient to produce physical dependence. However, this alone does not lead to addiction, which always has a psychological component and is accompanied by a constellation of distinctive behaviors.”[14]

INSERT BOX WITH ASAM TERMS

Glossary of Select Terms Used in the ASAM PPC-2R

 [Note:  an asterisk denotes a definition that has been formally adopted by ASAM's Board of Directors.]

*Abuse.  Harmful use of a specific psychoactive substance.  The term also applies to one category of psychoactive substance-related disorders.  While recognizing that "abuse" is part of present diagnostic terminology, ASAM recommends that an alternative term be found for this purpose because of the pejorative connotations of the word "abuse."

*Addiction. A primary, chronic, neurobiologic disorder, with genetic, psychosocial and environmental factors influencing its development and manifestations.  It is characterized by behaviors that include one or more of the following:  impaired control over drug use, compulsive use, continued use despite harm, and craving.

Alcoholism.  A general but not diagnostic term, typically used to describe alcohol dependence, but sometimes used more broadly to describe a variety of problems related to the use of beverage alcohol.

*Dependence.  Used in three different ways:  (1) physical dependence, a physiological state of adaptation to a specific psychoactive substance characterized by the emergence of a withdrawal syndrome during abstinence, which may be relieved in total or in part by readministration of the substance; (2) psychological dependence, a subjective sense of need for a specific psychoactive substance, either for its positive effects or to avoid negative effects associated with its abstinence; and (3) one category of psychoactive substance use disorder.

 

There is both historical and scientific evidence that most users of psychoactive substances become neither dependent on nor addicted to those substances. Even in the case of heroin, a study by the Institute of Medicine of the National Academy of Sciences reports that only 23% of those who had ever used it became dependent. It will come as a surprise to many that the dependency rate for alcohol (15% of those who had ever used) turns out to be quite similar to that of cocaine (17%). (see Table 1.1)

This evidence has spurred a debate concerning the existence of “addictive” substances– if most users do not become addicted, then the cause of addiction cannot be the substance itself.[15] During the late 19th century this variation in addiction outcomes was noticed and explained in crude form by reference to “addictive personalities.”[16] Modern science has discarded the notion of an addictive personality, focusing much attention on genes instead. In the case of alcohol, probably the most studied pyschoactive substance, attention has focused on familial genetic “dispositions” to alcoholism. This approach has been found to account for as much, or as little, depending on one’s point of view, as 40% of the variation in alcoholism outcomes.[17] Yet that still leaves more than half of the variation in a drinker’s alcoholism to derive from neither the substance itself, nor the familial genetic links studied so far.

As we shall encounter again and again throughout this book, our scientific knowledge about these substances and the links between substance and behavior are too inconclusive to provide significant guidance in the debates.  What the scientific evidence does allow us to say at this point is that addiction and dependence are not caused by the substance itself, but develop from a combination of pyschoactive substance, genes and the social context within which the consumer lives and uses the substance.

 

 


Table 1.1

Substance Use and Dependency Rates

Drug Category

Proportion That Have Ever Used (%)

Proportion of Users That Ever Became Dependent (%)

Tobacco

76

32

Alcohol

92

15

Marijuana (including hashish)

46

9

Anxiolytics (including sedatives and hypnotic drugs)

13

9

Cocaine

16

17

Heroin

2

23

 

Source: Janet E. Joy, Stanley J. Watson, Jr., and John A. Benson, Jr., Editors,  Marijuana and Medicine: Assessing the Science Base Institute of Medicine, National Academy of Sciences, 1999, Table 3.4, based on material from Anthony -------- 1994. http://books.nap.edu/html/marimed/notice.html

 

The final tool we will need in order to formulate an understanding of the “drug problem” is a model or framework of how all the elements involved interact.

 

A Commodity Systems Framework

The consumer and producer are mutually dependent; one could not exist without the other. And since consumers are rarely located close enough to producers that one could simply meet the other and complete the sale, some type of transportation network must also exist. Producers and transporters in turn generally need access to a variety of inputs (labor, chemicals, weapons and perhaps corrupt officials in the case of illegal products, etc.) in order to produce and transport. Hence, the providers of those inputs also need to be considered. In the case of illegal products, since participants want to enjoy their profits and spending “dirty” money is risky, money launderers play an exceedingly key role. We need, therefore, a systematic way to think about how a variety of roles are integrated in order to produce a product and sell it to the consumer.

The dominant models we have for analyzing the drug trade fail to view all these roles as part of a system whose purpose is to make a profit; in short, as a business. The “balloon” model (“you punch it here, it pops out there’) is an expression of frustration which suggests that, short of ‘popping’ it (ending the drug trade through an overwhelming use of resources), we have no impact on how much air is inside the balloon (or how widespread and active the drug trade is). This view can hardly help us understand why decades of effort, billons of dollars, millions of prisoners, and thousands of deaths have failed to “pop” or at least significantly deflate the drug balloon. Paradoxically, it also spurs us to keep trying because we believe that if we can just get the air out of the balloon, we will destroy it.

The “organized crime” model provides important insights into how a major portion of this system functions, but it doesn’t help us understand the creation and extent of the system itself. Organized crime can develop in some parts of the system when certain characteristics are present (chiefly high value and illegality). Most analyses that discuss the “business of drugs” mean precisely this organization of crime. But Mexican marijuana sales in the US during the 1970s could be explained without reference to organized crime syndicates or networks, and the Medellin cartel in Colombia was certainly an organized crime unit, yet it had little direct control over coca growing in Bolivia. And neither is the current scourge of synthetic opium use via the prescription drug OxyContin the result of organized crime; rather it is a decentralized process that spreads mainly by word of mouth and generally well-intentioned primary care doctors trying to stay up to date with advances in pain medication and keep a client base that demands such medication.[18]

A “systems” approach is clearly needed. The Harvard Business School developed an agribusiness commodity system model in the 1950s that we can readily adapt to psychoactive substances, whether natural or synthetic. “An agribusiness commodity system exists for the purpose of catering to the consumer’s nutritional needs, his style of living, and his society’s changing value structure.”[19] We can substitute “recreational” for “nutritional” without damaging the model, and clearly style of living and changing value structures are important elements in understanding how societies respond to the existence of psychoactive substances.

A commodity system “encompasses all the participants in the production, processing, and marketing of a single farm product, including farm suppliers, farmers, storage operators, processors, wholesalers, and retailers involved in a commodity flow from initial inputs to the final consumer. It also includes all the institutions and arrangements that affect and coordinate the successive stages of a commodity flow, such as the government, trade associations, cooperatives, …financial partners, financial entities, transport groups…”[20] Although the psychoactive commodity systems that will be the main focus of our study are illegal, government remains an actor in the system. Governments respond to those people or groups that help them gain office (a “selectorate”), which in a democracy is the electorate. The selectorate and their government thus establish the set of rules or laws within which the participants seek to operate and governmental authorities pursue or tax them.

The system operates on three levels. First is the total environment, including public policy. At this level the chief distinction we will make is whether the market for a psychoactive substance is legal or illegal. Another level is specific to the substance itself; cocaine is produced and trafficked in ways that are different from Ecstasy.  Finally, one can use the system to understand the behavior of specific individuals, cartels and networks as they seek to carry out and expand their business.

The strength of the agribusiness commodity system model lies in its “integrative” character. From the perspective of a manager of a firm located in the vertical structure of agribusiness, the model provides a way of visualizing his operation within the system of which the firm forms a part. The model also suggests that public policies will be more effective if developed in terms of the total system and if the implications of the policy for all the segments of the system are understood. “A public policy maker cannot make a policy for one segment…without affecting the whole structure, which will in turn affect the segment that once was viewed in isolation.”[21]

We can readily think of traders, producers, money launderers and everyone else engaged in the phenomenon of supplying the consumer of psychoactive substances as business people in competition with each other to supply a product within a legal framework that proscribes their business. This business process produces an integration of functions from production and its needs, through the distribution process all the way to retail, where the consumer sends a signal back through the system by purchasing the substance.

Figures 1 and 2 diagram the general psychoactive substance commodity system for legal and illegal substances, respectively. Students should study the systems well, noting their similarities and differences. We will investigate each phase in great detail in subsequent chapters and constantly refer to the place of different participants in the system as a whole, whether that system be legal or illegal.

 

Figure 1 Here

The Psychoactive Substance Commodity System
Legal Product

 

 

 

 

Figure 2 Here

The Pyschoactive Substance Commodity System

Illegal Product

 

A systems approach suggests that before attacking a specific part of the system public policymakers should ensure that alternative means for the adversary to achieve his goals are not available or that their costs exceed the benefits of circumvention. For example, in the 1990s the US utilized a combination of positive incentives (crop substitution payments) and negative incentives (increased aid to militaries to pursue growers and traffickers) in Peru and Bolivia, with the result that production decreased dramatically in those countries. Colombian farmers in areas ignored by the US, however, saw a new market opportunity and began producing coca. The new producers more than offset the decline in Peru and Bolivia, and the overall supply of cocaine to the US increased. Now the US is frantically pouring over a billion dollars into fighting drugs in Colombia.  The under appreciated consequence, however, is that less funding is provided for the positive incentives that encouraged decreased production in Bolivia and Peru. Similarly, the US made great strides during the late 1980s in raising the costs of shipping drugs from Colombia through Caribbean waters.  But because US demand continued and the US government had not invested sufficiently in creating an appropriate incentive structure first in Central America and Mexico, then subsequently the Caribbean islands, Colombian shippers found ready alternative routes.

Thus policy changes are routinely met by market adaptation that defeats the policy. It’s easy to sympathize with policy makers who are frustrated, and revert to the image of popping the balloon as a magical solution. Yet experts on free enterprise and the market would expect just such an outcome to a government policy narrowly targeted at isolated pieces of a complex and global system.

Summary

The different analytical perspectives, combined with the organizing framework of a commodity system illuminate the puzzles and contradictions of this phenomenon of consumption of psychoactive substances and associated behaviors over time and across countries. The perspectives do not lead to any one preferred public policy, because policy choices depend upon values, perceptions and the ability to influence the distribution of the costs and benefits that attend all policy options.

Instead, the comparisons among approaches presented in this text help the reader, whether college student, expert on different aspects of the topic, concerned layperson or policymaker, to think logically and systematically about relevant questions that should be answered by anyone interested in public policy on drugs. Chief among these questions is how a society should respond to the challenges raised by the combination of respect for individual liberty, protection of society and the existence of pyschoactive substances. As the student will learn, there are no easy answers to what is the “best” policy to pursue in this area, but some analyses force us to examine and evaluate important questions, while other approaches deny their very existence.

 

 

 

 

 

 

 

Study Questions: These are intended to provoke reflection rather than simple recall of material presented in the chapter.

 

1.     Critique the argument in the chapter concerning the strengths and weaknesses of the balloon analogy, organized crime and commodity system models for understanding why drug use persists in the U.S. despite a 30-year drug war.

 

2.     Some advocates of legalization argue that because drugs are used despite the prohibitions, we should recognize this fact and legalize the practice. Prostitution, euthanasia and suicide are prohibited but practiced. If we legalize drugs, should we legalize these other currently prohibited but common practices as well? How about child pornography and slavery? What questions would you want to ask before deciding?

 

 

 

 

 

 

 

 



[1] . Christopher A. Szechenyi, “Ecstasy bust leads to Israel organized crime, officials say” Boston Globe April 26, 2000 from www.boston.com/news/daily/26/ecstasy.htm accessed May 10, 2000

[2] . Kaplan and Johnson, pp. 3-10

[3] . book citations

[4] .

[5] . Philip C. Baridon, Addiction, Crime and Social Policy Lexington, MA: Lexington Books, 1976 pp. 86-88

[6] . cite studies comparing social origins of Medellin and Cali cartels, and the variety of trafficking organizations in New York City.

[7] . John Gerard Ruggie, “What Makes the World Hang Together? Neo-utilitarianism and the Social Constructivist Challenge” International Organization 52:4 Autumn 1998 p. 857

[8] . Finnimore and Sikkink, p. 892

[9] . cf., David W. Rasmussen, Bruce L. Benson, H. Naci Mocan, “The Economics of Substance Abuse in Context: Can Economics be Part of an Integrated Theory of Drug Use?” Journal of Drug Issues 28(3) 575-592 1998 ; Bruce Bueno de Mesquita, Principles of International Politics ; and Kenneth A. Shepsle and Mark S. Bonchek, Analyzing Politics: Rationality, Behavior and Institutions New York: W.W. Norton & Company, 1997

[10] .

[11] . Morgenthau, Politics Among Nations; Kenneth Waltz, Theory of International Relations ; John Mearsheimer, “The False Promise of InstitutionalismInternational Security

[12] .  Hallucinogens Addiction Information at Support Systems Provided by the National Institute on Drug Abuse http://www.drug-rehabilitation.com/hallucinogens.htm accessed 4/4/04

 

[13] . http://www.nida.nih.gov/ResearchReports/hallucinogens/halluc2.html; Alan I. Leshner and George F. Koob, “Drugs of Abuse and the Brain” Proceedings of the Association of American Physicians Vol. 111, Number 2, pp. 99-108

[14] . Bonnie B. Wilford, Editor, ASAM Publications, email communication, August 8, 2001 BBWilford@aol.com

 

[15] . Harvard Magazine

[16] . Jerald W. Cloyd, Drugs and Information Control: The Role of Men and Manipulation in the Control of Drug Trafficking Westport, CT: Greenwood Press, pp. 17-58

[17] . UCSD Med School Professor

[18] . Paul Tough, “The OxyContin Underground” New York Times Magazine July 29, 2001 pp. 33-37, 52

[19] . Quotes on the system are taken from Ray A. Goldberg and Leonard M. Wilson, Agribusiness Management for Developing Countries –Latin America  Cambridge, Mass., Ballinger 1974 pp. 3-5

[20] .  Goldberg and Wilson, Agribusiness Management p. P. 4

[21] .  Goldberg and Wilson, Agribusiness Management p. P. 6